Karnes Jonathan M, Mayerson Joel L, Scharschmidt Thomas J
Department of Orthopaedics, West Virginia University School of Medicine, Morgantown, West Virginia.
Division of Musculoskeletal Oncology, The Ohio State University, Columbus, Ohio.
J Surg Educ. 2014 Jul-Aug;71(4):530-42. doi: 10.1016/j.jsurg.2014.01.003. Epub 2014 May 14.
This study evaluated supply and demand trends for orthopedic postgraduate year 1 (PGY1) positions from 1984 to 2011 for the purpose of estimating national intercandidate competition over time.
National Resident Matching Program (NRMP) data for orthopedic surgery from 1984 to 2011 were collected. Proxy variables including (total number of orthopedic applicants/number of orthopedic PGY1 positions), (number of US senior applicants to orthopedics/number of orthopedic PGY1 positions), (number of US seniors matching into orthopedics/number of US senior orthopedic applicants), (total number of matched orthopedic applicants/total number of orthopedic applicants), and (total number of US applicants who fail to match into orthopedics/total number of US senior applicants into orthopedics) as well as average United States Medical Licensing Examination Step 1 scores were used to gauge the level of competition between candidates and were compared over time.
Academic medical center in the Midwestern United States.
Medical professors and medical students.
The NRMP data suggested that the number of positions per applicant decreased or remained stable since 1984 and that the percentage of applicants who did not match was no higher now than in the past. This finding was primarily because of the relative decrease in the ratio of applicants to available PGY1 positions, which stems from the number of positions increasing more rapidly than the number of applicants.
The NRMP data from 1984 to 2011 supported our hypothesis that intercandidate competition intensity for orthopedic PGY1 positions has not increased over time. The misconception that orthopedics is becoming more competitive likely arises from the increased number of applications submitted per candidate and the resulting relative importance placed on objective criteria such as United States Medical Licensing Examination Step 1 scores when programs select interview cohorts.
本研究评估了1984年至2011年期间骨科住院医师第1年（PGY1）职位的供需趋势，旨在估算全国范围内随时间变化的候选人之间的竞争情况。
收集了1984年至2011年骨科手术的全国住院医师匹配计划（NRMP）数据。使用代理变量，包括（骨科申请人总数/骨科PGY1职位数量）、（美国骨科高级申请人数量/骨科PGY1职位数量）、（匹配到骨科的美国高年级学生数量/美国骨科高级申请人数量）、（匹配的骨科申请人总数/骨科申请人总数）以及（未匹配到骨科的美国申请人总数/美国骨科高级申请人总数），以及美国医学执照考试第1阶段的平均分数，来衡量候选人之间的竞争水平，并随时间进行比较。
美国中西部的学术医疗中心。
医学教授和医学生。
NRMP数据表明，自1984年以来，每个申请人的职位数量减少或保持稳定，未匹配的申请人百分比现在并不比过去更高。这一发现主要是由于申请人与可用PGY1职位的比例相对下降，这源于职位数量的增长速度超过了申请人数量。
1984年至2011年的NRMP数据支持了我们的假设，即随着时间的推移，骨科PGY1职位的候选人之间的竞争强度并未增加。认为骨科竞争越来越激烈的误解可能源于每个候选人提交的申请数量增加，以及在项目选择面试群体时，客观标准（如美国医学执照考试第1阶段分数）的相对重要性增加。
