Prevalence, Bias, and Rank List Impact of Illegal Questions in Surgical Specialty Residency Interviews

Theiss, Lauren; Prather, John C.; Porterfield, John R.; Corey, Britney; Chen, Herbert; McGwin, Gerald; Johnson, Michael D.; Theiss, Steven M.

doi:10.1016/j.jsurg.2021.07.015

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…However, there is a risk of unfair questioning or bias depending on the applicant background, gender, or race. A 2019 survey of medical students applying to surgical residency programs found that 81.4% of applicants to orthopaedic surgery programs were asked illegal questions as defined by federal law such as age, marital status, and pregnancy status 13. The faculty interviewing for these programs may overlap with fellowship faculty, and therefore program faculty and applicants alike should be vigilant to ensure bias or discrimination are not a part of the shoulder and elbow fellowship application process.…”

Section: Discussionmentioning

confidence: 99%

Applicant characteristics and interview-day structure of shoulder and elbow surgery fellowships

Haislup

McCormick

Smith

et al. 2022

Current Orthopaedic Practice

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Background:The purpose of this study was to determine the selection criteria and interview-day structure used by shoulder and elbow fellowship program directors. Methods:An anonymous 14-question survey was distributed to the program directors of the 31 American Shoulder and Elbow Surgeons (ASES) recognized orthopaedic shoulder and elbow fellowship programs. Surveys were sent via email, and responses were collected from March 31, 2021 to May 10, 2021. Results:All 31 fellowship directors responded (100%). The most valuable selection criteria for applicants were subjective measures: quality of interview, letters of recommendation, and quality of residency program. Objective criteria such as United States Medical Licensing Examination (USMLE) scores and Orthopaedic In-Training Examination (OITE) scores were less important. Fifteen (50%, 15/30) programs required applicants to have one to two publications, while 15 (50%, 15 of 30) required three to five publications. Programs most commonly interviewed 16 to 20 residents (38.7%). The interview day was a half day for the majority of programs (n = 20; 64.5%), with most programs utilizing three (25.8%) or four (45.2%) separate interviews. Current fellows interviewed applicants in about half of the programs (51.6%). Conclusions:Shoulder and elbow fellowship program directors prioritize subjective over objective attributes when selecting applicants. The interview day is most commonly a half day with each applicant undergoing multiple interviews at each institution. Understanding the selection process used by shoulder and elbow fellowship directors provides a valuable resource for residents.

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Section: Discussionmentioning

confidence: 99%

Applicant characteristics and interview-day structure of shoulder and elbow surgery fellowships

Haislup

McCormick

Smith

et al. 2022

Current Orthopaedic Practice

View full text Add to dashboard Cite

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“…Despite the negative signals being sent to LGBTQ medical students, a slight majority (57.3%) report that they plan to specifically disclose their status during residency application and only a minority (18.5%) plan not to disclose, the remaining report being undecided. 19 As illegal questions pertaining to LGBTQ status still crop up in residency interviews, 20 advice to hide LGBTQ status can be harmful as it signals to medical students that their LGBTQ status is a negative attribute. Illegal questions about LGBTQ status in interviews are particularly perplexing since LGBTQ status should have absolutely no bearing on a surgery resident's ability to perform their job function.…”

Section: Medical Studentsmentioning

confidence: 99%

Creating a Welcoming Surgery Residency Training Program for LGBTQ Trainees

Pernar

Hess

2022

The American Surgeon

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General Surgery residencies have been perceived as unwelcoming to lesbian, gay, bisexual, transgender, and queer (LGBTQ) applicants. Historically, applicants have been reluctant to reveal their LGBTQ status when interviewing for residency positions and LGBTQ surgery residents are more likely to consider leaving their residency. Despite the increased acceptance in society and calls for diversity by governing bodies, there is a perception that the field of surgery is lagging behind. In this article, we summarize the recent literature concerning LGBTQ status in surgery residencies and the impact it has on students and trainees. We then review the recent calls to action to remedy the identified shortcomings. We then share what has been done by our surgery residency, which has been successful in recruiting LGBTQ-identifying residents and summarize recommendation for moving forward.

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Barriers and facilitators for under-represented in medicine (URiM) medical students interested in surgical sub-specialties

Soto

Lewis

Estrada

et al. 2023

The American Journal of Surgery

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Prevalence, Bias, and Rank List Impact of Illegal Questions in Surgical Specialty Residency Interviews

Cited by 4 publications

References 13 publications

Applicant characteristics and interview-day structure of shoulder and elbow surgery fellowships

Applicant characteristics and interview-day structure of shoulder and elbow surgery fellowships

Creating a Welcoming Surgery Residency Training Program for LGBTQ Trainees

Barriers and facilitators for under-represented in medicine (URiM) medical students interested in surgical sub-specialties

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