Advances in Health Sciences Education

, Volume 23, Issue 3, pp 601–610 | Cite as

An equivalence study of interview platform: Does videoconference technology impact medical school acceptance rates of different groups?

  • Marlene P. BallejosEmail author
  • Scott Oglesbee
  • Jennifer Hettema
  • Robert Sapien


Web-based interviewing may be an effective element of a medical school’s larger approach to promotion of holistic review, as recommended by the Association of American Medical Colleges, by facilitating the feasibility of including rural and community physicians in the interview process. Only 10% of medical schools offer videoconference interviews to applicants and little is known about the impact of this interview modality on the admissions process. This study investigated the impact of overall acceptance rates using videoconference interviews and face-to-face interviews in the medical school selection process using an equivalence trial design. The University of New Mexico School of Medicine integrated a videoconferencing interview option for community and rural physician interviewers in a pseudo-random fashion during the 2014–2016 admissions cycles. Logistic regression was conducted to examine whether videoconference interviews impacted acceptance rates or the characteristics of accepted students. Demographic, admissions and diversity factors were analyzed that included applicant age, MCAT score, cumulative GPA, gender, underrepresented in medicine, socioeconomic status and geographic residency. Data from 752 interviews were analyzed. Adjusted rates of acceptance for face-to-face (37.0%; 95% CI 28.2, 46.7%) and videoconference (36.1%; 95% CI 17.8, 59.5%) interviews were within an a priori ± 5% margin of equivalence. Both interview conditions yielded highly diverse groups of admitted students. Having a higher medical college admission test score, grade point average, and self-identifying as disadvantaged increased odds of admission in both interview modalities. Integration of the videoconference interview did not impact the overall acceptance of a highly diverse and qualified group of applicants, and allowed rural and community physicians to participate in the medical school interview process as well as allowed campus faculty and medical student committee members to interview remotely.


Medical school admissions Videoconference interviews Admission rates Skype Holistic review 



The authors acknowledge the University of New Mexico School of Medicine Admissions Committee and Office of Admissions staff, which were instrumental in the successful implementation of the videoconference interview and remote web-based participation.


