Browsing by Subject "Residency"
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Item Assessing Resident Well-Being After the ABSITE: A Bad Time to Ask?(Wolters Kluwer, 2022-09-28) Cheung, Elaine O.; Hu, Yue-Yung; Jones, Andrew; Ma, Meixi; Schlick, Cary Jo R.; Moskowitz, Judith T.; Agarwal, Gaurava; Bilimoria, Karl Y.; Surgery, School of MedicineObjectives: Assess the association of residents' exam performance and transient emotions with their reports of burnout, suicidality, and mistreatment. Background: An annual survey evaluating surgical resident well-being is administered following the American Board of Surgery In-Training Examination (ABSITE). One concern about administering a survey after the ABSITE is that stress from the exam may influence their responses. Methods: A survey was administered to all general surgery residents following the 2018 ABSITE assessing positive and negative emotions (scales range from 0 to 12), as well as burnout, suicidality over the past 12 months, and mistreatment (discrimination, sexual harassment verbal/emotional or physical abuse) in the past academic year. Multivariable hierarchical regressions assessed the associations of exam performance and emotions with burnout, suicidality, and mistreatment. Results: Residents from 262 programs provided complete responses (N = 6987, 93.6% response rate). Residents reported high mean positive emotion (M = 7.54, SD = 2.35) and low mean negative emotion (M = 5.33, SD = 2.43). While residents in the bottom ABSITE score quartile reported lower positive and higher negative emotion than residents in the top 2 and 3 quartiles, respectively (P < 0.005), exam performance was not associated with the reported likelihood of burnout, suicidality, or mistreatment. Conclusions: Residents' emotions after the ABSITE are largely positive. Although poor exam performance may be associated with lower positive and higher negative emotion, it does not seem to be associated with the likelihood of reporting burnout, suicidality, or mistreatment. After adjusting for exam performance and emotions, mistreatment remained independently associated with burnout and suicidality. These findings support existing evidence demonstrating that burnout and suicidality are stable constructs that are robust to transient stress and/or emotions.Item A Critical Disconnect: Residency Selection Factors Lack Correlation With Intern Performance(Accreditation Council for Graduate Medical Education, 2020) Burkhardt, John C.; Parekh, Kendra P.; Gallahue, Fiona E.; London, Kory S.; Edens, Mary A.; Humbert, A.J.; Pillow, M. Tyson; Santen, Sally A.; Hopson, Laura R.; Emergency Medicine, School of MedicineBackground: Emergency medicine (EM) residency programs want to employ a selection process that will rank best possible applicants for admission into the specialty. Objective: We tested if application data are associated with resident performance using EM milestone assessments. We hypothesized that a weak correlation would exist between some selection factors and milestone outcomes. Methods: Utilizing data from 5 collaborating residency programs, a secondary analysis was performed on residents trained from 2013 to 2018. Factors in the model were gender, underrepresented in medicine status, United States Medical Licensing Examination Step 1 and 2 Clinical Knowledge (CK), Alpha Omega Alpha (AOA), grades (EM, medicine, surgery, pediatrics), advanced degree, Standardized Letter of Evaluation global assessment, rank list position, and controls for year assessed and program. The primary outcomes were milestone level achieved in the core competencies. Multivariate linear regression models were fitted for each of the 23 competencies with comparisons made between each model's results. Results: For the most part, academic performance in medical school (Step 1, 2 CK, grades, AOA) was not associated with residency clinical performance on milestones. Isolated correlations were found between specific milestones (eg, higher surgical grade increased wound care score), but most had no correlation with residency performance. Conclusions: Our study did not find consistent, meaningful correlations between the most common selection factors and milestones at any point in training. This may indicate our current selection process cannot consistently identify the medical students who are most likely to be high performers as residents.Item Emerging from the Pandemic: AAIM Recommendations for Internal Medicine Residency and Fellowship Interview Standards(Elsevier, 2022) Luther, Vera P.; Wininger, David A.; Lai, Cindy J.; Dao, Anthony; Garcia, Maria M.; Harper, Whitney; Chow, Timothy M.; Correa, Ricardo; Gay, Lindsey