Surgical simulation and applicant perception in otolaryngology residency interviews

Masood, Maheer M.; Stephenson, Elizabeth D.; Farquhar, Douglas R.; Farzal, Zainab; Shah, Parth; Buckmire, Robert A.; McClain, Wade G.; Clark, J. Madison; Thorp, Brian D.; Kimple, Adam J.; Ebert, Charles S.; Kilpatrick, Lauren A.; Patel, Samip; Shah, Rupali N.; Zanation, Adam M.

doi:10.1002/lary.27211

Cited by 10 publications

(7 citation statements)

References 13 publications

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“…[67][68][69] Other innovative techniques in EM and other specialties include virtual reality-based and simulation-based assessments. 70,71 Structured, behavioral interviews may measure noncognitive competencies better than traditional interviews. 17,72 We would not recommend using published interview questions to predict performance; once the applicant pool is familiar with the questions, their predictive value may be diminished.…”

Section: Discussionmentioning

confidence: 99%

Which Applicant Factors Predict Success in Emergency Medicine Training Programs? A Scoping Review

Yang

Saadat

Murphy

et al. 2020

AEM Education and Training

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Background: Program directors (PDs) in emergency medicine (EM) receive an abundance of applications for very few residency training spots. It is unclear which selection strategies will yield the most successful residents. Many authors have attempted to determine which items in an applicant's file predict future performance in EM. Objectives:The purpose of this scoping review is to examine the breadth of evidence related to the predictive value of selection factors for performance in EM residency. Methods:The authors systematically searched four databases and websites for peer-reviewed and gray literature related to EM admissions published between 1992 and February 2019. Two reviewers screened titles and abstracts for articles that met the inclusion criteria, according to the scoping review study protocol. The authors included studies if they specifically examined selection factors and whether those factors predicted performance in EM residency training in the United States.Results: After screening 23,243 records, the authors selected 60 for full review. From these, the authors selected 15 published manuscripts, one unpublished manuscript, and 11 abstracts for inclusion in the review. These studies examined the United States Medical Licensing Examination (USMLE), Standardized Letters of Evaluation, Medical Student Performance Evaluation, medical school attended, clerkship grades, membership in honor societies, and other less common factors and their association with future EM residency training performance. Conclusions:The USMLE was the most common factor studied. It unreliably predicts clinical performance, but more reliably predicts performance on licensing examinations. All other factors were less commonly studied and, similar to the USMLE, yielded mixed results.S electing residents for a graduate medical education (GME) training program is a difficult task. The average emergency medicine (EM) program receives 940 applications for 11 first postgraduate year (PGY-1) positions. 1 Programs typically rank 12.8 applicants per PGY-1 position, 1,2 investing considerable time and resources in the screening, reviewing, and interviewing of medical student applicants.When deciding where an applicant should fall on a program's rank list, a program director (PD) may consider many factors in their decision, such as clerkship grades, United States Medical Licensing Examination

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Section: Discussionmentioning

confidence: 99%

Which Applicant Factors Predict Success in Emergency Medicine Training Programs? A Scoping Review

Yang

Saadat

Murphy

et al. 2020

AEM Education and Training

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“…A trend emerged among residents of increased ease with PE tube placement, regardless of system utilized. As this is one of the primary procedures taught early in residency, the familiarity as well as practice performing the task may have influenced the residents ease of rating regardless of the system used 22 …”

Section: Discussionmentioning

confidence: 99%

Binocular microscopes versus exoscopes: Experiences and performance in simulated otologic surgery

