Wagoner N E, Suriano J R
University of Chicago Division of the Biological Sciences, Illinois.
Acad Med. 1992 Jul;67(7):459-65. doi: 10.1097/00001888-199207000-00011.
The authors conducted a nationwide survey of program directors participating in the 1990-91 National Resident Matching Program (NRMP) in order to solicit the directors' responses to elements of the current residency selection process and to suggested revisions. Of 680 randomly selected directors, 469 (69%) responded to the survey questionnaire, using a five-point scale, from 1, indicating strong agreement, to 5, indicating strong disagreement. The directors agreed that the senior year was distorted by the selection process, that students were pressured into making early career decisions, and that there needed to be more structure to the senior year. The directors were also in agreement that interviews, the NRMP, and the uniform notification date were working well. But deans' letters, other letters of recommendation, the Universal Application, and appointment of unmatched students were considered to be in need of improvement. The development of a centralized residency application service with the electronic transmission of data received the directors' support. The authors recommend that a task force be convened to consider changes that would improve the selection process and would reduce disruption of the students' senior year of medical education.
作者对参与1990 - 91年全国住院医师匹配计划（NRMP）的项目主任进行了一项全国性调查，以征求他们对当前住院医师选拔过程各要素的看法以及对建议修订内容的意见。在随机抽取的680名主任中，469名（69%）回复了调查问卷，采用五分制量表，1表示强烈同意，5表示强烈不同意。主任们一致认为高年级因选拔过程而受到扭曲，学生们被迫过早做出职业决定，并且高年级需要更有条理。主任们还一致认为面试、NRMP和统一通知日期运行良好。但院长推荐信、其他推荐信、通用申请表以及未匹配学生的安置被认为需要改进。开发一个集中的住院医师申请服务并进行数据电子传输得到了主任们的支持。作者建议召集一个特别工作组来考虑进行变革，以改进选拔过程并减少对医学生医学教育最后一年的干扰。
