TITLE

Selection Criteria for Internal Medicine Residency Applicants and Professionalism Ratings During Internship

AUTHOR(S)
CULLEN, MICHAEL W.; REED, DARCY A.; HALVORSEN, ANDREW J.; WITTICH, CHRISTOPHER M.; BAUMANN KREUZJGER, LISA M.; KEDDIS, MIRA T.; MCDONALD, FURMAN S.; BECKMAN, THOMAS J.
PUB. DATE
March 2011
SOURCE
Mayo Clinic Proceedings;Mar2011, Vol. 86 Issue 3, p197
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: To determine whether standardized admissions data in residents' Eiectronic Residency Application Service (ERAS) submissions were associated with muitisource assessments of professionaiism during internship. PARTICIPANTS AND METHODS: ERAS applications for all internal medicine interns (N=191) at Mayo Clinic entering training between July 1, 2005, and July 1, 2008, were reviewed by 6 raters. Extracted data included United States Medical Licensing Examination scores, medicine clerkship grades, class rank, Alpha Omega Alpha membership, advanced degrees, awards, volunteer activities, research experiences, first author publications, career choice, and red flags in performance evaluations. Medical school reputation was quantified using U.S. News & World Report rankings. Strength of comparative statements in recommendation letters (0 = no comparative statement, 1 = equal to peers, 2 = top 20%, 3 = top 10% or "best") were also recorded. Validated multisource professionalism scores (5-point scales) were obtained for each intern. Associations between application variables and professionalism scores were examined using linear regression. RESULTS: The mean ± SD (minimum-maximum) professionaiism score was 4.09±0.31 (2.13-4.56). in muitivariate analysis, professionalism scores were positively associated with mean strength of comparative statements in recommendation letters (β=0.13; P=.002). No other associations between ERAS application variables and professionalism scores were found. CONCLUSION: Comparative statements in recommendation letters for internal medicine residency applicants were associated with professionalism scores during internship. Other variables traditionally examined when selecting residents were not associated with professionalism. These findings suggest that faculty physicians' direct observations, as reflected in letters of recommendation, are useful indicators of what constitutes a best student. Residency selection committees should scrutinize applicants' letters for strongly favorable comparative statements. Mayo Clin Proc. 2011;86(3):197-202
ACCESSION #
60010647

 

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