  1. Addams, A. N., Bletzinger, R. B., Sondheimer, H. M., White, S. E., & Johnson, L. M. (2010). Roadmap to diversity: Integrating holistic review practices into medical school admission processes. Washington, DC: Association of American Medical Colleges.Google Scholar
  2. Agency for Healthcare Research and Quality. (2012). National healthcare quality and disparities reports, Rockville, MD. Accessed 28 Sept 2016.
  3. American College of Physicians. (2010). Racial and ethnic disparities in health care, Updated 2010, Philadelphia, PA. Accessed 17 June 2013.
  4. Association of American Medical Colleges. (2006). America needs a more diverse physician workforce, Washington, DC. Accessed 28 Jan 2010.
  5. Association of American Medical Colleges. (2012). Using MCAT data in medical student selection, Washington, DC. Accessed 16 Sept 2014.
  6. Association of American Medical Colleges (AAMC) Medical School Admissions Requirements (MSAR) for U.S. and Canadian Medical Schools report. Accessed 8 Mar 2016.
  7. Ballejos, M. P., Olsen, P., Price-Johnson, T., et al. (2018). Recruiting American Indian/Alaska Native Students to Medical School: A Multi-Institutional Alliance in the U.S. Southwest. Academic Medicine, 93(1), 71–75.CrossRefGoogle Scholar
  8. Ballejos, M., Rhyne, R., & Parkes, J. (2015). Increasing the relative weight of noncognitive admission criteria improves underrepresented minority admission rates to medical school. Teaching and Learning in Medicine, 27(2), 155–162.CrossRefGoogle Scholar
  9. Bibler Zaidi, N., Santen, S., Purkiss, J., Teener, C., & Gay, S. (2016). A hybrid interview model for medical school interviews. Academic Medicine, 91(11), 1526–1529.CrossRefGoogle Scholar
  10. Coleman, A. L., Palmer, S. R., & Winnick, S. Y. (2008). Roadmap to diversity: Key legal and educational policy foundations for medical schools. Washington, DC: Association of American Medical Colleges.Google Scholar
  11. Daram, S., Wu, R., & Tang, S. (2014). Interview from anywhere: Feasibility and utility of web-based videoconference interviews in the gastroenterology fellowship selection process. The American Journal of Gastroenterology, 109(2), 155–159.CrossRefGoogle Scholar
  12. Dunleavy, D., Sondheimer, H., Castillo-Page, L., & Bletzinger, R. B. (2011). Medical school admissions: More than grades and test scores analysis in brief. Washington, DC: Association of American Medical Colleges.Google Scholar
  13. Edje, L., Miller, C., Kiefer, J., & Oram, D. (2013). Using Skype as an alternative for residency selection interviews. Journal of Graduate Medical Education, 5(3), 503–505.CrossRefGoogle Scholar
  14. Edwards, J., Johnson, E., & Molidor, J. (1990). The interview in the admission process. Academic Medicine, 65(3), 167–177.CrossRefGoogle Scholar
  15. Haddouk, L. (2014). Intersubjectivity in video interview. Studies in Health Technology and Informatics, 199, 158–162.Google Scholar
  16. Haddouk, L. (2015). Presence at a distance. Studies in Health Technology and Informatics, 219, 208–212.Google Scholar
  17. Hariton, E., Bortoletto, P., & Ayogu, N. (2016). Residency interviews in the 21st century. Journal of Graduate Medical Education, 8(3), 322–324.CrossRefGoogle Scholar
  18. Hariton, E., Bortoletto, P., & Ayogu, N. (2017). Using video-conference interviews in the residency application process. Academic Medicine, 92(6), 728–729.CrossRefGoogle Scholar
  19. Kirch, D., & Prescott, J. (2013). From rankings to mission. Academic Medicine, 88(8), 1064–1066.CrossRefGoogle Scholar
  20. Kreiter, C. (2013). A proposal for evaluating the validity of holistic-based admission processes. Teaching and Learning in Medicine, 25(1), 103–107.CrossRefGoogle Scholar
  21. Mahon, K., Henderson, M., & Kirch, D. (2013). Selecting tomorrow’s physicians. Academic Medicine, 88(12), 1806–1811.CrossRefGoogle Scholar
  22. Melendez, M., Dobryansky, M., & Alizadeh, K. (2012). Live online video interviews dramatically improve the plastic surgery residency application process. Plastic and Reconstructive Surgery, 130(1), 240e–241e.CrossRefGoogle Scholar
  23. Mullan, F. (2010). The social mission of medical education: Ranking the schools. Annals of Internal Medicine, 152(12), 804.CrossRefGoogle Scholar
  24. Pasadhika, S., Altenbernd, T., Ober, R., Harvey, E., & Miller, J. (2012). Residency interview video conferencing. Ophthalmology, 119(2), 426–426.e5.CrossRefGoogle Scholar
  25. Piaggio, G., Elbourne, D., Altman, D., Pocock, S., Evans, S., & CONSORT Group. (2006). Reporting of noninferiority and equivalence randomized trials. JAMA, 295(10), 1152.CrossRefGoogle Scholar
  26. Saha, S., & Shipman, S. (2006). The rationale for diversity in the health professions: A review of the evidence. United States: Department of Health and Human Services, Health Resources Administration, Bureau of Health Professions.Google Scholar
  27. Shah, S., Arora, S., Skipper, B., Kalishman, S., Timm, T., & Smith, A. (2012). Randomized evaluation of a web based interview process for urology resident selection. The Journal of Urology, 187(4), 1380–1384.CrossRefGoogle Scholar
  28. Stith, A. Y., Nelson, A. R., & Smedle, B. D. (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington: National Academies Press.Google Scholar
  29. Temple, M., & Lagzdins, M. (2014). Streamlining the residency interview process using Web-based teleconferencing. American Journal of Health-System Pharmacy, 71(9), 697–701.CrossRefGoogle Scholar
  30. Tiller, D., O’Mara, D., Rothnie, I., Dunn, S., Lee, L., & Roberts, C. (2013). Internet-based multiple mini-interviews for candidate selection for graduate entry programmes. Medical Education, 47(8), 801–810.CrossRefGoogle Scholar
  31. Vadi, M., Malkin, M., Lenart, J., Stier, G., Gatling, J., & Applegate, R., II. (2016). Comparison of web-based and face-to-face interviews for application to an anesthesiology training program: A pilot study. International Journal of Medical Education, 7, 102–108.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Family and Community MedicineUniversity of New Mexico School of MedicineAlbuquerqueUSA
  2. 2.Office of AdmissionsUniversity of New Mexico School of MedicineAlbuquerqueUSA
  3. 3.Department of Emergency MedicineUniversity of New MexicoAlbuquerqueUSA
  4. 4.Family and Community MedicineUniversity of New MexicoAlbuquerqueUSA
  5. 5.Emergency MedicineUniversity of New Mexico School of MedicineAlbuquerqueUSA

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