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Catalanotti JS, Abraham R, Choe JH, Corning KA, Fick L, Finn KM, Higgins S, Mechaber HF, Mohr T, Raj J, Swails J. Rethinking the Internal Medicine Residency Application Process to Prioritize the Public Good: A Consensus Statement of the Alliance for Academic Internal Medicine. Am J Med 2024; 137:284-289. [PMID: 38042242 DOI: 10.1016/j.amjmed.2023.11.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 11/27/2023] [Indexed: 12/04/2023]
Affiliation(s)
- Jillian S Catalanotti
- Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
| | - Reeni Abraham
- Department of Internal Medicine, University of Texas Southwestern, Dallas
| | - John H Choe
- Internal Medicine Residency Program, University of Washington, Seattle
| | - Kelli A Corning
- Internal Medicine Residency Program, University of Washington, Seattle
| | - Laurel Fick
- Internal Medicine Residency Program, Ascension St. Vincent Hospital, Indianapolis, Ind
| | - Kathleen M Finn
- Internal Medicine Residency Program, Tufts Medical Center, Tufts University School of Medicine, Boston, Mass
| | - Stacy Higgins
- Department of Medicine, Emory University School of Medicine, Atlanta, Ga
| | - Hilit F Mechaber
- Clinical Medicine, University of Miami Miller School of Medicine, Fla
| | - Thomas Mohr
- Department of Internal Medicine, Sam Houston State University College of Osteopathic Medicine, Conroe, Texas
| | - Jaya Raj
- Department of Medicine, Creighton University School of Medicine Phoenix Regional Campus, Ariz
| | - Jennifer Swails
- Internal Medicine Residency Program, Department of Internal Medicine, University of Texas Houston
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O’Connor AB, Blatt AE, Fletcher KE, Martin SK, Rasnake MS, Uthlaut BS, Williams DM. Multicenter Study of Optional In-Person Visits to Residency Programs After Virtual Interviews. J Grad Med Educ 2023; 15:692-701. [PMID: 38045944 PMCID: PMC10686638 DOI: 10.4300/jgme-d-23-00370.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 07/28/2023] [Accepted: 09/19/2023] [Indexed: 12/05/2023] Open
Abstract
Background Compared to in-person recruitment, virtual interviewing reduces costs and promotes equity. However, many residency applicants believe that visiting programs helps inform their rank decisions. Objective We assessed the feasibility of and stakeholder opinions about optional in-person visits after virtual interviewing and program rank list finalization. Methods Six internal medicine residency programs conducted virtual recruitment in 2022-2023 and finalized their rank lists 4 weeks before the deadline. Applicants were invited for optional in-person visits after program rank list finalization. Interviewed applicants, program directors, and program administrators were given surveys that included 7-17 questions and employed "skip logic," discrete answers (eg, "yes/no/unsure" or multiple choice), and open-ended questions. Survey questions assessed stakeholders' opinions about the value, equity, and potential downsides of this recruitment process. Results Participating programs interviewed an average of 379 applicants (range 205-534) with 39 (10.3% [39 of 379], range 7.9%-12.8% [33 of 420-51 of 397]) applicants completing in-person visits. Of 1808 interviewed applicants, 464 responded to the survey (26%); 88% (407 of 464) believe a similar optional in-person visit should be offered next year, 75% (347 of 464) found this process equitable, but only 56% (258 of 464) trusted programs not to change their rank lists. Nearly all who attended an in-person visit (96.5%, 109 of 113) found it valuable. All program directors liked the optional in-person visit and believe future applicants should be offered similar in-person visits. Conclusions A large majority of participating applicants and program directors believe that in-person visits should be offered after program rank list finalization. The majority of respondents felt this recruitment process was equitable.
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Affiliation(s)
- Alec B. O’Connor
- Alec B. O’Connor, MD, MPH, is Internal Medicine Residency Associate Director and Professor of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
| | - Amy E. Blatt
- Amy E. Blatt, MD, is Internal Medicine Residency Director and Associate Professor of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
| | - Kathlyn E. Fletcher
- Kathlyn E. Fletcher, MD, MA, is Internal Medicine Residency Director and Professor of Medicine, Department of Internal Medicine, Robert D. and Patricia E. Kern Institute, Medical College of Wisconsin, and Milwaukee VAMC, Milwaukee, Wisconsin, USA
| | - Shannon K. Martin
- Shannon K. Martin, MD, MS, is Internal Medicine Residency Associate Director and Associate Professor of Medicine, University of Chicago, Pritzker School of Medicine, Chicago, Illinois, USA
| | - Mark S. Rasnake
- Mark S. Rasnake, MD, is Internal Medicine Residency Director, NCH Healthcare System, and Associate Professor of Medicine, University of Central Florida College of Medicine, Orlando, Florida, USA
| | - Brian S. Uthlaut
- Brian S. Uthlaut, MD, is Internal Medicine Residency Director and Associate Professor of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA; and
| | - Donna M. Williams
- Donna M. Williams, MD, is Internal Medicine Residency Director and Associate Professor of Medicine, Wake Forest University School of Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA
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