Unraveling the Medical Residency Selection Game

Autor/inn/en	Gennissen, Lokke M.; Stegers-Jager, Karen M.; de Graaf, Jacqueline; Fluit, Cornelia R. M. G.; de Hoog, Matthijs
Titel	Unraveling the Medical Residency Selection Game
Quelle	In: Advances in Health Sciences Education, 26 (2021) 1, S.237-252 (16 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Gennissen, Lokke M.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-020-09982-x
Schlagwörter	Foreign Countries; Medical Students; Graduate Students; Graduate Medical Education; Admission Criteria; Diversity; Decision Making; Minority Group Students; Disproportionate Representation; Bias; Committees; Netherlands + Suchen Sie Ihr Suchwort? Ausland; Graduate Study; Student; Students; Aufbaustudium; Graduiertenstudium; Hauptstudium; Studentin; Admission; Admission procedures; Zulassungsbedingung; Zulassungsverfahren; Zulassung; Decision-making; Entscheidungsfindung; Committee; Ausschuss; Niederlande
Abstract	The diversity of modern society is often not represented in the medical workforce. This might be partly due to selection practices. We need to better understand decision-making processes by selection committees in order to improve selection procedures with regard to diversity. This paper reports on a qualitative study with a socio-constructivist perspective conducted in 2015 that explored how residency selection decision-making occurred within four specialties in two regions in the Netherlands. Data included transcripts of the decision-making meetings and of one-on-one interviews with committee members before and after the group decision-making meetings. Candidates struggled to portray themselves favorably as they had to balance playing by the rules and being authentic; between fitting in and standing out. Although admissions committees had a welcoming stance to diversity, their practices were unintentionally preventing them from hiring underrepresented minority (URM) candidates. While negotiating admissions is difficult for all candidates, it is presumably even more complicated for URM candidates. This seems to be having a negative influence on attaining workforce diversity. Current beliefs, which make committees mistakenly feel they are acting fairly, might actually justify biased practices. Awareness of the role of committee members in these processes is an essential first step. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01