Evidence map›Paper›PMID 42284041›Full record

ArticleFamily medicine2026

Use of Preference Signals in Family Medicine Residency Recruitment.

John E Snellings, Hanwen Miao, Daniel L Meyer, Miranda A Moore

Abstract read
In one paragraph

Article in Family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

John E SnellingsDepartment of Family and Community Medicine, Macon & Joan Brock Virginia Health Sciences, Eastern Virginia Medical School, Old Dominion University, Norfolk, VA.
Hanwen MiaoDepartment of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, GA.
Daniel L MeyerMaine-Dartmouth Family Medicine Residency, Brunswick, ME.
Miranda A MooreDepartment of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, GA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIncreases in graduate medical education application volume led to the introduction of preference signaling-a tool within the Electronic Residency Application Service that allows applicants to signal their sincere interest to a limited number of programs. This study aims to evaluate how family medicine program directors used preference signals during the 2023-2024 recruitment season, the first year this tool was available to family medicine programs. Understanding program director perspectives on preference signal utility is crucial for determining the tool's impact on the residency selection process.

methodsData were collected through the Council of Academic Family Medicine Educational Research Alliance survey, which was distributed to Accreditation Council for Graduate Medical Education-accredited US family medicine residency program directors and included questions on preference signaling. We performed statistical analysis using χ2 testing and multivariable logistic regression to assess the association between preference signal use and aspects of resident recruitment.

resultsThe overall response rate to the question set was 308/767 (40.2%). Program directors generally used preference signals as a component of holistic review, which did not supersede factors such as applicant rotation experiences and geographic location preferences as influential to application review. Overall, preference signals did not significantly influence interview offers or applicant ranking.

conclusionsPreference signals have been incorporated into the family medicine residency application review process but did not become a primary determinant in applicant selection during family medicine's first year of utilization. Traditional factors such as rotation performance and geographic preference remain highly influential. Further research is needed to optimize the use of preference signals in family medicine residency recruitment.

Indexed as

Family PracticeInternship and ResidencyPersonnel SelectionEducation, Medical, GraduateHumansSurveys and QuestionnairesUnited States

Identifiers

PMID42284041
PMCPMC13191215

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.