It’s official: the most prestigious medical schools do not produce better doctors.
At least that is according to a new study from the US, which found the ranking of the medical school a physician had graduated from had no bearing on the mortality rates of their patients.
Medical school rankings also had little influence on patients’ readmission rates and costs of care, according to an analysis of almost 100,000 emergency admissions by over 30,000 general internists between 2011 and 2015.
The study authors used US News and World Report (USNWR) medical school rankings, which are based on four measures: reputation, research activity, student selectivity and faculty resources.
The study found 10.6% of patients died within 30 days of admission and there was no systematic relationship between mortality rate and the treating doctor’s university ranking. Patients treated by physicians from lower-ranked medical schools had slightly higher 30-day readmission rates (15.7% vs 16.1%) than those treated by doctors from higher ranking schools, but the difference was not statistically significant.
Medicare spending was slightly lower per-capita for patients who saw physicians from the top 10-ranked schools, compared to colleagues from schools ranked 50 or greater ($1050 compared to $1067).
The study authors said medical education and training were potentially important determinants of a physician’s practice style, and patients and peer physicians might use a physician’s medical school ranking as a signal of provider quality. But there was surprisingly little evidence about the association between where a physician completed medical school and subsequent patient outcomes, said Dr Yusuke Tsugawa and co-authors from UCLA and Harvard Medical School.
For physicians practicing within the same hospital, the ranking of the medical school from which they graduated bears little or no relation with patient mortality after hospital admission, readmissions, and costs of care, they concluded.