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Perceptions and Expectations Regarding the Step 1 Score Change Among Surgical and Non-Surgical Program Directors: A Systematic Review and Meta-Analysis.
Srinivasan, Nitin; Samaan, Jamil S; Premkumar, Agnes; Rajeev, Nithya D; Yeo, Yee Hui; Samakar, Kamran.
Afiliação
  • Srinivasan N; Division of Upper GI and General Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
  • Samaan JS; Karsh Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Premkumar A; Department of Surgery, Phoenix Health Sciences Campus, Creighton University School of Medicine, Phoenix, AZ, USA.
  • Rajeev ND; Division of Upper GI and General Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
  • Yeo YH; Karsh Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Samakar K; Division of Upper GI and General Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
Am Surg ; 90(6): 1666-1681, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38305212
ABSTRACT
There are currently no studies examining differences in perceptions and expected impact of the Step 1 score change to pass/fail between surgical and non-surgical program directors (PDs). We conducted a systematic review in May 2023 of PubMed, Scopus, Web of Science, and PSYCInfo to evaluate studies examining PDs' perspectives regarding the Step 1 score change. We performed random-effects meta-analyses to determine differences in perspectives among surgical and non-surgical PDs. Surgical PDs (76.8% [95% CI, 72.1%-82.0%], I2 = 52%) reported significantly greater rates of disagreement with the score change compared to non-surgical (65.1% [95% CI, 57.9%-73.1%], I2 = 69.7%) (P = .01). Surgical PDs also reported significantly greater rates of agreement that the score change will increase the difficulty in objectively comparing applicants (88.1% [95% CI, 84.6%-91.7%], I2 = 16.4%), compared to non-surgical (81.0% [95% CI, 75.6%-86.8%], I2 = 72.6%) (P = .04). There was less heterogeneity among non-surgical PDs (88.7% [95% CI, 86.2%-91.2%], I2 = 0%), compared to surgical (84.7% [95% CI, 79.0%-90.8%], I2 = 67.3%), regarding expected increases in emphasis on Step 2, although the difference in rates of agreement was not statistically significant. Overall, there is significant heterogeneity in the literature regarding expected changes in the residency application review process. Most PDs reported significant disagreement with the score change, greater expected difficulty in objectively evaluating applicants, and greater emphasis on Step 2, with surgical PDs reporting greater rates of disagreement, greater expected difficulty, and heterogeneity regarding expected increases in emphasis on Step 2, compared to non-surgical. Additionally, there is significant heterogeneity in the overall literature regarding expected changes in the residency application review process. Further research is needed to establish evidence-based guidelines that improve the overall residency application process for all stakeholders.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Internato e Residência Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Internato e Residência Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article