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Do Data Obtained From Admissions Interviews and Resident Evaluations Predict Later Personal and Practice Problems?

Received December 14, 2004; revised March 7, 2005; accepted March 29, 2005. Dr. Steven Dubovsky is Professor and Chair, Department of Psychiatry, University at Buffalo, Buffalo, New York and Adjoint Professor of Psychiatry and Medicine at the University of Colorado School of Medicine, Denver, Colorado. Dr. Gendel is affiliated with the University of Colorado School of Medicine, Department of Psychiatry, Denver, Colorado. Mrs. Amelia Dubovsky is affiliated with New York University School of Medicine, Medical Student Education, New York, New York. Drs. Rosse and Levin are affiliated with the University of Colorado, Psychology, Boulder, Colorado. Dr. House is affiliated with the Department of Psychiatry, Denver Health Medical Center and the University of Colorado School of Medicine, Department of Psychiatry, Denver, Colorado. Address correspondence to Dr. Steven L. Dubovsky, Erie County Medical Center, 462 Grider St. Room 1182, Buffalo, NY 14215; dubovsky{at}buffalo.edu (E-mail). Copyright © 2005 Academic Psychiatry.

OBJECTIVE: The authors assessed whether current methods of evaluating residency applicants and residents identify psychiatrists who later develop evidence of impairment. METHOD: Residency admissions and performance data for all physicians who were enrolled in a psychiatry residency between 1965 and 1994 and who were referred to an impaired physician program up to 35 years later were matched for age and gender with a nonreferred physician from the same class. RESULTS: There were no significant differences between groups in admission interview assessments, performance ratings, or narrative observations by faculty during residency. CONCLUSIONS: Standard approaches do not identify physicians at risk of later impairment.

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