Larkin,

Langlie,

Roldan

et al. 2023

Laryngoscope Investig Oto

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ObjectivesExoscopes represent a promising alternative to conventional binocular microscopes (OM) in otology offering potential advantages such as enhanced ergonomics and a more compact device design. While previous research has demonstrated the effectiveness of exoscopes in various surgical specialties, their objective assessment in the field of otology remains limited. Therefore, this investigation aims to assess task‐based efficiency associated with exoscopes in the field of otology by use of simulated surgical models.MethodsA prospective cross‐over study design was used to compare an OM to an exoscope in otolaryngology residents and medical students. Participants performed five tasks on 3D‐printed ear models using both the exoscope and OM. Data collection included completion time, frequency of predefined errors, mental effort, and user experience. Subgroup analysis was performed based on level of experience.ResultsFourteen students and fifteen residents participated. Participants completed four of five tasks faster with the OM and there was no difference in number of errors committed. When separated by surgical experience, residents performed four of five tasks faster using the OM while students completed one of five tasks faster with the OM. Students committed more errors with the exoscope for one task with no difference in errors for residents. There was no difference in perceived difficulty performing tasks with either visualization system. Exit survey results showed more favorable opinions of the OM among residents and more favorable opinions of the exoscope among students.ConclusionsThe exoscope permits successful performance in simulated otologic tasks. Task performance and user experience between operative microscopes and exoscopes differ based on level of surgical experience.Level of Evidence2.

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“…Others have incorporated various surgical skills tests into the interview day, as part of a more holistic evaluation of applicants 5,9,65 ; negatives of this approach include increasing applicant stress 9 and an unclear association with future skills as a resident. 65 While literature on the aforementioned proposals is limited, these strategies are promising and merit further study.…”

Section: Screening Tools and Other Proposalsmentioning

confidence: 99%

“…[1][2][3][4][5] As applicant volume to OTO-HNS began to peak in 2013 to 2014, increased attention was directed at improving the match process. 1,[6][7][8][9] The objective of these proposed solutions was to not only improve the match between program and applicant but also to curb the ''shotgun'' approach of applying to a large number of residency programs in an attempt to increase the odds of receiving interviews and successfully matching. Multiple editorials criticized the rapid rise in applications as programs became overwhelmed with the process of evaluating numerous candidates, citing difficulty in discerning the true interest in each program to which applicants applied.…”

mentioning

confidence: 99%

“…For over 20 years, the otolaryngology–head and neck surgery (OTO‐HNS) Match has remained extremely competitive 1–5 . As applicant volume to OTO‐HNS began to peak in 2013 to 2014, increased attention was directed at improving the match process 1,6–9 . The objective of these proposed solutions was to not only improve the match between program and applicant but also to curb the “shotgun” approach of applying to a large number of residency programs in an attempt to increase the odds of receiving interviews and successfully matching.…”

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confidence: 99%

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Ideas and Innovations to Improve the Otolaryngology–Head and Neck Surgery Residency Application and Selection Process

Salehi

Heiser

Salehi

et al. 2020

Otolaryngol.--head neck surg.

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Objective To (1) summarize strategies proposed in the recent otolaryngology–head and neck surgery (OTO-HNS) literature for improving the residency application and selection process, (2) evaluate the effects of recently implemented changes to the OTO-HNS match, and (3) discuss recommendations for future changes to the OTO-HNS residency application and selection process. Data Sources PubMed, Medline Ovid database, and article reference lists. Review Methods A structured literature search was performed to identify current English language articles relating to the objectives of this study using the aforementioned data sources, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines. The search was limited to submissions published between January 1, 2015, and January 1, 2020. Conclusions Numerous proposals have been made for improving the otolaryngology residency application and selection process and addressing the competitive nature of the Match. These proposals include but are not limited to mandating a secondary essay, implementing consortia and early match processes, using a signaling system, conducting regional and web-based interviews, offering early engagement with interest groups, instituting a hard cap on applications, increasing costs of applying, counseling self-restraint to prospective applicants, and creating application filters. Implications for Practice As the volume of literature surrounding the OTO-HNS Match continues to increase, this review aims to provide a summary of past proposals and serve as a guide for possible future innovations. We propose 3 initiatives that may improve the residency application and selection process for both program and resident, with minimal impact to the current National Resident Matching Program (NRMP) Match structure.

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Surgical simulation and applicant perception in otolaryngology residency interviews

Abstract: 2b. Laryngoscope, 2503-2507, 2018.

Cited by 10 publications

References 13 publications

Which Applicant Factors Predict Success in Emergency Medicine Training Programs? A Scoping Review

Which Applicant Factors Predict Success in Emergency Medicine Training Programs? A Scoping Review

Binocular microscopes versus exoscopes: Experiences and performance in simulated otologic surgery

Ideas and Innovations to Improve the Otolaryngology–Head and Neck Surgery Residency Application and Selection Process

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