University of Florida College of Medicine, Gainesville, Florida, USA.
J Am Acad Dermatol. 2010 Oct;63(4):594-601. doi: 10.1016/j.jaad.2009.11.009.
National Resident Matching Program (NRMP) policy outlines the conduct expected by both program directors and residency applicants. However, recent studies and personal experiences have introduced the possibility that NRMP policy is violated during the residency application process.
To investigate the communications that occur between dermatology applicants and dermatology programs during the residency application process.
From April to July 2009, we surveyed 2009 Stanford dermatology applicants, current US dermatology residents, and US dermatology program directors. The survey was anonymous and available online. The main outcome measures were the frequency and incidence of dermatology NRMP policy violations.
Thirty-one percent of Stanford applicants and 19% of US dermatology residents felt pressured to reveal to programs how they ranked them before match day. Seventeen percent of Stanford applicants and 14% of US dermatology residents witnessed behavior that made them feel uncomfortable or that they thought was a possible ethical infraction of NRMP policy.
Response rates were as follows: 43% of Stanford applicants, 46% of residents, and 61% of program directors.
Our data suggest that some dermatology program directors violate NRMP policy during their communications with applicants. The most widespread violation is pressuring applicants into revealing how they intend to rank programs. Other violations include apparent sexual discrimination and reserving NRMP positions for preselected applicants. Additional studies should be done in order to determine the incidence of dermatology applicants violating NRMP policy.
国家住院医师匹配项目（NRMP）政策概述了项目主管和住院医师申请人应遵守的行为规范。然而，最近的研究和个人经验表明，在住院医师申请过程中可能存在违反 NRMP 政策的情况。
调查在住院医师申请过程中皮肤科申请人与皮肤科项目之间的交流情况。
在 2009 年 4 月至 7 月期间，我们调查了 2009 年斯坦福大学皮肤科申请人、现任美国皮肤科住院医师和美国皮肤科项目主管。调查是匿名的，可在线进行。主要观察指标是皮肤科 NRMP 政策违规的频率和发生率。
31%的斯坦福大学申请人和 19%的美国皮肤科住院医师感到有压力在匹配日前向项目透露他们对项目的排名。17%的斯坦福大学申请人和 14%的美国皮肤科住院医师目睹了使他们感到不舒服或认为可能违反 NRMP 政策的行为。
回复率如下：斯坦福大学申请人 43%，住院医师 46%，项目主管 61%。
我们的数据表明，一些皮肤科项目主管在与申请人的沟通中违反了 NRMP 政策。最普遍的违规行为是迫使申请人透露他们打算如何对项目进行排名。其他违规行为包括明显的性别歧视和为预选申请人保留 NRMP 职位。应进行更多的研究，以确定皮肤科申请人违反 NRMP 政策的发生率。
