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Resident selection and predictors of performance: can we be evidence based?
Douglas R Dirschl1, Edmund R Campion, Karen Gilliam
1Department of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7055, USA. dirschld@med.unc.edu
Clinical Orthopaedics and Related Research
|June 1, 2006
Summary
Developing an academic score for orthopaedic residency applications improves objectivity but does not predict resident success. Scores correlated with some exams but not faculty performance ratings.
Area of Science:
- Medical Education
- Orthopaedic Surgery
- Applicant Screening
Background:
- Orthopaedic residency selection is challenging.
- Objective screening methods are needed to improve fairness.
- Existing methods may lack predictive validity.
Purpose of the Study:
- To assess if an objective academic score differentiates orthopaedic residency applicants.
- To determine if this academic score correlates with residency program outcomes.
- To evaluate the score's utility as a screening tool.
Main Methods:
- Applications from 2004-2005 were assigned an academic score.
- Data analyzed by gender and interview status.
- Retrospective scoring of graduates' applications compared to training outcomes.
Main Results:
- Academic scores showed a normal distribution; residents had higher scores.
- Female and male applicant score distributions were similar.
- Academic scores paralleled OITE/ABOS scores but not faculty performance ratings.
Conclusions:
- Academic scoring enhances objectivity in orthopaedic residency application screening.
- The academic score does not appear to correlate with residency training outcomes.
- Further research may be needed to identify better predictors of success.
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