分析 2014 年至 2018 年的显微手术匹配情况显示，显微手术奖学金职位的竞争加剧。
Analysis of the Microsurgery Match from 2014 to 2018 Reveals Increased Competition for Microsurgery Fellowship Positions.
机构信息
Division of Plastic and Reconstructive Surgery, Keck School of Medicine of University of Southern California, Los Angeles, California.
Tulane University School of Medicine, New Orleans, Louisiana.
出版信息
J Reconstr Microsurg. 2019 Nov;35(9):662-668. doi: 10.1055/s-0039-1693408. Epub 2019 Jul 14.
BACKGROUND
There has been no peer-reviewed published data analyzing the microsurgery match since it was established. The aim of this study is to present and analyze match data to inform residents and programs regarding outcomes.
METHODS
Anonymized data were requested from the San Francisco Match, which was plotted and analyzed utilizing Pearson's Chi-square, unpaired -test, and one-way analysis of variance (ANOVA).
RESULTS
Match data was obtained from the years 2014 to 2018. The match rate decreased from 84.6% in 2015 to 67.3% in 2018, mean = 73.7 (8.29%), and ( = 0.01735). The position fill rate fluctuated from 82.9% in 2014 to 90.0% in 2016, mean = 86.5 (3.0%). In 2014 and 2015, 66.7% of applicants matched their first or second choice compared to 48.0% in 2018, mean = 58.7 (8.3%), ( =.04785). Matched applicants ranked mean = 6.6 (1.4%) programs versus 3.4 (1.3) for unmatched, ( < 0.0001). Filled programs ranked a greater number of applicants per position, mean = 8.5 (1.8%), compared to partially filled, mean = 4.6 (2.6%), and unfilled mean = 3.6 (3.4%), programs ( = 0.0014). In 2015, 55.0% of programs matched their first or second choice compared to 30.4% of programs in 2018, mean = 43.0 (10.1%).
CONCLUSION
The application process for microsurgery has become more competitive. Matched applicants rank more programs than do unmatched. Fully filled programs rank more applicants per position than do unfilled or partially filled. Applicants and programs are increasingly less likely to match their top choices.
背景
自微创外科医师培养项目建立以来，尚无同行评审发表的数据对其进行分析。本研究旨在介绍和分析相关数据，为住院医师和项目提供信息，反映其结果。
方法
从旧金山 Match 项目中请求匿名数据，利用 Pearson's Chi-square、unpaired -test 和 one-way analysis of variance（ANOVA）进行绘图和分析。
结果
Match 数据来自 2014 年至 2018 年。匹配率从 2015 年的 84.6%下降至 2018 年的 67.3%，平均值为 73.7（8.29%），（ = 0.01735）。职位填补率从 2014 年的 82.9%波动至 2016 年的 90.0%，平均值为 86.5（3.0%）。2014 年和 2015 年，66.7%的申请人与他们的第一或第二选择相匹配，而 2018 年这一比例为 48.0%，平均值为 58.7（8.3%），（ =.04785）。匹配的申请人排名均值为 6.6（1.4%），而不匹配的申请人排名均值为 3.4（1.3%），（ < 0.0001）。每个职位填补的程序数较多，均值为 8.5（1.8%），而部分填补的程序均值为 4.6（2.6%），未填补的程序均值为 3.6（3.4%），（ = 0.0014）。2015 年，55.0%的程序与他们的第一或第二选择相匹配，而 2018 年这一比例为 30.4%，平均值为 43.0（10.1%）。
结论
微创外科医师培养项目的申请流程竞争日益激烈。匹配的申请人比不匹配的申请人排名更多的项目。完全填补的程序每职位的申请人数量多于未填补或部分填补的程序。申请人和项目越来越不可能匹配到他们的首选。
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