PONTIFICIA UNIVERSIDAD CATOLICA DE CHILE (PUC)

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1 PONTIFICIA UNIVERSIDAD CATOLICA DE CHILE (PUC) 1

2 selection for residency programs at the PUC Author: Trinidad Hoyl, Jaime Godoy Date: October 20th, 2012

3 I have/had an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. J ai (ou j ai eu) une affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. Invited speaker for MSD Symposium at ACP Meeting, Santiago Chile. PI in International Clinical trial (AD)with Medivation (2010) Author: Trinidad Hoyl, MD Date: October 20, 2012

J ai (ou j ai eu) une affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d

4 Trinidad Hoyl, MD selection for residency programs at the PUC The Pontificia Universidad Católica de Chile (PUC) has trained medical residents since Each year we offer about 110 positions in 24 different residency programs. We have 2 independent selection process which depend on the funding source:» 60-70% of the resident apply through the PUC selection process (system A, university funding)» 30-40% of residents use system B (Minsal, public funding) 4

We have 2 independent selection process which depend on the funding source:» 60-70% of the resident apply through

5 selection for residency programs at the PUC System A: PUC Open to all Chilean MDs University Funding Selection includes a 3- step method which includes evaluation of quantitative and qualitative parameters. System B: MINSAL Addressed to MINSAL MDs (employees) Funded by the Ministry of Health System (MINSAL). Applicants are pre-selected by MINSAL based on quantitative parameters defined by the institution. PUC can only accept or reject applicants. 5

System B: MINSAL Addressed to MINSAL MDs (employees) Funded by the Ministry of Health System (MINSAL).

6 selection for residency programs at the PUC System A: 3- step method: evaluation of quantitative and qualitative parameters. (Chilean National examination scores, Medical School grading, number of publications, recommendation letters, personal statement letter) psychological evaluation two personal interviews (PGME System B: Applicants are selected by Minsal and presented to PUC PUC analyze the applicants and can only accept or reject them: Medical School gradings, psychological interview competency, 2 personal interviews. board and PD) PGME Board selection meeting 6

psychological evaluation two personal interviews (PGME System B: Applicants are selected by Minsal and presented to PUC PUC analyze the

7 selection for residency programs at the PUC RESULTS: PUC Contest : system A MINSAL Contest : system B Period Evaluated Specifications: Open to all chilean MDs Only MINSAL employees Applications received (total N) Admitted residents Rejected applications year follow up: Source Note Failure rate: 1,5% Success rate: 98,5% Failure rate: 7,3% Success rate: 92% 7

employees Applications received (total N) 1071 143 Admitted residents 200 123 Rejected applications 871

8 selection for residency programs at the PUC Discussion Both selection systems have a high success rate, as measured by the number of residents that complete the programs However, there is a significant difference between them, since the failure rate is 1.5% for system A and 7.3% for system B (Pearson Chi-square 0,007) 8

the programs However, there is a significant difference between them, since the

9 selection for residency programs at the PUC The main difference between both systems is the qualitative component, which is higher in system A, but also some quantitative items (NMQ and NME) are sometimes higher for residents selected by system A. Since both groups follow identical programs, and the assessment is also the same, we hypothesized that selection system might explain the difference in failure rate. This emphasizes the importance of qualitative parameters in the resident selection process. 9

Since both groups follow identical programs, and the assessment is also the same, we hypothesized that selection system might

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Optimization of clinical teaching feedback delivery in radiology residency. Colin Mar, MD Silvia Chang, MD Bruce Forster, MD

Optimization of clinical teaching feedback delivery in radiology residency Colin Mar, MD Silvia Chang, MD Bruce Forster, MD I do not have an affiliation (financial or otherwise) with a pharmaceutical,