Harper J Garrett, Given Kenna S, Pettitt Barbara, Losken Albert
Division of Plastic and Reconstructive Surgery, Emory University, Atlanta, GA, USA.
Ann Plast Surg. 2011 May;66(5):568-71. doi: 10.1097/SAP.0b013e31820b3cea.
The independent plastic surgery match is an extremely competitive process that remains the most common training model for residents. The purpose of this study was to analyze the candidates and the overall process, both quantitative and qualitatively.
Between 2006 and 2008, an anonymous 25-question online survey was sent to all applicants of the match. Questions regarding demographics, the match process, financial burden, and qualitative issues were all included. Information from the American Board of Plastic Surgery and The San Francisco Match was also used to evaluate the application and distribution process.
A total of 137 applicants responded (29.2% response rate). Of the responders, 62.5% were aged 30 to 34 years, 77.2% male, 66.2% white, 94.1% in general surgery residencies, and 66.2% at an academic setting, with 39.7% at an institution that also had a plastic surgery residency program. For successful matchers, an average of 13.6 invitations were awarded, 10.02 interviews were attended, and they matched to number 2.52 on their list. Of all, 64.5% spent more than $4000 on the process, whereas 9.2% spent more than $10,000. Applicants receiving 1 to 4, 5 to 9, and 10 or more interviews had successful match rates of 47.2%, 62.9%, and 92.9%, respectively. In all, 45% of unsuccessful applicants stated that the stress on themselves and their family was the number one reason to not reapply.
Candidates applying to the independent plastic surgery match need to be aware of the competitiveness and financial commitment the process requires.
独立整形外科住院医师匹配是一个竞争极其激烈的过程，仍是住院医师最常见的培训模式。本研究的目的是从定量和定性两方面分析申请者及整个过程。
在2006年至2008年期间，向所有参与该匹配的申请者发送了一份包含25个问题的匿名在线调查问卷。问卷涵盖了人口统计学、匹配过程、经济负担和定性问题等方面。还利用了美国整形外科委员会和旧金山匹配项目的信息来评估申请和分配过程。
共有137名申请者回复（回复率为29.2%）。在回复者中，62.5%的年龄在30至34岁之间，77.2%为男性，66.2%为白人，94.1%在普通外科住院医师项目中，66.2%在学术机构，其中39.7%来自同时设有整形外科住院医师项目的机构。对于成功匹配者，平均收到13.6份邀请，参加了10.02次面试，他们在自己的排名清单上位列第2.52。总体而言，64.5%的人在这个过程中花费超过4000美元，而9.2%的人花费超过10000美元。收到1至4次、5至9次以及10次或更多次面试的申请者，成功匹配率分别为47.2%、62.9%和92.9%。总计45%的未成功申请者表示，他们自己和家人承受的压力是不再重新申请的首要原因。
申请独立整形外科住院医师匹配的申请者需要意识到该过程所需的竞争力和经济投入。
