小儿外科匹配数据解读：定义成功应用

The pediatric surgery match by the numbers: Defining the successful application.

作者信息

Savoie Kate B, Kulaylat Afif N, Huntington Justin T, Kelley-Quon Lorraine, Gonzalez Dani O, Richards Holden, Besner Gail, Nwomeh Benedict C, Fisher Jeremy G

机构信息

Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, OH.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA; Department of Preventive Medicine, University of Southern California, Los Angeles, CA.

出版信息

J Pediatr Surg. 2020 Jun;55(6):1053-1057. doi: 10.1016/j.jpedsurg.2020.02.052. Epub 2020 Feb 28.

BACKGROUND

Pediatric surgery remains the most competitive general surgery subspecialty. The authors suspected significant inflation in academic metrics since the last published paper. This study aimed to identify factors associated with applicant success in the match.

METHODS

After IRB approval, all applications to a single accredited pediatric surgery fellowship program were reviewed for match years 2014-2018. Matched and unmatched applicants were compared in an unadjusted and adjusted analysis.

RESULTS

This training program received 414 of 425 total applications (97%). Match results were available for 388 (94%). Matched applicants were more likely to train in programs with pediatric surgery fellowships (64% vs. 28%) and to have dedicated research time (55% vs. 21%; all p < 0.01). Matched applicants had more total publications (median: 12 vs. 7, p < 0.01) and higher ABSITE scores (median: 64th vs. 59th percentile, p < 0.01). Training in multiple programs negatively impacted the chance to match (p < 0.01). The median number of publications per applicant increased over the study time period from 7 to 11 (p < 0.01).

CONCLUSIONS

The likelihood of matching into a pediatric surgery fellowship was related to the type of residency attended, dedicated research time, ABSITE scores, and number of publications. Overall, the total number of publications reported by all applicants increased.

TYPE OF STUDY

Retrospective Comparative Study.

LEVEL OF EVIDENCE

Level III.

背景

小儿外科仍然是普通外科中竞争最为激烈的亚专业。作者怀疑自上一篇发表的论文以来学术指标存在显著夸大现象。本研究旨在确定与申请人在住院医师匹配中成功相关的因素。

方法

经机构审查委员会（IRB）批准，对2014 - 2018年匹配年份里向一个单一的经认可的小儿外科住院医师培训项目提交的所有申请进行了审查。在未调整和调整分析中对匹配和未匹配的申请人进行了比较。

结果

该培训项目收到了425份总申请中的414份（97%）。388份申请（94%）有匹配结果。匹配的申请人更有可能在设有小儿外科住院医师培训项目的机构接受培训（64%对28%），并且有专门的研究时间（55%对21%；所有p < 0.01）。匹配的申请人有更多的总发表文章数（中位数：12对7，p < 0.01）和更高的美国外科学会外科医师资格考试（ABSITE）分数（中位数：第64百分位对第59百分位，p < 0.01）。在多个项目中接受培训对匹配机会有负面影响（p < 0.01）。在研究时间段内，每位申请人的发表文章数中位数从7增加到了11（p < 0.01）。

结论

匹配到小儿外科住院医师培训项目的可能性与所就读的住院医师培训类型、专门的研究时间、ABSITE分数以及发表文章数有关。总体而言，所有申请人报告的发表文章总数有所增加。

研究类型

回顾性比较研究。

证据水平

三级。