Related Experiment Video
Updated: Jan 23, 2026
09:12
The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
72.5K
Reimagining residency selection: a lottery among the qualified
Holly A Caretta-Weyer1, Benjamin Kinnear2, Maya M Hammoud3,4
1Admissions and Assessment, Stanford University School of Medicine, Palo Alto, CA, United States.
Summary
The current residency selection process hinders competency-based medical education. A modified lottery system for interviews, prioritizing competency over comparative achievements, could improve fairness and preparedness for residency training.
Area of Science:
- Medical Education
- Graduate Medical Education
- Competency-Based Education
Background:
- Residency selection in North America impedes competency-based medical education.
- Current selection relies on norm-referenced achievements (test scores, publications) rather than criterion-referenced competencies for patient care readiness.
- This system incentivizes an achievement mindset, diverting focus from essential skills for residency preparedness.
Purpose of the Study:
- To advocate for a shift in the residency selection process.
- To facilitate a growth-oriented, competency-based undergraduate medical experience.
- To ensure all applicants are prepared for residency training.
Main Methods:
- Critique of current residency selection measures for being non-predictive, biased, and achievement-focused.
- Proposal of a modified lottery system for interview positions among competency-qualified applicants.
- Discussion of the lottery's mechanics, including student choice, equality, and special circumstances.
Main Results:
- Current selection metrics are poor predictors of residency success and patient care readiness.
- A modified lottery could offer a more equitable and competency-focused alternative to the current system.
- The proposed lottery aims to align students with suitable programs based on competency and preference.
Conclusions:
- The residency selection process requires fundamental change to support competency-based medical education.
- A modified lottery system presents a viable alternative to enhance fairness and preparedness.
- This approach could better align medical education with the demands of safe, high-quality patient care.
Related Concept Videos
01:05Noncompartmental Analysis: Mean Residence Time
591
According to statistical moment theory, mean residence time (MRT) is an important measure in pharmacokinetics. MRT can be defined as the expected mean of a probability density function distribution. It provides valuable insights into drug disposition in the body.
After the administration of a drug through intravenous bolus injection, the drug molecules are distributed throughout the body and remain there for varying periods. The MRT represents the average time these drug molecules stay in the...
After the administration of a drug through intravenous bolus injection, the drug molecules are distributed throughout the body and remain there for varying periods. The MRT represents the average time these drug molecules stay in the...
591
01:32What is Natural Selection?
126.2K
Natural selection is an evolutionary process in which individuals with survival-promoting traits reproduce at higher rates. These favorable traits become more common within a population or species. Naturally selected traits initially arise via random genetic mutations. In order for selection to occur, there must be variation within a population, the trait controlling the variation must be heritable, and there must be an evolutionary advantage for variation in the trait.
126.2K
00:57Antibiotic Selection
59.5K
Overview
59.5K
01:46Types of Selection
44.0K
Natural selection influences the frequencies of particular alleles and phenotypes within populations in several different ways. Primarily, natural selection can be directional, stabilizing, or disruptive. Directional selection favors one extreme trait and shifts the population towards that phenotype while selecting against individuals displaying alternate traits. Stabilizing selection favors an intermediate trait with a narrow range of variation. Deviation from the optimal phenotype towards an...
44.0K
01:21Frequency-dependent Selection
23.1K
When the fitness of a trait is influenced by how common it is (i.e., its frequency) relative to different traits within a population, this is referred to as frequency-dependent selection. Frequency-dependent selection may occur between species or within a single species. This type of selection can either be positive—with more common phenotypes having higher fitness—or negative, with rarer phenotypes conferring increased fitness.
23.1K
01:38Limits to Natural Selection
34.1K
Organisms that are well-adapted to their environment are more likely to survive and reproduce. However, natural selection does not lead to perfectly adapted organisms. Several factors constrain natural selection.
34.1K