Improving Diversity in Pediatric Residency Selection: Using an Equity Framework to Implement Holistic Review
Jyothi Marbin1,2, Glenn Rosenbluth1,3, Rachel Brim1,4
1All authors are with the University of California San Francisco.
Journal of Graduate Medical Education
|April 26, 2021
Summary
Implementing a holistic review framework significantly increased the enrollment of underrepresented in medicine (UiM) residents in a pediatric residency program. This equity-guided approach enhanced diversity in the medical field.
Area of Science:
- Medical Education
- Diversity and Inclusion in Medicine
- Residency Admissions
Background:
- Pediatric residency programs face challenges in recruiting and selecting diverse resident classes.
- Effective strategies for holistic application review to enhance diversity remain unclear.
Purpose of the Study:
- To determine if holistic pediatric residency application review, guided by bias-assessment frameworks, increases matched residents from racial and ethnic groups underrepresented in medicine (UiM).
Main Methods:
- A pediatric residency program identified and mitigated structural, interpersonal, and individual biases in its selection process from 2017-2020.
- Interventions included developing a shared mental model, using a new scoring rubric, including UiM faculty/trainees, and implementing anti-bias training.
Main Results:
- The percentage of entering interns identifying as UiM increased from 11% in 2015 to 45% in 2019 (OR 6.8, P = .008) and 35% in 2020 (OR 4.6, P = .035).
Conclusions:
- An equity framework guiding holistic application review successfully increased the number of matched UiM residents in a pediatric residency program over three years.
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