scholarly journals Examining the Factors Influencing Applicants’ Placement on One General Surgery Program’s Rank Order List

2022 ◽  
pp. 000313482110680
Author(s):  
Alexandra Hahn ◽  
Jessica Gorham ◽  
Alaa Mohammed ◽  
Brian Strollo ◽  
George Fuhrman
Keyword(s):  
Student Performance ◽  
Rank Order ◽  
Univariate Analysis ◽  
Geographic Location ◽  
Geographic Region ◽  
Rank List ◽  
Usmle Step ◽  
Clerkship Grade ◽  
Residency Application ◽  
Letters Of Recommendation

Purpose Surgery residency applications include variables that determine an individual’s rank on a program’s match list. We performed this study to determine which residency application variables are the most impactful in creating our program’s rank order list. Methods We completed a retrospective examination of all interviewed applicants for the 2019 match. We recorded United States Medical Licensing Examinations (USMLE) step I and II scores, class quartile rank from the Medical Student Performance Evaluation (MSPE), Alpha Omega Alpha (AOA) membership, geographic region, surgery clerkship grade, and grades on other clerkships. The MSPE and letters of recommendation were reviewed by two of the authors and assigned a score of 1 to 3, where 1 was weak and 3 was strong. The same two authors reviewed the assessments from each applicant’s interview and assigned a score from 1-5, where 1 was poor and 5 was excellent. Univariate analysis was performed, and the significant variables were used to construct an adjusted multivariate model with significance measured at P < .05. Results Univariate analysis for all 92 interviewed applicants demonstrated that USMLE step 2 scores ( P = .002), class quartile rank ( P = .004), AOA status ( P = .014), geographic location ( P < .001), letters of recommendation ( P < .001), and interview rating ( P < .001) were significant in predicting an applicant’s position on the rank list. On multivariate analysis only USMLE step 2 ( P = .018) and interview ( P < .001) remained significant. Conclusion USMLE step 2 and an excellent interview were the most important factors in constructing our rank order list. Applicants with a demonstrated strong clinical fund of knowledge that develop a rapport with our faculty and residents receive the highest level of consideration for our program.

scholarly journals Potential Impact of Pass/Fail Scores on USMLE Step 1: Predictors of Excellence in Obstetrics and Gynecology Residency Training

2021 ◽  
Vol 8 ◽  
pp. 238212052110374
Author(s):  
Sejal Tamakuwala ◽  
Joshua Dean ◽  
Katherine J. Kramer ◽  
Adib Shafi ◽  
Sarah Ottum ◽  
...  
Keyword(s):  
Student Performance ◽  
Clinical Performance ◽  
Predictive Ability ◽  
Obstetrics And Gynecology ◽  
Resident Performance ◽  
Application Service ◽  
Usmle Step 1 ◽  
Usmle Step ◽  
Clerkship Grade ◽  
Residency Application

AIM The study aims to determine resident applicant metrics most predictive of academic and clinical performance as measured by the Council of Resident Education in Obstetrics and Gynecology (CREOG) examination scores and Accreditation Council for Graduate Medical Education (ACGME) clinical performance (Milestones) in the aftermath of United States Medical Licensing Examination Scores (USMLE) Step 1 becoming a pass/fail examination. METHODS In this retrospective study, electronic and paper documents for Wayne State University Obstetrics and Gynecology residents matriculated over a 5-year period ending July 2018 were collected. USMLE scores, clerkship grade, and wording on the letters of recommendation as well as Medical Student Performance Evaluation (MSPE) were extracted from the Electronic Residency Application Service (ERAS) and scored numerically. Semiannual Milestone evaluations and yearly CREOG scores were used as a marker of resident performance. Statistical analysis on residents (n = 75) was performed using R and SPSS and significance was set at P < .05. RESULTS Mean USMLE score correlated with CREOG performance and, of all 3 Steps, Step 1 had the tightest association. MSPE and class percentile also correlated with CREOGs. Clerkship grade and recommendation letters had no correlation with resident performance. Of all metrics provided by ERAS, none taken alone, were as useful as Step 1 scores at predicting performance in residency. Regression modeling demonstrated that the combination of Step 2 scores with MSPE wording restored the predictive ability lost by Step 1. CONCLUSIONS The change of USMLE Step 1 to pass/fail may alter resident selection strategies. Other objective markers are needed in order to evaluate an applicant’s future performance in residency.

