Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer Assessments

Introduction:  For regional campuses with specific program foci, assessing applicant fit necessarily extends beyond academic and professional factors. Based on assessments of applicants to a regional Rural Physician Leadership Program (RPLP), this study explores the relationship of academic and soci...

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Main Authors: Terry Stratton, Carol Elam, Paula Arnett, Anthony Weaver
Format: Article
Language:English
Published: University of Minnesota Libraries Publishing 2020-05-01
Series:Journal of Regional Medical Campuses
Subjects:
Online Access:https://pubs.lib.umn.edu/index.php/jrmc/article/view/2240
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author Terry Stratton
Carol Elam
Paula Arnett
Anthony Weaver
author_facet Terry Stratton
Carol Elam
Paula Arnett
Anthony Weaver
author_sort Terry Stratton
collection DOAJ
description Introduction:  For regional campuses with specific program foci, assessing applicant fit necessarily extends beyond academic and professional factors. Based on assessments of applicants to a regional Rural Physician Leadership Program (RPLP), this study explores the relationship of academic and socio-demographic factors with interviewers’ ratings of: (1) likelihood of eventually practicing in a rural area of the state; and (2) overall acceptability to medical school. Methods:  The study population consisted of 163 first-time RPLP applicants interviewed independently from 2009-2016 by two faculty members at both main and regional medical campuses.  Path analysis was used to calculate direct, indirect, and total effects of applicants’ socio-demographic and academic characteristics on interviewers’ composite ratings. This study protocol (#17-0198-X3B) was approved as exempt by the governing Institutional Review Board; the authors report no conflicts of interest. Results: The combined influence of being an in-state resident with rural Appalachian origins, combined with undergraduate GPA, explained 40.7% of the variance in applicants’ predicted likelihood of practicing in rural Kentucky. In terms of applicant acceptability, the strongest direct effects were exerted by academic factors, GPA and total MCAT score, and the sole preceding endogenous variable: likelihood of rural in-state practice.  However, two other background factors were modestly but significantly directly associated with overall acceptability:  (1) age; and (2) residence. Specifying likelihood of rural practice as an intervening variable explained 42.5% of the variance in applicant acceptability and provided a good fit to the sample data (X2 = 3.19, df = 4 , p = .526, CFI = 1.000, RLI = 1.018, RMSEA = .000). Conclusions: Interviewers appear to be assessing programmatic, mission-specific “fit” within the broader context of applicants’ abilities to navigate a demanding professional training curriculum. Future research should examine graduates’ eventual practice locations and intermediate academic performance as empirical validity of faculty interviewers’ assessments. Similarly, pre-professional pipeline efforts should better coordinate with training programs to provide consistent opportunities to nurture interest in mission-specific outcomes.
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spelling doaj.art-971ad288e0884fefbcc6787d30238bfb2022-12-21T20:25:41ZengUniversity of Minnesota Libraries PublishingJournal of Regional Medical Campuses2576-55582020-05-013110.24926/jrmc.v3i1.2240Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer AssessmentsTerry Stratton0Carol Elam1Paula Arnett2Anthony WeaverUniversity of Kentucky College of MedicineUniversity of Kentucky College of MedicineUniveristy of Kentucky College of Public HealthIntroduction:  For regional campuses with specific program foci, assessing applicant fit necessarily extends beyond academic and professional factors. Based on assessments of applicants to a regional Rural Physician Leadership Program (RPLP), this study explores the relationship of academic and socio-demographic factors with interviewers’ ratings of: (1) likelihood of eventually practicing in a rural area of the state; and (2) overall acceptability to medical school. Methods:  The study population consisted of 163 first-time RPLP applicants interviewed independently from 2009-2016 by two faculty members at both main and regional medical campuses.  Path analysis was used to calculate direct, indirect, and total effects of applicants’ socio-demographic and academic characteristics on interviewers’ composite ratings. This study protocol (#17-0198-X3B) was approved as exempt by the governing Institutional Review Board; the authors report no conflicts of interest. Results: The combined influence of being an in-state resident with rural Appalachian origins, combined with undergraduate GPA, explained 40.7% of the variance in applicants’ predicted likelihood of practicing in rural Kentucky. In terms of applicant acceptability, the strongest direct effects were exerted by academic factors, GPA and total MCAT score, and the sole preceding endogenous variable: likelihood of rural in-state practice.  However, two other background factors were modestly but significantly directly associated with overall acceptability:  (1) age; and (2) residence. Specifying likelihood of rural practice as an intervening variable explained 42.5% of the variance in applicant acceptability and provided a good fit to the sample data (X2 = 3.19, df = 4 , p = .526, CFI = 1.000, RLI = 1.018, RMSEA = .000). Conclusions: Interviewers appear to be assessing programmatic, mission-specific “fit” within the broader context of applicants’ abilities to navigate a demanding professional training curriculum. Future research should examine graduates’ eventual practice locations and intermediate academic performance as empirical validity of faculty interviewers’ assessments. Similarly, pre-professional pipeline efforts should better coordinate with training programs to provide consistent opportunities to nurture interest in mission-specific outcomes.https://pubs.lib.umn.edu/index.php/jrmc/article/view/2240admissionruralregional
spellingShingle Terry Stratton
Carol Elam
Paula Arnett
Anthony Weaver
Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer Assessments
Journal of Regional Medical Campuses
admission
rural
regional
title Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer Assessments
title_full Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer Assessments
title_fullStr Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer Assessments
title_full_unstemmed Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer Assessments
title_short Applicant Selection to a Regional Medical Training Program: A Structural Analysis of Interviewer Assessments
title_sort applicant selection to a regional medical training program a structural analysis of interviewer assessments
topic admission
rural
regional
url https://pubs.lib.umn.edu/index.php/jrmc/article/view/2240
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