J.; Fettig, Lyle; Dalal, Bhavin; Vassallo, Patricia; Barczi, Steven; Sweet, Michelle; Medicine, School of MedicinePerspectives Viewpoints: •New standards are needed moving forward to guide residency and fellowship interviews in response to Coalition for Physician Accountability recommendations and dramatic changes in the interview landscape over the past 2 years. •Processes should be based on principles of equity for applicants and programs while taking into consideration personal and public health and safety. •Ongoing evaluation of advantages and disadvantages of interview practices should continue with iterative adjustments in guidance based on available data.Item Global Cardiothoracic Surgery in an Academic Career: Lessons from Brazil(Brazilian Society of Cardiovascular Surgery, 2023-08-04) Nina, Vinicius; Farkas, Emily; Ceppa, DuyKhanh; Marath, Aubyn; Surgery, School of MedicineItem Identifying factors influencing orthodontic residency program selection(Identifying factors influencing orthodontic residency program selection, 2024) Nanney, Eleanor M.; Shumaker, Abbigale; Gutierrez, Triny; Mitchell, Kelly; Frazier-Bowers, Sylvia A.; Wiesen, Chris; Mihas, Paul; Jacox, Laura Anne; Orthodontics and Oral Facial Genetics, School of DentistryPurpose: The desirability of Orthodontic Residency remains high today relative to the past 30 years. This investigation seeks to re-assess factors influencing Orthodontic Residency program selection amidst contemporary challenges and changes, including increasing student debt, reduced residency stipends, and shifting practice models. Methods: This mixed-methods study consisted of interviews (qualitative) and surveys (quantitative). Fifteen final-year dental students and first-year orthodontic residents were interviewed one-on-one following a topic guide and then transcripts were analyzed using MAXQDA2022 to identify values, factors, and influences related to program selection and ranking. Qualitative findings and previous studies provided the basis for a survey distributed to residency applicants in 2020-22. Data were analyzed with bivariate and descriptive statistics with stratification by debt group. Results: Interviews (N = 15) elevated the importance of location, interview experience, program cost, and clinical education. Surveys (N = 239) identified the most desirable factors for program selection: satisfied residents, strong clinical training with multiple techniques, good interview impressions, low cost, high patient numbers, a strong reputation, and good clinical facilities with new technology. Less desirable factors include programs that are hospital-based, certificate-only, research-intensive, and require considerable after-hours work. Conclusions: Clinical education and interview experiences are key for residency selection, consistent with prior studies, though program cost has grown in importance. Findings can help guide orthodontic programs in recruiting applicants and suggest a need to limit educational costs.Item Impact of a USMLE Step 2 Prediction Model on Medical Student Motivations(Sage, 2025-02-18) Shanks, Anthony L.; Steckler, Ben; Smith, Sarah; Rusk, Debra S.; Walvoord, Emily; Dafoe, Erin; Wallach, PaulPURPOSE: With the transition of USMLE Step 1 to Pass/Fail, Step 2 CK carries added weight in the residency selection process. Our goal was to develop a Step 2 predicted score to provide to students earlier in medical school to assist with career mentoring. We also sought to understand how the predicted scores affected student’s plans. METHOD: Traditional statistical models and machine learning algorithms to identify predictors of Step 2 CK performance were utilized. Predicted scores were provided to all students in the Class of 2024 at a large allopathic medical school. A cross-sectional survey was conducted to assess if the estimated score in uenced career or study plans. RESULTS: The independent variables that resulted in the most predictive model included CBSE score, Organ System course exam scores and Phase 2 (Third Year Clinical Clerkships) NBME percentile scores (Step2CK= 191.984 + 0.42 (CBSE score) + 0.294 (Organ Systems) + 0.409 (Average NBME). The standard error of the prediction model was 7.6 with better accuracy for predicted scores greater than 230 (SE 8.1) as compared to less than 230 (SE 12.8). Nineteen percent of respondents changed their study plan based on the predicted score result. Themes identified from the predicted score included reassurance for career planning and the creation of anxiety and stress. CONCLUSION: A Step 2 Predicted Score, created from pre-existing metrics, was a good estimator of Step 2 CK performance. Given the timing of Step 2 CK, a predicted score would