Importance of the Emergency Medicine Application Components: The Medical Student Perception

McCann, Scott D.; Nomura, Jason T.; Terzian, W.T. Hillman; Breyer, Michael; Davis, Barbara J.

doi:10.1016/j.jemermed.2015.11.003

Cited by 4 publications

(7 citation statements)

References 4 publications

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“…Consistent in our study as well as in previous work were what responders recognized as the least important parts of the application—research/publications, overall basic science grades, and the personal statement. However, these items were still given some value, reinforcing that an applicant is dynamic with multiple factors contributing to the whole application.…”

Section: Discussionsupporting

confidence: 91%

“…While these results are similar to those found in our study as well as previous work by Crane and Ferraro the difference in the relative importance of the SLOE is notable. The order of importance of the most highly ranked components (EM rotation grades, residency interview, clinical rotation grades, “other,” letters of recommendation, and overall grades) were the same in both of the previous studies . This suggests that medical student's perceptions may be rightly influenced by the previous work of Crane et al.…”

Section: Discussionmentioning

confidence: 64%

“…In 2016, McCann et al . sought to determine medical student's perspective on which portions of the application were most important.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Emergency Medicine Residency Selection Criteria: An Update and Comparison

Negaard

Assimacopoulos

Harland

et al. 2018

AEM Education and Training

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 64%

See 1 more Smart Citation

Emergency Medicine Residency Selection Criteria: An Update and Comparison

Negaard

Assimacopoulos

Harland

et al. 2018

AEM Education and Training

View full text Add to dashboard Cite

show abstract

“…For example, in this analysis we are not able to comment on changes in clerkship or medical school grades or interview performance, factors that programs and applicants both rate as important 12. These factors may predict success as well as the factors that have been quantified and examined here 13.…”

Section: Discussionmentioning

confidence: 92%

Trends in NRMP Data from 2007-2014 for U.S. Seniors Matching into Emergency Medicine

Manthey¹,

Hartman²,

Newmyer³

et al. 2017

WestJEM

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IntroductionSince 1978, the National Residency Matching Program (NRMP) has published data demonstrating characteristics of applicants who have matched into their preferred specialty in the NRMP main residency match. These data have been published approximately every two years. There is limited information about trends within these published data for students matching into emergency medicine (EM). Our objective was to investigate and describe trends in NRMP data to include the following: the ratio of applicants to available EM positions; United State Medical Licensing Examination (USMLE) Step 1 and Step 2 scores (compared to the national means); number of programs ranked; and Alpha Omega Alpha Honor Medical Society (AOA) membership among U.S. seniors matching into EM.MethodsThis was a retrospective observational review of NRMP data published between 2007 and 2016. We analyzed the data using analysis of variance (ANOVA) or Kruskal-Wallis testing, and Fischer’s exact or chi-squared testing, as appropriate to determine statistical significance.ResultsThe ratio of applicants to available EM positions remained essentially stable from 2007 to 2014 but did increase slightly in 2016. We observed a net upward trend in overall Step 1 and Step 2 scores for EM applicants. However, this did not outpace the national trend increase in Step 1 and 2 scores overall. There was an increase in the mean number of programs ranked by EM applicants over the years studied from 7.8 (SD4.2) to 9.2 (SD5.0, p<0.001), driven predominantly by the cohort of U.S. students successful in the match. Among time intervals, there was a difference in the number of EM applicants with AOA membership (p=0.043) due to a drop in the number of AOA students in 2011. No sustained statistical trend in AOA membership was identified over the seven-year period studied.ConclusionNRMP data demonstrate trends among EM applicants that are similar to national trends in other specialties for USMLE board scores, and a modest increase in number of programs ranked. AOA membership was largely stable. EM does not appear to have become more competitive relative to other specialties or previous years in these categories.

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“…Applicants are historically unaware of the weighting of each component of the file and interview for different programs. 9,[26][27][28][29] Within this report, we have outlined this clearly (Figure 2) and remain committed to sharing this information openly with our applicants as our selection processes evolves. As applicants' knowledge of the selection process improves, we anticipate that they will have a greater understanding of how, why, and what is being assessed throughout the selection process.…”

Section: Comparison With Previous Workmentioning

confidence: 98%

A transparent and defensible process for applicant selection within a Canadian emergency medicine residency program

Paterson

Hartmann

Woods

et al. 2020

CJEM

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ObjectivesThe Canadian Resident Matching Service (CaRMS) selection process has come under scrutiny due to the increasing number of unmatched medical graduates. In response, we outline our residency program's selection process including how we have incorporated best practices and novel techniques.MethodsWe selected file reviewers and interviewers to mitigate gender bias and increase diversity. Four residents and two attending physicians rated each file using a standardized, cloud-based file review template to allow simultaneous rating. We interviewed applicants using four standardized stations with two or three interviewers per station. We used heat maps to review rating discrepancies and eliminated rating variance using Z-scores. The number of person-hours that we required to conduct our selection process was quantified and the process outcomes were described statistically and graphically.ResultsWe received between 75 and 90 CaRMS applications during each application cycle between 2017 and 2019. Our overall process required 320 person-hours annually, excluding attendance at the social events and administrative assistant duties. Our preliminary interview and rank lists were developed using weighted Z-scores and modified through an organized discussion informed by heat mapped data. The difference between the Z-scores of applicants surrounding the interview invitation threshold was 0.18-0.3 standard deviations. Interview performance significantly impacted the final rank list.ConclusionsWe describe a rigorous resident selection process for our emergency medicine training program which incorporated simultaneous cloud-based rating, Z-scores, and heat maps. This standardized approach could inform other programs looking to adopt a rigorous selection process while providing applicants guidance and reassurance of a fair assessment.

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Importance of the Emergency Medicine Application Components: The Medical Student Perception

Cited by 4 publications

References 4 publications

Emergency Medicine Residency Selection Criteria: An Update and Comparison

Emergency Medicine Residency Selection Criteria: An Update and Comparison

Trends in NRMP Data from 2007-2014 for U.S. Seniors Matching into Emergency Medicine

A transparent and defensible process for applicant selection within a Canadian emergency medicine residency program

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