Journey to the PS Policy in Otolaryngology

B. Renée Overton, MBASenior DirectorResidency & Fellowship Program Solutions November 13-14, 2015

Talking Points• Options Posed to ERAS by Otolaryngology• Introduce new project on residency selection

Available OptionsLimit number of applications

• Benefits: Applicants apply to fewer programs (Some) programs receive fewer applications

• Concerns: ERAS interfering with applicants’ ability to

pursue training/employment Difficulty in determining correct number

across so many specialties Will applicant behavior distribute equitably

across all programs

Available OptionsIncrease fees to restrict applications

ERAS 2016 Fee Structure

Number of Applications Fee

Base Fee up to 10 applications $97.00

Applications 11-20 $11.00 each

Applications 21-30 $16.00 each

Applications > 30 $26.00 each

Cost for Mean Number of Applications in Oto (58): $1095.00

Available OptionsIncrease fees to restrict applications

• Benefits: May deter applicants from applying Programs receive fewer applications

• Concerns: May impact diversity of applicant pool Smaller, less well known programs

negatively impacted AAMC/ERAS accused of inflating fees for

profit

Available OptionsShare with programs where applicants apply/specialties, number of applications

• Benefits: May force targeted applications Reduce the number of applications

• Concerns: HUGE privacy breach May deter parallel plans/cross-applications

Available OptionsCustomized personal statement

• Benefits: Quickly and easily implemented Applicants can express why interested in

program Programs can assess applicant’s fit Applicants apply to fewer programs and

Programs receive fewer applications• Concerns:

Fewer applications may adversely impact smaller, less well known programs

Customized Personal Statement

• Announced: 3 weeks before ERAS Opening Medical Schools and Applicants Respond

• Unanticipated Consequences? Fewer applicants –impact on Match results?

?Are there better, more efficient ways to select applicants who are the best fit for each program?

Optimizing GME …Seven priorities along with requisite goals and objectives in three broad strategic areas for optimizing GME: • Investing in future physicians• Optimizing the environment for learning, care, and discovery• Preparing the physician and physician scientist for the 21st century

Core EPAs Advancing Holistic ReviewResidency Selection Toolbox

We needed …

…A few good programs

AAMC Analytics Project

Selection Project - Interviews• Interviewing Programs (PD/APD/PC teams)

5 Specialties: EM, IM, OB, Oto, PedsAcademic and Community-basedLarge and SmallUrban/Suburban/RuralGeographic Diversity

• 60-minute interview• Early-November to Mid-December• Scheduled at program’s convenience

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Thank You to Our Volunteers

Selection Project – Big Data• Literature Search - Selection• Big Data Review

• From AMCAS – ERAS – GMETrack • Other data sources

• Program Survey in All Specialties

• Next Steps:• Analyze Data• Low Hanging Fruit?• Implementation Roadmap and Timeline

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Thank you for continued support