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Shift in the Future of Cardiothoracic Surgery Applications: Holistic or Too Optimistic?

Published:September 08, 2022DOI:https://doi.org/10.1053/j.semtcvs.2022.08.015
      In this issue of Seminars in Thoracic and Cardiovascular Surgery, Aranda-Michel and colleagues evaluated the change in cardiothoracic surgery residency application towards a more holistic approach. This is a shift away from traditional numerical metrics such as USMLE scores to research, sub-internships and away rotations, interviews, and letters of recommendation (LOR).
      • Aranda-Michel E.
      • Trager L.E.
      • Han J.J.
      • et al.
      Considerations for a holistic model in evaluating medical students for cardiothoracic surgical residency.
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      References

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        • Trager L.E.
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        Considerations for a holistic model in evaluating medical students for cardiothoracic surgical residency.
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      Linked Article

      • Reply: A Paradigm Shift is Starting Point
        Seminars in Thoracic and Cardiovascular Surgery
        • Preview
          We thank Marrero et al for their thoughtful response to our recent manuscript exploring the changing evaluatory paradigms in cardiothoracic surgery.1,2 Discourse is essential to any paradigm shift, as we all grapple with what these new ideas signify in the context of our own lives and programs, and their letter raises thoughtful questions about equitability.
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      • Considerations for a Holistic Model in Evaluating Medical Students for Cardiothoracic Surgical Residency
        Seminars in Thoracic and Cardiovascular Surgery
        • Preview
          Program directors are tasked with selecting whom they think will be the best fit for residency and the next leaders of the field. While numerical metrics have played a vital role in this process, recent changes to student evaluation are reducing the availability of these metrics. This poses unique challenges for both applicants and program directors. Here we discuss how this will likely shift the focus on other parts of the application and the consequences (good and bad) of doing so.
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