Professor and Residency Training Director, Department of Psychiatry, University of Illinois College of Medicine at Chicago.
Associate Professor and Associate Head, Department of Medical Education, University of Illinois College of Medicine at Chicago.
MedEdPORTAL. 2023 Feb 7;19:11299. doi: 10.15766/mep_2374-8265.11299. eCollection 2023.
In psychiatry, several converging factors are impacting the recruitment of residents: the increased competitiveness of the specialty, the national trend to take active steps to improve diversity and inclusion, and the decision from USMLE to change Step 1 to a pass/fail result.
We developed a workshop for psychiatry residency program directors to meet these challenges and transition into using a holistic review model during recruitment. The workshop included (1) a didactic session providing background on the AAMC holistic review model; (2) a small-group exercise to determine and prioritize experiences, attributes, competencies, and metrics (EACMs) aligned with the program's mission and aims; (3) a review of the rankings from the previous exercise, selection of two "very important" criteria for each of the four domains of the EACM model, and operationalization of these criteria based on the recruitment process; and (4) a discussion focused on application of program criteria with example applicants.
The holistic review workshop was conducted at the American Association of Psychiatry Residency Directors conference in 2021 with 48 self-selected attendees. Following the workshop, 74% of attendees reported a likelihood of implementing holistic applications during their next application cycle, 78% were able to leave with at least one actionable item, 100% thought that the session was interactive, and 78% felt that the session met their expectations.
Implementing a holistic review for psychiatry residency recruitment can assist programs in responding to the rapidly changing landscape and achieve aims for improving diversity and inclusion.
在精神病学领域，有几个因素共同影响着住院医师的招聘：专业竞争的加剧、国家积极采取措施提高多样性和包容性的趋势，以及 USMLE 决定将 Step 1 改为通过/不通过成绩。
我们为精神病学住院医师项目主管开发了一个研讨会，以应对这些挑战，并在招聘过程中过渡到使用整体评估模式。该研讨会包括：（1）一个讲座，介绍 AAMC 整体评估模式的背景；（2）一个小组练习，确定和优先考虑与项目使命和目标一致的经验、属性、能力和指标 (EACMs)；（3）回顾上一次练习的排名，为 EACM 模型的四个领域中的每一个选择两个“非常重要”的标准，并根据招聘过程对这些标准进行操作化；（4）一个重点讨论应用项目标准的讨论，以及用示例申请人进行演示。
整体评估研讨会于 2021 年在美国精神病学住院医师主任协会会议上进行，有 48 名自我选择的参与者。研讨会结束后，74%的参与者表示在下一个申请周期中有可能采用整体申请，78%的参与者能够获得至少一个可操作的项目，100%的参与者认为该环节具有互动性，78%的参与者认为该环节符合他们的期望。
在精神病学住院医师招聘中实施整体评估可以帮助项目应对快速变化的环境，并实现提高多样性和包容性的目标。
