MP12-10 IMPLEMENTATION AND ASSESSMENT OF A HOLISTIC APPROACH TO UROLOGY RESIDENCY APPLICATIONS

Abstract

You have accessJournal of UrologyEducation Research II (MP12)1 Sep 2021MP12-10 IMPLEMENTATION AND ASSESSMENT OF A HOLISTIC APPROACH TO UROLOGY RESIDENCY APPLICATIONS Jeffrey Nussbaum, Justin Loloi, Alex Sankin, and Nitya Abraham Jeffrey NussbaumJeffrey Nussbaum More articles by this author , Justin LoloiJustin Loloi More articles by this author , Alex SankinAlex Sankin More articles by this author , and Nitya AbrahamNitya Abraham More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001985.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: With the recent announcement by the United States Medical Licensing Examination (USMLE) to convert Step 1 from a three-number score to pass/fail, other criteria may be given increased importance in identifying high-quality urology residency candidates. Holistic review is thought to provide a more comprehensive and equitable consideration of residency applications . In this study, we investigate the impact of holistic review of urology residency applications on selection for interview at an urban, single-center academic institution. METHODS: A scoring system was developed based on attributes that would be desirable based on our program training needs and resources. This included 7 categories: manual dexterity, academic performance, research, leadership experience, resilience, commitment to underserved populations, and connection to New York. A committee of 7 faculty reviewed and scored all applications submitted. During the 2019-2020 application cycle, applications were filtered by minimum Step 1 score 230 and medical school on the East Coast. Applicant demographics and academic metrics were compared before and after implementation of the scoring system. RESULTS: A total of 282 and 300 students applied to our residency program during the 2019-2020 and 2020-2021 academic year, respectively. 52 students were selected for interview during the 2019-2020 cycle and 50 during this most recent cycle. Compared to last year’s cohort, the 2020-2021 interviewees comprised of more underrepresented minorities (URMs) (13% in 2019-2020 vs. 26% in 2020-2021). Additionally, the holistic review process elicited a larger number of non-North East interviewees (15% in 2019-2020 vs. 32% in 2020 vs 2021). There was no significant difference in sex, average age, USMLE Step Score in comparing the applicants interviewed. CONCLUSIONS: Utilizing a more comprehensive scoring tool resulted in a higher number of out-of-state and URM applicants interviewed. As USMLE Step exams and even clerkships potentially transition to Pass/Fail, holistic review provides an alternative, balanced evaluation of residency applicants that could increase diversity and inclusion in urology as well as identify candidates more likely to succeed as urology residents. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e192-e192 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jeffrey Nussbaum More articles by this author Justin Loloi More articles by this author Alex Sankin More articles by this author Nitya Abraham More articles by this author Expand All Advertisement Loading ...