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The Influence of Extracurricular Activities on Radiology Resident Selection Decisions.

Charles M Maxfield1, J Felipe Montano-Campos2, Jennifer Gould3

  • 1Vice Chair of Education, Department of Radiology, Duke University Medical Center, Durham, North Carolina.

Journal of the American College of Radiology : JACR
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PubMed
Summary

Extracurricular activities significantly influence radiology residency selection. Community service and progressive-leaning activities are favored, while conservative activities may hinder applications, impacting holistic review.

Keywords:
Residencyapplicationbias

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Area of Science:

  • Medical Education
  • Residency Admissions
  • Socio-political Factors in Medicine

Background:

  • Extracurricular activities (EAs) are considered in holistic reviews for radiology residency.
  • Objective analysis is needed to understand the impact of EAs on selection decisions.

Purpose of the Study:

  • To objectively analyze the influence of extracurricular activities (EAs) on radiology resident selection.
  • To determine the relative importance of EAs compared to academic and demographic factors.

Main Methods:

  • A discrete-choice experiment involving 244 faculty members from 30 US radiology programs.
  • Analysis of hypothetical applicant profiles featuring 22 distinct EAs.
  • Conditional logistic regression to calculate odds ratios (ORs) for EA influence.

Main Results:

  • Community-service EAs were ranked highest.
  • LGBTQ Pride Alliance (OR=1.56) positively influenced decisions, while Young Republicans (OR=0.60) negatively influenced them.
  • Active engagement (OR=1.154) and progressive ideology (OR=1.280) were preferred.

Conclusions:

  • Extracurricular activities significantly impact radiology residency selection.
  • EAs are likely to increase in importance as performance metrics are de-emphasized.
  • Applicants and committees must acknowledge the influence and potential biases of EAs.