Predicting Who Will Choose a Family Medicine Residency.

To create and evaluate a screening instrument and a revised interview format for use in the selection of family medicine residents at the McGill University Faculty of Medicine. The screening tool consisted of two sections: an assessment of academic performance (the TASS) and an evaluation of applicantsʼ generalist versus specialist orientation (the GSSS); each applicantʼs file was assessed by two raters. The revised interview included specific questions and scenarios related to family medicine. All three parts were tested on 143 applicants from outside the region of Quebec in 1994–95. The results on both parts of the screening tool and the interview were compared with the studentsʼ first choices of residency and then were compared with the performances of the 24 accepted into the program as reflected in their first six-month summative evaluation forms. Data were analyzed through several statistical methods. Only the GSSS accurately predicted the applicantsʼ first choices (for agreement between both raters: sensitivity, 81%; specificity, 70%; accuracy, 78%). No significant association was found when comparing matching applicantsʼ scores obtained during the selection process with their scores on the six-month evaluation forms. The GSSS may prove useful as a tool in the review of applicantsʼ files. More studies are needed to reevaluate the use of the interview in the selection process and to help determine whether any selection instrument can accurately predict applicantsʼ subsequent performances in a residency.Acad. Med. 1997;72:908–912.

预测谁将选择家庭医学住院医师。

创建和评估一个筛选工具和一个修订的访谈形式，用于麦吉尔大学医学院家庭医学住院医师的选择。筛选工具由两部分组成:学业成绩评估(TASS)和申请人通才与专科方向评估(GSSS)；每个申请人的档案都由两名评估员进行评估。修改后的访谈包括与家庭医学相关的具体问题和情景。在1994-1995年间，这三个部分都在来自魁北克地区以外的143名申请人身上进行了测试。筛选工具和面试两部分的结果与学生的第一选择进行了比较，然后与24名被该项目接受的学生的表现进行了比较，这些表现反映在他们的第一个六个月总结性评估表中。数据通过几种统计方法进行分析。只有GSSS准确地预测了申请人的第一选择(对于两个评价者之间的一致:敏感性，81%；特异性，70%；准确率，78%)。当比较在选择过程中获得的匹配申请人的分数与他们在六个月评估表上的分数时，没有发现显著的关联。GSSS可以证明是审查申请人档案的有用工具。需要更多的研究来重新评估面试在选拔过程中的作用，并帮助确定任何选拔工具是否能准确预测申请人在住院医师培训中的后续表现。1997;72:908–912.