The Medical University of South Carolina, Department of Medicine, Division of Emergency Medicine, Charleston, South Carolina.
West J Emerg Med. 2017 Jan;18(1):169-173. doi: 10.5811/westjem.2016.10.31277. Epub 2016 Dec 19.
To obtain a residency match, medical students entering emergency medicine (EM) must complete away rotations, submit a number of lengthy applications, and travel to multiple programs to interview. The expenses incurred acquiring this residency position are burdensome, but there is little specialty-specific data estimating it. We sought to quantify the actual cost spent by medical students applying to EM residency programs by surveying students as they attended a residency interview.
Researchers created a 16-item survey, which asked about the time and monetary costs associated with the entire EM residency application process. Applicants chosen to interview for an EM residency position at our institution were invited to complete the survey during their interview day.
In total, 66 out of a possible 81 residency applicants (an 81% response rate) completed our survey. The "average applicant" who interviewed at our residency program for the 2015-16 cycle completed 1.6 away, or "audition," rotations, each costing an average of $1,065 to complete. This "average applicant" applied to 42.8 programs, and then attended 13.7 interviews. The cost of interviewing at our program averaged $342 and in , an average of $8,312 would be spent in the pursuit of an EM residency.
Due to multiple factors, the costs of securing an EM residency spot can be expensive. By understanding the components that are driving this trend, we hope that the academic EM community can explore avenues to help curtail these costs.
为了获得住院医师匹配，进入急诊医学（EM）的医学生必须完成轮调，提交大量冗长的申请，并前往多个项目进行面试。获得这个住院医师职位的费用是负担沉重的，但几乎没有专门针对该职位的具体数据来估算这些费用。我们试图通过在学生参加住院医师面试时对他们进行调查，来量化医学生申请急诊医学住院医师项目所实际花费的费用。
研究人员创建了一个包含 16 个项目的调查，询问与整个急诊医学住院医师申请过程相关的时间和金钱成本。选择在我们机构面试急诊医学住院医师职位的申请人被邀请在面试日完成调查。
在总共 81 名可能的住院医师申请人中（81%的回复率），有 66 人完成了我们的调查。在 2015-16 周期在我们的住院医师项目面试的“平均申请人”完成了 1.6 次轮岗或“试镜”，每次轮岗的平均费用为 1065 美元。该“平均申请人”申请了 42.8 个项目，然后参加了 13.7 次面试。在我们的项目面试的平均费用为 342 美元，在追求急诊医学住院医师职位的过程中，平均将花费 8312 美元。
由于多种因素，获得急诊医学住院医师职位的费用可能很高。通过了解推动这一趋势的因素，我们希望学术急诊医学界能够探索途径来帮助控制这些成本。
