Alexander, Andreia B.Funches, LeviKatta-Charles, SherylWilliamson, Francesca A.Wright, CurtisKara, AreebaSlaven, James E.Nabhan, Zeina2024-08-262024-08-262024-06-11Alexander AB, Funches L, Katta-Charles S, et al. Facilitators and Barriers to the Adoption of Holistic Practices for Inclusive Recruitment in Graduate Medical Education. J Med Educ Curric Dev. 2024;11:23821205241260243. Published 2024 Jun 11. doi:10.1177/23821205241260243https://hdl.handle.net/1805/42947Objective: A diverse physician workforce ensures equitable care. The holistic review of residency applications is one strategy to enhance physician diversity; however, little is known about current adoption and the factors that facilitate/impede the adoption of holistic recruitment practices (HRPs) by graduate medical education (GME) residency, and fellowship program directors (PDs). To describe the current state and explore, the barriers/facilitators to the adoption of HRPs at our institution. Methods: We disseminated information about HRP within our program between 2021 and 2022. In May 2022, a survey of 73 GME PDs assessed current recruitment practices and self-reported barriers to holistic recruitment. Holistic Recruitment Scores (HRSs) reflecting the adoption of best practices were tabulated for each program and compared to identify predictors of adoption. Results: 73/80 (92%) of PDs completed the survey. Programs whose PDs had higher academic rank, total number of trainees, and female trainees in the past 3 years had higher HRSs. Program size was directly correlated with HRS. Most (93%) PDs felt their current efforts were aligned to increase diversity and 58% felt there were no barriers to the adoption of holistic review. The most reported barriers were lack of time and knowledge/expertise in diversity, equity, and inclusion (DEI), both reported by 16 out of 73 PDs (22%). Conclusion: While most PDs implemented some HRP, institutional and departmental support of program directors through the commitment of resources (eg, staffing help and subject matter experts/coaches hiring) are crucial to overcome barriers.en-USAttribution-NonCommercial 4.0 InternationalInclusionDiversityEquityGraduate medical educationHolistic recruitmentMedical schoolsArticle