Background Videoconference interviews (VCI) are increasingly being used in the selection process of residency program candidates across a number of medical specialties, but nevertheless remain an underutilized approach, particularly in the field of primary care. Objective This retrospective data review with cost analysis explores financial and acceptability outcomes of VCI implementation over a 9-year period. Methods VCI was incorporated into the recruitment process at a community-based academic family medicine residency program in 2011, whereby suitable candidates were selected for VCI after Electronic Residency Application Service (ERAS) application review. Based on the outcome of VCI, candidates were invited via a structured interview tool for a subsequent in-person interviews to determine final rank decisions. Costs of the interview process were tracked, as well as perceptions of VCI interviews. Results VCI implementation over 9 years demonstrated a median 48% reduction of in-person interviews—or 95 applicants eliminated out of a total 195 VCI interviews performed. This represents a mean annual direct cost savings estimated at $9,154, equating to a 55% reduction in allocated program costs, in addition to indirect cost savings to both applicants and the program. Conclusions Compared to exclusively in-person interviewing, the utilization of VCI is potentially more cost-effective for residency programs and candidates, while creating a more personal experience for applicants early in the recruitment process. Limited data of acceptability among faculty and candidates is generally favorable but remains mixed.

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