A Multicenter Study of the Family Educational Rights and Privacy Act and the Standardized Letter of Recommendation: Impact on Emergency Medicine Residency Applicant and Faculty Behaviors

Diab, Jessica; Riley, Stephanie; Downes, Andrew S.; Gaeta, Theodore J.; Hern, H. Gene; Hwang, Eric J.; Kass, Lawrence E.; Kelly, Michael; Luber, Samuel D.; Martel, Marc L.; Minns, Alicia B.; Patterson, Leigh; Pazderka, Philip; Sayan, Osman R.; Thurman, Jason; Vallee, Phyllis; Overton, David

doi:10.4300/jgme-d-13-00179.1

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…The bulk of applicants to 14 EM programs (93%) waived their FERPA rights to see their SLORs or NLORs. In one multicenter study, applicants who retained their FERPA rights were more likely to receive a GAS of ''Outstanding'' than those who did waive their rights, although this retrospective study had numerous limitations identified by the authors (24).…”

Section: Should I Waive My Right To See the Letter?mentioning

confidence: 97%

Letters of Recommendation

Garmel

Grover

Quinn

et al. 2019

The Journal of Emergency Medicine

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Section: Should I Waive My Right To See the Letter?mentioning

confidence: 97%

Letters of Recommendation

Garmel

Grover

Quinn

et al. 2019

The Journal of Emergency Medicine

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“…Approximately 93% of students waive their rights to view the SLOE. 10 Mechanisms such as on-shift, midclerkship, and end-of-rotation feedback could provide students with insight into their own performance and allow for an accurate appraisal of their overall competitiveness as an EM applicant. However, whether performance feedback given to students during and after their clerkship translates into accurate self-assessment has not been studied.…”

Section: Introductionmentioning

confidence: 99%

Medical student self‐assessment as emergency medicine residency applicants

Kukulski

Ahn

Babcock

et al. 2021

AEM Education and Training

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Background: Emergency medicine (EM) applicants are encouraged to consider their own "competitiveness" when deciding on the number of applications to submit.Program directors rank the Standardized Letter of Evaluation (SLOE) as the most important factor when reviewing an applicant. Accurate insight into how clinical performance is reflected on the SLOE could improve medical students' ability to gauge their own competitiveness.Objective: This study aims to determine the accuracy of students' self-assessment by SLOE evaluation measures when compared to the SLOE completed by faculty after their EM clerkship.Methods: Participants of this multicenter study included fourth-year medical students who had completed their EM clerkship and were applying to EM residency.Students completed a modified SLOE to reflect rankings they believed they would receive on their official SLOE. Additionally, students completed a survey assessing their knowledge of the SLOE, their perception of feedback during the clerkship, and their self-perceived competitiveness as an EM applicant. Correlation between the rankings on the student-completed SLOE and the official SLOE was analyzed using the Kendall correlation.Results: Of the 49 eligible students, 42 (85.7%) completed the study. The correlation between scores on the student-completed and official SLOE were significantly low (r < 0.68) for each item. The majority of students agreed that they were satisfied by the quantity and quality of feedback they received (31/42, 73.8%). Few students agreed that they knew how many applications to submit to ensure a match in EM (7/42, 16.7%). Conclusion:This study demonstrates that students did not accurately predict their rankings on the official SLOE at the end of an EM rotation and had little insight into their competitiveness as an applicant. These findings highlight opportunities to mitigate the burden on students and programs caused by the increasing number of applications per applicant. Further research is needed as to whether strategies to increase insight into competitiveness are effective.

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“…However, although they have been discussed for several years, they have yet to be adopted uniformly in otolaryngology, and opinions and experiences in other specialties vary. [10][11][12][13] Moreover, unless these standardized letters include or are supplemented by free-form commentary, much of the most valuable, personal information about applicants may not be conveyed well enough. In addition, it seems unlikely that this approach will reduce the number of applications per candidate.…”

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confidence: 99%