Characterizing Second Look Behaviors and Attitudes of Pediatric Residency Applicants.

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2025-04-16 DOI:10.1016/j.acap.2025.102832

Sophi R Lederer, Jonathan L Bressler, Christine C Cheston

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引用次数: 0

Abstract

Objective: We sought to explore participation in and experience of in-person Second Look visits by categorical pediatrics applicants across demographic groups.

Methods: We surveyed applicants to a large pediatrics residency program using multiple choice, sliding scale, and Likert Scale questions. We calculated descriptive statistics and compared results across groups using T-tests and Fisher's Exact Tests.

Results: Among 536 respondents (34.2% response rate), 190 (35.4%) attended at least one Second Look. Applicants from low socioeconomic (SES) backgrounds shouldered higher costs and were more likely to meet with a selection committee member (36.4% vs 17.9%, p<0.01). Applicants from groups underrepresented in medicine (UIM) and low SES background were more likely to agree or strongly agree that they would have attended more Second Looks had programs offered UIM-based (UIM: 66.7% vs non-UIM: 19.1%) or need-based (low SES: 70.1% vs non-low SES: 42.1%) funding. Overall, most applicants agreed or strongly agreed that need-based funding (63.6%) or UIM-based funding (62.7%) would increase equity in the Match.

Conclusion: Pediatric applicants continue to pursue Second Looks despite guidelines discouraging programs from hosting them. Targeted funding for Second Looks is perceived by applicants to improve equity in selection. Perceived disproportionate benefit of Second Looks to minoritized and financially disadvantaged applicants should be explored in future study.

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儿科住院医师申请人的第二眼行为和态度特征。

目的：我们试图探索不同人口群体的儿科分类申请人对亲自第二次就诊的参与和体验。方法：我们使用多项选择、滑动量表和李克特量表对一个大型儿科住院医师项目的申请人进行调查。我们计算了描述性统计数据，并使用t检验和Fisher精确检验比较了各组间的结果。结果：536名被调查者中，有190名（35.4%）至少参加过一次Second Look。来自低社会经济背景（SES）的申请人承担了更高的费用，并且更有可能与遴选委员会成员会面（36.4% vs 17.9%）。结论：尽管指导方针不鼓励项目接待儿科申请人，但儿科申请人仍在继续寻求第二次审视。申请人认为，为“第二轮面试”提供有针对性的资金是为了提高选拔的公平性。在未来的研究中，应该探讨对少数族裔和经济上处于不利地位的申请人的额外好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.