Chen Jim Y, Heller Matthew T
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
J Am Coll Radiol. 2014 May;11(5):501-6. doi: 10.1016/j.jacr.2013.11.011.
Interest in radiology as a career among US medical students has changed. The aim of this study was to investigate the recent and historical trends in residency applications and how they have affected competitiveness in obtaining a position.
Statistics published by the National Resident Matching Program in "Results and Data: Main Residency Match" for 1991 to 2013 were analyzed.
The number of radiology residency positions has trended upward over the past 23 years; however, the number of applicants from US medical schools has been widely variable. The number of applicants peaked in 2009 but has since decreased every year. The number of positions per US senior applicant (PPUSA) is a judge of specialty competitiveness on a supply-and-demand basis. A lower PPUSA indicates a more competitive specialty. Radiology saw its most competitive year in 2001, with only 0.91 PPUSA. PPUSA has been on the rise every year since 2009. From 2009 to 2013, the number of residency positions increased by 56, but there were 241 fewer US senior medical students preferring radiology. In 2013, there were 1,143 residency positions available for only 845 US senior medical students who preferred the specialty. The PPUSA was 1.35, making 2013 the least competitive year in obtaining a radiology residency position since 1998. Over the past 23 years, 5.5% of all US senior medical students have applied to radiology for residency. Interest reached an all-time high in 2009, at almost 7%. In 2013, only 4.8% of all US seniors preferred radiology, the lowest since 1999. The historical (1991-2013), current (2011-2013), and most recent (2013) PPUSAs for radiology were 1.19, 1.29, and 1.35, respectively. For comparison, the current PPUSAs for the following specialties were: 0.74 for plastic surgery, 0.83 for orthopedic surgery, 0.95 for dermatology, 1.10 for general surgery, 1.24 for obstetrics and gynecology, 1.31 for anesthesiology, 1.42 for pediatrics, and 1.80 for internal medicine (1.80).
Although radiology residency positions have continued to increase, interest among US seniors has dropped every year since 2009. The 2013 match was the least competitive since 1998. Over the past 3 years, the competitiveness of matching radiology on a supply-and-demand basis has been close to that of obstetrics and gynecology and anesthesiology.
美国医学生对放射科作为职业的兴趣已发生变化。本研究旨在调查住院医师申请的近期和历史趋势，以及这些趋势如何影响获得职位的竞争力。
分析了国家住院医师匹配计划在《结果与数据：主要住院医师匹配》中公布的1991年至2013年的数据。
在过去23年中，放射科住院医师职位数量呈上升趋势；然而，美国医学院校申请者的数量变化很大。申请者数量在2009年达到峰值，但此后逐年下降。美国高年级申请者的职位数（PPUSA）是基于供需关系判断专业竞争力的指标。较低的PPUSA表明该专业竞争更激烈。放射科在2001年竞争最为激烈，PPUSA仅为0.91。自2009年以来，PPUSA每年都在上升。从2009年到2013年，住院医师职位增加了56个，但选择放射科的美国高年级医学生减少了241名。2013年，有1143个住院医师职位，而选择该专业的美国高年级医学生只有845名。PPUSA为1.35，使2013年成为自1998年以来获得放射科住院医师职位竞争最不激烈的一年。在过去23年中，所有美国高年级医学生中有5.5%申请放射科住院医师职位。兴趣在2009年达到历史最高水平，接近7%。2013年，所有美国高年级学生中只有4.8%选择放射科，为1999年以来的最低水平。放射科的历史（1991 - 2013年）、当前（2011 - 2013年）和最近（2013年）的PPUSA分别为1.19、1.29和1.35。作为对比，以下专业当前的PPUSA分别为：整形外科0.74，骨科手术0.83，皮肤科0.95，普通外科1.10，妇产科1.24，麻醉科1.31，儿科1.42，内科1.80（1.80）。
尽管放射科住院医师职位持续增加，但自2009年以来美国高年级学生的兴趣每年都在下降。2013年的匹配是自1998年以来竞争最不激烈的。在过去3年中，基于供需关系匹配放射科的竞争力已接近妇产科和麻醉科。
