Can Non-Cognitive Traits During Residency Predict Future Disciplinary Action?
• Arun Sivanandam, M.S. • Mahendra Bhandari Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI Re: Papadakis MA, Arnold GK, Blank LL, Holmboe ES, Lipner RS. Performance during internal medicine residency training and subsequent disciplinary action by state licensing boards. Ann Int Med. 2008;148:869- 76. To The Editor: We read with interest associational analysis between performance during Internal Medicine residency training and disciplinary action by State Licensing Boards (SLB) reported by Maxine et al. We observe a major mismatch between the conglomerate assessment of cognitive, non-cognitive and educational-behavioral traits together with surrogate endpoints of certification evaluation and punitive action by SLBs through a bureaucratic complaint-driven machine. The objective of residency is to gain cognitive and educational skills. Crucially, residency is not an appropriate study period of overall personality traits since non-cognitive die is cast by age 16 with family