1. Journey to the PS Policy in Otolaryngology B. Renée Overton, MBA Senior Director Residency & Fellowship Program Solutions November 13-14, 2015

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

3. Available Options Limit 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

4. Available Options Increase fees to restrict applications ERAS 2016 Fee Structure Number of ApplicationsFee 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

5. Available Options Increase 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

6. Available Options Share 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

7. Available Options Customized 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

8. Customized Personal Statement Announced: 3 weeks before ERAS Opening Medical Schools and Applicants Respond Unanticipated Consequences? Fewer applicants –impact on Match results?

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

10. 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 Review Residency Selection Toolbox

11. We needed … …A few good programs AAMC Analytics Project

12. Selection Project - Interviews Interviewing Programs (PD/APD/PC teams) 5 Specialties: EM, IM, OB, Oto, Peds Academic and Community-based Large and Small Urban/Suburban/Rural Geographic Diversity 60-minute interview Early-November to Mid-December Scheduled at program’s convenience

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14. 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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