你将有多契合？使用改良后的多元迷你面试来评估申请者与急诊医学住院医师培训项目的适配性。
How well will you FIT? Use of a modified MMI to assess applicants' compatibility with an emergency medicine residency program.
作者信息
Min Alice A, Leetch Aaron, Nuño Tomas, Fiorello Albert B
机构信息
Department of Emergency Medicine, College of Medicine, The University of Arizona, Tucson, AZ, USA;
Department of Emergency Medicine and Pediatrics, College of Medicine, The University of Arizona, Tucson, AZ, USA.
出版信息
Med Educ Online. 2016 Feb 2;21:29587. doi: 10.3402/meo.v21.29587. eCollection 2016.
PURPOSE
Emergency medicine residency programs have evaluated the use of Multiple Mini Interviews (MMIs) for applicants. The authors developed an MMI-style method called the Fast Interview Track (FIT) to predict an applicant's 'fit' within an individual residency program.
METHODS
Applicants meet with up to five residents and are asked one question by each. Residents score the applicant using a Likert scale from 1 to 5 on two questions: 'How well does the applicant think on his/her feet?' and 'How well do you think the applicant will fit in here?'. To assess how well these questions predicted a resident's 'fit', current residents scored fellow residents on these same questions. These scores were compared with the residents' interview FIT scores. A postmatch survey of applicants who did not match at this program solicited applicants' attitudes toward the FIT sessions.
RESULTS
Among the junior class, the correlation between interview and current scores was significant for question 1 (rho=0.5192 [p=0.03]) and question 2 (rho=0.5753 [p=0.01]). Among seniors, Spearman's rho was statistically significant for question 2, though not statistically significant for question 1. The chi-square measure of high scores (4-5) versus low scores (1-3) found a statistically significant association between interview and current scores for interns and juniors. Of the 29 responses to the postmatch survey, 16 (55%) felt FIT sessions provided a good sense of the program's personality and only 6 (21%) disagreed. Nine (31%) felt FIT sessions positively impacted our program's ranking and 11 (38%) were 'Neutral'. Only two (7%) reported that FIT sessions negatively impacted their ranking of our program.
CONCLUSIONS
FIT provided program leadership with a sense of an applicant's 'fit' within this program. Interview day scores correlated with scores received during residency. Most applicants report a positive experience with FIT sessions. FIT provides a useful tool to recruit applicants who fit with the residency program.
目的
急诊医学住院医师培训项目已对采用多重迷你面试（MMI）来评估申请者的情况进行了评估。作者开发了一种名为快速面试轨道（FIT）的MMI式方法，以预测申请者在单个住院医师培训项目中的“契合度”。
方法
申请者与多达五名住院医师会面，每位住院医师向其提出一个问题。住院医师根据1至5的李克特量表，就两个问题对申请者进行评分：“申请者的应变能力如何？”以及“你认为申请者在这里的契合度如何？”。为了评估这些问题对预测住院医师“契合度”的效果，现任住院医师就相同问题对其他住院医师进行评分。将这些分数与住院医师的面试FIT分数进行比较。对未被该项目录取的申请者进行匹配后调查，征求他们对FIT环节的态度。
结果
在低年级住院医师中，问题1（rho = 0.5192 [p = 0.03]）和问题2（rho = 0.5753 [p = 0.01]）的面试分数与当前分数之间的相关性显著。在高年级住院医师中，问题2的斯皮尔曼等级相关系数具有统计学意义，而问题1则无统计学意义。高分（4 - 5）与低分（1 - 3）的卡方检验发现，实习生和低年级住院医师的面试分数与当前分数之间存在统计学上的显著关联。在对匹配后调查的29份回复中，16份（55%）认为FIT环节能很好地体现项目特色，只有6份（21%）不同意。9份（31%）认为FIT环节对项目排名有积极影响，11份（38%）持“中立”态度。只有2份（7%）报告称FIT环节对他们对该项目的排名有负面影响。
结论
FIT为项目负责人提供了一种了解申请者在该项目中“契合度”的方式。面试当天的分数与住院医师期间获得的分数相关。大多数申请者对FIT环节的体验是积极的。FIT为招募适合住院医师培训项目的申请者提供了一个有用的工具。
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