Busha Michael E, McMillen Brock, Greene Jeffrey, Gibson Kristine, Channell Adam, Ziemkowski Peter
Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA.
Indiana University School of Medicine, Indianapolis, IN, USA.
J Med Educ Curric Dev. 2021 Nov 24;8:23821205211062699. doi: 10.1177/23821205211062699. eCollection 2021 Jan-Dec.
Program directors for Family Medicine residencies must navigate an increasingly complex recruitment landscape. With increasing United States allopathic and osteopathic graduates and continued high volumes of international graduates, the ability to identify application characteristics that predict quality residents both for filtering applications for interview offers and ranking is vital. Our study concentrates on the predictive value of reported life experiences including volunteerism, work experiences, prior career, research experience, and participation in medical student organizations including student leadership.
Through a retrospective cohort study, we extracted the described life experiences from resident application materials. We then obtained initial clinical performance data on the Family Medicine inpatient service during the first six months of residency to determine readiness for residency. This analysis occurred in 2020 and included all matriculants in the graduating classes of 2013 through 2020 for a single residency. Of 110 matriculating residents, data were available for 97(88%).
Applicants with a history of a prior career demonstrated improved overall readiness for residency with competency domain-specific advantages in Interpersonal and Communication Skills and Systems-Based Practice. In contrast, applicants reporting participation in research performed below peers in all competency domains. Applicant reports on volunteerism, work experience, academic productivity and student involvement did not correlate with initial clinical performance.
Residency directors should recognize applicants with prior careers as likely having strong communications and systems-based practice skills. All other examined experiences should be evaluated within the context of broader applicant assessments including research experience which overall has a potential negative correlation to clinical readiness.
家庭医学住院医师培训项目主任必须应对日益复杂的招聘局面。随着美国全科医学和骨科医学毕业生数量的增加以及国际毕业生数量持续居高不下，识别能够预测优秀住院医师的申请特征，对于筛选面试申请和排名至关重要。我们的研究集中在报告的生活经历的预测价值上，包括志愿服务、工作经历、先前职业、研究经历以及参与医学生组织（包括担任学生领导职务）。
通过一项回顾性队列研究，我们从住院医师申请材料中提取了所描述的生活经历。然后，我们获取了住院医师培训前六个月家庭医学住院服务的初始临床表现数据，以确定住院医师培训的准备情况。该分析于2020年进行，纳入了2013级至2020级某一住院医师培训项目的所有录取学员。在110名录取的住院医师中，有97名（88%）的数据可用。
有先前职业经历的申请者在住院医师培训的整体准备情况方面表现更好，在人际沟通技能和基于系统的实践等特定能力领域具有优势。相比之下，报告参与研究的申请者在所有能力领域的表现均低于同龄人。申请者关于志愿服务、工作经历、学术产出和学生参与度的报告与初始临床表现无关。
住院医师培训项目主任应认识到有先前职业经历的申请者可能具备较强的沟通和基于系统的实践技能。所有其他考察的经历应在更广泛的申请者评估背景下进行评估，包括研究经历，总体而言，研究经历与临床准备情况可能存在负相关。
