Department of Otolaryngology, Medical College of Wisconsin, Milwaukee.
Department of Otolaryngology, Children's National Medical Center, Washington, DC.
JAMA Otolaryngol Head Neck Surg. 2014 Feb;140(2):102-5. doi: 10.1001/jamaoto.2013.5859.
The numbers of pediatric otolaryngology fellowship programs and applicants have increased over the past 5 years. However, the qualities desired in programs and applicants have not been explored.
To determine the factors that fellowship program directors and applicants believe to be most important in choosing a fellow and the factors most important to fellowship applicants in choosing a program.
DESIGN, SETTING, AND PARTICIPANTS: Cohort study using an anonymous online survey of 2012 pediatric otolaryngology fellowship program directors and applicants. Respondents were asked to rank a list of 10 qualities from most to least important for judging the strength of a fellowship applicant. Applicants also assessed the importance of factors in choosing a fellowship.
Rank of each factor by members of each group.
Thirty-two of 47 applicants (68%) and 15 of 31 fellowship directors (48%) completed the survey. For applicants, the most important factors when choosing a fellowship program were gaining strong experience in airway management and otology, faculty reputation, and location, whereas Accreditation Council for Graduate Medical Education (ACGME) accreditation, fellowship longevity, and salary were less important. For choosing an applicant, applicants indicated that the interview, prior applicant knowledge (trusted recommendation), and letters of recommendation, sequentially, should be given the greatest weight. Directors reported that they used the same top 3 factors to rank applicants, but knowledge or trusted recommendation of the applicant ranked first. Applicants who successfully matched interviewed at (mean, 9.5 vs 3.0; P = .003), applied at (mean, 11.6 vs 4.3; P = .02), and ranked (mean, 8.3 vs 2.3; P < .001) more fellowship programs than those who did not. United States Medical Licensing Examination scores higher than 230 and AΩA membership status did not significantly affect fellowship match.
Personal knowledge or a trusted colleague's recommendation may be the most important determinant when pediatric otolaryngology fellowship programs choose an applicant. When fellows choose a program, the opportunity to gain surgical experience in both otology and airway management is crucial, but ACGME accreditation status seems less important. Successful applicants ranked and interviewed at more fellowship programs than nonmatching applicants.
在过去的 5 年中，儿科耳鼻喉科住院医师培训计划和申请人的数量有所增加。然而，计划和申请人所需要的素质尚未得到探讨。
确定住院医师计划主任和申请人认为在选择住院医师时最重要的因素，以及住院医师申请人在选择计划时最重要的因素。
设计、设置和参与者：对 2012 年儿科耳鼻喉科住院医师培训计划主任和申请人进行了一项匿名在线调查的队列研究。要求受访者根据评判住院医师申请人实力的重要性，对 10 项素质进行从最重要到最不重要的排序。申请人还评估了选择住院医师时的各种因素的重要性。
按每个组的成员对每个因素的排名。
47 名申请人中有 32 名（68%）和 31 名住院医师计划主任中有 15 名（48%）完成了调查。对于申请人来说，选择住院医师计划时最重要的因素是在气道管理和耳科学方面获得丰富的经验、教员的声誉和地点，而住院医师计划主任认为住院医师计划主任认为研究生医学教育认证委员会（ACGME）认证、住院医师计划的长短和工资则不那么重要。在选择申请人时，申请人表示，面试、申请人之前的知识（可信赖的推荐）和推荐信应依次给予最大的权重。主任们报告说，他们使用相同的前 3 个因素来对申请人进行排名，但申请人的知识或可信赖的推荐排名第一。成功匹配的申请人接受了面试（平均，9.5 比 3.0；P=0.003），申请（平均，11.6 比 4.3；P=0.02），和排名（平均，8.3 比 2.3；P<0.001）都比未匹配的申请人更多的住院医师计划。美国医师执照考试成绩高于 230 分和 AΩA 会员资格并不显著影响住院医师计划匹配。
当儿科耳鼻喉科住院医师计划选择申请人时，个人知识或可信赖的同事的推荐可能是最重要的决定因素。当住院医师选择计划时，获得耳科学和气道管理方面的手术经验的机会至关重要，但 ACGME 认证地位似乎不太重要。成功的申请人与未匹配的申请人相比，排名和面试的住院医师计划更多。
