Zuo Kevin J, Retrouvey Helene, Wanzel Kyle R
Ann Plast Surg. 2019 Feb;82(2):224-228. doi: 10.1097/SAP.0000000000001525.
Securing a residency training position in plastic surgery is highly competitive each year with a limited quota of positions and numerous qualified applicants. Although previous studies have highlighted the importance of residency programs and applicants seeking a "good fit," it remains poorly understood what influences a medical student's impression and desire to train at a certain program over others. The objective of this cross-sectional study was to identify which specific potentially modifiable factors during elective rotations and program interviews were most important to Canadian medical students when ranking plastic surgery programs.
An electronic survey with 42 questions was administered to Canadian final year medical students who applied through the 2017 Canadian Residency Match Service to the plastic surgery training program at the University of Toronto. The survey consisted of 7-point Likert scale questions related to demographics, general factors affecting impression of a plastic surgery program, and specific factors related to the elective and interview experiences. Survey responses were collected anonymously for analysis.
Twenty-three of 46 applicants completed the survey (50% response rate). The most important general factors affecting a medical student's impression and desire to train at a residency program were mentors at a specific program (weighted average, 6.39) and geographic location of a program (weighted average, 5.65). During elective rotations, the most important factors identified were overall impression of resident and staff collegiality (weighted average, 6.57), overall impression of resident happiness (weighted average, 6.52), and having a formal rotation-end debrief evaluation with the supervising staff (weighted average, 6.04). At program interviews, perceiving an atmosphere of collegiality (weighted average, 6.45) and opportunities to interact with residents and faculty at an organized social event (weighted average, 5.95) were considered of greatest importance.
Current applicants to plastic surgery in Canada prioritize resident happiness, program collegiality, and meaningful faculty relationships, such as those with a mentor, when ranking residency programs. Although finding a mutually "good fit" between applicant and program will remain a major aim, these findings indicate the importance of certain tangible, potentially modifiable factors that affect how medical students ultimately perceive and rank plastic surgery programs.
每年整形外科住院医师培训职位的竞争都极为激烈，职位配额有限，而合格的申请者众多。尽管先前的研究强调了住院医师培训项目和申请者寻求“合适匹配”的重要性，但对于是什么影响医学生对某个项目的印象以及选择在该项目而非其他项目接受培训的意愿，人们仍知之甚少。这项横断面研究的目的是确定在选修轮转和项目面试期间，哪些具体的、可能可改变的因素对加拿大医学生在对整形外科项目进行排名时最为重要。
对通过2017年加拿大住院医师匹配服务申请多伦多大学整形外科培训项目的加拿大医学专业最后一年学生进行了一项包含42个问题的电子调查。该调查包括与人口统计学、影响对整形外科项目印象的一般因素以及与选修和面试经历相关的具体因素有关的7级李克特量表问题。调查回复以匿名方式收集用于分析。
46名申请者中有23人完成了调查（回复率为50%）。影响医学生对住院医师培训项目的印象以及在该项目接受培训意愿的最重要的一般因素是特定项目的导师（加权平均分6.39）和项目的地理位置（加权平均分5.65）。在选修轮转期间，确定的最重要因素是住院医师和工作人员的团队合作总体印象（加权平均分6.57）、住院医师幸福感的总体印象（加权平均分6.52）以及与指导人员进行正式的轮转结束汇报评估（加权平均分6.04）。在项目面试中，感受到团队合作氛围（加权平均分6.45）以及在有组织的社交活动中与住院医师和教员互动的机会（加权平均分5.95）被认为最为重要。
加拿大目前申请整形外科的申请者在对住院医师培训项目进行排名时，将住院医师的幸福感、项目的团队合作以及与导师等教员建立有意义的关系放在优先位置。尽管在申请者和项目之间找到相互“合适匹配”仍将是一个主要目标，但这些发现表明了某些切实的、可能可改变的因素的重要性，这些因素会影响医学生最终如何看待和排名整形外科项目。