scholarly journals COVID-19 and the Ophthalmology Residency Match: Data from Applicants' Perspectives

2021 ◽  
Vol 13 (01) ◽  
pp. e73-e77
Author(s):  
Benjamin Steren ◽  
Ankur Parikh ◽  
Bilal Ahmed ◽  
Benjamin Young ◽  
Jayanth Sridhar ◽  
...  
Keyword(s):  
Interest Groups ◽  
The United States ◽  
Application Process ◽  
Substantial Impact ◽  
Clinical Exposure ◽  
Residency Programs ◽  
Informed Decisions ◽  
Rank List ◽  
Perceived Impacts ◽  
Residency Application

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has had a profound impact on medical education, particularly for those applying to residency programs in 2020 to 2021. This study describes the challenges for potential ophthalmology residency applicants so that residency leadership can make informed decisions about changes to the process. Methods A survey was distributed electronically via social media and medical school ophthalmology interest groups from June 18, 2020 to July 2, 2020 to individuals interested in applying to ophthalmology residency in the United States. Survey questions included demographics and perceived impacts of COVID-19 on ability, confidence, intention to apply, and perceptions toward changes in the application process for the 2020 to 2021 ophthalmology residency application cycle. Results One-hundred sixteen total responses were received. Eighty-six responses (74%) were from individuals intending to apply in the 2020 to 2021 application cycle. Most respondents (86%) felt that their application would be affected by COVID-19 with 51% feeling less confident. Only four (5%) felt that they could adequately compile a rank list following a video interview, and over half (51%) anticipated applying to more programs than they originally intended. Academic plans of seven (8%) respondents were significantly altered via deferral of application or cancellation of a research year. Thirty-nine (45%) students reported delayed ophthalmology electives, with less than half (41%) feeling that they had adequate clinical exposure to be prepared for residency. Conclusion The COVID-19 pandemic has had a substantial impact on the 2020 to 2021 ophthalmology residency application cycle. As stakeholders begin to approach this cycle, these findings will help them make effective and informed decisions to create the best overall experience for all involved.

scholarly journals Gendered Experiences of Living with HIV in Australia

Sexes ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 244-255
Author(s):  
Vicki Hutton
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Case Reports ◽  
Economic Status ◽  
Geographic Location ◽  
Geographic Region ◽  
Gender And Sexuality ◽  
Economic Consequences ◽  
People Living With Hiv ◽  
Living With Hiv

Globally, women represent more than half the people living with HIV. This proportion varies by country, with an over-representation of HIV among men who have sex with men (MSM) in some regions. For example, in Australia, MSM account for over 60% of transmissions, with heterosexual sex accounting for almost a quarter of transmissions. Irrespective of geographic region, there is evidence that women can have a different lived experience of HIV due to their unequal social and economic status in society, while MSM can have a different lived experience depending on the laws and customs of their geographic location. Gender differences related to risk factors, stigma, access to services, mental health, health-related quality of life and economic consequences have been consistently reported globally. This paper explores the subjective lived experience of gender and sexuality disparities among three individuals living with HIV in Australia: a male who identified as gay, and a male and female who each identified as heterosexual. Analysis of themes from these three case reports indicated discernible differences by gender and sexuality in four areas: access to medical services, social support, stigma and mental health. It is argued that knowledge and understanding of potential gender and sexuality disparities must be factored into supportive interventions for people living with HIV in Australia.

scholarly journals Team-Based Decision-Making in an Objective Structured Clinical Examination (OSCE)

2018 ◽  
Vol 9 (3) ◽  
pp. 14 ◽  
Author(s):  
Renee Dagenais ◽  
Shane A Pawluk ◽  
Daniel C Rainkie ◽  
Kyle Wilby
Keyword(s):  
Decision Making ◽  
Student Performance ◽  
Clinical Examination ◽  
Rank Order ◽  
Pharmacy Students ◽  
Competency Framework ◽  
Objective Structured Clinical Examination ◽  
Future Research ◽  
Reflective Journal ◽  
Students Attitudes

