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Year : 2020  |  Volume : 6  |  Issue : 2  |  Page : 116-120

Traditional interviewing with Visual Analog Scale predicts emergency medicine resident performance and does not correlate to the standardized video interview: A prospective cohort and cross-sectional study

Department of Emergency Medicine, St. Luke's University Health Network Department of Emergency Medicine, Bethlehem, PA, USA

Correspondence Address:
Dr. Rebecca Jeanmonod
St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJAM.IJAM_29_20

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Study Objective: We evaluate the validity of our internal resident applicant interview scoring system with actual resident performance after at least 2 years of training. We also compare our internal scoring system with the Standardized Video Interview (SVI) scores obtained by the Electronic Residency Application Service. Materials and Methods: The first phase of our study was a before-and-after cohort of six consecutive classes from a single emergency medicine residency program. Faculty members were blinded to each resident's interview score before starting residency and asked to assess their current performance on the same scoring system. The second phase of the study was a prospective cohort of 124 emergency medicine residency candidates interviewing during the 2017–2018 cycle. Results: Fifty-one residents at the postgraduate year 2 level or higher had scoring data available from their interviews and participated in the before-and-after phase of this study. Their mean interview score before starting their residencies was 69.2 on a 100-mm Visual Analog Scale (VAS), with a range of 38.5–94.3. Their performance VAS score after at least 2 years of training had a mean of 69.7 (standard deviation: 15.8), with a range of 13.2–90.1. Using Wilcoxon ranked-sum testing for repeated measures, there were no differences (P = 0.95). Only four residents' VAS scores dropped more than 2 cm. The second phase included a cohort of 124 total applicants from the 2017 to 2018 cycle. Applicant VAS scores ranged from 5 to 91.7 mm, with a mean of 60 mm. Their SVI scores ranged from 13 to 27, with an average of 19.4. The values had a weakly negative relationship, with a correlation coefficient of −0.1. Conclusions: Traditional interviews are a relatively accurate predictor of individual resident performance. There is no correlation between traditional interviews and SVI scores. Although the SVI was initiated to help demonstrate an applicant's interpersonal and communication skills, a face-to-face conversation is irreplaceable. The following core competency statement: Systems-based practice.

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