Factors Influential in the Selection of Radiology Residents in the Post-Step 1 World: A Discrete Choice Experiment.

Autor:	Maxfield CM; Vice-Chair of Education, Department of Radiology, Duke University Medical Center, Durham, North Carolina. Electronic address: charles.maxfield@duke.edu., Montano-Campos JF; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina., Chapman T; Residency Program Director, Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington., Desser TS; Department of Radiology, Stanford University Medical Center, Stanford, California., Ho CP; Residency Program Director, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia., Hull NC; Department of Radiology, Mayo Clinic, Rochester, Minnesota., Kelly HR; Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts; Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts., Kennedy TA; Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin., Koontz NA; Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana., Knippa EE; Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas., McLoud TC; Vice-Chair of Education, Residency Program Director, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts., Milburn J; Residency Program Director, Department of Radiology, Ochsner Health System, New Orleans, Louisiana., Mills MK; Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah., Morgan DE; Vice-Chair of Education, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama., Morgan R; Residency Program Director, Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado., Peterson RB; Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia., Salastekar N; Department of Radiology, SUNY Upstate Medical University, Syracuse, New York., Thorpe MP; Department of Radiology, Mayo Clinic, Rochester, Minnesota., Zarzour JG; Radiology Residency Program Director, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama., Reed SD; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina., Grimm LJ; Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2021 Nov; Vol. 18 (11), pp. 1572-1580. Date of Electronic Publication: 2021 Jul 29.
DOI:	10.1016/j.jacr.2021.07.005
Abstrakt:	Objectives: Reporting of United States Medical Licensing Examination Step 1 results will transition from a numerical score to a pass or fail result. We sought an objective analysis to determine changes in the relative importance of resident application attributes when numerical Step 1 results are replaced. Methods: A discrete choice experiment was designed to model radiology resident selection and determine the relative weights of various application factors when paired with a numerical or pass or fail Step 1 result. Faculty involved in resident selection at 14 US radiology programs chose between hypothetical pairs of applicant profiles between August and November 2020. A conditional logistic regression model assessed the relative weights of the attributes, and odds ratios (ORs) were calculated. Results: There were 212 participants. When a numerical Step 1 score was provided, the most influential attributes were medical school (OR: 2.35, 95% confidence interval [CI]: 2.07-2.67), Black or Hispanic race or ethnicity (OR: 2.04, 95% CI: 1.79-2.38), and Step 1 score (OR: 1.8, 95% CI: 1.69-1.95). When Step 1 was reported as pass, the applicant's medical school grew in influence (OR: 2.78, 95% CI: 2.42-3.18), and there was a significant increase in influence of Step 2 scores (OR: 1.31, 95% CI: 1.23-1.40 versus OR 1.57, 95% CI: 1.46-1.69). There was little change in the relative influence of race or ethnicity, gender, class rank, or clerkship honors. Discussion: When Step 1 reporting transitions to pass or fail, medical school prestige gains outsized influence and Step 2 scores partly fill the gap left by Step 1 examination as a single metric of decisive importance in application decisions. (Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu