The humour hides a serious #MedEd problem-

There are umpteen ways to define 'the best' and thus, umpteen ways to select trainees. But NO trainee will reach their full potential in oppressive, fragmented training environments. 1/4 https://twitter.com/mevparekh/status/1361427354921299968

Training selection requirements are already far higher than those expected of current consultants when we were applicants.

We don't need to select a mythical 'best'. Today's applicants are all better than we were already. And we made it didn't we? 2/4

Decades of research on selection have only shown small correlations between various scores/methods and eventual performance. That's why we're all still looking for a better method.

But the link between disrespectful behaviours and underperformance? Inarguable.
3/4

So, TL:DR-

Underperforming trainees?

Fix the training.
*Don't* raise more selection barriers. That's like picking the strongest seedlings, planting them in a desert and then thinking the reason they didn't thrive is because you need a better definition of 'strong'.

#MedEd 4/4