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Using a Consensus-Driven Approach to Incorporate Holistic Review Into an Internal Medicine Residency Program.

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Implementing holistic review in residency admissions is feasible and acceptable. This approach identified key applicant attributes and improved candidate ranking, though application materials need enhancement for full implementation.

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Area of Science:

  • Medical Education
  • Residency Admissions
  • Holistic Review

Background:

  • Residency programs face challenges implementing holistic review despite growing interest.
  • Holistic review aims to consider a broader range of applicant qualifications beyond traditional metrics.

Purpose of the Study:

  • To integrate holistic review into an internal medicine residency program.
  • To assess the feasibility and acceptability of this new admissions process.

Main Methods:

  • A consensus-driven process identified 10 highly valued applicant attributes.
  • The residency program updated its ranking algorithm and screening criteria to incorporate these attributes.
  • Stakeholder surveys assessed time requirements and compared new vs. prior ranking systems.

Main Results:

  • Ten prioritized attributes included leadership, community service, and grit.
  • 32% of matched residents demonstrated exceptional achievement in these attributes.
  • 16% of matched residents would have ranked lower without holistic review points; review added 3.8 minutes per application.

Conclusions:

  • Holistic review was successfully implemented in residency admissions via a consensus-driven approach.
  • The process demonstrated favorable feasibility and acceptability.
  • Current application materials may limit the full potential of holistic review.