be a useful tool to counsel students during the specialty and residency selection process.Item Impact of parallel planning on residency match rate success(Springer Nature, 2025-03-19) Rusk, Debra S.; Holt, Ashley; Harvey, Brianna; Shanks, Anthony L.Background: Medical students targeting competitive specialties or those with lower competitiveness for their preferred specialty are encouraged to parallel apply to a less competitive field. The AAMC provides data on the number of applicants who parallel apply but little information exists on their match success. Objective: Our objective is to describe the success rates for students who parallel apply to more than one specialty. Methods: Following IRB exemption, a retrospective cohort study of Indiana University School of Medicine graduates from the 2021–2024 residency match cycles was conducted. ERAS data and match reports were reviewed to identify students who parallel applied to more than one specialty, determining their match outcomes. Subgroup analyses were performed based on specialty type, and descriptive statistics were reported. Results: Between 2021 and 2024, 1,411 IUSM students applied for the match, with 225 (16%) having a parallel plan; 39% of these students matched into their preferred specialty, 56% into their parallel specialty, and 5% did not match. The most common parallel plan specialties were Anesthesiology, Orthopaedic Surgery, and OBGYN. There were no statistically significant differences in parallel application rates among surgical, hospital-based, and primary care specialties. Conclusions: Our study shows that 1 in 6 students will apply to a parallel specialty, with more than half matching into their parallel plan, making it a viable strategy for those targeting competitive specialties or with lower competitiveness. We found no difference in application rates between surgical, hospital-based, and primary care specialties, emphasizing the need for individualized competitiveness guidance.Item It’s Never Too Early to Start: Let’s Curate Your Online Scholarly Presence for Residency Applications(2025-04-25) Craven, Hannah J.; Shanks, Anthony L.; Pieczko, Brandon T.Introduction/Background: A student’s residency application includes various components such as personal statements, letters of recommendation, medical school transcripts and exam scores. With the shift to pass/fail exams, residency applications now rely more heavily on qualitative measures. Reviewers must evaluate applicants based on other markers of excellence, making scholarly activity documentation increasingly important. To better support IUSM students, we aim to teach both students and mentors how to effectively claim and promote their scholarly work online, enhancing their visibility and impact. This initiative aligns with the IUSM strategic plan to maximize learner success statewide, particularly the goal of ensuring learners are well-prepared for their next professional transition. Workshop objective: After our workshop, participants will be able to upload individual scholarly items to our institutional repository, IU Indianapolis ScholarWorks; list those works on their ORCiD profile; create a Google Scholar profile; understand basic individual research metrics; and consider any other online footprints Learning Goals: The goals of our workshop are to introduce the idea and benefit of a scholarly online presence to students at any stage of their undergraduate medical education career; set students up with this career-long skill of maintaining their works, which is much easier to begin curating earlier in their career; and encourage early career students to explore options for research projects with faculty. Methods: Participants will be introduced to the Electronic Residency Application Service (ERAS). The online ERAS worksheet will be utilized, particularly the publications section. We will demonstrate how to upload a scholarly work to our institutional repository. The persistent link created from our upload can be placed in the ERAS publication section, in our online ORCID profile, and will appear in Google Scholar after a few weeks. Resources will be shared encouraging students to consider collaborating on research projects with faculty.Item National Pediatric Subspecialty Recruitment Sessions Increase Program Visibility and Impact Candidate Application Choices(Allen Press, 2023) Gans, Hayley A.; Boyer, Debra; Bales, Melissa; Fussell, Jill; Pediatrics, School of MedicineItem Opening Doors to Training Medical Toxicology Fellows from All Residency Backgrounds(Springer, 2022) Kao, Louise; Burns, Michele; Murphy, Christine; Schwarz, Evan; ACMT Fellowship Directors Committee; Medicine, School of Medicine