The Carbon Footprint and Cost of Virtual Residency Interviews.


Journal

Journal of graduate medical education
ISSN: 1949-8357
Titre abrégé: J Grad Med Educ
Pays: United States
ID NLM: 101521733

Informations de publication

Date de publication:
Feb 2023
Historique:
received: 13 03 2022
revised: 21 07 2022
revised: 29 10 2022
accepted: 01 11 2022
entrez: 23 2 2023
pubmed: 24 2 2023
medline: 3 3 2023
Statut: ppublish

Résumé

The shift from in-person to virtual residency interviews may impact greenhouse gas emissions (GHGE) and costs but the direction and amount of this change is not yet clear. To estimate GHGE and financial impacts of virtual interviews among applicants and programs. In 2020-2021 we sent a postinterview survey to 1429 applicants from 7 residency programs and 1 clinical psychology program at 1 institution. The survey collected origin of travel and transit type if in-person interviews had been held and excluded responses if the applicant would not have participated in an in-person interview, or if travel type or original city was missing. We used the International Civil Aviation Organization calculator to estimate flight-related GHGE in metric tons of carbon dioxide equivalent (MTCO2e) and Google Maps to estimate ground travel, with a standard CO2e per mile. Flight, hotel, and airport taxi costs were estimated using Expedia.com, Hotels.com, Uber, and Lyft. We aggregated these data and calculated median and interquartile ranges (IQRs) for applicant GHGE and cost savings, and assumed no cost or GHGE from virtual interviews. We used Wilcoxon signed rank sum tests to compare in-person 2019-2020 and virtual 2020-2021 GME program interview budgets. The survey response rate was 565, or 40% of applicants; 543 remained after the exclusion criteria were applied. Reduction in applicant travel due to virtual interviews led to median estimated GHGE savings of 0.47 (IQR 0.30-0.61) MTCO2e and $490 (IQR $392-$544) per applicant, per interview. Programs savings ranged from $7,615 to $33,670 for the interview season. Virtual interviews in 8 GME programs were associated with lower estimated GHGE and costs, for applicants and programs, compared with in-person interviews.

Sections du résumé

Background UNASSIGNED
The shift from in-person to virtual residency interviews may impact greenhouse gas emissions (GHGE) and costs but the direction and amount of this change is not yet clear.
Objective UNASSIGNED
To estimate GHGE and financial impacts of virtual interviews among applicants and programs.
Methods UNASSIGNED
In 2020-2021 we sent a postinterview survey to 1429 applicants from 7 residency programs and 1 clinical psychology program at 1 institution. The survey collected origin of travel and transit type if in-person interviews had been held and excluded responses if the applicant would not have participated in an in-person interview, or if travel type or original city was missing. We used the International Civil Aviation Organization calculator to estimate flight-related GHGE in metric tons of carbon dioxide equivalent (MTCO2e) and Google Maps to estimate ground travel, with a standard CO2e per mile. Flight, hotel, and airport taxi costs were estimated using Expedia.com, Hotels.com, Uber, and Lyft. We aggregated these data and calculated median and interquartile ranges (IQRs) for applicant GHGE and cost savings, and assumed no cost or GHGE from virtual interviews. We used Wilcoxon signed rank sum tests to compare in-person 2019-2020 and virtual 2020-2021 GME program interview budgets.
Results UNASSIGNED
The survey response rate was 565, or 40% of applicants; 543 remained after the exclusion criteria were applied. Reduction in applicant travel due to virtual interviews led to median estimated GHGE savings of 0.47 (IQR 0.30-0.61) MTCO2e and $490 (IQR $392-$544) per applicant, per interview. Programs savings ranged from $7,615 to $33,670 for the interview season.
Conclusions UNASSIGNED
Virtual interviews in 8 GME programs were associated with lower estimated GHGE and costs, for applicants and programs, compared with in-person interviews.

Identifiants

pubmed: 36817522
doi: 10.4300/JGME-D-22-00229.1
pmc: PMC9934836
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

112-116

Déclaration de conflit d'intérêts

Conflict of interest: The authors declare they have no competing interests.

Références

J Grad Med Educ. 2022 Apr;14(2):224-228
pubmed: 35463161
Proc Natl Acad Sci U S A. 2020 Oct 6;117(40):24649-24651
pubmed: 32958649
J Grad Med Educ. 2021 Feb;13(1):89-94
pubmed: 33680306
Acad Med. 2021 Jul 1;96(7):932
pubmed: 34183479
Med Teach. 2021 Nov;43(11):1302-1308
pubmed: 34227912
Can Med Educ J. 2021 Jun 30;12(3):8-18
pubmed: 34249187
Iowa Orthop J. 2018;38:9-15
pubmed: 30104919
J Urol. 2012 Apr;187(4):1380-4
pubmed: 22341282
PLoS One. 2016 Jun 09;11(6):e0157014
pubmed: 27280706
J Grad Med Educ. 2013 Sep;5(3):503-5
pubmed: 24404318

Auteurs

Alexander Domingo (A)

All authors are with the Oregon Health & Science University School of Medicine.
is Assistant Professor, Family Medicine.

Justin Singer (J)

All authors are with the Oregon Health & Science University School of Medicine.
is a PGY-4 Resident, Obstetrics and Gynecology.

Adrian Cois (A)

All authors are with the Oregon Health & Science University School of Medicine.
is a PGY-3 Resident, Emergency Medicine.

Joanna Hatfield (J)

All authors are with the Oregon Health & Science University School of Medicine.
is Associate Professor of Obstetrics and Gynecology.

Rebecca E Rdesinski (RE)

All authors are with the Oregon Health & Science University School of Medicine.
is Senior Research Associate, Family Medicine.

Anthony Cheng (A)

All authors are with the Oregon Health & Science University School of Medicine.
is Assistant Professor of Family Medicine.

Megan Aylor (M)

All authors are with the Oregon Health & Science University School of Medicine.
is Program Director and Associate Professor of Pediatrics, Division of Pediatric Hospital Medicine.

John Sullenbarger (J)

All authors are with the Oregon Health & Science University School of Medicine.
is a PGY-3 Resident, Psychiatry.

Sara Walker (S)

All authors are with the Oregon Health & Science University School of Medicine.
is Associate Professor of Psychiatry.

Shane Hervey (S)

All authors are with the Oregon Health & Science University School of Medicine.
is a Fourth-Year Medical Student.

Amy Stenson (A)

All authors are with the Oregon Health & Science University School of Medicine.
is Program Director, Vice Chair of Education, and Associate Professor of Obstetrics and Gynecology.

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