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Assessment of Pediatric Residents in the United States by Sex, Ethnoracial and Intersectional Group Cover

Assessment of Pediatric Residents in the United States by Sex, Ethnoracial and Intersectional Group

Open Access
|Jul 2026

References

  1. Holmboe ES, Sherbino J, Englander R, Snell L, Frank JR, on behalf of the ICBME Collaborators. A call to action: The controversy of and rationale for competency-based medical education. Med Teach. 2017;39(6):574581. DOI: 10.1080/0142159X.2017.1315067
  2. Harris P, Bhanji F, Topps M, et al. Evolving concepts of assessment in a competency-based world. Med Teach. 2017;39(6):603608. DOI: 10.1080/0142159X.2017.1315071
  3. Schumacher DJ, Kinnear B, Burk-Rafel J, Santen SA, Bullock JL. The Next Era of Assessment: Can Ensuring High-Quality, Equitable Patient Care Be the Defining Characteristic? Acad Med J Assoc Am Med Coll. Published online December 18, 2023. DOI: 10.1097/ACM.0000000000005603
  4. The American Board of Pediatrics. Entrustable Professional Activities for General Pediatrics. Published online 2021.
  5. Competency-based Medical Education: Next Steps for Training Programs. Published online May 29, 2024. https://www.abp.org/content/next-steps-training-programs
  6. Kakara Anderson HL, Abdulla L, Cabral P, Govaerts M, Balmer DF, Busari JO. Abrasion: a phenomenological study of inequity in workplace-based assessment in pediatrics. Soc Sci Med. 2025;375:118092. DOI: 10.1016/j.socscimed.2025.118092
  7. Teherani A, Hauer KE, Fernandez A, King TE, Lucey C. How Small Differences in Assessed Clinical Performance Amplify to Large Differences in Grades and Awards: A Cascade With Serious Consequences for Students Underrepresented in Medicine. Acad Med. 2018;93(9):12861292. DOI: 10.1097/ACM.0000000000002323
  8. Heath JK, Kogan JR, Holmboe ES, Conforti L, Park YS, Dine CJ. Gender Differences in Work-Based Assessment Scores and Narrative Comments After Direct Observation. J Gen Intern Med. 2024;39(10):17951802. DOI: 10.1007/s11606-024-08645-6
  9. Rojek AE, Khanna R, Yim JWL, et al. Differences in Narrative Language in Evaluations of Medical Students by Gender and Under-represented Minority Status. J Gen Intern Med. 2019;34(5):684691. DOI: 10.1007/s11606-019-04889-9
  10. Padilla EP, Stahl CC, Jung SA, et al. Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents. Ann Surg. 2022;275(2):222229. DOI: 10.1097/SLA.0000000000004905
  11. Vassie C, Smith S, Leedham-Green K. Factors impacting on retention, success and equitable participation in clinical academic careers: a scoping review and meta-thematic synthesis. BMJ Open. 2020;10(3):e033480. DOI: 10.1136/bmjopen-2019-033480
  12. Lett E, Tran NK, Nweke N, et al. Intersectional Disparities in Emergency Medicine Residents’ Performance Assessments by Race, Ethnicity, and Sex. JAMA Netw Open. 2023;6(9):e2330847. DOI: 10.1001/jamanetworkopen.2023.30847
  13. Graduate Medical Education That Meets the Nation’s Health Needs. National Academies Press; 2014. DOI: 10.17226/18754
  14. Anderson HL, Abdulla L, Balmer DF, Govaerts M, Busari JO. Inequity is woven into the fabric: a discourse analysis of assessment in pediatric residency training. Adv Health Sci Educ. Published online June 23, 2023. DOI: 10.1007/s10459-023-10260-9
  15. Anderson HLK, West DC, Schwartz AJ, et al. Inequity in Assessment Among Pediatric Residents. JAMA Netw Open. 2025;8(4):e255594. DOI: 10.1001/jamanetworkopen.2025.5594
