Virtual Interviews and the Pediatric Emergency Medicine Match Geography: A National Survey.

Autor: Baghdassarian A; Inova L.J. Murphy Children's Hospital, Department of Pediatrics, Falls Church, Virginia.; University of Virginia, School of Education, Charlottesville, Virginia., Bailey JA; Oregon Health & Science University, Department of Pediatrics and Emergency Medicine, Portland, Oregon., Caglar D; University of Washington, Department of Pediatrics, Seattle, Washington.; Seattle Children's Hospital, Department of Pediatrics, Seattle, Washington., Eckerle M; University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, Ohio.; Cincinnati Children's Hospital, Department of Pediatrics, Cincinnati, Ohio., Fang A; Stanford University School of Medicine, Department of Pediatric Emergency Medicine, Palo Alto, California., McVety K; Children's Hospital of Michigan, Department of Pediatrics, Detroit, Michigan.; Central Michigan University, School of Medicine, Department of Pediatrics, Detroit, Michigan., Ngo T; Johns Hopkins University, School of Medicine, Department of Pediatrics, Baltimore, Maryland., Rose JA; Rainbow Babies & Children's Hospital, Department of Pediatrics, Cleveland, Ohio.; Case Western Reserve University, School of Medicine, Department of Pediatrics, Cleveland, Ohio., Ganis Roskind C; Columbia University Irving Medical Center, Pediatrics in Emergency Medicine, New York, New York., Tavarez MM; University of Pittsburgh, School of Medicine, Department of Pediatrics, Pittsburgh, Pennsylvania., Benedict FT; University of Missouri of Kansas City School of Medicine, Department of Pediatrics, Kansas City, Missouri.; University of Kansas Medical Center, Kansas City, Missouri., Nagler J; Boston Children's Hospital, Department of Pediatrics and Emergency Medicine, Boston, Massachusetts.; Harvard Medical School, Department of Pediatrics and Emergency Medicine, Boston, Massachusetts., Langhan ML; Yale University School of Medicine, Department of Pediatrics and Emergency Medicine, New Haven, Connecticut.
Jazyk: angličtina
Zdroj: The western journal of emergency medicine [West J Emerg Med] 2024 Mar; Vol. 25 (2), pp. 186-190.
DOI: 10.5811/westjem.18581
Abstrakt: Introduction: Virtual interviews (VI) are now a permanent part of pediatric emergency medicine (PEM) recruitment, especially given the cost and equity advantages. Yet inability to visit programs in person can impact decision-making, leading applicants to apply to more programs. Moreover, the cost advantages of VI may encourage applicants to apply to programs farther away than they might otherwise have been willing or able to travel. This could create unnecessary strain on programs. We conducted this study to determine whether PEM fellowship applicants would apply to a larger number of programs and in different geographic patterns with VI (2020 and 2021) as compared to in-person interviews (2018 and 2019).
Methods: We conducted an anonymous national survey of all PEM fellows comparing two cohorts: current fellows who interviewed inperson (applied in 2018/2019) and fellows who underwent VIs in 2020/2021 (current fellows and those recently matched in 2021). The study took place in March-April 2022. Questions focused on geographic considerations during interviews and the match. We used descriptive statistics, chi-square and t -tests for analysis.
Results: Overall response rate was 42% (231/550); 32% (n = 74) interviewed in person and 68% (n = 157) virtually. Fellows applied to a median of 4/6 geographic regions (interquartile range 2, 5). Most applied for fellowship both in the same region as residency (216, 93%) and outside (192, 83%). Only the Pacific region saw a statistically significant increase in applicants during VI (59.9% vs 43.2%, P  = 0.02). There was no statistical difference in the number of programs applied to during in-person vs VI (mean difference (95% confidence interval 0.72, -2.8 - 4.2). A majority matched in their preferred state both during VI (60.4%) and in-person interviews (65.7%). The difference was not statistically significant ( P  = 0.45).
Conclusion: While more PEM fellowship applicants applied outside the geographic area where their residency was and to the Pacific region, there was no overall increase in the number of programs or geographic areas PEM applicants applied to during VI as compared to in-person interview seasons. As this was the first two years of VI, ongoing data collection will further identify trends and the impactof VI.
Competing Interests: Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. No author has professional or financial relationships with any companies that are relevant to this study. There are no conflicts of interest or sources of funding to declare.
Databáze: MEDLINE
Externí odkaz: