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Table 2 Effects on board certification and choice of specialty

From: How is increased selectivity of medical school admissions associated with physicians’ career choice? A Japanese experience

  

Specialty

Board certification

IM

S

R

C

RA

EP

O

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Panel A. Full sample

 D1 [55 < Rank ≤ 60]

1.309 0***

1.01

0.917 1*

0.95

1.208 7**

1.227 0***

1.136 0**

0.953 6*

 

[1.180 8–1.451 0]

[0.959 1–1.072 4]

[0.836 8–1.005 2]

[0.865 9–1.049 1]

[1.034 9–1.411 7]

[1.052 5–1.430 3]

[1.008 2–1.280 0]

[0.902 7–1.007 3]

 D2 [60 < Rank ≤ 65]

1.307 0***

1.02

0.92

1.02

1.14

1.340 7***

1.187 5**

0.892 5***

 

[1.152 8–1.481 8]

[0.944 7–1.100 5]

[0.819 3–1.026 0]

[0.914 3–1.145 1]

[0.907 5–1.423 3]

[1.114 4–1.612 9]

[1.001 2–1.408 4]

[0.825 4–0.965 2]

 D3 [65 ≥ Rank]

1.294 6***

1.00

0.96

1.10

1.11

1.425 6***

1.247 5*

0.850 9**

 

[1.108 8–1.511 4]

[0.880 1–1.128 4]

[0.833 5–1.104 1]

[0.938 4–1.286 5]

[0.819 1–1.498 2]

[1.138 1–1.785 7]

[0.981 2–1.586 2]

[0.740 0–0.978 6]

 Obs.

122 693

122 252

122 252

122 252

122 252

122 252

122 252

122 252

 Mean of dep.

0.81

0.37

0.12

0.09

0.03

0.06

0.05

0.28

Panel B. Male physician

 D1 [55 < Rank ≤ 60]

1.301 9***

1.060 9*

0.895 4**

0.942 8

1.202 9**

1.180 5

1.085 4

0.950 9

 

[1.151 0–1.472 5]

[0.989 4–1.137 6]

[0.809 2–0.990 8]

[0.856 2–1.038 1]

[1.010 8–1.431 4]

[0.954 7–1.459 7]

[0.932 5–1.263 3]

[0.884 2–1.022 7]

 D2 [60 < Rank ≤ 65]

1.302 8***

1.068 3

0.877 5**

1.029 4

1.093 1

1.306 9**

1.071 6

0.906 0**

 

[1.126 6–1.506 7]

[0.969 5–1.177 3]

[0.776 9–0.991 1]

[0.917 4–1.155 0]

[0.858 5–1.392 0]

[1.025 3–1.665 8]

[0.872 1–1.316 7]

[0.825 3–0.994 7]

 D3 [65 ≥ Rank]

1.312 8***

1.029

0.919 5

1.104 2

1.076 6

1.386 6**

1.19

0.863 1*

 

[1.103 6–1.561 6]

[0.886 2–1.194 8]

[0.788 7–1.072 2]

[0.936 8–1.301 3]

[0.779 4–1.487 2]

[1.027 6–1.871 0]

[0.883 3–1.603 2]

[0.738 8–1.008 3]

 Obs.

94 372

94 372

94 372

94 372

94 372

94 372

94 372

94 372

 Mean of dep.

0.82

0.38

0.14

0.11

0.04

0.05

0.04

0.24

Panel C. Female physician

 D1 [55 < Rank ≤60]

1.287 2***

0.923 6

0.857 5

1.010 6

1.029 7

1.250 7**

1.256 7***

1.018 5

 

[1.105 1–1.499 3]

[0.822 4–1.037 3]

[0.668 7–1.099 6]

[0.763 9–1.336 9]

[0.614 3–1.726 0]

[1.004 7–1.556 9]

[1.060 9–1.488 6]

[0.918 9–1.129 0]

 D2 [60 < Rank ≤ 65]

1.260 3**

0.939

0.962 2

0.974 9

1.470 1

1.326 1*

1.402 3***

0.921 3

 

[1.033 5–1.537 0]

[0.801 3–1.100 4]

[0.662 7–1.397 2]

[0.651 8–1.458 2]

[0.748 8–2.886 5]

[0.999 2–1.759 8]

[1.101 4–1.785 4]

[0.794 4–1.068 6]

 D3 [65 ≥ Rank]

1.180 1

0.963 3

1.094 9

1.054 5

1.306 2

1.429 5*

1.322 2

0.861 6

 

[0.908 8–1.532 4]

[0.758 4–1.223 5]

[0.623 8–1.921 8]

[0.593 7–1.872 8]

[0.478 1–3.568 6]

[0.994 3–2.055 3]

[0.918 1–1.904 2]

[0.699 6–1.061 1]

 Obs.

27 880

27 880

27 880

27 880

27 880

27 880

27 880

27 880

 Mean of dep.

0.78

0.36

0.05

0.03

0.01

0.09

0.08

0.38

  1. Note: Results are based on logistic regression model. In all equations, the polynomial function of physician’s age, gender, and fixed effects of medical school attended are controlled for. Standard errors are clustered at the level of medical school attended. Abbreviations: IM internal medicine, S surgery, R rehabilitation, N neurology, RA radiology and anesthesiology, EP emergency and perinatal care, O other care. “Obs” represents the number of observations, “Mean of dep.” represents the mean of dependent variables. 95% confidence interval is in parentheses. ***p < 0.01, **p < 0.05, and *p < 0.1, respectively
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Human Resources for Health

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