University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan.
Louisiana State University Health Shreveport, Department of Emergency Medicine, Shreveport, Louisiana.
West J Emerg Med. 2020 Dec 14;22(1):1-6. doi: 10.5811/westjem.2020.11.49709.
The rising numbers of residency applications along with fears of a constrained graduate medical education environment have created pressures on residency applicants. Anecdotal evidence suggests substantial challenges with the process of offering residency interviews. This narrative review is designed to identify and propose solutions for the current problems in the process of offering residency interviews. We used PubMed and web browser searches to identify relevant studies and reports. Materials were assessed for relevance to the current process of distributing residency interviews. There is limited relevant literature and the quality is poor overall. We were able to identify several key problem areas including uncertain timing of interview offers; disruption caused by the timing of interview offers; imbalance of interview offers and available positions; and a lack of clarity around waitlist and rejection status. In addition, the couples match and need for coordination of interviews creates a special case. Many of the problems related to residency interview offers are amenable to program-level interventions, which may serve as best practices for residency programs, focusing on clear communication of processes as well as attention to factors such as offer-timing and numbers. We provide potential strategies for programs as well as a call for additional research to better understand the problem and solutions.
随着住院医师申请人数的增加，以及对研究生医学教育环境受限的担忧，住院医师申请人面临着压力。有传闻证据表明，提供住院医师面试的过程存在很大的挑战。本叙述性评论旨在确定并提出目前提供住院医师面试过程中存在问题的解决方案。我们使用 PubMed 和网络浏览器搜索来确定相关的研究和报告。评估材料与目前分配住院医师面试的过程的相关性。相关文献有限，总体质量较差。我们能够确定几个关键的问题领域，包括面试机会的不确定时间；面试机会时间造成的干扰；面试机会和可用职位之间的不平衡；以及候补和拒绝状态的不明确性。此外，夫妻匹配和面试协调的需求也构成了一个特殊情况。许多与住院医师面试机会相关的问题都可以通过项目层面的干预措施来解决，这些措施可以作为住院医师项目的最佳实践，重点是明确沟通流程，并关注提供时间和数量等因素。我们为项目提供了潜在的策略，并呼吁进行更多的研究，以更好地了解问题和解决方案。
