Drolet Brian C, Brower Jonathan P, Lifchez Scott D, Janis Jeffrey E, Liu Paul Y
Providence, R.I.; Baltimore, Md.; and Columbus, Ohio.
From the Department of Plastic Surgery, Rhode Island Hospital and the Warren Alpert Medical School of Brown University; the Department of Plastic Surgery, Johns Hopkins Hospital and Bayview Medical Center, Johns Hopkins University; and the Department of Plastic Surgery, The Ohio State University.
Plast Reconstr Surg. 2016 Apr;137(4):1337-1343. doi: 10.1097/PRS.0000000000002029.
Although nearly all medical students pursuing integrated plastic surgery residency participate in elective rotations away from their home medical school, the value and costs of these "away" rotations have not been well studied.
The authors surveyed all integrated plastic surgery program directors and all applicants in the 2015 National Residency Matching Program.
Forty-two program directors and 149 applicants (64 percent and 70 percent response rate, respectively) completed the survey. Applicants reported 13.7 weeks spent on plastic surgery rotations during medical school, including a mean of 9.2 weeks on away rotations. Average reported cost for away rotations was $3591 per applicant. Both applicants and program directors most commonly reported "making a good impression" (44.6 percent and 36.6 percent, respectively) or finding a "good-fit" program (27.7 percent and 48.8 percent, respectively) as the primary goal for away rotations. Almost all applicants (91.1 percent) believed an away rotation made them more competitive for matching to a program at which they rotated. Program directors ranked a strong away rotation performance as the most important residency selection criterion. Twenty-seven percent of postgraduate year-1 positions were filled by an away rotatorm and an additional 17 percent were filled by a home medical student.
Away rotations appear to be mutually beneficial for applicants and programs in helping to establish a good fit between students and training programs through an extended interaction with the students, residents, and faculty. In addition, making a good impression on a senior elective rotation (home or away) may improve an applicant's chance of matching to a residency program.
尽管几乎所有攻读整形外科住院医师培训一体化项目的医学生都会参加离家医学院的选修轮转，但这些“外出”轮转的价值和成本尚未得到充分研究。
作者对2015年全国住院医师匹配项目中的所有整形外科住院医师培训一体化项目主任和所有申请者进行了调查。
42名项目主任和149名申请者（回复率分别为64%和70%）完成了调查。申请者报告在医学院期间花在整形外科轮转上的时间为13.7周，其中平均9.2周是在外校轮转。报告的每名申请者在外校轮转的平均成本为3591美元。申请者和项目主任最常提到的“外出”轮转的主要目标分别是“留下好印象”（分别为44.6%和36.6%）或找到“合适”的项目（分别为27.7%和48.8%）。几乎所有申请者（91.1%）认为参加“外出”轮转使他们在申请轮转学校的匹配中更具竞争力。项目主任将出色的“外出”轮转表现列为最重要的住院医师选拔标准。27%的一年级住院医师职位由“外出”轮转学生填补，另有17%由本校医学生填补。
“外出”轮转似乎对申请者和项目都有好处，通过与学生、住院医师和教员的长期互动，有助于在学生和培训项目之间建立良好的匹配关系。此外，在高级选修轮转（本校或外校）中留下好印象可能会提高申请者匹配住院医师项目的机会。
