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A Practical Approach for Implementing Holistic Review for General Surgery Resident Recruitment
Cody L Mullens1, Jamila K Picart1, Shukri H A Dualeh2
1Department of Surgery, University of Michigan, Ann Arbor, Michigan; Center for Healthcare Outcomes and Policy, Institute for Health Policy and Innovation, University of Michigan, Ann Arbor, Michigan; UM National Clinician Scholars Program, University of Michigan, Ann Arbor, Michigan.
This study details a successful holistic review process for general surgery residency admissions, enhancing transparency and diversity. The structured approach aids in selecting candidates aligned with program values.
Area of Science:
- Medical Education
- Surgical Training
- Residency Admissions
Background:
- Traditional residency selection methods may lack transparency.
- Holistic review offers a structured approach to candidate evaluation.
- Implicit bias training is crucial in recruitment processes.
Purpose of the Study:
- To implement and describe a holistic review process in an academic general surgery residency program.
- To enhance transparency and diversity in resident selection.
- To align applicant values with program missions.
Main Methods:
- Established a Residency Recruitment Committee and utilized a 5-attribute rubric for applicant evaluation.
- Included implicit bias training for application reviewers (faculty and residents).
- Evaluated applicants on clinical/academic excellence, leadership, integrity, work ethic, and interest in academic surgery.
Main Results:
- Successfully implemented a holistic review process with 26-38 evaluators per applicant pool.
- The structured approach facilitated the selection of interview candidates with aligned missions and values.
- Standardized interview questions assessed stress response and teamwork.
Conclusions:
- Holistic review is a feasible and comprehensive method for transparent residency selection and diverse candidate recruitment.
- The process can be adapted for programs with varying priorities.
- Further long-term evaluation is necessary to assess impact on recruitment and retention.