TY - JOUR
T1 - Rationales for a Lottery Among the Qualified to Select Medical Trainees
T2 - Decades of Dutch Experience
AU - Ten Cate, Olle
PY - 2021/10
Y1 - 2021/10
N2 - Graduate medical education’s obsession with choosing the ‘‘best’’applicants, among many candidates for a finite number of positions, has produced a frustrating and timeconsuming recruitment process. That many applicants or programs may be disappointed by this process seems unavoidable. Medical schools and residency programs expend enormous amounts of time and effort as well. When no valid, rational choice among roughly equal candidates can be made, a random choice—a lottery—emerges. At a time when the selection for US residency programs can no longer rely on United States Medical Licensing Examination (USMLE) Step 1 scores as a filter—from 2022 they will only be reported pass/fail1–4—it may be worth considering the rationales for a lottery system.
AB - Graduate medical education’s obsession with choosing the ‘‘best’’applicants, among many candidates for a finite number of positions, has produced a frustrating and timeconsuming recruitment process. That many applicants or programs may be disappointed by this process seems unavoidable. Medical schools and residency programs expend enormous amounts of time and effort as well. When no valid, rational choice among roughly equal candidates can be made, a random choice—a lottery—emerges. At a time when the selection for US residency programs can no longer rely on United States Medical Licensing Examination (USMLE) Step 1 scores as a filter—from 2022 they will only be reported pass/fail1–4—it may be worth considering the rationales for a lottery system.
KW - Humans
KW - Internship and Residency
UR - http://www.scopus.com/inward/record.url?scp=85121357851&partnerID=8YFLogxK
U2 - 10.4300/JGME-D-21-00789.1
DO - 10.4300/JGME-D-21-00789.1
M3 - Editorial
C2 - 34721786
SN - 1949-8357
VL - 13
SP - 612
EP - 615
JO - Journal of graduate medical education
JF - Journal of graduate medical education
IS - 5
ER -