  Evaluation of pre-licensure students’ competency in team-based decision-making is lacking. The purposes of this study were to evaluate pre-licensure pharmacy students’ competency in team-based decision-making in the context of an objective structured clinical examination (OSCE), and to determine whether performance correlated with reflective assignment scores. Students’ self-assessment and conceptualization of team-based decision-making in practice was also evaluated. Twenty-three pre-licensure pharmacy students’ competency in team-based decision-making was evaluated in an OSCE station and with a reflective journal assignment; rubric scores for both evaluations were compared using Spearman’s rank order analysis. Students completed an 18-item questionnaire regarding attitudes, confidence, and perceptions related to team-based decision-making. Descriptive statistics and construct analysis with open coding were used to analyse questionnaire results. Mean OSCE station and reflective journal scores were 45% and 66.3%, respectively, and were not correlated. Students’ attitudes toward team-based decision-making were positive, and they reported performing associated behaviours during experiential education rotations. Students appropriately defined ‘team-based decision-making’ and were highly confident in performing related activities. However, students’ conceptualization of team-based decision-making did not align with the pharmacy program’s competency framework.  Three key themes were identified through the study analyses: 1) student performance is dependent on assessment context when evaluating collaborator-related competencies; 2) there is a mismatch between students’ perceived competency and objectively measured competence when collaborator outcomes were assessed within an OSCE; and 3) students’ perceptions of team-based decision-making do not align with the program’s competency framework. Future research is necessary to assess competency and perceptions of team-based decision-making in students from other healthcare professions, and to further evaluate whether pre-licensure students are “collaborative practice ready”.   Article Type: Case Study

A comparison of student performance on discipline-specific versus integrated exams in a medical school course

2013 ◽  
Vol 37 (4) ◽  
pp. 370-376 ◽  
Author(s):  
Andrew R. Thompson ◽  
Mark W. Braun ◽  
Valerie D. O'Loughlin
Keyword(s):  
Medical School ◽  
Student Performance ◽  
Bloom's Taxonomy ◽  
Integrated Instruction ◽  
Bloom’S Taxonomy ◽  
Significant Difference ◽  
Usmle Step 1 ◽  
Usmle Step ◽  
Exam Scores ◽  
The Impact

Curricular reform is a widespread trend among medical schools. Assessing the impact that pedagogical changes have on students is a vital step in review process. This study examined how a shift from discipline-focused instruction and assessment to integrated instruction and assessment affected student performance in a second-year medical school pathology course. We investigated this by comparing pathology exam scores between students exposed to traditional discipline-specific instruction and exams (DSE) versus integrated instruction and exams (IE). Exam content was controlled, and individual questions were evaluated using a modified version of Bloom's taxonomy. Additionally, we compared United States Medical Licensing Examination (USMLE) step 1 scores between DSE and IE groups. Our findings indicate that DSE students performed better than IE students on complete pathology exams. However, when exam content was controlled, exam scores were equivalent between groups. We also discovered that the integrated exams were composed of a significantly greater proportion of questions classified on the higher levels of Bloom's taxonomy and that IE students performed better on these questions overall. USMLE step 1 exam scores were similar between groups. The finding of a significant difference in content complexity between discipline-specific and integrated exams adds to recent literature indicating that there are a number of potential biases related to curricular comparison studies that must be considered. Future investigation involving larger sample sizes and multiple disciplines should be performed to explore this matter further.

scholarly journals Relationship Between Postinterview Correspondence From Residency Program Applicants and Subsequent Applicant Match Outcomes

2014 ◽  
Vol 6 (3) ◽  
pp. 478-483 ◽  
Author(s):  
Emma C. Swan ◽  
Thomas E. Baudendistel
Keyword(s):  
Residency Program ◽  
Rank Order ◽  
Rank List

Abstract Background Studies show postinterview communication from applicants may affect their placement on the program's National Resident Matching Program (NRMP) rank order list. Objective To determine whether postinterview correspondence from applicants to a residency program is associated with the applicant's subsequent position on the program's rank list. Methods During 2 recruitment seasons, we collected postinterview correspondence from applicants to 1 residency program. Applicant characteristics and the content and timing of correspondence were compared with the applicant's position on the program's rank list. Data were analyzed using the Pearson χ2 test. Results Of 470 applicants interviewed, 290 (61.7%) sent unsolicited correspondence to the program after interviewing. Ten percent (29 of 290) stated they planned to rank the program first, 11.7% (34 of 290) that they planned to rank it highly, and 78.3% (227 of 290) gave no indication of ranking intentions. Applicants who corresponded were no more likely to be ranked in the top 2 quartiles on the rank list than those who did not (P  =  .32) nor were applicants who communicated plans to rank the program “first” or “highly” ranked higher than other corresponding applicants (P  =  .34). Of the 16 applicants who planned to rank the program “first” and who were ranked in the program's match range, 5 did not match with the program, suggesting they may have misled the program. Conclusions Postinterview correspondence by applicants was not associated with position on the rank order list. Correspondence does not benefit the applicant and can lead to misleading statements, which may violate the NRMP participation agreement.

