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Dermatology resident selection: Shifting toward holistic review?

2020; Elsevier BV; Volume: 84; Issue: 4 Linguagem: Inglês

10.1016/j.jaad.2020.11.025

1097-6787

Janiene Luke, Lynn A. Cornelius, Henry W. Lim,

Musculoskeletal Disorders and Rehabilitation

To the Editor: Dermatology is one of the most competitive specialties yet also one of the least diverse. 1 Pandya A.G. Alexis A.F. Berger T.G. Wintroub B.U. Increasing racial and ethnic diversity in dermatology: a call to action. J Am Acad Dermatol. 2016; 74: 584-587 Abstract Full Text Full Text PDF PubMed Scopus (61) Google Scholar According to the American Association of Medical Colleges (AAMC), underrepresented in medicine (UIM) refers to racial/ethnic populations that are underrepresented in medicine relative to the general population. 2 Association of American Medical Colleges websiteUnderrepresented in medicine definition. https://www.aamc.org/what-we-do/diversity-inclusion/underrepresented-in-medicineDate accessed: October 1, 2020 Google Scholar When compared with other specialties, dermatology was one of the least diverse, second only to orthopedic surgery, despite evidence showing that a diverse physician workforce is correlated with increased patient satisfaction and improvement in health care disparities. 1 Pandya A.G. Alexis A.F. Berger T.G. Wintroub B.U. Increasing racial and ethnic diversity in dermatology: a call to action. J Am Acad Dermatol. 2016; 74: 584-587 Abstract Full Text Full Text PDF PubMed Scopus (61) Google Scholar The current resident selection process places significant emphasis on "objective" measures of academic performance such as United States Medical Licensing Examination (USMLE) scores, AΩA membership, and grades, especially during the prescreening process where programs receive hundreds of applications for limited open positions. The 3-step USMLE was created to provide a unified path to medical licensure and its secondary use for resident selection has become an unintended consequence. In light of this and other concerns over student learning and well-being, the USMLE announced a change from reporting a 3-digit numeric score to pass/fail effective January 1, 2022.