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Related Experiment Video

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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

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Implementing a Holistic Review Process for Psychiatry Residency Screening and Interviewing.

Anaheed Shirazi¹, Allison Cabrera¹, Sahana Malik¹

¹Department of Psychiatry, University of California, San Diego, San Diego.

Focus (American Psychiatric Publishing)

|April 29, 2024

Summary

Holistic review in psychiatry residency increased the proportion of interviewed women applicants. While underrepresented minority applicants increased, their interview rates did not change significantly post-implementation.

Keywords:

Diversity Diversity see Culture Competence Inclusion Psychiatry Residents Residency Underrepresented in Medicine

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Area of Science:

Medical Education
Psychiatry
Diversity and Inclusion

Background:

Underrepresented in medicine (URM) proportions are lower in psychiatry compared to the general population.
Holistic review in residency applications may improve representation and reduce care disparities.

Purpose of the Study:

To evaluate the impact of implementing a holistic review process on diversity in a psychiatry residency program.
To compare applicant pool diversity before and after the holistic review implementation.

Main Methods:

Data from 6,602 applicants to the University of California, San Diego, psychiatry residency program (2016-2022) were analyzed.
Applicant and interviewed candidate demographics were compared before (2016-2020) and after (2021-2022) holistic review implementation.
Statistical analyses (chi-squared tests) were used to assess changes in proportions.

Main Results:

The proportion of women applicants significantly increased from 42.3% to 50.6% (p<0.002).
The proportion of underrepresented in medicine (URM) applicants significantly increased from 13.4% to 21.3% (p<0.001).
Women applicants were disproportionately selected for interviews, especially after holistic review implementation, while URM applicant interview rates did not significantly change.

Conclusions:

Holistic review positively impacted the proportion of women interviewed in psychiatry residency.
While URM applicant numbers increased, the holistic review did not significantly alter their interview selection rates.
Further strategies may be needed to enhance URM representation in interviewed psychiatry residency candidates.