scholarly journals Emergency Medicine Standardized Letter of Evaluation (SLOE): Findings From the New Electronic SLOE Format

2019 ◽  
Vol 11 (2) ◽  
pp. 182-186 ◽  
Author(s):  
Jennifer S. Jackson ◽  
Michael Bond ◽  
Jeffrey N. Love ◽  
Cullen Hegarty
Keyword(s):  
Emergency Medicine ◽  
Global Assessment ◽  
Published Data ◽  
Assessment Data ◽  
Application Process ◽  
Current Trends ◽  
National Implementation ◽  
Clerkship Grade ◽  
Residency Application

ABSTRACT Background  Emergency medicine (EM) uses a standardized template for residency application letters of recommendations. In 1997, the Standardized Letter of Recommendation was developed with categories for applicant comparison. Now named the Standardized Letter of Evaluation (SLOE), it is a universal requirement in the EM residency application process. In 2016, a website called “eSLOE” was launched for credentialed academic EM faculty to enter applicant data, which generates a SLOE. Objective  This article outlines website creation for the eSLOE and its successful national implementation in the 2016–2017 EM residency application cycle. We analyzed current trends in applicant assessments from the eSLOE data and compared them to prior data. Methods  Data from 2016–2017 were sorted and analyzed for each question on the eSLOE. An analysis of Global Assessment and Qualifications for EM rankings, clerkship grade, and comparison with prior SLOE data was performed. Results  Analysis of 6715 eSLOEs for 3138 unique applicants revealed the following Global Assessment rankings: top 10%, top one-third, middle one-third, and lower one-third. There was less spread with the distribution for clerkship grade and Qualifications for EM. The 2011–2012 standard letter of recommendation global assessment data, with top 10%, top one-third, middle one-third, and lower one-third, also revealed top-clustered results with less spread compared with the ranking usage in 2016–2017. Conclusions  Results indicate an improved spread of all rank categories for Global Assessment, enhancing the eSLOE's applicant discrimination. There has been an overall improvement in rank designation when compared with previously published data.

scholarly journals Toward a New Framework of Recommender Memory Based System for MOOCs

2017 ◽  
Vol 7 (4) ◽  
pp. 2152
Author(s):  
El Alami Taha ◽  
El Kadiri Kamal Eddine ◽  
Chrayah Mohamed
Keyword(s):  
Social Networks ◽  
Big Data ◽  
Student Performance ◽  
Geographic Location ◽  
Dropout Rate ◽  
New Wave ◽  
College Degree ◽  
The World ◽  
Very High ◽  
New Framework

MOOCs is the new wave of remote learning that has revolutionized it since its apparition, offering the possibility to teach a very big group of student, at the same time, in the same course, within all disciplines and without even gathering them in the same geographic location, or at the same time; Allowing the sharing of all type of media and document and providing tools to assessing student performance. To benefit from all this advantages, big universities are investing in MOOCs platforms to valorize their approach, which makes MOOC available in a multitude of languages and variety of disciplines. Elite universities have open their doors to student around the world without requesting tuition or claiming a college degree, however even with the major effort reaching to maximize students visits and hooking visitors to the platform, using recommending systems propose content likely to please learners, the dropout rate still very high and the number of users completing a course remains very low compared to those who have quit. In this paper we propose an architecture aiming to maximize users visits by exploiting users big data and combining it with data available from social networks.

