Cockerham W Todd, Cofer Joseph B, Biderman Michael D, Lewis Patricia L, Roe S Michael
Department of Surgery, University of Tennessee College of Medicine-Chattanooga Unit, 979 East Third Street, Chattanooga, TN 37403, USA.
Curr Surg. 2004 Mar-Apr;61(2):231-5. doi: 10.1016/j.cursur.2003.11.003.
To monitor and report the quality of categorical first-year surgery residents matched to U.S. general surgery training programs from 1996 to 2001.
A survey was sent to 258 program directors of accredited general surgery training programs. In this survey, data were requested regarding United States Medical Licensing Exam (USMLE) Step 1 and 2 scores, matched residents' rank list position, Alpha Omega Alpha (AOA) status, number of applications received, and interviews granted pertaining to all National Residency Matching Program (NRMP) residents matched. In addition, the USMLE and NRMP were petitioned for national data regarding Step 1 and 2 scores in all entering surgery residents and first-time USMLE takers.
Usable survey data were received on 1241 residents. The number for each year (and percent of total matched PGY-1 residents) was as follows: 1996-196 (20.0), 1997-206 (20.4), 1998-204 (19.9), 1999-212 (21.0), 2000-212 (20.7), and 2001-211 (21.7). The mean Step 1 scores increased over time (p < 0.001), and programs with 5 or more categorical spots had higher scores than those with 4 or less (p < 0.001). The depth required to fill the rank list increased over the study period (p < 0.05). National data received from the NRMP from 1994 to 2001 (mean of 916 residents at each year) showed a similar increase in USMLE Step 1 scores when compared with our survey. The proportion of AOA students matching into general surgery has decreased from 30% in 1996 to 15% in 2001 (p < 0.001).
Over the 6 years of our study, USMLE Step 1 scores increased and the results of our survey are in agreement with the national data. However, the proportion of AOA students declined, implying the top 10% of the medical school class found general surgery training less attractive. Also, programs went deeper into their rank lists to fill, implying a shrinking pool of candidates.
监测并报告1996年至2001年与美国普通外科培训项目匹配的一年级普通外科住院医师的质量。
向258名经认可的普通外科培训项目主任发送了一份调查问卷。在这份调查问卷中，要求提供关于美国医师执照考试（USMLE）第一步和第二步成绩、匹配住院医师在排名列表中的位置、阿尔法欧米伽阿尔法（AOA）身份、收到的申请数量以及与所有通过全国住院医师匹配计划（NRMP）匹配的住院医师相关的面试次数等数据。此外，还向USMLE和NRMP请求提供所有进入外科住院医师和首次参加USMLE者的第一步和第二步成绩的全国数据。
收到了1241名住院医师的可用调查数据。每年的数量（以及占总匹配的PGY - 1住院医师的百分比）如下：1996年 - 196名（20.0%），1997年 - 206名（20.4%），1998年 - 204名（19.9%），1999年 - 212名（21.0%），2000年 - 212名（20.7%），2001年 - 211名（21.7%）。第一步的平均成绩随时间增加（p < 0.001），有5个或更多普通名额的项目成绩高于有4个或更少名额的项目（p < 0.001）。在研究期间，填满排名列表所需的深度增加（p < 0.05）。从NRMP收到的1994年至2001年的全国数据（每年平均916名住院医师）显示，与我们的调查相比，USMLE第一步成绩有类似的增加。匹配到普通外科的AOA学生比例从!996年的30%下降到2001年的15%（p < 0.001）。
在我们研究的6年中，USMLE第一步成绩提高，我们的调查结果与全国数据一致。然而，AOA学生的比例下降，这意味着医学院班级前10%的学生发现普通外科培训吸引力降低。此外，项目为填满排名列表而深入挖掘，这意味着候选人库在缩小。
