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The Case for Capping Residency Interviews.

Helen Kang Morgan1, Abigail F Winkel2, Taylor Standiford3

  • 1University of Michigan, Departments of Obstetrics and Gynecology and Learning Health Sciences, Ann Arbor, Michigan.

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Virtual interviews in residency applications can lead to inequities. Capping interviews at 12 per applicant could improve access for those with fewer offers, especially if programs increase interview slots.

Keywords:
interviewspostgraduate medical educationresidency selection

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Area of Science:

  • Medical Education
  • Residency Application Process
  • GME Recruitment

Background:

  • The 2020 residency cycle saw shifts in application practices, particularly with the advent of virtual interviews.
  • Understanding interview offer distribution is crucial for equitable resident selection.

Purpose of the Study:

  • To analyze 2020 obstetrics and gynecology residency application interview practices.
  • To model the impact of interview caps and program offer adjustments on applicant interview access in the 2021 cycle.

Main Methods:

  • An anonymous survey was distributed to obstetrics and gynecology applicants via the Electronic Residency Application Service.
  • Respondents were categorized into "Group 12+" (≥12 interview offers) and "Group <12" (<12 offers).
  • Simulation models explored scenarios with uncapped interviews, a 12-interview cap, unchanged program offers, and a 20% increase in program offers.

Main Results:

  • Among 750 respondents, 56% received ≥12 interview offers.
  • In uncapped models, "Group <12" applicants received fewer than 1 interview offer, even with increased program offers.
  • A 12-interview cap resulted in "Group <12" applicants receiving 9 offers on average, reaching 12 with a 20% program offer increase.

Conclusions:

  • Current virtual interview systems may create significant disadvantages for some residency applicants.
  • Implementing interview caps and exploring preference signaling systems are critical for a more equitable residency application process.