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A Practical Guide to Implementing Holistic Review during Surgery Resident Selection.

Meera Reghunathan1, Noelle Thompson2, Gabriela Sendek1

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Improving surgical residency selection requires moving beyond scores. A holistic review process enhances physician workforce diversity and better predicts resident success in surgery.

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Area of Science:

  • Healthcare quality improvement
  • Medical education research
  • Surgical residency training

Background:

  • Provider workforce diversity is crucial for enhancing healthcare quality and reducing disparities.
  • Traditional application metrics in surgical residency selection often fail to predict clinical and operative success.
  • Current selection methods do not consistently correlate with resident performance milestones.

Purpose of the Study:

  • To present an adaptable process for surgical residency programs to incorporate holistic review.
  • To improve the selection of surgical residents.
  • To enhance physician workforce diversity within surgical fields.

Main Methods:

  • Defining program-specific values.
  • Implementing a holistic review framework into the resident application process.
  • Evaluating the effectiveness of the holistic review in resident selection.

Main Results:

  • The proposed holistic review process is adaptable to various surgical residency programs.
  • This approach can lead to improved resident selection outcomes.
  • The process aids in increasing physician workforce diversity.

Conclusions:

  • Holistic review offers a more effective method for selecting surgical residents compared to score-centered metrics.
  • Adopting holistic review can significantly contribute to a more diverse and capable surgical workforce.
  • This adaptable process supports surgical programs in aligning resident selection with institutional values and diversity goals.