Hegarty Cullen B, Lane David R, Love Jeffrey N, Doty Christopher I, DeIorio Nicole M, Ronan-Bentle Sarah, Howell John
J Grad Med Educ. 2014 Jun;6(2):301-6. doi: 10.4300/JGME-D-13-00299.
The Council of Emergency Medicine Residency Directors (CORD) Standardized Letter of Recommendation (SLOR) has become the primary tool used by emergency medicine (EM) faculty to evaluate residency candidates. A survey was created to describe the training, beliefs, and usage patterns of SLOR writers.
The SLOR Task Force created the survey, which was circulated to the CORD listserv in 2012.
Forty-six percent of CORD members (320 of 695) completed the survey. Of the respondents, 39% (125 of 320) had fewer than 5 years of experience writing SLOR letters. Most were aware of published guidelines, and most reported they learned how to write a SLOR on their own (67.4%, 182 of 270). Sixty-eight percent (176 of 258) admitted to not following the instructions for certain questions. Self-reported grade inflation occurred "rarely" 36% (97 of 269) of the time and not at all 40% (107 of 269) of the time.
The CORD SLOR has become the primary tool used by EM faculty to evaluate candidates applying for residency in EM. The SLOR has been in use in the EM community for 16 years. However, our study has identified some problems with its use. Those issues may be overcome with a revised format for the SLOR and with faculty training in the writing and use of this document.
急诊医学住院医师培训主任委员会(CORD)标准化推荐信(SLOR)已成为急诊医学(EM)教员评估住院医师候选人的主要工具。开展了一项调查以描述SLOR撰写者的培训情况、信念及使用模式。
SLOR特别工作组设计了该调查,并于2012年在CORD邮件列表中发布。
46%的CORD成员(695人中的320人)完成了调查。在受访者中,39%(320人中的125人)撰写SLOR信件的经验少于5年。大多数人知晓已发表的指南,且大多数人报告他们是自学如何撰写SLOR的(67.4%,270人中的182人)。68%(258人中的176人)承认未遵循某些问题的说明。自我报告的分数膨胀“很少”出现占36%(269人中的97人),完全没有出现占40%(269人中的107人)。
CORD SLOR已成为EM教员评估申请EM住院医师培训的候选人的主要工具。SLOR在EM领域已使用16年。然而,我们的研究发现了其使用中存在的一些问题。通过修订SLOR的格式以及对教员进行该文件撰写和使用方面的培训,这些问题可能会得到解决。