Division of Vascular Surgery, Cooper University Hospital, Camden, Camden, NJ.
Department of Vascular Surgery, Cleveland Clinic, Cleveland, Cleveland, Ohio.
J Vasc Surg. 2020 Jul;72(1):298-303. doi: 10.1016/j.jvs.2019.10.066. Epub 2020 Feb 7.
The purpose of this study was to examine trends in application submission, rank lists, and applicant quality for vascular surgery integrated residency.
The National Resident Matching Program Results and Data reports and the Electronic Residency Application Service Statistics from 2007 to 2017 were compiled and mined for trends in terms of application submission and the number of applicants a program needed to rank to fill all residency positions. Applicant pool depth and percentage of programs applied to were calculated. Outcome data from the National Resident Matching Program were reviewed for 2014 and 2016 for United States Medical Licensing Examination Step scores and experiences.
During the last 10 years, the number of vascular surgery integrated residency spots rose from 9 to 60 per year. Most programs offer one spot per year; none offer more than two. The average number of applications received by programs rose from 17 applications in 2008 to 63.8 in 2017. The average rank list depth needed by programs to fill the spots has not increased (range, 2.5-5.1; standard deviation, 0.73). The proportional depth of the applicant pool decreased from 4.6 U.S. and Canadian applicants for every one residency spot in 2008 to 1.7 applicants for every one residency spot in 2017. Applicant quality metrics were available for 2 years (2014 and 2016). Step 1 scores (237/239), Step 2 scores (250/250), research experiences (3.7/4.2), and volunteer experiences (5.9/5.5) remained nearly unchanged. The number of contiguous ranks for matched applicants remained stable (12.3/12.8).
The current system promotes multiple inefficiencies, resulting in application glut. Fewer applicants are flooding programs with an increasing number of applications. More money is being spent on Electronic Residency Application Service applications without changes in the number needed to rank by applicants or programs to achieve a match. There is no improvement in the quality of the applicant. Should these trends continue, they represent an unsustainable model for resident selection.
本研究旨在探讨血管外科整合住院医师项目的申请提交、候补名单和申请人质量的趋势。
编译并挖掘了 2007 年至 2017 年全国住院医师匹配项目结果和数据报告以及电子住院医师申请服务统计数据，以了解申请提交和项目需要排名多少以填补所有住院医师职位的申请人数量的趋势。计算了申请人库的深度和申请项目的百分比。审查了全国住院医师匹配项目 2014 年和 2016 年的美国医师执照考试第 1 步成绩和经历。
在过去的 10 年中，血管外科整合住院医师的名额从每年 9 个增加到 60 个。大多数项目每年提供一个名额；没有一个项目提供超过两个名额。项目收到的申请数量从 2008 年的 17 个增加到 2017 年的 63.8 个。项目填补名额所需的候补名单平均深度没有增加（范围为 2.5-5.1；标准差为 0.73）。申请人库的比例深度从 2008 年每一个住院医师名额有 4.6 个美国和加拿大申请人减少到 2017 年每一个住院医师名额有 1.7 个申请人。申请人质量指标可用于 2 年（2014 年和 2016 年）。第 1 步成绩（237/239）、第 2 步成绩（250/250）、研究经历（3.7/4.2）和志愿经历（5.9/5.5）几乎保持不变。匹配申请人的连续排名数量保持稳定（12.3/12.8）。
当前的系统存在多种效率低下的问题，导致申请过剩。越来越多的申请人向项目提交了越来越多的申请。在电子住院医师申请服务申请上花费的钱更多，而申请人或项目排名以获得匹配的数量却没有变化。申请人的质量没有提高。如果这些趋势持续下去，它们代表了住院医师选择的不可持续模式。
