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首页> 外文期刊>The Journal of Graduate Medical Education >Residency Interviews in the 21st Century
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Residency Interviews in the 21st Century

机译:21世纪的居住地访谈

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摘要

Since the 1950s, physicians and scientists have made incredible advances throughout the field of medicine. We have discovered life-saving drugs, performed procedures that would have seemed unimaginable, and improved the quality of life of patients across the spectrum of care. All of these accomplishments were made possible by technological advances. When it comes to selecting candidates for medical residencies, however, there has been less progress in incorporating technology. Since the National Resident Matching Program (NRMP) was developed in 1952, its structure has remained fairly stable. After 4 years of medical school, we require medical students, who often carry 6-figure debt burdens, to pay their own way to visit programs that offer them an interview. With 58?400 applicants participating in anywhere from 1 to 30 interviews each,1 this system creates a great amount of complexity, financial burden, and stress. Despite adopting an online application process and posting some program descriptions online, programs and students have not yet fully harnessed the power of the Internet to meaningfully improve the applicant information, decrease the time and opportunity costs of the application process, or improve the overall outcomes. Having been through this process recently, we offer several suggestions to improve the experience for both interviewees and programs.;Online Interview Scheduling One of the most stressful components of the residency interview process is the scheduling of interviews. Students must triage dozens of e-mails and reply to interview invites with preferences in a time-sensitive manner. The logistical complexity of doing this while on clerkships cannot be overstated. From the program's perspective, this also creates a cumbersome and labor-intensive step for the residency staff, which is associated with long delays in interview date confirmation after preferences are sent by applicants. Recently, online scheduling services, such as Interview Broker and Thalamus, have provided a streamlined, web-based solution to this problem. Similar to the scheduling of an airline ticket online, an online interview portal allows applicants to independently see up-to-date interview availability, select their preferred date, and make wait-list requests for specific days. A singular, online portal for scheduling interviews would allow applicants to view their entire interview schedule and coordinate with all of their other programs. While preserving the egalitarian “first come, first served” approach, an online system would minimize programs' burden of having a dedicated staff member to this otherwise “digitizable” task. If the NRMP were to offer this service, it would further lower the per program cost and improve adoption across all programs. Ultimately, streamlining the scheduling process would improve applicants' experience and reduce costs for programs.;Digital Program Materials When choosing which programs to apply to and determining how to rank them, applicants often supplement advice from mentors and colleagues with online research and materials from the program. Investing in developing an accurate and interactive website creates enormous value. It allows applicants to learn more about a program's schedule, research opportunities, curriculum, and culture. This can be further supplemented with interactive tools like virtual hospital tours and video clips of Health Insurance Portability and Accountability Act–compliant conferences and didactic sessions. Websites can be a valuable tool for applicants as they decide which programs they would be most interested in attending. Standardized metrics or reports would further enhance cross program comparisons. This would result in more informed applicants and would facilitate applications and ranking lists. On interview day, programs often prepare a physical folder that is handed to interviewees. Its contents vary, but often include information on current residents, faculty bios,
机译:自20世纪50年代,医生和科学家们在整个医学领域取得了令人难以置信的进步。我们发现了救生药物,表演程序似乎难以想象,并改善了患有患者的生活质量。所有这些成就都是通过技术进步实现的。然而,在选择医疗居民的候选人方面,在纳入技术方面取得了不太进展。由于1952年制定了国家驻地匹配计划(NRMP),其结构仍然相当稳定。经过4年的医学院,我们要求医学生,往往携带6号债务负担,支付自己的方式访问提供给他们面试的方案。有58份?400名申请人参加每次1到30个访谈的任何地方,1该系统创造了大量复杂性,金融负担和压力。尽管采用在线申请流程并发布了某些程序描述,但程序和学生尚未完全利用互联网的权力,以有意义地改善申请人信息,减少申请流程的时间和机会成本,或改善整体结果。最近经历过这个过程,我们提供了一些建议,以改善受访者和方案的经验。;在线面试计划居住面试过程中最紧张的组成部分之一是采访的调度。学生必须以时间敏感的方式回复几十个电子邮件并回复面试邀请。在职员上做这件事的后勤复杂性不能夸大。从计划的角度来看,这也为居住工作人员创造了一个繁琐和劳动密集型的阶梯,这与申请人汇票发送后的面试日确认的长期延迟相关。最近,在线调度服务,例如面试经纪人和泰拉穆勒斯,为此问题提供了一种简化的基于Web的解决方案。类似于航空公司在线的计划,在线面试门户允许申请人独立地看到最新的面试可用性,选择他们的首选日期,并为特定日期进行等待列表请求。一个单数,用于调度访谈的在线门户,允许申请人查看他们的整个面试时间表并与所有其他计划协调。在保留平台“首先来到”的过程中,在线系统将使计划的宗旨,将专门的工作人员与此“数字化”任务最大限度地减少。如果NRMP提供此服务,则会进一步降低每个计划成本并改善所有方案的采用。最终,简化调度过程将改善申请人的经验并降低计划的成本。;数字计划材料在选择申请和确定如何对其进行排名时的程序,申请人通常会补充来自导师和同事的建议,其中来自导师和同事的建议程序。投资制定准确和交互式网站创造了巨大的价值。它允许申请人更多地了解计划的计划,研究机会,课程和文化。这可以进一步补充互动工具,如虚拟医院旅游和健康保险便携性和符合责任行为的会议和教学会议的视频剪辑。网站可以成为申请人的宝贵工具,因为他们决定哪些程序对他们最感兴趣的课程。标准化指标或报告将进一步提高交叉计划比较。这将导致更明智的申请人,并有助于申请和排名列表。在采访日,程序经常准备一个交给受访者的物理文件夹。其内容各不相同,但通常包括关于当前居民,教师BIOS的信息,

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