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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
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Implementation of a Chief Resident Selection Process Designed to Mitigate Bias: Lessons Learned.
Rachel J Katz-Sidlow1, Kirsten L Roberts1, Dacone A Elliott1
1Pediatrics, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, USA.
Cureus
|December 4, 2023
Summary
Implementing an inclusive chief resident selection process mitigated bias and was well-received by residents and faculty. This approach enhances diversity in academic medicine leadership.
Area of Science:
- Medical Education
- Healthcare Leadership
- Diversity and Inclusion
Background:
- Chief residency selection processes can be opaque and biased, impacting diversity in academic medicine.
- Inclusive chief resident (CR) selection is crucial for promoting diversity in physician leadership.
- Current CR selection methods may perpetuate existing disparities.
Purpose of the Study:
- To implement and evaluate an inclusive chief resident selection process designed to mitigate bias.
- To assess the acceptability and satisfaction of residents and faculty with the new selection process.
Main Methods:
- A four-step opt-out process was developed: nomination survey, structured interviews, clinical review, and holistic review.
- Each step was scored using a rubric, excluding examination scores and "fit" to minimize bias.
- The process was implemented for the 2021-2022 academic year, followed by a departmental survey in January 2023.
Main Results:
- Survey response rates were 47% for residents and 29% for faculty.
- A majority of residents (64%) and all faculty (100%) were satisfied, finding the process fair and inclusive.
- Nearly 80% of residents and 100% of faculty supported repeating the process.
Conclusions:
- An inclusive chief resident selection process that mitigates bias is feasible and acceptable.
- The implemented process demonstrated high satisfaction among residents and faculty.
- Residency programs are encouraged to adopt inclusive, bias-mitigating CR selection practices.
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