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Racial and Ethnic Disparities in Situational Judgment Testing Among Applicants to an Anesthesiology Residency
Victoria Rosales1, Christopher Conley2, Mark C Norris3
1is an Anesthesiology Resident, Department of Anesthesiology, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Journal of Graduate Medical Education
|July 12, 2024
Summary
The Computer-Based Assessment for Sampling Personal Characteristics (CASPer) situational judgment test (SJT) showed racial and geographic disparities in anesthesiology residency applicants. White and US-trained applicants scored higher than Black, Hispanic, and international-trained applicants.
Area of Science:
- Medical Education
- Residency Admissions
- Situational Judgment Tests
Background:
- The Computer-Based Assessment for Sampling Personal Characteristics (CASPer) is a situational judgment test (SJT) assessing noncognitive skills.
- Limited data exists on the impact of race/ethnicity and sex on CASPer scores for residency applicants.
Purpose of the Study:
- To investigate the influence of race/ethnicity, sex, and medical school location (US vs. international) on CASPer performance among anesthesiology residency applicants.
Main Methods:
- Anesthesiology residency program utilized CASPer for the 2021-2022 Match cycle.
- CASPer z-scores were analyzed against self-identified race/ethnicity, sex, medical school origin, and USMLE Step 1 scores.
Main Results:
- CASPer scores did not significantly differ by sex.
- White applicants achieved higher scores than Black and Hispanic applicants (p<.001).
- Applicants from US medical schools outperformed those from international medical schools (p<.001).
- No correlation was found between CASPer z-scores and USMLE Step 1 scores.
Conclusions:
- CASPer performance appears to favor White applicants over Black and Hispanic applicants.
- CASPer scores also appear to favor applicants trained in US medical schools over those trained internationally.
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