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John MM, Starks H, Allam JS, Moore J, Frank JA, Bosslet GT, Burkart KM, Çoruh B. Variable Practice, Variable Results: Impact of Postinterview Communication Practices Among Critical Care Medicine/Pulmonary and Critical Care Medicine Fellowship Applicants and Program Directors. Chest 2024; 165:1186-1197. [PMID: 37977268 DOI: 10.1016/j.chest.2023.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 11/03/2023] [Accepted: 11/07/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND Although postinterview communication (PIC) guidelines exist, adherence is voluntary. There are no studies of PIC practices in critical care medicine (CCM) and pulmonary and critical care medicine (PCCM) fellowship recruitment. RESEARCH QUESTION What is the frequency, format, goals, and content of PIC between CCM/PCCM applicants and program directors? What is the impact of PIC on applicant and program rank order lists (ROLs)? STUDY DESIGN AND METHODS CCM/PCCM applicants and program directors were separately surveyed after the 2022-2023 National Resident Matching Program Specialty Match. Surveys included multiple-choice, Likert-scale, and two free text questions. Thematic content analysis of free text responses was performed. RESULTS One-third of eligible participants responded (applicants: n = 373 [34%]; program directors: n = 86 [32%]). Applicant respondents applied to CCM (19%), PCCM (69%), or both (12%). Program directors represented CCM (17%), PCCM (57%), or both (26%) programs. Applicant (66%) and program director (49%) respondents reported initiating PIC. PIC did not impact ROL decision for most applicants (73%) or program directors (83%), though 21% of applicants and 17% of program directors moved programs or applicants up on their ROL in response to PIC. One-quarter (23%) of applicants strongly agreed or agreed that PIC was helpful in creating their ROL, 27% strongly disagreed or disagreed, and 29% were neutral. PIC challenges identified by both groups included time; lack of uniformity; peer pressure; misleading language; and uncertainty about motives, rules, and response protocols. INTERPRETATION PIC is common among CCM/PCCM applicants and program directors. About 50% of applicants and 20% of program directors share ranking intentions via PIC. Although PIC did not impact ROL for most applicants and program directors, a minority of applicants and program directors moved programs up on their ROL after receiving PIC from the other party. Applicants have mixed perspectives on PIC value. Applicants and program directors alike desire clear guidance on PIC to minimize ambiguous and misleading communication.
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Affiliation(s)
- Mira M John
- Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of Medicine, Seattle, WA.
| | - Helene Starks
- Department of Bioethics and Humanities, University of Washington School of Medicine, Seattle, WA
| | - J Shirine Allam
- Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Emory University School of Medicine, Atlanta, GA
| | - Jason Moore
- Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA
| | - James A Frank
- Division of Pulmonary and Critical Care, University of California San Francisco School of Medicine, San Francisco, CA
| | - Gabriel T Bosslet
- Division of Pulmonary, Critical Care, Allergy, and Occupational Medicine, Indiana University School of Medicine, Indianapolis, IN
| | - Kristin M Burkart
- Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Irving School of Medicine, New York, NY
| | - Başak Çoruh
- Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of Medicine, Seattle, WA
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Smith CC, Barton T, Berman R, Chida N, Steinberg KP, Yialamas M, Zaas A, DeMelo N, Katz JT. Strengthening the Integrity of the Match: A Novel, Comprehensive, Standardized, and Transparent Postinterview Communication Policy. Ann Intern Med 2024; 177:529-531. [PMID: 38498877 DOI: 10.7326/m23-3164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Affiliation(s)
- C Christopher Smith
- Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts (C.C.S.)
| | - Todd Barton
- University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania (T.B.)
| | - Rebecca Berman
- Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California (R.B.)
| | - Natasha Chida
- Department of Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, Maryland (N.C.)
| | - Kenneth P Steinberg
- Department of Medicine, University of Washington School of Medicine, Seattle, Washington (K.P.S.)
| | - Maria Yialamas
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (M.Y.)
| | - Aimee Zaas
- Department of Medicine, Duke University School of Medicine, Durham, North Carolina (A.Z.)
| | - Nikki DeMelo
- Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts (N.D.)
| | - Joel T Katz
- Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (J.T.K.)
