Presentation on theme: "Knowing Your Applicants J. Christian Barrett M.D. Division of Hematology, Oncology and Palliative care."— Presentation transcript:
Knowing Your Applicants J. Christian Barrett M.D. Division of Hematology, Oncology and Palliative care
Road Map Approach to Recruitment US Allopathic Graduates Osteopathic Graduates International Graduates
Critical Appraisal Appraise your program goals and vision What type of applicant are you trying to attract? What are the barriers to attracting the applicants you desire?
Factors Influencing Applicants Geography/Location Reputation Institutional Program Board pass rates—first time takers Resident’s happiness Current resident quality Post-graduation placement
Establishing a Strategy Recruitment cannot just happen Actively develop a recruitment strategy Highlighting strengths Mitigating weaknesses Hard to truly measure impact
Selecting Your Residents You CANNOT control who comes to your program You CAN control who you will not take
Screening the Applicants Task varies by program size and volume Establish recruitment targets Number of slots Number of applicants per slot How willing are you to not fill?
Interviewing Interview fatigue What information are you getting/giving? Are you able to
360-Evaluation How are using your resources in your selection process? Valuable sources of information Know your culture and your applicants Aligning feedback with your goals
GME Collision Point US society physician shortage and GME funding debated – 50% cuts vs. 15,000 resident slot expansion How to count other providers in calculations? Do more doctors improve care, increase care, increase health care costs, etc? What type of doctors are we going to fall short? Linking to performance measures of quality The fiscal cliff?
GME Applicant Collision Point Medical School Openings and Expansions (MD and DO) 2015 is point where US medical students exceed the number of existing GME slots 1 st year students 2015 = 26,403 1 st year GME positions ~ 23,000 6,000 slots per year typically filled by IMG
GME Applicant Collision Point AMSA position supports federal funding to ensure only that there is a sufficient number of positions for US medical graduates What impact does that have on you applicant pool?
US Allopathic Graduates The Application Interpreting the MSPE, Transcripts, and LOR Lake Wobegon School of Medicine Make sure you are looking at the histograms and any qualifying comment definitions Are comments in total or “selected”/”representative” Extension/Remediation Board Scores AOA
Predictors of “Success” USMLE Board scores University of Michigan Radiology Program experience ITE and Radiology Board Performance Correlated with… Honors in preclinical courses (Anatomy, Biochem, Pathology, Pharmacology, and Physiology) Honors in clerkships (Medicine, Pediatrics, and Surgery) Boards Scores Did not correlate with… MSPE or LOR superlatives Honors in clerkships (OB-Gyn and Radiology) Medical school prestige (based on US News & World Reports rankings) Students who excelled were excelled as residents regardless of medical school prestige None of the factors correlated with rotational performance evaluations Boyse et al. Academic Radiology 2002;9(4):437-445
Social Media Survey with 12,000 program director respondents in 22 specialties accredited by ACGME 196 (16.3%) visit internet sites for additional information 74 (38.1%) has ranked an applicant lower as result of information found
Board Scores Score Migration Changes being considered
Board Scores STEP IStep IICOMLEX ICOMLEX II Minimum passing 188196400 Median Score 224500 First Time Pass MD 94%97% First Time Pass IMG 73%82% First Time Pass DO 89%93%
Perceptions and the IMG Factors consistently shown to influence Program reputation Geographic location Perceived current resident happiness Perceived quality of current residents Study set up to examine influence of the number of IMGs
Perceptions and the IMG Medical student survey – 1994 Part 1 Rank five hypothetical programs 1-5 Score each program 0-100 based on desirability Part 2 Rate importance of 25 factors in influencing their actual match ranking list on scale 1-6 Part 3 Rank 12 factors 1-12 in order of importance to their actual selection process
Perceptions and the IMG 702 students from 18 medical schools Part 1 Rank five hypothetical programs 1-5 Randomly assigned characteristics Salary and benefits, geography, program size, etc 1/3 of students received information regarding the number of IMG in each program 1/3 of students received information regarding the reputation of each program 1/3 of students received no information regarding IMGs or reputation
Perceptions and the IMG Ranking Program (%IMG) Without IMG With IMG Rank Change Without IMG With IMG Rating Change B(90%)2.53.57254-18 D(44%)1.91.8+0.18079 C(35%)4.74.4+0.33032+2 E(26%)3.02.9+0.16264+2 A(3%)3.02.4+0.66171+10 A and D University-based programs BDCEA Board pass rates (85%/100%/5%/70%/50%)
International Graduates: Are They All the Same? Quality variation Teaching quality of institution Quality of the clinical training Graduation Dates US medical experience of equivalent Observership vs. clinical experience Will this requirement evolve? Board scores—Timing of examination
Developing a List Personal Experience Reputation Colleagues Intra-institutional Peers Specialty society/PD peers Contacts at the school
QS World University Rankings Ireland Trinity College Dublin University of Glasgow Royal College of Surgeons Singapore National University of Singapore (NUS) Japan University of Tokyo Australia University of Melbourne University of Sydney University of Queensland Germany Ruprecht-Karls-Univeritat Heidelburg Korea Seoul National University New Zealand University of Otago The University of Auckland
My Personal Experience Middle East American University of Beirut Weill-Cornell-Qatar Peru National University of San Marcos Cayetano Heridia University
Medical Schools in India All India Institute of Medical Sciences, New Delhi Christian Medical College, Vellore Armed Forces Medical College, Pune JIPMER, Pondicherry Maulana Azad Medical College, Delhi University College of Medical Science and Research Centre, New Delhi Kasturba Medical College, Manipal Grant Medical College, Mumbai Seth GS Medical College, Mumbai Lady Hardinge Medical College, New Delhi Royal College of Medical Science and Research Centre, New Delhi St. John’s Medical College, Bangalore Madras Medical College, Chennai Osmania Medical College, Hyperabad Bangalore Medical College, Bangalore BJ Medical School (MJMC), Ahmedabad
Indian Grading Scales As with the US, hard to compare Look at Minimum passing score Numbers can appear low (%) Distinction/First Class score (A equivalent) Second Class ~ same as B+
Americans Abroad Poland Univ. of Warsaw Jagiellonian university medical college 6 year program offered to HS graduates
Americans Abroad Caribbean Saint George’s University American University of the Caribbean 48 schools excluding Cuba 23 (48%) founded since 2000 32 “offshore” 21 (66%) founded since 2000
Fifth Pathway 4 years Intl. school 1 year US clinical work without degree Step III eligible Issued through December 31, 2009 Last accepted December 31, 2016 Afterwards, must seek ECFMG certification
Partnerships— One Size Does Not Fit All? Duke-National University Singapore Inaugural class June 2007 July 2011 Dubai and Harvard University of Queensland SOM and Oschner Health System Weill Cornell-Qatar Inaugural class June 2002 July 2008
Accreditation Commission on Higher Education of the Middle States Association of Colleges and Schools Council on Higher Education for Public Health (CEPH) First outside of North America Commission for Collegiate Nursing Education Joint Commission International AOA Honor Society
Aculturalization Are you able and ready to handle IMG aculturalization? Is aculturalization a two-way street?
ACGME-I Why? Improve physician training/education as means to improve health care delivery standards Diminishing opportunities potentially looming Size limitations prohibitive to set up own GME accreditation systems with rigorous peer review as in USA Physician retention in countries
ACGME-I Currently 3 accredited programs (Singapore) National Healthcare Group Program National University Health System Program Singapore Health Services Pte Ltd Program Contracts Signed Qatar UAE Oman (negotiations ongoing)
Making your Match List Check NRMP first to be certain no prior match violations