Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Department of Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Med Educ. 2022 Jun;56(6):641-650. doi: 10.1111/medu.14729. Epub 2022 Jan 18.
'Fit' refers to an applicants' perceived compatibility to a residency programme. A variety of structural, identity-related and relational factors contribute to self-assessments of fit. The 2021 residency recruitment cycle in the USA was performed virtually due to the COVID-19 pandemic. Little is known about how video-interviewing may affect residency applicants' ability to gauge fit.
A multidisciplinary, anonymous survey was distributed to applicants at a large academic institution between rank order list (ROL) certification deadline and Match Day 2021. Using Likert-type scales, applicants rated factors for importance to 'fit' and their ease of assessment through video-interviewing. Applicants also self-assigned fit scores to the top-ranked programme in their ROL using Likert-type scales with pairs of anchoring statements.
Four hundred seventy-three applicants responded to the survey (25.7% response rate). The three most important factors to applicants for assessment of fit (how much the programme seemed to care, how satisfied residents seem with their programme and how well the residents get along) were also the factors with the greatest discrepancy between importance and ease of assessment through video-interviewing. Diversity-related factors were more important to female applicants compared with males and to non-White applicants compared with White applicants. Furthermore, White male applicants self-assigned higher fit scores compared with other demographic groups.
There is a marked discrepancy between the most important factors to applicants for fit and their ability to assess those factors virtually. Minoritised trainees self-assigned lower fit scores to their top-ranked programme, which should raise concern amongst medical educators and highlights the importance of expanding current diversity, equity and inclusion efforts in academic medicine.
“适合”是指申请人对住院医师项目的感知相容性。各种结构、身份相关和关系因素都会影响自我评估的适合度。由于 COVID-19 大流行，2021 年美国住院医师招聘周期改为线上进行。对于视频面试如何影响住院医师申请人评估适合度的能力，目前知之甚少。
在一家大型学术机构，于排名顺序表（ROL）认证截止日期和 2021 年匹配日之间，向申请人发放了一份多学科、匿名调查。申请人使用李克特量表（Likert-type scales）对“适合”的重要因素及其通过视频面试评估的容易程度进行评分。申请人还使用配对锚定陈述的李克特量表（Likert-type scales），对 ROL 中排名最高的项目进行自我分配适合度评分。
473 名申请人对调查做出了回应（回应率为 25.7%）。对于申请人来说，评估适合度的三个最重要的因素（项目看起来有多关心、住院医师对其项目的满意度以及住院医师相处的融洽程度）也是重要性和通过视频面试评估容易程度之间差异最大的因素。与男性相比，女性申请人认为多样性相关因素更重要，与白人申请人相比，非白人申请人认为多样性相关因素更重要。此外，白人男性申请人自我评估的适合度得分高于其他人群。
对于适合的最重要因素和他们通过虚拟评估这些因素的能力之间存在明显的差异。少数族裔受训者对其排名最高的项目自我评估的适合度得分较低，这应该引起医学教育者的关注，并凸显了在学术医学中扩大当前多样性、公平和包容工作的重要性。
