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Values-Based Resident Selection in an Internal Medicine-Pediatrics Residency Program.

Benjamin Drum1, Sara Lamb2,3, Casey Gradick2,3

  • 1Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, USA. ben.drum@hsc.utah.edu.

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|November 7, 2022
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Summary
This summary is machine-generated.

Defining key values improved medical resident selection. A new rubric based on eleven core values, including academic strength and DEI, better predicted resident success than standardized test scores.

Keywords:
medical educationqualitative frameworkresidency

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Area of Science:

  • Medical Education
  • Resident Selection
  • Values-Based Assessment

Background:

  • Lack of consensus on essential medical resident success factors.
  • Current resident selection methods show poor correlation with actual residency performance.

Approach:

  • Modified Delphi method used for value identification and validation.
  • Literature review and stakeholder interviews generated 107 potential values.
  • Eleven core values aligned with ACGME competencies integrated into an interview rubric.

Key Points:

  • Identified eleven crucial values: academic strength, intellectual curiosity, compassion, communication, work ethic, teamwork, leadership, self-awareness, diversity, equity, and inclusion (DEI), professionalism, and adaptability.
  • Rank list correlation improved with values-based scoring.
  • Step 2 scores showed reduced correlation with ranking when values were prioritized.

Conclusions:

  • Eleven observable values for ideal Internal Medicine-Pediatric residents were identified using a modified Delphi method.
  • Values-based resident selection demonstrated improved predictive power over traditional metrics like Step 2 scores.