Kenny Stephanie A, Esmail Kaisra, Hibbert Rebecca M, McInnes Matthew D F
Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada; Department of Medical Imaging, The Ottawa Hospital, Ottawa, Ontario, Canada.
Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada; Department of Medical Imaging, The Ottawa Hospital, Ottawa, Ontario, Canada; Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, Ontario, Canada.
Can Assoc Radiol J. 2016 May;67(2):105-11. doi: 10.1016/j.carj.2015.09.004. Epub 2016 Jan 30.
The study sought to evaluate application trends in Canadian diagnostic radiology residency programs and to assess the relative competitiveness of radiology as a specialty.
The Canadian Residency Matching Service Reports from 1991-2014 for Canadian graduates were used to extract the total residency positions and radiology residency positions, number of applicants to all specialties and to radiology, number of first-choice radiology applicants, number of unmatched radiology positions, and number of positions and applicants to each specialty. Ratios were calculated: radiology positions to applicants and first-choice applicants, first-choice radiology applicants to applicants for all specialties, and training positions to applicants in each specialty. Data trends and correlation coefficients were analysed.
The number of radiology residency positions offered increased, with strong positive correlation (r = 0.91, P < .001), while the number of applicants increased with only a moderate positive correlation (r = 0.49, P = .03). Radiology was the most competitive in 1997, with a ratio of 0.32 positions/applicant. There was an increase of positions/applicant over time (decreasing competitiveness; r = 0.76, P < .001) but no change in positions/first-choice applicant (r = 0.11, P = .65). The highest percentage of applicants who ranked radiology as their first choice was in 2003 at 6.5% with a decrease in this percentage over time (r = -0.36, P = .13). Radiology is moderately competitive for positions/overall applicants and very competitive for positions/first-choice applicants compared to other specialties.
The number of radiology residency positions has increased while the number of applicants has not grown commensurately. The match was most competitive in 1997, and decreased in subsequent years. Possible reasons include job market, reimbursement, and work environment.
本研究旨在评估加拿大诊断放射学住院医师培训项目的申请趋势，并评估放射学作为一门专业的相对竞争力。
使用1991 - 2014年加拿大住院医师匹配服务报告中加拿大毕业生的数据，提取住院医师总职位数和放射学住院医师职位数、所有专业和放射学的申请人数量、第一志愿申请放射学的申请人数量、未匹配的放射学职位数，以及每个专业的职位数和申请人数量。计算了以下比率：放射学职位与申请人及第一志愿申请人的比率、第一志愿申请放射学的申请人与所有专业申请人的比率，以及每个专业的培训职位与申请人的比率。分析了数据趋势和相关系数。
提供的放射学住院医师职位数量增加，呈强正相关（r = 0.91，P <.001），而申请人数量仅呈中度正相关增加（r = 0.49，P =.03）。1997年放射学竞争最为激烈，职位/申请人比率为0.32。随着时间推移，职位/申请人比率有所增加（竞争力下降；r = 0.76，P <.001），但职位/第一志愿申请人比率无变化（r = 0.11，P =.65）。将放射学列为第一志愿的申请人比例最高是在2003年，为6.5%，且该比例随时间下降（r = -0.36，P =.13）。与其他专业相比，放射学在职位/总体申请人方面竞争程度适中，在职位/第一志愿申请人方面竞争非常激烈。
放射学住院医师职位数量增加，而申请人数量并未相应增长。1997年匹配竞争最为激烈，随后几年有所下降。可能的原因包括就业市场、报销和工作环境。
