The role of the interview in residency selection: A mixed‐methods study.

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Title: The role of the interview in residency selection: A mixed‐methods study.
Authors: Gordon, Emily K. B., Clapp, Justin T., Heins, Sarah J., Gaulton, Timothy G., Lane‐Fall, Meghan B., Aysola, Jaya, Baranov, Dimitri Y., Fleisher, Lee A.
Source: Medical Education. Nov2020, Vol. 54 Issue 11, p1029-1039. 11p. 1 Diagram, 4 Charts.
Subjects: Universities & colleges, Academic medical centers, Anesthesiology, Consensus (Social sciences), Employee selection, Internship programs, Interviewing, Research methodology, Qualitative research
Geographic Terms: Pennsylvania
Abstract: Context: Residency programmes invest considerable time and resources in candidate interviews as a result of their perceived ability to reveal important social traits. However, studies examining the ability of interviews to predict resident performance have shown mixed findings, and the role of the interview in candidate evaluation remains unclear. This mixed‐methods study, conducted in an anaesthesiology residency programme at a large academic medical centre, examined how interviews contributed to candidate assessment and whether the addition of behavioural questions to interviews altered their role in the evaluation process. Methods: During the 2018‐2019 residency selection season in the Department of Anesthesiology and Critical Care at the University of Pennsylvania, independent ratings for each interviewee were collected from faculty interviewers. Consensus ratings subsequently established by committee were also collected. Committee meetings were audiorecorded and transcribed for qualitative analysis. Behavioural questions were integrated into half of interview days. Ratings of candidates interviewed on behavioural question days were compared statistically with those of candidates interviewed on non‐behavioural question days. Results: Qualitative analysis showed that interviewers heavily emphasised candidates' application files in evaluating the interviews. Interviewers focused on candidates' academic records and favoured candidates whose interview behaviours were consistent with their applications and whose applications demonstrated similarities to interviewers' traits. The addition of behavioural questions demonstrated little ability to alter these dynamics. Quantitatively, there were no significant differences in candidate rating outcomes between behavioural and non‐behavioural interviewing days, whereas a higher medical school rating and higher score on the United States Medical Licensing Examination Step 1 were associated with a more favourable consensus rating. Conclusions: Residency candidates' application files predisposed interviewers' experience and evaluation of interviews, preventing the interviews from providing discrete assessments of interpersonal qualities, even when behavioural questions were included. In the continued effort to perform well‐rounded assessments of residency candidates, further research and reflection on the role of interviewing in evaluation are necessary. Given considerable debate regarding how interviews are (and should be) used to evaluate candidates to residency, the authors explore challenges in generating discrete assessments of interpersonal qualities. [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Nov2020, Vol. 54 Issue 11, p1029-1039. 11p. 1 Diagram, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Universities+%26+colleges%22">Universities & colleges</searchLink><br /><searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22Anesthesiology%22">Anesthesiology</searchLink><br /><searchLink fieldCode="DE" term="%22Consensus+%28Social+sciences%29%22">Consensus (Social sciences)</searchLink><br /><searchLink fieldCode="DE" term="%22Employee+selection%22">Employee selection</searchLink><br /><searchLink fieldCode="DE" term="%22Internship+programs%22">Internship programs</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Pennsylvania%22">Pennsylvania</searchLink>
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  Data: Context: Residency programmes invest considerable time and resources in candidate interviews as a result of their perceived ability to reveal important social traits. However, studies examining the ability of interviews to predict resident performance have shown mixed findings, and the role of the interview in candidate evaluation remains unclear. This mixed‐methods study, conducted in an anaesthesiology residency programme at a large academic medical centre, examined how interviews contributed to candidate assessment and whether the addition of behavioural questions to interviews altered their role in the evaluation process. Methods: During the 2018‐2019 residency selection season in the Department of Anesthesiology and Critical Care at the University of Pennsylvania, independent ratings for each interviewee were collected from faculty interviewers. Consensus ratings subsequently established by committee were also collected. Committee meetings were audiorecorded and transcribed for qualitative analysis. Behavioural questions were integrated into half of interview days. Ratings of candidates interviewed on behavioural question days were compared statistically with those of candidates interviewed on non‐behavioural question days. Results: Qualitative analysis showed that interviewers heavily emphasised candidates' application files in evaluating the interviews. Interviewers focused on candidates' academic records and favoured candidates whose interview behaviours were consistent with their applications and whose applications demonstrated similarities to interviewers' traits. The addition of behavioural questions demonstrated little ability to alter these dynamics. Quantitatively, there were no significant differences in candidate rating outcomes between behavioural and non‐behavioural interviewing days, whereas a higher medical school rating and higher score on the United States Medical Licensing Examination Step 1 were associated with a more favourable consensus rating. Conclusions: Residency candidates' application files predisposed interviewers' experience and evaluation of interviews, preventing the interviews from providing discrete assessments of interpersonal qualities, even when behavioural questions were included. In the continued effort to perform well‐rounded assessments of residency candidates, further research and reflection on the role of interviewing in evaluation are necessary. Given considerable debate regarding how interviews are (and should be) used to evaluate candidates to residency, the authors explore challenges in generating discrete assessments of interpersonal qualities. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/medu.14248
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        Text: English
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        PageCount: 11
        StartPage: 1029
    Subjects:
      – SubjectFull: Universities & colleges
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Anesthesiology
        Type: general
      – SubjectFull: Consensus (Social sciences)
        Type: general
      – SubjectFull: Employee selection
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      – SubjectFull: Internship programs
        Type: general
      – SubjectFull: Interviewing
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      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Qualitative research
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      – SubjectFull: Pennsylvania
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              Text: Nov2020
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