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Exploring Characteristics of Academic General Surgery Residency Applicants: A Group Concept-Mapping Approach.

Alison R Althans1, Jessica R Thompson2, Scott R Rosas3

  • 1Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.

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|July 16, 2022
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Summary

Holistic review in surgical residency selection identifies key behavioral assets crucial for success. Standardizing assessment of these traits can enhance diversity and address criticisms of the holistic review process.

Keywords:
Concept mappingDiversityHolistic reviewResident selection

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Area of Science:

  • Medical Education
  • Surgical Residency Admissions
  • Graduate Medical Education

Background:

  • Holistic review is proposed to enhance diversity in surgical residency.
  • This method emphasizes qualitative attributes over objective measures.
  • Standardizing holistic review requires articulating desirable applicant traits.

Purpose of the Study:

  • To identify and categorize desirable traits of surgical residency applicants.
  • To establish a consensus on applicant characteristics important for academic and clinical success.
  • To assess the feasibility of reliably evaluating these characteristics during the selection process.

Main Methods:

  • Group Concept Mapping, a web-based participatory research methodology.
  • Residency selection committee members rated applicant characteristics' importance and assessment feasibility.
  • Hierarchical cluster analysis and bivariate scatter-plots were used to analyze consensus and importance.

Main Results:

  • Applicant traits clustered into scholarly work, grades, program fit, behavioral assets, and aspiration.
  • Behavioral assets were deemed most important for success but least feasible to assess.
  • Initiative, self-motivation, curiosity, work ethic, communication, maturity, and thoughtfulness were reliably assessed behavioral assets.

Conclusions:

  • Behavioral assets are critical for successful surgical residents, as identified by faculty.
  • Developing validated metrics for assessing behavioral assets can improve the objectivity of holistic review.
  • Addressing assessment challenges can mitigate criticisms of holistic review in residency selection.