The New Gastroenterologist

Recruiting gastroenterology and hepatology fellows virtually - Should we continue after the pandemic?


 

Recruiting medical trainees is a major yearly step for all teaching hospitals in health care. The concept of interviewing residents and fellows virtually is not completely new and has been used in the past.1 With the coronavirus disease-19 (COVID-19) epidemic, the Association of American Medical Colleges (AAMC) recommended in May 2020 that all interviews be conducted virtually to ensure safety and prevent spread of the disease.2,3 Over the past few years, and with the gradual loosening of some restrictions, some programs have adopted a hybrid interview model for their recruitment plan, while others continue to use the virtual model exclusively.

In this paper, we share our personal experience with recruiting gastroenterology and hepatology fellows virtually, from the standpoint of the program director (Dr. Clark) and the associate program director (Dr. Dakhoul) of the fellowship program at the University of Florida in Gainesville. We have conducted our fellowship interviews for the academic year 2022-2023 completely virtually over multiple half-day sessions and fully matched all four positions. At the time of the interviews, we extended a general invitation to all candidates for an in-person visit for the purpose of touring the facilities and our community. Out of the 37 applicants interviewed, 2 made an in-person visit later.

Dr. Lara Dakhoul, division of gastroenterology and hepatology, University of Florida, Gainesville

Dr. Lara Dakhoul

After we concluded the interview season, we conducted a brief, anonymous survey to assess the overall experience of the interviewees with their virtual interviews. (See end of this article.) The survey contained a combination of single-choice questions and open-ended questions. The response rate was 35%. Most responders (92.3%) thought that they had a great understanding of the program from the information provided to them, and 84.6% were quite satisfied with their virtual interview experience. Regarding the likelihood of accepting the interview if it were offered in person, only one person answered that he/she would not have accepted the invitation. A total of 31% of participants might have changed the ranking of the program if they’d had an in-person interview instead.

When asked to choose between an invitation for an in-person vs. a virtual interview, the majority (77%) chose the virtual option. The stated pros of being interviewed virtually included convenience (not having to find coverage, etc.), time and cost savings, and a less stressful experience. Cons were focused mostly on not being able to see the hospital or the geographical area in person, as well as limited exposure to the facility and work environment for subjective assessment of “fitting” into the program. Additional comments included mostly positive feedback about the whole experience specific to the program. Finally, 77% of respondents recommended that the program should continue to conduct its interviews virtually.

Tiffany Rhoden, division of gastroenterology and hepatology, University of Florida, Gainesville

Tiffany Rhoden

It seems that the general feedback from our survey was positive. Certainly, limitations exist, including but not limited to the response rate, the geographic locations of the invited candidates, the design of the interview day, and familiarity with the fellowship program and the surrounding area. Several studies have been published on the topic with variable results across centers and among specialties, but most of them reported an encouraging overall experience.4-9

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