![Page 1: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/1.jpg)
Residency selectionWho to take?
Jack Choueka, MDChairman/Program Director
Maimonides Medical Center
Brooklyn, NY
Who not to take…..
![Page 2: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/2.jpg)
Disclosures
• Reviewer – JHS
• Speaker – Xiaflex
• Instructor - Synthes
![Page 3: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/3.jpg)
![Page 4: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/4.jpg)
Easier to get rid of your spouse than a resident
![Page 5: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/5.jpg)
7% OF ALL MATCHED RESIDENTS
REQUIRE SUBSTANTIAL REMEDIATION OR DISMISSAL FROM RESIDENCY TRAINING
![Page 6: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/6.jpg)
Taking the wrong resident
• Decrease morale
• Decrease work efficiency
• Patient care
• Faculty disillusionment
• Adverse effect on recruitment
![Page 7: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/7.jpg)
Who would you take??
![Page 8: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/8.jpg)
• Local
• 245
• AOA
• Good research
• No rotation
• OK Interview
• Great letters
• Regional
• 230
• Not AOA
• Some research
• Great rotation
• Great Interview
• Bad Eval in OB/GYN
• Distant
• 275
• AOA
• No research
• No rotation
• Good Interview
• Bland letters
![Page 9: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/9.jpg)
ERAS– Education History– Work/Volunteer/Research Experience– USMLE Scores– Personal Statement– Letters of Recommendation (LOR)– Deans Letter– Transcript– AOA, Honors, Awards– Other Factors: felonies, couples match, military
obligation, citizenship/Visa requirements
![Page 10: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/10.jpg)
What we do
• Set filters (med school, board scores)
• Assign reviewers who actually will read the applications
• Each application reviewed by at least 2 reviewers
• Offer interviews when consensus occurs
![Page 11: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/11.jpg)
AOA Steering Committee
• Cognitive skills
• Motor Ability
• Affective domain
![Page 12: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/12.jpg)
AOA Steering Committee
• Cognitive skills = Pass boards
• Motor Ability = Can operate
• Affective domain = Won’t torture you
![Page 14: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/14.jpg)
USLME
– Poor correlation with clinical skill acquisition
– Correlates only when outcome is another multiple choice test
– McGaghie et al. “Are the USMLE Step 1 and 2 Scores Valid Measures of Postgraduate Medical Residency Selection Decisions?” Acad Med. 2011; 86:48-52.
![Page 15: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/15.jpg)
Professionalism
• Determine whether standardized admissions data in ERAS were associated with assessments of professionalism
• Comparative statements in LORs (p=.002).
• Cullen, et al. “Selection Criteria for IM Residency Applicants and Professionalism Ratings During Internship”. Mayo Clin Proc. 2011; 86(3):197-202.
![Page 16: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/16.jpg)
Orthopaedic Specific Research
![Page 17: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/17.jpg)
“Resident Selection: how are we doing and why?” Thordarson, et al. Clinical Orthopedics and Related Research 2007
• Fair/poor correlations noted between residents’ initial and graduation rankings
• No faculty consensus about ranking of residents upon graduation
![Page 18: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/18.jpg)
Dirschl et al. “Resident selection and predictors of performance: can we be evidence
based?” Clinical Orthopedics and Related Research 2006
• Objective: To determine if an academic score, using objective elements only, will discriminate among applicants and correlate with resident outcomes
• Conclusion: Calculating academic score makes application screening process more objective does not appear to correlate with outcomes of the training program
![Page 19: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/19.jpg)
Affective Domain
• Rated as high importance for PD’s
• Correlates with number of medical school honors (Dirschl 2002)
![Page 20: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/20.jpg)
Predictors of Residency Success
• Charitable involvement
• Varsity sports – selection to chief resident– (Spitzer et al HJD 2009)
![Page 21: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/21.jpg)
Summary
• No real consensus on good predictors
• Outcome measures vary among studies
• Faculty evaluations too inconsistent
• Program specific
![Page 22: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/22.jpg)
Milestones may provide more universal outcome measures
![Page 23: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/23.jpg)
My Reality
• Most residents pass their boards
• Most residents will make you proud
• Even the difficult ones find their way
![Page 24: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/24.jpg)
….But I need to get through the day
![Page 25: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/25.jpg)
Program Fit
• Hospital’s culture
• Know your faculty
• Resident environment
![Page 26: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/26.jpg)
Hospital Culture
• Patient mix
• Languages
• Other residency programs
• Hospital perception of residents
• Institutional opportunities
![Page 27: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/27.jpg)
Faculty
• Clinical vs. Academic
• Teaching style
• Specific mentor
![Page 28: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/28.jpg)
Your Residents
• Which ones thrive
• Hierarchy
• Diversity
![Page 29: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/29.jpg)
Our culture
• Highly diverse patients pop.• 73 languages• Extreme VIPism • Large residencies in other specialties with large
numbers of IMG’s• Residents Included at many administrative levels• Small busy program = cross coverage
![Page 30: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/30.jpg)
Traits we look for
• Leadership
• Independent
• Teaching ability
• Team players
• Inspirational
• Ethical
• Potential faculty
![Page 31: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/31.jpg)
Past experience determines future performance
• Know the traits you want
• Ask for specifics
• Let them do the talking
![Page 32: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/32.jpg)
80% of US applicants Match
• They pick you more than you pick them
![Page 33: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/33.jpg)
The match curve
Program
Applicant Middle BottomTop
Top Middle Bottom
![Page 34: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/34.jpg)
The match curve
Program
Applicant Middle BottomTop
Top Middle Bottom
![Page 35: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/35.jpg)
The match curve
Program
Applicant Middle BottomTop
Top Middle Bottom
![Page 36: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/36.jpg)
The match curve
Program
Applicant Middle BottomTop
Top Middle Bottom
![Page 37: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/37.jpg)
Things that tip your position on the match curve
• Program size
• Academic affiliations
• Location
• Institutional viability
• High turnover of faculty
• Unhappy residents
• Disorganized selection process
![Page 38: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/38.jpg)
Improve your position
• Respect the candidates
• Good communication
• Prepared for interviews
• Engaged faculty and residents
• Lunch
• Interview reception
• Website/social media
![Page 39: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/39.jpg)
![Page 40: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/40.jpg)
![Page 41: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/41.jpg)
![Page 42: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/42.jpg)
MAKING THE RANK LIST
![Page 43: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/43.jpg)
Develop ranking system
• Be consistent
– Rankers– Criteria– Include residents in interview
![Page 44: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/44.jpg)
![Page 45: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/45.jpg)
The Shoe-in
• Tend to move down the list
• If you want them take them
![Page 46: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/46.jpg)
The overqualified candidate
• Would you take them without the resume
• Do they have passion for the program
• Same qualities that make them overqualified probably makes them adapt
![Page 47: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/47.jpg)
Board Scores
• Decide on minimum requirement and don’t look back
![Page 48: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/48.jpg)
Call references
![Page 49: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/49.jpg)
Most important rank
• Last one on the list– Would rather have that person than
nobody
![Page 50: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/50.jpg)
What if you don’t fill
• Don’t panic– Plenty of good applicants– Take your time– Review applicants– Mini interview session– Listen to references
![Page 51: Residency selection Who to take? Jack Choueka, MD Chairman/Program Director Maimonides Medical Center Brooklyn, NY Who not to take…](https://reader035.vdocuments.us/reader035/viewer/2022062804/56649e025503460f94aec8c2/html5/thumbnails/51.jpg)
Thank You