  16. Walters J, Paradise Black N, Yurttutan Engin N, Cohen DE, Ben Khallouq B, Chen JG. Race and Gender Differences in Pediatric Milestone Levels: A Multi-Institutional Study. Clin Pediatr (Phila). 2024;63(7):977985. DOI: 10.1177/00099228231200985
  17. The Pediatrics Milestones Project 2021. Published online 2021.
  18. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. Int J Surg. 2014;12(12):14951499. DOI: 10.1016/j.ijsu.2014.07.013
  19. Boatright D, Anderson N, Kim JG, et al. Racial and Ethnic Differences in Internal Medicine Residency Assessments. JAMA Netw Open. 2022;5(12):e2247649. DOI: 10.1001/jamanetworkopen.2022.47649
  20. Bauer GR. Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Soc Sci Med. 2014;110:1017. DOI: 10.1016/j.socscimed.2014.03.022
  21. Pearson MI, Castle SD, Matz RL, Koester BP, Byrd WC. Integrating Critical Approaches into Quantitative STEM Equity Work. Schussler E, editor. CBE—Life Sci Educ. 2022;21(1):es1. DOI: 10.1187/cbe.21-06-0158
  22. Evans CR, Williams DR, Onnela JP, Subramanian SV. A multilevel approach to modeling health inequalities at the intersection of multiple social identities. Soc Sci Med. 2018;203:6473. DOI: 10.1016/j.socscimed.2017.11.011
  23. Schumacher DJ, King B, Barnes MM, et al. Influence of Clinical Competency Committee Review Process on Summative Resident Assessment Decisions. J Grad Med Educ. 2018;10(4):429437. DOI: 10.4300/JGME-D-17-00762.1
  24. Schumacher DJ, Martini A, Bartlett KW, et al. Key Factors in Clinical Competency Committee Members’ Decisions Regarding Residents’ Readiness to Serve as Supervisors: A National Study. Acad Med. 2019;94(2):251258. DOI: 10.1097/ACM.0000000000002469
  25. Schwartz A, Balmer DF, Borman-Shoap E, et al. Shared Mental Models Among Clinical Competency Committees in the Context of Time-Variable, Competency-Based Advancement to Residency. Acad Med. 2020;95(11S):S95S102. DOI: 10.1097/ACM.0000000000003638
  26. Hemond J, Stowers K, O’Connor M. A Pediatric Residency’s Approach To The Ccc (Clinical Competency Committee): A Quality Improvement Project To Enhance Resident Performance Assessments. Acad Pediatr. 2025;25(1). DOI: 10.1016/j.acap.2024.102715
  27. Ekpenyong A, Edgar L, Wilkerson L, Holmboe ES. A multispecialty ethnographic study of clinical competency committees (CCCs). Med Teach. 2022;44(11):12281236. DOI: 10.1080/0142159X.2022.2072281
  28. Kinnear B, Warm EJ, Hauer KE. Twelve tips to maximize the value of a clinical competency committee in postgraduate medical education. Med Teach. 2018;40(11):11101115. DOI: 10.1080/0142159X.2018.1474191
  29. Lucey CR, Hauer KE, Boatright D, Fernandez A. Medical Education’s Wicked Problem: Achieving Equity in Assessment for Medical Learners. Acad Med. 2020;95(12S):S98S108. DOI: 10.1097/ACM.0000000000003717
  30. Kinnear B, Weber DE, Schumacher DJ, Edje L, Warm EJ, Anderson HL. Reconstructing Neurath’s Ship: A Case Study in Reevaluating Equity in a Program of Assessment. Acad Med. 2023;98(8S):S50S56. DOI: 10.1097/ACM.0000000000005249
  31. Pediatric Physicians Workforce Data Book. Published online 2021.
DOI: https://doi.org/10.5334/pme.2862 | Journal eISSN: 2212-277X
Language: English
Page range: 621 - 632
Submitted on: Jun 2, 2026
Accepted on: Jul 9, 2026
Published on: Jul 21, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services

© 2026 Hannah L. Kakara Anderson, Daniel C. West, Alan J. Schwartz, Laura Lockwood, Caroline E. Rassbach, Ariel S. Winn, Catherine D. Michelson, Benjamin Kinnear, Jerome G. Chen, Abigail Martini, David A. Turner, Daniel J. Schumacher, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.