Schrepel Caitlin, Sehdev Morgan, Dubosh Nicole M, Schnapp Benjamin H, Alvarez Al'ai, Pelletier-Bui Alexis, Hegarty Cullen, Bord Sharon, Shappell Eric
University of Washington School of Medicine Seattle Washington USA.
Harvard-Affiliated Emergency Medicine Residency Boston Massachusetts USA.
AEM Educ Train. 2024 Aug 23;8(4):e11019. doi: 10.1002/aet2.11019. eCollection 2024 Aug.
Given the importance of the standardized letter of evaluation (SLOE) for application to emergency medicine (EM) residency, it is important that SLOE developers and authors understand how reviewers determine SLOE competitiveness. To inform SLOE design and authorship, the authors set out to build a novel theory to explain how faculty holistically interpret SLOE competitiveness.
The authors used constructivist grounded theory to explore how EM faculty determine SLOE competitiveness. They used purposive sampling to recruit EM faculty participants with at least 1 year of experience in scoring SLOEs. One author conducted hour-long, semistructured interviews over Zoom between August 2023 and March 2024. Two authors iteratively coded the data to develop the initial codebook, organize codes into categories, and build connections to construct the resulting theory.
The authors interviewed 11 EM faculty from throughout the United States. Participants described a complex process to determine SLOE competitiveness. They began by contextualizing the SLOE to determine its trustworthiness and value before using various components of the SLOE to stratify and refine their understanding of competitiveness. Finally, when participants noted the inconsistency between different aspects of the SLOE, they used various methods to reconcile discordances and determine competitiveness.
This study illuminates the framework used by EM faculty to determine applicant competitiveness based on the SLOE and highlights several factors that SLOE authors should consider to ensure the accurate and efficient transfer of information.
鉴于标准化评估信（SLOE）在申请急诊医学（EM）住院医师项目中的重要性，SLOE的开发者和撰写者了解评审人员如何确定SLOE的竞争力至关重要。为了为SLOE的设计和撰写提供信息，作者着手构建一种新颖的理论，以解释教员如何全面解读SLOE的竞争力。
作者运用建构主义扎根理论来探究急诊医学教员如何确定SLOE的竞争力。他们采用目的抽样法招募了至少有1年SLOE评分经验的急诊医学教员参与者。一位作者在2023年8月至2024年3月期间通过Zoom进行了长达一小时的半结构化访谈。两位作者对数据进行迭代编码，以开发初始编码手册，将代码组织成类别，并建立联系以构建最终的理论。
作者采访了来自美国各地的11位急诊医学教员。参与者描述了一个确定SLOE竞争力的复杂过程。他们首先对SLOE进行背景分析，以确定其可信度和价值，然后使用SLOE的各个组成部分来分层并完善他们对竞争力的理解。最后，当参与者注意到SLOE不同方面之间的不一致时，他们使用各种方法来协调不一致之处并确定竞争力。
本研究阐明了急诊医学教员基于SLOE确定申请人竞争力所使用的框架，并强调了SLOE撰写者应考虑的几个因素，以确保信息的准确和有效传递。
