Department of Surgery, University of Pittsburgh School of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
J Surg Educ. 2013 Jul-Aug;70(4):461-5. doi: 10.1016/j.jsurg.2013.03.007. Epub 2013 Apr 18.
For academic general surgery residency programs, graduation from the affiliated allopathic medical school is one criterion used in resident selection. The magnitude of this criterion is unknown. The aim of this study is to describe the nature of this phenomenon, with the hypothesis that states with fewer medical schools would accept more home program graduates than states with more medical schools.
In this cross-sectional study from 2012, each allopathic medical school that participates in the American Medical College Application Service was geographically matched to its academic general surgery program that participates in the Electronic Residency Application Service. Program websites were evaluated for categorical resident rosters with medical school matriculation data. The percentage of categorical home program residents was described for each program. A 1-tailed 2-sample t-test was performed between programs in states with fewer (n≤2) medical schools and programs in states with more (n>2) medical schools, using an α = 0.05.
Of the 127 residency programs that met inclusion criteria, there were 64/127 (50.4%) programs with online categorical resident rosters and medical school graduation data. There was a mean of 26.4±12.3 included residents per residency training program. The mean program percentage of home program categorical general surgery residents was 24.6%±15.2%. The median number of medical schools per state was 2 (Interquartile Range [1-4]). A 1-tailed 2-sample t-test showed that the home program percentage rate in states with≤2 medical schools [n = 17] (30.1%±18.4%) was greater than the home program percentage rate in states with>2 medical schools [n = 47] (22.6%±13.5%) (p = 0.04).
Approximately, one-quarter of categorical general surgery slots are filled with home program graduates. States with fewer medical schools are more likely to fill general surgery slots with home program graduates than states with more medical schools. These selection criteria are important to general surgery programs and future applicants.
对于学术型普通外科住院医师培训项目，从附属医院的医学院毕业是住院医师选择的一个标准。这个标准的重要程度尚不清楚。本研究的目的是描述这种现象的本质，并提出一个假设，即医学院数量较少的州会比医学院数量较多的州接受更多的本州项目毕业生。
在这项 2012 年的横断面研究中，参与美国医学学院申请服务的每一所医学院都与参与电子住院医师申请服务的学术普通外科项目进行地理匹配。评估了项目网站上的分类住院医师名单，以获取医学院入学数据。描述了每个项目的分类本州项目住院医师的比例。对医学院数量较少（n≤2）的州的项目（n=17）和医学院数量较多（n>2）的州的项目（n=47）进行了单侧 2 样本 t 检验，α=0.05。
在符合纳入标准的 127 个住院医师培训项目中，有 64/127（50.4%）个项目在网上提供了分类住院医师名单和医学院毕业数据。每个住院医师培训项目平均有 26.4±12.3 名入组住院医师。平均每个项目的本州分类普通外科住院医师比例为 24.6%±15.2%。每个州的医学院中位数数量为 2 所（四分位距 [1-4]）。单侧 2 样本 t 检验显示，医学院数量≤2 所的州[n=17]（30.1%±18.4%）的本州项目毕业生比例高于医学院数量>2 所的州[n=47]（22.6%±13.5%）（p=0.04）。
大约四分之一的分类普通外科名额是由本州项目的毕业生填补的。医学院数量较少的州比医学院数量较多的州更有可能用本州项目的毕业生填补普通外科的名额。这些选拔标准对普通外科项目和未来的申请者都很重要。