Effect of limited reporting in clinical trials on the ability to guide treatment decisions for real-world patients with cancer.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 18-18
Author(s):  
Ene Mercy Enogela ◽  
Risha Gidwani ◽  
Jeffrey Franks ◽  
Nicole E. Caston ◽  
Gabrielle Betty Rocque
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Geographic Location ◽  
Treatment Decisions ◽  
Geographic Region ◽  
Nccn Guidelines ◽  
Baseline Characteristics ◽  
Race Ethnicity ◽  
Clinical Trial Results ◽  
Cancer Network

18 Background: National Comprehensive Cancer Network (NCCN) guidelines are derived from reviews of clinical trials. Many of these trials have strict inclusion criteria, resulting in trial samples that are not representative of the larger cancer population. We therefore sought to understand how clinical trials, referenced in the NCCN guidelines, report key patient baseline demographics relating to age, race/ethnicity, and country or geographic region. Methods: NCCN guidelines for four cancer types were reviewed: prostate, colon, breast, and lung. We abstracted race/ethnicity, age, country/geographic region, and hazard ratios (HRs) from references indexed in the NCCN Guidelines. Race/ethnicity and age information was obtained from baseline characteristics tables in reported studies. The country/geographic region from which participants were recruited was acquired from each individual trial’s National Clinical Trial (NCT) number, linked to clinicaltrial.gov or the main manuscript. Each study was also assessed for its reporting of survival outcomes based on race/ethnicity, age, and country. Results: A total of 31 studies reporting on 36 regimens were examined for this review. While all studies reported age, only 39% (n=12) included characterization of older adults (60 years or older). 52% provided information on the racial and ethnic makeup of the study sample. Countries where participants were recruited were mostly not reported in the main papers, rather they were identified from ClinicalTrials.gov. Also, while 67% of all studies (n=25) included an international sample, only 5% reported the country or geographic location in the main manuscript. Few studies reported efficacy by patient sub-population. 12 of the 31 (39%) manuscripts reported HRs by age. Of the 16 manuscripts reporting race/ethnicity, 16% included HRs by race/ethnicity. Only one study reported efficacy outcomes by country. Conclusions: There is a need to have a standardized system for reporting baseline characteristics as well as trial outcomes for clinical trials. Including information on subgroup-specific baseline and efficacy outcomes in clinical trial results is an inexpensive way of improving the quality of information available to oncologists and will aid them in making evidence-based treatment decisions for the entirety of their patient populations.

The association between race and frequent shunt failure: a single-center study

2013 ◽  
Vol 11 (5) ◽  
pp. 552-557 ◽  
Author(s):  
Robert P. Naftel ◽  
Nicole A. Safiano ◽  
Michael Falola ◽  
Jeffrey P. Blount ◽  
W. Jerry Oakes ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Multivariate Regression ◽  
Regression Models ◽  
Univariate Analysis ◽  
Geographic Location ◽  
Patient Characteristics ◽  
Shunt Failure ◽  
Independent Factor ◽  
White Race ◽  
Single Center Study

Object Children experiencing frequent shunt failure consume medical resources and represent a disproportionate level of morbidity in hydrocephalus care. While biological causes of frequent shunt failure may exist, this study analyzed demographic and socioeconomic patient characteristics associated with frequent shunt failure. Methods A survey of 294 caregivers of children with shunt-treated hydrocephalus provided demographic and socioeconomic characteristics. Children experiencing at least 10 shunt failures were considered frequent shunt-failure patients. Multivariate regression models were used to control for variables. Results Frequent shunt failure was experienced by 9.5% of the patients (28 of 294). By univariate analysis, white race (p = 0.006), etiology of hydrocephalus (p = 0.022), years-with-shunt (p < 0.0001), and surgeon (p = 0.02) were associated with frequent shunt failure. Upon multivariate analysis, white race remained the key independent factor associated with frequent shunt failure (OR 5.8, 95% CI 1.2–27.8, p = 0.027). Race acted independently from socioeconomic factors, including income, level of education, and geographic location, and clinical factors, such as etiology of hydrocephalus, surgeon, and years-with-shunt. Additionally, after multivariate analysis surgeon and years-with-shunt remained associated with frequent shunt failure (p = 0.043 and p = 0.0098, respectively), although etiology of hydrocephalus was no longer associated (p = 0.1). Conclusions White race was the primary independent factor associated with frequent shunt failure. Because races use health care differently and the diagnosis of shunt failure is often subjective, a disparity in diagnosis and treatment has arisen. These findings call for objective criteria for the preoperative and intraoperative diagnosis of shunt failure.

Sign in / Sign up

Export Citation Format

Share Document