Cargando…
Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags
BACKGROUND: Emergency medicine (EM) applicants consider many factors when selecting residency programs. Prior studies have demonstrated that applicants consider geography as well as modifiable/nonmodifiable program factors. Less attention, however, has been paid to underrepresented groups. Additiona...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8393195/ https://www.ncbi.nlm.nih.gov/pubmed/34485803 http://dx.doi.org/10.1002/aet2.10638 |
_version_ | 1783743677650173952 |
---|---|
author | Weygandt, Paul L. Smylie, Laura Ordonez, Edgardo Jordan, Jaime Chung, Arlene S. |
author_facet | Weygandt, Paul L. Smylie, Laura Ordonez, Edgardo Jordan, Jaime Chung, Arlene S. |
author_sort | Weygandt, Paul L. |
collection | PubMed |
description | BACKGROUND: Emergency medicine (EM) applicants consider many factors when selecting residency programs. Prior studies have demonstrated that applicants consider geography as well as modifiable/nonmodifiable program factors. Less attention, however, has been paid to underrepresented groups. Additionally, the prevalence and characteristics of “red flags,” or factors that may lead an applicant to lower a program's rank or not rank it at all, remain unknown in EM. Our objective was to describe the factors that influence current EM‐bound medical students’ residency selection focusing on underrepresented applicants and red flags encountered during the recruitment process. METHODS: We conducted a mixed‐methods survey study of EM‐bound graduates from U.S. medical schools in the 2020 application cycle. Quantitative analysis included descriptive statistics, measures of central tendency, 95% confidence intervals (CIs), nonparametric tests for ordinal data, and logistic regression. For the qualitative portion of the study, two independent reviewers performed a thematic analysis of the red flag free‐text responses. Discrepancies were addressed via consensus with third‐party oversight. RESULTS: Our survey response rate was 49%, and most applicants considered both geographic and program factors. Underrepresented applicants prioritized program diversity, program commitment to the underserved, neighborhood/community, and patient population. Of all respondents, 71% reported red flags. Women had a significantly higher odds of encountering red flags (odds ratio = 1.64, 95% CI = 1.25 to 2.18). Red flags included seven key themes: violations of regulatory standards, program characteristics, interview day experience, program culture, interpersonal interactions, lack of fit, and quality of life; subthemes included lack of diversity and racism. CONCLUSIONS: Modifiable/nonmodifiable program factors and geography continue to influence EM‐bound applicants’ residency choices. Underrepresented applicants place a higher value on diversity, community, and patients served. Residency programs should consider modifiable factors and self‐assess for red flags to successfully recruit the next generation of EM physicians. |
format | Online Article Text |
id | pubmed-8393195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-83931952021-09-02 Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags Weygandt, Paul L. Smylie, Laura Ordonez, Edgardo Jordan, Jaime Chung, Arlene S. AEM Educ Train Original Contribution BACKGROUND: Emergency medicine (EM) applicants consider many factors when selecting residency programs. Prior studies have demonstrated that applicants consider geography as well as modifiable/nonmodifiable program factors. Less attention, however, has been paid to underrepresented groups. Additionally, the prevalence and characteristics of “red flags,” or factors that may lead an applicant to lower a program's rank or not rank it at all, remain unknown in EM. Our objective was to describe the factors that influence current EM‐bound medical students’ residency selection focusing on underrepresented applicants and red flags encountered during the recruitment process. METHODS: We conducted a mixed‐methods survey study of EM‐bound graduates from U.S. medical schools in the 2020 application cycle. Quantitative analysis included descriptive statistics, measures of central tendency, 95% confidence intervals (CIs), nonparametric tests for ordinal data, and logistic regression. For the qualitative portion of the study, two independent reviewers performed a thematic analysis of the red flag free‐text responses. Discrepancies were addressed via consensus with third‐party oversight. RESULTS: Our survey response rate was 49%, and most applicants considered both geographic and program factors. Underrepresented applicants prioritized program diversity, program commitment to the underserved, neighborhood/community, and patient population. Of all respondents, 71% reported red flags. Women had a significantly higher odds of encountering red flags (odds ratio = 1.64, 95% CI = 1.25 to 2.18). Red flags included seven key themes: violations of regulatory standards, program characteristics, interview day experience, program culture, interpersonal interactions, lack of fit, and quality of life; subthemes included lack of diversity and racism. CONCLUSIONS: Modifiable/nonmodifiable program factors and geography continue to influence EM‐bound applicants’ residency choices. Underrepresented applicants place a higher value on diversity, community, and patients served. Residency programs should consider modifiable factors and self‐assess for red flags to successfully recruit the next generation of EM physicians. John Wiley and Sons Inc. 2021-08-01 /pmc/articles/PMC8393195/ /pubmed/34485803 http://dx.doi.org/10.1002/aet2.10638 Text en © 2021 The Authors. AEM Education and Training published by Wiley Periodicals LLC on behalf of Society for Academic Emergency Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Contribution Weygandt, Paul L. Smylie, Laura Ordonez, Edgardo Jordan, Jaime Chung, Arlene S. Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags |
title | Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags |
title_full | Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags |
title_fullStr | Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags |
title_full_unstemmed | Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags |
title_short | Factors influencing emergency medicine residency choice: Diversity, community, and recruitment red flags |
title_sort | factors influencing emergency medicine residency choice: diversity, community, and recruitment red flags |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8393195/ https://www.ncbi.nlm.nih.gov/pubmed/34485803 http://dx.doi.org/10.1002/aet2.10638 |
work_keys_str_mv | AT weygandtpaull factorsinfluencingemergencymedicineresidencychoicediversitycommunityandrecruitmentredflags AT smylielaura factorsinfluencingemergencymedicineresidencychoicediversitycommunityandrecruitmentredflags AT ordonezedgardo factorsinfluencingemergencymedicineresidencychoicediversitycommunityandrecruitmentredflags AT jordanjaime factorsinfluencingemergencymedicineresidencychoicediversitycommunityandrecruitmentredflags AT chungarlenes factorsinfluencingemergencymedicineresidencychoicediversitycommunityandrecruitmentredflags |