面试和整体审查指标的协会,在内部医学住院计划中与居民绩效相关的困难有关
Reena Hemrajani1,2, Theresa Vettese1,3, Karen Law1,4
1All authors are with Emory School of Medicine.
Journal of graduate medical education
|October 2, 2023
概括
整体审查在住院招生中确定了超出传统指标的因素. 荣誉协会的成员资格和更高的面试成绩预测了更好的居民表现,而申请标志则表明了潜在的困难.
科学领域:
- 医学教育 医学教育
- 住院培训 培训 住院培训
- 内部医学 内部医学
背景情况:
- 传统的学术因素对居留学业绩的预测价值不确定.
- 整体审查过程评估了更广泛的申请人特征.
- 识别住院绩效困难的预测因素对于程序改进至关重要.
研究的目的:
- 在一个大型的学术内科住院计划中,识别与绩效相关困难相关的因素.
- 评估各种申请和面试特征在预测居民成功方面的有用性.
主要方法:
- 电子居留申请服务和面试数据 (2018-2020) 的回顾性队列研究.
- 与表现相关的困难的综合结果包括临床能力委员会推,低评分或"令人担忧的评论".
- 后勤回归模型分析了居民特征与复合结果之间的关联.
主要成果:
- 在117名居民中,有38人经历了与表现相关的困难.
- 成为黄金人文主义荣誉协会或阿尔法欧米茄阿尔法会员与较低的难度概率有关.
- 美国高等医学执照考试第二步 临床知识分数和改善的面试分数 (一般教师,领导) 预测了更好的结果.
- 应用程序"标志"与性能相关困难的可能性增加有关.
结论:
- 七个指标显著预测了与居民业绩相关的困难.
- 整体审查的组成部分,包括特定的面试评估和荣誉社团会员资格,都是有价值的预测因素.
- 应用程序标志可能会显示出具有更高绩效挑战风险的候选人.
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