从国家居民匹配计划中选择居住面试的关键因素:2016-2020年居住计划主任调查分析。

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL Journal of Osteopathic Medicine Pub Date : 2023-08-25 eCollection Date: 2023-10-02 DOI:10.1515/jom-2022-0144
Cooper L Stone, Godwin Y Dogbey, John Falls, Yen-Ping Kuo
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引用次数: 0

摘要

背景:随着医学院毕业生的数量继续超过现有的住院医师培训职位,申请美国住院医师已成为一个竞争激烈的过程,通常与低选择率和面试邀请率有关。国家居民匹配计划(NRMP)项目主任调查提供了评估项目主任在选择和邀请候选人面试时考虑的因素的数据。评估这些因素随时间的演变,可以有效地告知和指导潜在申请人改进居留申请的准备工作。目的:我们旨在综合NRMP数据,显示PD在选择和邀请申请人面试的决定中报告和评价的重要因素。方法:访问2008年至2021年住院医师PD调查的数据,但在应用纳入/排除标准后,仅对2016年至2020年的数据进行了审查和分析。NRMP调查报告提供了两个指标来表征PD对面试居住因素的评估,即0至5 Likert型量表上的“引用因素百分比”和“平均评分”。这两个指标被组合成一个总体重要性度量(AI),另一个相对重要性度量(RI)是通过将每个单独因素的AI标准化为每个调查年内AI的总和来构建的。结果:排名靠前的因素是美国医师执照考试(USMLE)第1步/综合骨病医师执照考试1级、专业推荐信(LOR)、医学生表现评估(MSPE/院长信)和美国医师执照证书第2步临床知识(CK)/COMLX 2级认知考试(CE)分数、,以及对专业的承诺。重要性上升的因素包括你所在部门的选修课/轮调、个人陈述(PS)、对专业的感知承诺、对项目的感知兴趣、该专业的LOR、其他生活经历和申请人的个人先验知识。重要性下降的因素是对学术生涯的兴趣、基础科学的奖项或特别荣誉、备受尊敬的美国医学院毕业生、临床文书工作的奖项或特殊荣誉、医学教育缺乏差距、所需专业的文书工作奖项或特别荣誉以及成绩的一致性。与2021年PD调查相比,我们的调查结果显示出持续的预测一致性,特别是与专业和项目承诺有关。结论:选择医学院毕业生参加住院医师项目面试的因素表明,PD正朝着更综合的方法发展。具体而言,与更传统的、定量的和客观的指标相比,PD越来越重视接近主观品质的因素。医学生和教育工作者需要不断了解NRMP数据,为学生在整个医学院的准备工作提供信息,以加强他们的申请组合,提高他们在匹配过程中的竞争力。
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Key factors for residency interview selection from the National Resident Matching Program: analysis of residency Program Director surveys, 2016-2020.

Context: As the number of medical school graduates continues to outpace the available residency training positions, applying for residency in the United States has become a highly competitive process, often associated with a low rate of selection and invitation for interview. The National Resident Matching Program (NRMP) Program Director survey provides data assessing factors considered by Program Directors (PD) in selecting and inviting candidates for interview. Assessing the evolution of these factors over time is efficacious to inform and guide prospective applicants toward improving preparation for residency application.

Objectives: We aim to synthesize NRMP data showing factors that PDs reported and rated as important in their decision to select and invite applicants for interview.

Methods: Data from residency PD surveys from 2008 to 2021 were accessed, but after applying inclusion/exclusion criteria, only the data from 2016 to 2020 were reviewed and analyzed. The NRMP survey reports provided two metrics that characterized PDs' evaluation of the residency factors for interview, namely, "percent citing factor" and "average rating" on a 0 to 5 Likert-type scale. These two metrics were combined into an aggregate measure of importance (AI), and another measure of relative importance (RI) was constructed from normalizing the AI of each individual factor to the sum of the AI within each survey year.

Results: The top ranked factors were United States Medical Licensing Examination (USMLE) Step 1/Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 1, Letter of Recommendation (LOR) in the specialty, Medical Student Performance Evaluation (MSPE/Dean's Letter), and USMLE Step 2 Clinical Knowledge (CK)/COMLEX Level 2 Cognitive Exam (CE) score, any failed attempt in USMLE/COMLEX, and perceived commitment to specialty. Factors rising in importance were Audition Elective/Rotation Within Your Department, Personal Statement (PS), Perceived Commitment to Specialty, Perceived Interest in Program, LOR in the Specialty, Other Life Experience, and Personal Prior Knowledge of the Applicant. Factors with declining importance were Interest in Academic Career, Awards or Special Honors in Basic Sciences, Graduate of Highly Regarded US Medical School, Awards or Special Honors in Clinical Clerkships, Lack of Gaps in Medical Education, Awards or Special Honors in Clerkship in Desired Specialty, and Consistency of Grades. Compared to the 2021 PD survey, our findings show continued predictive consistency, particularly related to specialty and program commitment.

Conclusions: The factors identified for the selection of medical school graduates for interview into a residency program reveal that PDs move toward a more integrated approach. Specifically, PDs are placing increasing emphasis on factors that border on subjective qualities more so than the more traditional, quantitative, and objective metrics. Medical students and educators need to continually apprise themselves of the NRMP data to inform students' preparation endeavors throughout medical school to strengthen their application portfolios and enhance their competitiveness for the matching process.

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来源期刊
Journal of Osteopathic Medicine
Journal of Osteopathic Medicine Health Professions-Complementary and Manual Therapy
CiteScore
2.20
自引率
13.30%
发文量
118
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