Anderson KD, Jacobs DM
Department of Surgery, Michigan State University, East Lansing, Michigan, USA
Curr Surg. 2000 Sep 1;57(5):460-465. doi: 10.1016/s0149-7944(00)00309-3.
To identify expectations of general surgery program directors (PDs) for recruitment behavior, and to document the experiences, perceptions, and ethical dilemmas they experienced with the 1998 National Resident Matching Program (NRMP).Two hundred sixty-five general surgery PDs were asked to complete a 30-item written questionnaire. Questions inquired about PD perceptions of students' interviewing practices, how communication with applicants is conducted and interpreted, and overall perceptions of the match.A total of 77.7% of PDs responded. A total of 44% of PDs found nothing wrong with students interviewing in multiple specialties and conceded legitimate reasons for doing so; yet, 75% of PDs felt this practice negatively affected students' rank order. A total of 46.6% of programs told students to keep in touch to be ranked; only 8.7% of PDs believed students' stated interest, and 76.6% of PDs said these affirmations had no effect on students' rank. A total of 36.5% of PDs felt students made informal commitments to them, and 90.4% felt students at least sometimes lied to them. A total of 51.7% of PDs felt the match was a reasonable process that needed no changes.As long as the stakes are high and there are no repercussions for unethical behaviors and practices during residency recruitment, gamesmanship will continue to be the accepted culture.
为了确定普通外科项目主任（PDs）对招聘行为的期望，并记录他们在1998年全国住院医师匹配计划（NRMP）中的经历、看法和道德困境。265名普通外科项目主任被要求填写一份包含30个问题的书面问卷。问题涉及项目主任对学生面试行为的看法、与申请人沟通的方式及理解，以及对匹配过程的总体看法。共有77.7%的项目主任做出了回应。共有44%的项目主任认为学生参加多个专业的面试并无不妥，并认可这样做的合理理由；然而，75%的项目主任认为这种做法对学生的排名顺序有负面影响。共有46.6%的项目告诉学生保持联系以便获得排名；只有8.7%的项目主任相信学生表达的兴趣，76.6%的项目主任表示这些表态对学生的排名没有影响。共有36.5%的项目主任认为学生向他们做出了非正式承诺，90.4%的项目主任觉得学生至少有时会对他们说谎。共有51.7%的项目主任认为匹配过程是合理的，无需改变。只要 stakes（此处未明确含义，可能有误，暂保留）很高，且在住院医师招聘期间不道德行为和做法没有后果，耍手段将继续成为被接受的文化。
