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Does Objective Scoring of Applications for Radiology Residency Affect Diversity?

Pierre D Maldjian1, Usha K Trivedi1

  • 1Department of Radiology, Rutgers New Jersey Medical School, 185 South Orange Avenue, MSB F-506B, Newark, NJ 07103.

Academic Radiology
|December 6, 2021
PubMed
Summary

Objective scoring in radiology residency applications, particularly using United States Medical Licensing Examination (USMLE) cutoff scores, may disadvantage female and under-represented minority (URM) candidates, impacting diversity in selection.

Keywords:
GenderPhysician diversityRadiology residency applicationsUnder-represented minority

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Area of Science:

  • Medical Education
  • Radiology Residency Admissions
  • Diversity in Medicine

Background:

  • Assessing radiology residency applicants involves evaluating academic performance, United States Medical Licensing Examination (USMLE) scores, and research productivity.
  • Ensuring equitable selection processes for trainees from under-represented groups is crucial for fostering diversity in medicine.

Purpose of the Study:

  • To determine if objective scoring of radiology residency applications, including USMLE scores, impacts the selection of female and under-represented minority (URM) candidates.
  • To investigate whether quantifiable metrics in application review create disparities in candidate selection.

Main Methods:

  • A retrospective review of 502 radiology residency applications from three consecutive match cycles.
  • Applications were scored based on academic performance, USMLE results, and research productivity.
  • Statistical comparisons were made between male and female applicants, and between URM and non-URM candidates. USMLE cutoff score effects were also analyzed.

Main Results:

  • While no significant differences were found in academic performance or research productivity between genders, males scored higher in USMLE Step 1 and overall scores.
  • URM candidates showed no significant difference in academic performance compared to non-URM candidates.
  • Non-URM applicants achieved higher mean scores in USMLE Step 1, USMLE Step 2, research productivity, and overall scores. USMLE cutoff scores disproportionately affected female and URM candidates.

Conclusions:

  • Objective scoring criteria and USMLE cutoff scores in radiology residency applications may inadvertently disadvantage female and URM candidates.
  • Screening filters used in residency selection can significantly influence the diversity of the applicant pool.