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. 2022 May 10;23(3):345–352. doi: 10.5811/westjem.2022.3.54419

Table 3.

Example scoring rubrics incorporating holistic review concepts.

Reference Specialty Considerations
UCSF GME Handbook for Holistic Review and Best Practices for Enhancing Diversity in Residency and Fellowship Programs81 Internal Medicine
  • Uses a Likert scale of 1–5 to provide scores for components from file review, interview observations, and as an overall rating.

  • File review carries more weight than the interview.

DeBenedectis 201912 Radiology
  • USMLE Step 1 and medical school grades/ranking are only 2 of 10 items scored and are given the same value as other factors (0–3 points each).

  • Factors known to be less associated with diversity, such as research and publications, continue to be included.

Aibana 201978 Internal Medicine
  • Experience/attribute score is calculated if the applicant does not meet USMLE cutoff score but is within 10 points, creating an opportunity to “rescue” an applicant and still offer an interview. USMLE scores are still used for screening.

Barcelo 202179 Psychiatry
  • Use of a positive multiplier if resilience or distance traveled was noticed.

  • Domains and clusters of characteristics with varying tiers of significance create complex composite scores.

UCSF, University of California - San Francisco; GME, graduate medical education; USMLE, United States Medical Licensing Exam.