RESUMO
BACKGROUND: The COVID-19 pandemic caused graduate medical education (GME) programs to pivot to virtual interviews (VIs) for recruitment and selection. This systematic review synthesizes the rapidly expanding evidence base on VIs, providing insights into preferred formats, strengths, and weaknesses. METHODS: PubMed/MEDLINE, Scopus, ERIC, PsycINFO, MedEdPublish, and Google Scholar were searched from 1 January 2012 to 21 February 2022. Two authors independently screened titles, abstracts, full texts, performed data extraction, and assessed risk of bias using the Medical Education Research Quality Instrument. Findings were reported according to Best Evidence in Medical Education guidance. RESULTS: One hundred ten studies were included. The majority (97%) were from North America. Fourteen were conducted before COVID-19 and 96 during the pandemic. Studies involved both medical students applying to residencies (61%) and residents applying to fellowships (39%). Surgical specialties were more represented than other specialties. Applicants preferred VI days that lasted 4-6 h, with three to five individual interviews (15-20 min each), with virtual tours and opportunities to connect with current faculty and trainees. Satisfaction with VIs was high, though both applicants and programs found VIs inferior to in-person interviews for assessing 'fit.' Confidence in ranking applicants and programs was decreased. Stakeholders universally noted significant cost and time savings with VIs, as well as equity gains and reduced carbon footprint due to eliminating travel. CONCLUSIONS: The use of VIs for GME recruitment and selection has accelerated rapidly. The findings of this review offer early insights that can guide future practice, policy, and research.
Assuntos
COVID-19 , Educação Médica , Internato e Residência , Humanos , Pandemias , COVID-19/epidemiologia , Educação de Pós-Graduação em Medicina , Bolsas de EstudoRESUMO
Approximately 4.8 million Asian Indians were documented by the US Census Bureau in 2023. Members of this population follow different religious practices, speak a multitude of languages, and belong to different socioeconomic classes. Asian Indians immigrated to this country in different waves, leading to transgenerational diversity. Immigration, financial, religious, and cultural factors uniquely impact how Asian Indians interact with their healthcare providers. Asian Indians have settled throughout the country, and it is important that clinicians familiarize themselves with the specific health concerns that affect this rapidly growing population.
Assuntos
Asiático , Idoso , Humanos , Asiático/estatística & dados numéricos , Índia/etnologia , Estados UnidosRESUMO
Long COVID, also known as PASC (post-acute sequelae of SARS-CoV-2), is a complex infection-associated chronic condition affecting tens of millions of people worldwide. Many aspects of this condition are incompletely understood. Among them is how this condition may manifest itself in older adults and how it might impact the older population. Here, we briefly review the current understanding of PASC in the adult population and examine what is known on its features with aging. Finally, we outline the major gaps and areas for research most germane to older adults.