Prioritization of Diversity During the Residency Match: Trends for a New Workforce

Julie Dinh · Eduardo Salas A

30 citations0/0 files storedJournal of Graduate Medical Education

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Diversity and Career in Medicine Cultural Competency in Health Care Medical Education and Admissions

Abstract

ABSTRACT Background The medical community has been paying increasing attention to diversity. Nascent research suggests that the physician workforce may be experiencing value shifts in this area. Objective This study aims to understand how residency applicant perspectives toward diversity may be evolving. Methods The National Resident Matching Program surveys all applicants regarding factors they consider important when ranking residency programs. Survey data from 2008–2017 were analyzed for changes in respondent perceptions of cultural, racial, and ethnic diversity of geographic location (geographic diversity) and cultural, racial, ethnic, and gender diversity at the destination institution (institutional diversity). We calculated weighted averages and visualized: percentage of respondents citing diversity as a factor when applying for interviews; and mean applicant ratings of diversity when ranking programs, using a 5-point scale (1, not important, to 5, extremely important). Results Respondents at 5 time points ranged from 13 156 to 16 575, with response rates from 42.4% to 58.5%. Between 2008 and 2017, the percentage of applicants citing diversity as a consideration when applying to interview increased from 27.8% to 33.2% for geographic diversity and from 22.3% to 33.8% for institutional diversity. Applicants' mean ratings of importance of diversity when ranking programs increased from 2.7 to 4.2 for geographic diversity and from 2.4 to 4.2 for institutional diversity. Conclusions Over the past 9 years and across specialties, a growing percentage of applicants are considering geographic and institutional diversity when applying to interview at residency programs. Applicants report that both forms of diversity are increasingly important when ranking programs.

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2004Unequal Treatment—Confronting Racial and Ethnic Disparities in Healthcare 1995Determinants of primary care specialty choice 2003Educational Benefits of Diversity in Medical School 2005Does Students?? Exposure to Gender Discrimination and Sexual Harassment in Medical School Affect Specialty Choice and Residency Program Selection?2004Missing Persons: Minorities in the Health Professions, A Report of the Sullivan Commission on Diversity in the Healthcare Workforce

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