• Family medicine residents' attitudes about training in Ethiopia and the United States

      Gossa, W.; Jones, C.; Raiciulescu, S. (Society of Teachers of Family Medicine, 2019)
      BACKGROUND AND OBJECTIVES: In Ethiopia, family medicine began in 2013. The objective of this study was to compare family medicine residents’ attitudes about training in Ethiopia with those at a program in the United States. METHODS: Family medicine residents at Addis Ababa University in Addis Ababa, Ethiopia and the University of Maryland in Baltimore, Maryland completed a 43-item Likert scale survey in 2017. The survey assessed residents’ attitudes about residency education, patient care, independence as family physicians, finances, impact of residency on personal life, and women’s issues. We calculated descriptive statistics on the demographics data and analyzed survey responses using a two-sample t-test. RESULTS: A total of 18 (75%) Ethiopian residents and 18 (60%) US residents completed the survey (n=36). The Ethiopian residents had a wider age distribution (25-50 years) than the US residents (25-34 years). More US residents were female (72%) compared to the Ethiopian cohort (50%), while more Ethiopian residents were married (72%) compared to the US cohort (47%). There were statistically significant differences in attitudes toward patient care (P=0.005) and finances (P<0.001), differences approaching significance in attitudes toward residency education, and no significant differences in independence as family physicians, the impact of residency on personal life, and women’s issues in family medicine. CONCLUSIONS: Across two very different cultures, resident attitudes about independence as family physicians, the impact of residency on personal life and women’s issues, were largely similar, while cross-national differences in attitudes were found relative to residency education, patient care, and finances. Copyright 2019, Society of Teachers of Family Medicine. All rights reserved.
    • Going Virtual: Redesigning the Interview Experience

      Deitte, L.A.; Mian, A.Z.; Esfahani, S.A.; Hu, J.-Y. (Elsevier B.V., 2020-07-13)
    • The Standardized Video Interview: How Does It Affect the Likelihood to Invite for a Residency Interview?

      Husain, A.; Li, I.; Ardolic, B. (John Wiley and Sons Inc., 2019)
      Background: The Association of American Medical Colleges instituted a standardized video interview (SVI) for all applicants to emergency medicine (EM). It is unclear how the SVI affects a faculty reviewer's decision on likelihood to invite an applicant (LTI) for an interview. Objectives: The objective was to determine whether the SVI affects the LTI. Methods: Nine Accreditation Council of Graduate Medication Education (ACGME)‐accredited EM residency programs participated in this prospective, observational study. LTI was defined on a 5‐point Likert scale as follows: 1 = definitely not invite, 2 = likely not invite, 3 = might invite, 4 = probably invite, 5 = definitely invite. LTI was recorded at three instances during each review: 1) after typical screening (blinded to the SVI), 2) after unblinding to the SVI score, and 3) after viewing the SVI video. Results: Seventeen reviewers at nine ACGME‐accredited residency programs participated. We reviewed 2,219 applications representing 1,424 unique applicants. After unblinding the SVI score, LTI did not change in 2,065 (93.1%), increased in 85 (3.8%) and decreased in 69 (3.1%; p = 0.22). In subgroup analyses, the effect of the SVI on LTI was unchanged by United States Medical Licensing Examination score. However, when examining subgroups of SVI scores, the percentage of applicants in whom the SVI score changed the LTI was significantly different in those that scored in the lower and upper subgroups (p < 0.0001). The SVI video was viewed in 816 (36.8%) applications. Watching the video did not change the LTI in 631 (77.3%); LTI increased in 106 (13.0%) and decreased in 79 (9.7%) applications (p = 0.04). Conclusions: The SVI score changed the LTI in 7% of applications. In this group, the score was equally likely to increase or decrease the LTI. Lower SVI scores were more likely to decrease the LTI than higher scores were to increase the LTI. Watching the SVI video was more likely to increase the LTI than to decrease it.
    • Standardized Video Interview: How well does the standardized video interview score correlate with traditional interview performance?

      Chung, A.S.; Shah, K.H.; Bond, M. (eScholarship, 2019)
      Introduction: In 2017, all medical students applying for residency in emergency medicine (EM) were required to participate in the Standardized Video Interview (SVI). The SVI is a video-recorded, unidirectional interview consisting of six questions designed to assess interpersonal and communication skills and professionalism. It is unclear whether this simulated interview is an accurate representation of an applicant's competencies that are often evaluated during the in-person interview. Objective: The goal of this study was to determine whether the SVI score correlates with a traditional in-person interview score. Methods: Six geographically and demographically diverse EM residency programs accredited by the Accreditation Council for Graduate Medical Education participated in this prospective observational study. Common demographic data for each applicant were obtained through an Electronic Residency Application Service export function prior to the start of any scheduled traditional interviews (TI). On each TI day, one interviewer blinded to all applicant data, including SVI score, rated the applicant on a five-point scale. A convenience sample of applicants was enrolled based on random assignment to the blinded interviewer. We studied the correlation between SVI score and TI score. Results: We included 321 unique applicants in the final analysis. Linear regression analysis of the SVI score against the TI score demonstrated a small positive linear correlation with an r coefficient of +0.13 (p=0.02). This correlation remained across all SVI score subgroups (p = 0.03). Conclusion: Our study suggests that there is a small positive linear correlation between the SVI score and performance during the TI. Copyright 2019 Chung et al.