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The Fellowship Interview - American College of Rheumatology Flipbook PDF
The Fellowship Interview Aashish Didwania, MD Agenda • Purpose of the Interview ... • Interview: “Pressured speech, ramb
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Approaches to Interviewing Aashish Didwania, MD
The Fellowship Interview Aashish Didwania, MD
Agenda • Purpose of the Interview • Techniques to Interviewing • Practical Advice
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Approaches to Interviewing Aashish Didwania, MD
Factors Program Directors Perceive as Most Important to Future Success
Green M, et al. 2009;84(3):362-367.
Residency Ranking 4 x School Rank (schools rated 1 to 5) 4 x Overall Class Rank (clerkship grades and deans rank) 1 x Medicine Rank (grades from 3rd year, sub I) 1 x Step I Neely D, et al. J Grad Med Educ. 2010 March; 2(1): 129–132.
Interview evaluations are used to fine tune.
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Approaches to Interviewing Aashish Didwania, MD
John Doe • Top 10 Medical School • Top Quartile of Class • Honors in Medicine • Step I 267 Initial ranking Very High = Ranked to Match • Interview: “Pressured speech, rambled, didn’t answer questions, didn’t let me talk” Final ranking Bubble
Fellowship Ranking • Residency/Medical School Reputation • Research – Peer Reviewed Publications – National/Regional Abstract presentations
• Letters of Recommentation • The Interviews • AOA status • Other (Leadership positions, QI, Community Service)
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Approaches to Interviewing Aashish Didwania, MD
What Is the Role of the Interview? • Identify fit • Predict success • Screen for trouble • Sell the program
Interview as a Predictor of Performance • Clinical Performance – Maybe. Conflicting evidence. • Professionalism issues – Maybe. Evidence suggests against
• Academic Success – No evidence
• Fellowship success – No evidence
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Approaches to Interviewing Aashish Didwania, MD
Structured vs Unstructured Interviews
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Approaches to Interviewing Aashish Didwania, MD
Multiple Mini Interviews Placebo (Ethical Decision Making). Dr. Cheung recommends homeopathic medicines to his patients. There is no scientific evidence or widely accepted theory to suggest that homeopathic medicines work, and Dr. Cheung doesn't believe them to. He recommends homeopathic medicine to people with mild and non‐ specific symptoms such as fatigue, headaches and muscle aches, because he believes that it will do no harm, but will give them reassurance. Consider the ethical problems that Dr. Cheung's behavior might pose. Discuss these issues with the interviewer.
The Behavioral-Based Interview (BBI)
Past behavior predicts future behavior Explores job‐related experiences, behaviors and skills Questions start broadly and become more probing
Byham. Targeted Selection. 1996.
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Approaches to Interviewing Aashish Didwania, MD
BBI Tell me about a time when you: • • • • • • •
Were intimidated / yelled at Felt overwhelmed Succeeded at a difficult task Failed Displayed teamwork Displayed leadership Displayed coping skills
MMI •How would you handle a patient who refused recommended therapy? •How would you respond to an abusive attending? •What would you tell a resident who asked you to do something you did not agree with?
“Why did you do that?” “What did you learn?”
Northwestern’s Semi-structured Interview
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Approaches to Interviewing Aashish Didwania, MD
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Approaches to Interviewing Aashish Didwania, MD
Preparing for Interview Season
• Define what you are looking for • Faculty development • Structured reporting
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Approaches to Interviewing Aashish Didwania, MD
From the ‘Other Side’: Turn offs • Medical questions/case scenarios • Interviewers who didn’t bother to review file or seem disinterested • Being asked where else they’ve interviewed • Negative comments about other training programs
Don’t Ask • Marital status • Kids • Family • Sexuality • Disability
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Approaches to Interviewing Aashish Didwania, MD
Promote Achievements: Research Day, 2012
A Leading Provider of Charity Care FY10 IDPH Reported Charity Care: Top 15 Hospitals Ranked by $ (in millions) $99.3
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Approaches to Interviewing Aashish Didwania, MD
1. Collegiality – ‘Nice, Hard‐working and Smart’. 2. Mentorship ‐ outstanding clinical and research. 3. Research – majority of residents publish a paper by graduation. 4. Simulation – award winning curriculum teaching leadership, comm. and procedural skills. 5. Interdisciplinary rounds – proven high quality patient care. 6. Education – comprehensive didactic and experiential curriculum. 7. Outpatient – two ½ day clinics and emphasis on outpatient medicine in morning report. 8. Fellowship Match – strong match in all subspecialties. 9. Accreditation – perfect record with the ACGME. 10. Chicago ‐ amazing.
Conclusions • Interviews play a role • Structured interviews – MMI – BBI
• Faculty Development – Interview structure – Reporting
• Appeal to applicants
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Approaches to Interviewing Aashish Didwania, MD
Thank You
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