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Wallach SL, Williams C, Chow RT, Jadhav N, Kuehl S, Raj JM, Alweis R. Internal medicine resident perspectives on scoring USMLE as pass/fail. J Community Hosp Intern Med Perspect 2020; 10:381-385. [PMID: 33235666 PMCID: PMC7671726 DOI: 10.1080/20009666.2020.1796366] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background The scoring rubric on the USMLE Step 1 examination will be changing to pass/fail in January 2022. This study elicits internal medicine resident perspectives on USMLE pass/fail scoring at the national level. Objective To assess internal medicine resident opinions regarding USMLE pass/fail scoring and examine how variables such as gender, scores on USMLE 1 and 2, PGY status and type of medical school are associated with these results. Methods In the fall of 2019, the authors surveyed current internal medicine residents via an on-line tool distributed through their program directors. Respondents indicated their Step 1 and Step 2 Clinical Knowledge scores from five categorical ranges. Questions on medical school type, year of training year, and gender were included. The results were analyzed utilizing Pearson Chi-square testing and multivariable logistic regression. Results 4012 residents responded, reflecting 13% of internal medicine residents currently training in the USA. Fifty-five percent of respondents disagreed/strongly disagreed with pass/fail scoring and 34% agreed/strongly agreed. Group-based differences were significant for gender, PGY level, Step 1 score, and medical school type; a higher percentage of males, those training at the PGY1 level, and graduates of international medical schools (IMGs) disagreed with pass/fail reporting. In addition, high scorers on Step 1 were more likely to disagree with pass/fail reporting than low scoring residents Conclusion Our results suggest that a majority of internal medicine residents, currently training in the USA prefer that USMLE numerical scoring is retained and not changed to pass/fail.
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Affiliation(s)
- Sara L Wallach
- Department of Medicine, St. Francis Medical Center, Trenton, NJ, USA.,Department of Medicine, Hackensack Meridian School of Medicine, Nutley, NJ, USA.,Medicine, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Christopher Williams
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA
| | - Robert T Chow
- Department of Medicine, The University of Maryland Medical Center Midtown Campus, Baltimore, MD, USA.,Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Nagesh Jadhav
- Department of Medicine, Rochester General Hospital Internal Medicine Residency Program, Rochester, NY, USA.,Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
| | - Sapna Kuehl
- Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.,Department of Medicine, Ascension Saint Agnes Hospital, Baltimore, MD, USA
| | - Jaya M Raj
- Department of Medicine, Creighton University School of Medicine-Phoenix, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA
| | - Richard Alweis
- Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.,Education, Rochester Regional Health, Rochester, NY, USA.,Health Sciences, Rochester Institute of Technology, Rochester, NY, USA
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Alweis RL, Williams CM, Luther VP, Simmons DL, Kopelman R, Angus SV, Liao S, Nagalla S, Muchmore EA. AAIM Guidelines for Interview and Post-Interview Communication for Graduate Medical Education Recruitment. Am J Med 2019; 132:1106-1111. [PMID: 31175844 DOI: 10.1016/j.amjmed.2019.05.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Accepted: 05/28/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Richard L Alweis
- Associate Chief Medical Officer for Medical Education, Rochester Regional Health, Department of Medicine, University of Rochester, NY
| | | | - Vera P Luther
- Associate Professor, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC
| | | | - Richard Kopelman
- Vice-Chair for Education and Professor of Medicine, Tufts University School of Medicine, Boston
| | - Steven V Angus
- Associate Professor of Medicine, University of Connecticut Health, Farmington, Conn
| | - Solomon Liao
- Associate Professor of Medicine, UC Irvine School of Medicine, Irvine, Calif
| | - Sri Nagalla
- Associate Professor of Medicine, University of Texas Southwestern Medical Center, Dallas
| | - Elaine A Muchmore
- Associate Vice Chair for Medicine and Professor, University of California, San Diego; Associate Chief of Staff for Education, Veterans' Administration, San Diego, Calif.
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