Factors Influential in the Selection of Radiology Residents in the Post-Step 1 World : A Discrete Choice Experiment
Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved..
OBJECTIVES: Reporting of United States Medical Licensing Examination Step 1 results will transition from a numerical score to a pass or fail result. We sought an objective analysis to determine changes in the relative importance of resident application attributes when numerical Step 1 results are replaced.
METHODS: A discrete choice experiment was designed to model radiology resident selection and determine the relative weights of various application factors when paired with a numerical or pass or fail Step 1 result. Faculty involved in resident selection at 14 US radiology programs chose between hypothetical pairs of applicant profiles between August and November 2020. A conditional logistic regression model assessed the relative weights of the attributes, and odds ratios (ORs) were calculated.
RESULTS: There were 212 participants. When a numerical Step 1 score was provided, the most influential attributes were medical school (OR: 2.35, 95% confidence interval [CI]: 2.07-2.67), Black or Hispanic race or ethnicity (OR: 2.04, 95% CI: 1.79-2.38), and Step 1 score (OR: 1.8, 95% CI: 1.69-1.95). When Step 1 was reported as pass, the applicant's medical school grew in influence (OR: 2.78, 95% CI: 2.42-3.18), and there was a significant increase in influence of Step 2 scores (OR: 1.31, 95% CI: 1.23-1.40 versus OR 1.57, 95% CI: 1.46-1.69). There was little change in the relative influence of race or ethnicity, gender, class rank, or clerkship honors.
DISCUSSION: When Step 1 reporting transitions to pass or fail, medical school prestige gains outsized influence and Step 2 scores partly fill the gap left by Step 1 examination as a single metric of decisive importance in application decisions.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
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| Enthalten in: |
Journal of the American College of Radiology : JACR - 18(2021), 11 vom: 28. Nov., Seite 1572-1580 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Maxfield, Charles M [VerfasserIn] |
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| Anmerkungen: |
Date Completed 10.12.2021 Date Revised 14.12.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jacr.2021.07.005 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM32877491X |
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| 100 | 1 | |a Maxfield, Charles M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Factors Influential in the Selection of Radiology Residents in the Post-Step 1 World |b A Discrete Choice Experiment |
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| 500 | |a Date Completed 10.12.2021 | ||
| 500 | |a Date Revised 14.12.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVES: Reporting of United States Medical Licensing Examination Step 1 results will transition from a numerical score to a pass or fail result. We sought an objective analysis to determine changes in the relative importance of resident application attributes when numerical Step 1 results are replaced | ||
| 520 | |a METHODS: A discrete choice experiment was designed to model radiology resident selection and determine the relative weights of various application factors when paired with a numerical or pass or fail Step 1 result. Faculty involved in resident selection at 14 US radiology programs chose between hypothetical pairs of applicant profiles between August and November 2020. A conditional logistic regression model assessed the relative weights of the attributes, and odds ratios (ORs) were calculated | ||
| 520 | |a RESULTS: There were 212 participants. When a numerical Step 1 score was provided, the most influential attributes were medical school (OR: 2.35, 95% confidence interval [CI]: 2.07-2.67), Black or Hispanic race or ethnicity (OR: 2.04, 95% CI: 1.79-2.38), and Step 1 score (OR: 1.8, 95% CI: 1.69-1.95). When Step 1 was reported as pass, the applicant's medical school grew in influence (OR: 2.78, 95% CI: 2.42-3.18), and there was a significant increase in influence of Step 2 scores (OR: 1.31, 95% CI: 1.23-1.40 versus OR 1.57, 95% CI: 1.46-1.69). There was little change in the relative influence of race or ethnicity, gender, class rank, or clerkship honors | ||
| 520 | |a DISCUSSION: When Step 1 reporting transitions to pass or fail, medical school prestige gains outsized influence and Step 2 scores partly fill the gap left by Step 1 examination as a single metric of decisive importance in application decisions | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Radiology | |
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| 650 | 4 | |a USMLE | |
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| 700 | 1 | |a Montano-Campos, J Felipe |e verfasserin |4 aut | |
| 700 | 1 | |a Chapman, Teresa |e verfasserin |4 aut | |
| 700 | 1 | |a Desser, Terry S |e verfasserin |4 aut | |
| 700 | 1 | |a Ho, Christopher P |e verfasserin |4 aut | |
| 700 | 1 | |a Hull, Nathan C |e verfasserin |4 aut | |
| 700 | 1 | |a Kelly, Hillary R |e verfasserin |4 aut | |
| 700 | 1 | |a Kennedy, Tabassum A |e verfasserin |4 aut | |
| 700 | 1 | |a Koontz, Nicholas A |e verfasserin |4 aut | |
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| 700 | 1 | |a Reed, Shelby D |e verfasserin |4 aut | |
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