Facilitators and Barriers to the Adoption of Holistic Practices for Inclusive Recruitment in Graduate Medical Education

Autor: Andreia B. Alexander, Levi Funches, Sheryl Katta-Charles, Francesca A. Williamson, Curtis Wright, Areeba Kara, James E. Slaven, Zeina Nabhan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Medical Education and Curricular Development, Vol 11 (2024)
Druh dokumentu: article
ISSN: 2382-1205
23821205
DOI: 10.1177/23821205241260243
Popis: OBJECTIVE A diverse physician workforce ensures equitable care. The holistic review of residency applications is one strategy to enhance physician diversity; however, little is known about current adoption and the factors that facilitate/impede the adoption of holistic recruitment practices (HRPs) by graduate medical education (GME) residency, and fellowship program directors (PDs). To describe the current state and explore, the barriers/facilitators to the adoption of HRPs at our institution. METHODS We disseminated information about HRP within our program between 2021 and 2022. In May 2022, a survey of 73 GME PDs assessed current recruitment practices and self-reported barriers to holistic recruitment. Holistic Recruitment Scores (HRSs) reflecting the adoption of best practices were tabulated for each program and compared to identify predictors of adoption. RESULTS 73/80 (92%) of PDs completed the survey. Programs whose PDs had higher academic rank, total number of trainees, and female trainees in the past 3 years had higher HRSs. Program size was directly correlated with HRS. Most (93%) PDs felt their current efforts were aligned to increase diversity and 58% felt there were no barriers to the adoption of holistic review. The most reported barriers were lack of time and knowledge/expertise in diversity, equity, and inclusion ( DEI ) , both reported by 16 out of 73 PDs (22%). CONCLUSION While most PDs implemented some HRP, institutional and departmental support of program directors through the commitment of resources (eg, staffing help and subject matter experts/coaches hiring) are crucial to overcome barriers.
Databáze: Directory of Open Access Journals
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