Swarup Ishaan, Luhmann Scott, Woiczik Marcella, Sankar Wudbhav N
Children's Hospital of Philadelphia, Philadelphia, PA.
Shriner's Hospital for Children-St. Louis, Clayton Avenue, St. Louis, MO.
J Pediatr Orthop. 2020 Feb;40(2):e144-e148. doi: 10.1097/BPO.0000000000001401.
Pediatric orthopaedic surgery fellowships in North America have been organized, assigned, and administered through the San Francisco Match Program since 2011. However, trends in application numbers and match rates have not been assessed to this point. The purpose of this study is to describe these trends and applicants' perspective of the fellowship match.
The San Francisco Match databank was queried for program and applicant data from 2011 to 2018. Specifically, we obtained data regarding the number of applicants, programs, match rates, and match results. Each year, applicants also completed an anonymous post-match survey administered by the Pediatric Orthopaedic Society of North America fellowship committee, which included information on the number of applications, interview process, estimated costs, and suggested changes. Descriptive statistics were used to summarize the data, and univariate statistics were used to assess differences in categorical and continuous variables.
From 2011 to 2018, 524 applicants participated in the pediatric orthopaedic fellowship match, and the mean number of annual applicants was 66 (range, 55 to 76). The mean number of fellowship programs and available positions during the same time period was 43 (range, 40 to 47) and 69 (range, 63 to 74), respectively. Each fellowship interview was estimated by the applicant to cost a mean of $458 (range, $372 to $566), and annual application costs across all applicants were extrapolated to be over $200,000/year. The mean overall match rate was 81% (range, 74% to 91%). The mean match rate for North American applicants was 98.7% and international applicants were 40.9% (P<0.01). Approximately, 93% of applicants obtained one of their top 5 choices of fellowship program (range, 78% to 100%), and 50% of matched applicants obtained their top choice each year (range, 43% to 56%).
In the pediatric orthopaedic fellowship match, the number of applicants and fellowship programs has remained relatively stable over the study period, and the majority of applicants match one of their top choices for fellowship. Proposed changes to the match should focus on decreasing the financial burden on applicants.
Level II.
自2011年以来，北美的小儿骨科手术 fellowship 项目一直通过旧金山匹配计划进行组织、分配和管理。然而，到目前为止，申请人数和匹配率的趋势尚未得到评估。本研究的目的是描述这些趋势以及申请人对 fellowship 匹配的看法。
查询旧金山匹配数据库中2011年至2018年的项目和申请人数据。具体而言，我们获取了关于申请人数量、项目数量、匹配率和匹配结果的数据。每年，申请人还完成了一份由北美小儿骨科学会 fellowship 委员会进行的匿名匹配后调查，其中包括申请数量、面试过程、估计成本和建议更改等信息。描述性统计用于汇总数据，单变量统计用于评估分类变量和连续变量的差异。
2011年至2018年，524名申请人参加了小儿骨科 fellowship 匹配，每年的平均申请人数为66人（范围为55至76人）。同期 fellowship 项目的平均数量和可用职位分别为43个（范围为40至47个）和69个（范围为63至74个）。申请人估计每次 fellowship 面试的平均成本为458美元（范围为372至566美元），所有申请人的年度申请成本推算超过20万美元/年。总体平均匹配率为81%（范围为74%至91%）。北美申请人的平均匹配率为98.7%，国际申请人的平均匹配率为40.9%（P<0.01）。大约93%的申请人获得了他们 fellowship 项目前5个选择中的一个（范围为78%至100%），每年50%的匹配申请人获得了他们的首选（范围为43%至56%）。
在小儿骨科 fellowship 匹配中，在研究期间申请人数量和 fellowship 项目数量保持相对稳定，并且大多数申请人匹配到了他们 fellowship 的首选之一。对匹配的建议更改应侧重于减轻申请人的经济负担。
二级。
