PDF(Pubmed)
Abstract：
UNASSIGNED: To report the selection criteria important to residency program directors (PDs) and whether they believe pass/fail scoring will impact underrepresented in medicine (URM), International Medical Graduate (IMG), or osteopathic (DO) residency applicants after the United States Medical Licensing Examination (USMLE) changed Step 1 score reporting to pass/fail in January 2022.
UNASSIGNED: A Qualtrics survey was sent between August 2022 and January 2023 to 1141 US PDs from specialties with traditionally low residency selection rates: dermatology, ophthalmology, otolaryngology, orthopedic surgery, neurosurgery, interventional radiology, diagnostic radiology, radiation oncology, thoracic surgery, vascular surgery, plastic surgery, and urology. Contact information was obtained from AMA, FRIEDA, or program websites.
UNASSIGNED: We received 433 responses (38%). When asked to anticipate the difficulty student groups will face matching into their specialty, PDs reported: for URM, 24.0% increased, 46.0% unchanged, and 30.0% decreased; for DO, 49.19% increased, 44.58% unchanged, and 6.23% decreased and for IMG, 56.35% increased, 39.72% unchanged, and 3.93% decreased. When asked to rank the most important selection factors, the top two responses were Step 2 CK score and away rotation participation at their site.
UNASSIGNED: PDs overwhelmingly believed residency selection difficulty would either increase or remain unchanged for DO (93.77%) and IMG (96.07%). In contrast, 76.0% reported difficulty for URM students would either decrease or remain unchanged. PDs ranked Step 2 CK score and away rotation participation as the most important selection factors. Despite PDs\' belief that the Step 1 pass/fail scoring system may mitigate one barrier for URM students, emphasis on Step 2 CK and away rotations place additional barriers.
UNASSIGNED: A Qualtrics survey was sent between August 2022 and January 2023 to 1141 US PDs from specialties with traditionally low residency selection rates: dermatology, ophthalmology, otolaryngology, orthopedic surgery, neurosurgery, interventional radiology, diagnostic radiology, radiation oncology, thoracic surgery, vascular surgery, plastic surgery, and urology. Contact information was obtained from AMA, FRIEDA, or program websites.
UNASSIGNED: We received 433 responses (38%). When asked to anticipate the difficulty student groups will face matching into their specialty, PDs reported: for URM, 24.0% increased, 46.0% unchanged, and 30.0% decreased; for DO, 49.19% increased, 44.58% unchanged, and 6.23% decreased and for IMG, 56.35% increased, 39.72% unchanged, and 3.93% decreased. When asked to rank the most important selection factors, the top two responses were Step 2 CK score and away rotation participation at their site.
UNASSIGNED: PDs overwhelmingly believed residency selection difficulty would either increase or remain unchanged for DO (93.77%) and IMG (96.07%). In contrast, 76.0% reported difficulty for URM students would either decrease or remain unchanged. PDs ranked Step 2 CK score and away rotation participation as the most important selection factors. Despite PDs\' belief that the Step 1 pass/fail scoring system may mitigate one barrier for URM students, emphasis on Step 2 CK and away rotations place additional barriers.
摘要：
■报告对住院医师计划主管（PD）很重要的选择标准，以及他们是否认为通过/失败评分会影响医学（URM）代表性不足，国际医学研究生（IMG），或整骨疗法（DO）住院医师申请人在美国医学执照考试（USMLE）于2022年1月将第1步成绩报告更改为通过/不通过。
■一项Qualtrics调查于2022年8月至2023年1月之间发送到美国1141个来自传统上居住选择率较低的专业：皮肤病学，眼科,耳鼻喉科,骨科手术,神经外科,介入放射学,诊断放射学，放射肿瘤学，胸外科,血管手术,整形手术,还有泌尿科.联系信息是从AMA获得的，弗里达,或程序网站。
■我们收到了433份回复（38%）。当被要求预测学生群体将面临匹配他们的专业的困难时，报告的PD：对于URM，增加24.0%,46.0%不变,下降了30.0%；对于DO，增加49.19%，44.58%不变,下降了6.23%，IMG，增加56.35%，39.72%不变,下降3.93%。当被要求对最重要的选择因素进行排名时，前两个回答是第2步CK得分和在他们的网站上的轮换参与。
■PD绝大多数认为，DO（93.77%）和IMG（96.07%）的居留选择难度会增加或保持不变。相比之下,76.0%的学生报告说，URM学生的难度会降低或保持不变。PD将第二步CK得分和客场轮换参与列为最重要的选择因素。尽管PD认为步骤1通过/失败评分系统可以减轻URM学生的一个障碍，强调步骤2CK和远离旋转放置额外的障碍。
■一项Qualtrics调查于2022年8月至2023年1月之间发送到美国1141个来自传统上居住选择率较低的专业：皮肤病学，眼科,耳鼻喉科,骨科手术,神经外科,介入放射学,诊断放射学，放射肿瘤学，胸外科,血管手术,整形手术,还有泌尿科.联系信息是从AMA获得的，弗里达,或程序网站。
■我们收到了433份回复（38%）。当被要求预测学生群体将面临匹配他们的专业的困难时，报告的PD：对于URM，增加24.0%,46.0%不变,下降了30.0%；对于DO，增加49.19%，44.58%不变,下降了6.23%，IMG，增加56.35%，39.72%不变,下降3.93%。当被要求对最重要的选择因素进行排名时，前两个回答是第2步CK得分和在他们的网站上的轮换参与。
■PD绝大多数认为，DO（93.77%）和IMG（96.07%）的居留选择难度会增加或保持不变。相比之下,76.0%的学生报告说，URM学生的难度会降低或保持不变。PD将第二步CK得分和客场轮换参与列为最重要的选择因素。尽管PD认为步骤1通过/失败评分系统可以减轻URM学生的一个障碍，强调步骤2CK和远离旋转放置额外的障碍。
