减少神经外科申请和面试过程中的隐性偏见:一个单一机构的经验
Georgia M Wong1, Kelsey Cobourn2,3, Kitara Smith1
11Department of Neurosurgery, Georgetown University School of Medicine.
Neurosurgical focus
|November 1, 2023
概括
这项研究证明了神经外科住院申请的可行整体审查过程,减少了对USMLE分数和Alpha Omega Alpha状态等偏见指标的依赖. 新系统将面试分数优先考虑排名,促进更公平的选择过程.
科学领域:
- 神经外科 住院招生
- 医学教育研究 医学教育研究
- 减轻医疗保健中的偏见.
背景情况:
- 神经外科匹配具有高度竞争力,通常依赖于像USMLE分数和申请人查的AOA状态等指标.
- 这些传统指标被认为是种族偏见的潜在来源,影响了选择过程中的公平性.
- 居住计划在有限的交互时间内对大量申请人进行整体评估时面临挑战.
研究的目的:
- 证明修改居留申请流程的可行性,以减少对偏见指标的依赖.
- 实施和评估一个整体的审查系统,不重视USMLE成绩和AOA地位.
- 促进一个更公平,更符合价值观的神经外科住院选择过程.
主要方法:
- 建立了一个整体的申请审查流程,使用双重审查员冗余,使审查员对照片和测试成绩视而不见.
- 实施了基于领域的面试评估,重点是知识,对神经外科的承诺和诚信.
- 进行了回归分析,以评估AOA地位,USMLE分数和面试成绩对最终排名名单的影响.
主要成果:
- 总面试成绩是最终排名榜单的唯一显著预测因素,一点的提升与15个位置的排名提升相关 (p < 0.05).
- USMLE董事会成绩和AOA地位并没有显著影响最终排名.
- 实施的系统表明,排名清单密切反映了总面试成绩.
结论:
- 专注于核心素质的整体审查过程可以有效地减轻与传统指标 (如董事会成绩和AOA状态) 相关的偏见.
- 将重点从传统指标转移到基于领域的面试成绩,促进了更加公平和以价值为导向的选择过程.
- 这种修改后的应用系统旨在减少偏见的下游影响,并培养更多样化,更具代表性的神经外科工作人员.
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