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Do Interviews Really Matter in Generating Programs and Applicants' Rank Lists for the Match?

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The interview day significantly impacts fellowship applicants' rank lists, even though program rank lists correlate more with application scores than interview performance. Virtual interview days are crucial for applicant decision-making.

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Area of Science:

  • Medical Education
  • Residency and Fellowship Matching

Background:

  • Limited data exists on the influence of interview day on residency program and applicant final rank lists.
  • Understanding this impact is crucial for optimizing the matching process.

Purpose of the Study:

  • To investigate the impact of interview day on program and applicant final rank lists in a pulmonary and critical care fellowship program.
  • To correlate preliminary and final rank lists generated using objective scoring tools and interviewer discussions.

Main Methods:

  • Utilized an Electronic Residency Application System (ERAS) Application Scoring Tool and Interview Scoring Tool for preliminary rank list generation.
  • Conducted a post-interview survey to assess applicant-perceived importance of interview day in their rank list decisions.
  • Correlated preliminary rank lists with final rank lists and applicant survey responses.

Main Results:

  • Strong correlation found between preliminary and final program rank lists (rs(47) = 0.87, P < 0.001).
  • Program rank list showed a stronger correlation with application scores (rs(47) = 0.84, P < 0.001) than interview scores (rs(47) = 0.64, P < 0.001).
  • 90% of surveyed applicants (n=18) rated the interview experience as important or very important for their rank list decisions.

Conclusions:

  • Program rank lists are more closely aligned with candidate applications than interview performance.
  • Despite this, interview experiences significantly influence applicant rank list choices.
  • Programs must prioritize creating effective virtual interview days, especially during the COVID-19 pandemic, due to their importance for applicants.