Mitigating Bias in Resident and Medical Student Recruitment
Session TypeWorkshop
Yes
- Diversity, Equity and Inclusion (DEI)
- Faculty Development
- Graduate Surgical Education
From evidence of gender and racial bias within faculty letters of recommendation to the race-based differences present in examination scores such as the USMLE Step 1 and 2, bias is pervasive within medical student and resident recruitment. Implicit biases such as these stem from unconscious or involuntary judgments one makes toward a person based on an internalized stereotype, often coming from a lived experience. These biases are highly prevalent within medical education, such as is demonstrated in studies showing that staff surgeons prefer men in fields such as surgery and women in fields such as family medicine, and lead to discrimination toward trainees who are under-represented in medicine.
Implicit bias can be most impactful when making high stakes decisions, such as during resident and medical student recruitment. Comments such as “they just don’t fit our program” may mask an underlying implicit bias against the “other” or preference for an applicant who has shared characteristics with an interviewer, a phenomenon known as cloning. Further, over-reliance on inherently biased, seemingly objective assessments such as grades and test scores to screen applicants can result in less diversity within a medical school or residency program.
Trainee recruitment in medical education has undergone significant change over the past few decades, as medical schools and residency programs alike shift from a focus on grades and test scores to holistic review. In order to increase recruitment of diverse trainees in UME and GME as these changes occur, we must train our educators in effective strategies for mitigating the impact of implicit bias. Therefore, this workshop (co-sponsored by the DEI, GSE, and Faculty Development Committees) aims to give UME and GME leaders in education the tools they need to conduct effective holistic reviews of applicants while decreasing the implicit bias in selection committee meetings and decisions.
90-minute workshop
Yes
Yes
Describe an effective process for holistic review of applicants to medical school or residency
Strategize solutions to common barriers to holistic review
Identify methods for mitigating the impact of implicit bias within faculty interviews and selection committee decisions
Activity Order | Title of Presentation or Activity | Presenter/Faculty Name | Presenter/Faculty Email | Time allotted in minutes for activity |
---|---|---|---|---|
1 |
Introduction to Implicit Bias in Recruitment |
Sarah Lund |
[email protected] |
10 |
2 |
Conducting Holistic Review: Small Group Case-Based Discussion |
Amanda Cooper |
[email protected] |
20 |
3 |
Conducting Holistic Review: Large Group Debrief and Explanation of Best Practices |
Amanda Cooper |
[email protected] |
15 |
4 |
Interviews and Selection Committee Meetings: Small Group Case-Based Discussion |
Sarah Lund |
[email protected] |
20 |
5 |
Mitigating Bias in Interviews and Selection Meetings: Large Group Debrief and Explanation of Best Practices |
Sarah Lund |
[email protected] |
25 |