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. 2021 Jun;13(3):355-370.
doi: 10.4300/JGME-D-20-01381.1. Epub 2021 Jun 14.

Systems-Level Reforms to the US Resident Selection Process: A Scoping Review

Ryley K Zastrow  1 , Jesse Burk-Rafel  2 , Daniel A London  3
Affiliations

Systems-Level Reforms to the US Resident Selection Process: A Scoping Review

Ryley K Zastrow et al. J Grad Med Educ. 2021 Jun.

Abstract

Background: Calls to reform the US resident selection process are growing, given increasing competition and inefficiencies of the current system. Though numerous reforms have been proposed, they have not been comprehensively cataloged.

Objective: This scoping review was conducted to characterize and categorize literature proposing systems-level reforms to the resident selection process.

Methods: Following Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, searches of Embase, MEDLINE, Scopus, and Web of Science databases were performed for references published from January 2005 to February 2020. Articles were included if they proposed reforms that were applicable or generalizable to all applicants, medical schools, or residency programs. An inductive approach to qualitative content analysis was used to generate codes and higher-order categories.

Results: Of 10 407 unique references screened, 116 met our inclusion criteria. Qualitative analysis generated 34 codes that were grouped into 14 categories according to the broad stages of resident selection: application submission, application review, interviews, and the Match. The most commonly proposed reforms were implementation of an application cap (n = 28), creation of a standardized program database (n = 21), utilization of standardized letters of evaluation (n = 20), and pre-interview screening (n = 13).

Conclusions: This scoping review collated and categorized proposed reforms to the resident selection process, developing a common language and framework to facilitate national conversations and change.

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Conflict of interest statement

Conflict of interest: The authors declare they have no competing interests.

Figures

Figure
Figure
Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Flow Diagram of Search Strategy
See this image and copyright information in PMC

References

    1. Hammoud MM, Standiford T, Carmody B. Potential implications of COVID-19 for the 2020-2021 residency application cycle. JAMA. 2020;324(1):29–30. doi: 10.1001/jama.2020.8911. - DOI - PubMed
    1. National Resident Matching Program. Results of the 2011 NRMP applicant survey by preferred specialty and applicant type. 2021 https://www.nrmp.org/main-residency-match-data/ Accessed March 16.
    1. National Resident Matching Program. Results of the 2019 NRMP applicant survey by preferred specialty and applicant type. 2021 https://www.nrmp.org/main-residency-match-data/ Accessed March 16.
    1. Pereira AG, Chelminski PR, Chheda SG, et al. Application inflation for internal medicine applicants in the match: drivers, consequences, and potential solutions. Am J Med. 2016;129(8):885–891. doi: 10.1016/j.amjmed.2016.04.001. - DOI - PubMed
    1. Katsufrakis PJ, Chaudhry HJ. Improving residency selection requires close study and better understanding of stakeholder needs. Acad Med. 2019;94(3):305–308. doi: 10.1097/ACM.0000000000002559. - DOI - PubMed

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