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Holistic Review in Family Medicine Residency Programs: A Nationwide Survey of US Residency Directors

Truong, Oanh (2023) Holistic Review in Family Medicine Residency Programs: A Nationwide Survey of US Residency Directors. Master Essay, University of Pittsburgh.

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Abstract

Background: Interest in utilizing holistic review (HR) for residency recruitment as a strategy to improve the diversity of the physician workforce has significantly increased. However, there are no published data on the prevalence of HR in family medicine residency program admissions. This study was designed to assess knowledge, skills, and attitudes of HR, prevalence of HR, barriers to implementation of HR in US family medicine residency programs, and program characteristics associated with the use of HR.
Methods: Data for this study were elicited as part of a 2023 survey conducted by the Council of Academic Family Medicine (CAFM) Educational Research Alliance (CERA). The nationwide, web-based survey was sent to 739 family medicine residency program directors.
Results: A total of 309 program directors completed the HR portion of the survey. Programs that understood and agreed with HR utilized it more in their admissions process. HR was also utilized more in programs with higher rates of residents, faculty, and patients that are underrepresented in medicine. Increased number of applicants, increased resources associated with HR, and lack of consensus on HR approach were identified as primary barriers to HR utilization in residency programs.
Conclusions: HR as a process to recruit resident physicians is an area of growing interest to diversify the physician workforce, especially among residencies caring for underserved communities. Further discussions on the specific scoring rubrics of family medicine residency programs that utilize HR are needed and could help programs that are facing barriers. This is of public health significance as widespread use of HR to diversify the physician workforce has the potential to improve patient care access and quality of care.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Truong, Oanhoat4@pitt.eduoat4
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Thesis advisorHershey, Tina B.tbh16@pitt.edutbh16UNSPECIFIED
Committee MemberNelson, Lisalsnelson@pitt.edulsnelsonUNSPECIFIED
Date: 24 August 2023
Date Type: Completion
Submission Date: 14 August 2023
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 32
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: holistic review, family medicine, family medicine residency program, admissions, underrepresented in medicine, diversity
Date Deposited: 24 Aug 2023 19:11
Last Modified: 24 Aug 2023 19:11
URI: http://d-scholarship.pitt.edu/id/eprint/45341

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