Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA.
Department of Orthopaedic Surgery, Saint Louis University, Saint Louis, MO.
J Arthroplasty. 2020 Sep;35(9):2676-2681. doi: 10.1016/j.arth.2020.04.080. Epub 2020 Apr 28.
No data evaluate the impact that an applicant's residency program reputation has on the outcome of the American Association of Hip and Knee Surgeons (AAHKS) fellowship match. This study sought to determine if an applicant's residency program ranking was associated with where the applicant matched on their rank list.
We included all the US applicants from the "San Francisco Match" regarding AAHKS applicant data and match results from 2014 to 2018. Residency programs were divided into 5 tiers based on 2018 Doximity ranking of Orthopedic Residency Programs. Statistical analysis consisted of descriptive statistics, chi-squared tests, and analysis of variance.
In total, 656 applicants met inclusion criteria (620 males; 36 females). Tier 1 applicants applied to an average of 10 fewer programs than applicants from all other tiers. Eighteen percent of applicants from tier 1 residencies were offered interviews at 80%+ of their applied programs compared to 5% or less of the applicants from all other tiers. Applicants from top tier residencies matched at a significantly higher place on their rank list than other tiers (P < .05) and ranked into one of their first 2 choices 72% of the time. The mean fellowship rank position for tier 1 applicants was 5.96 compared to 7.04, 7.85, 7.78, and 8.10 for subsequent tiers, respectively (P < .05).
The fellowship match process represents a high-stakes and expensive process. This study found that applicants from more prestigious residency programs apply to fewer programs, gain more interviews, and match higher on their rank list than applicants from other residency programs.
目前尚无数据评估申请人所在住院医师规范化培训项目的声誉对美国髋关节和膝关节外科医师协会（AAHKS）研究员匹配结果的影响。本研究旨在确定申请人所在住院医师规范化培训项目的排名是否与申请人在其排名名单上的匹配位置有关。
我们纳入了 2014 年至 2018 年期间“旧金山匹配”中所有关于 AAHKS 申请人数据和匹配结果的美国申请人。根据 2018 年 Doximity 骨科住院医师规范化培训项目排名，将住院医师规范化培训项目分为 5 个等级。统计分析包括描述性统计、卡方检验和方差分析。
共有 656 名符合纳入标准的申请人（620 名男性；36 名女性）。第 1 等级的申请人平均比其他所有等级的申请人申请的项目少 10 个。18%的来自第 1 等级住院医师规范化培训项目的申请人在其申请的 80%以上的项目中获得面试机会，而其他所有等级的申请人中只有 5%或更少的人获得面试机会。来自顶级住院医师规范化培训项目的申请人在其排名名单上的匹配位置明显高于其他等级（P <.05），72%的时间排名进入前 2 个选择中的一个。第 1 等级申请人的 fellowship 排名位置平均为 5.96，而随后的等级分别为 7.04、7.85、7.78 和 8.10（P <.05）。
研究员匹配过程是一个高风险和昂贵的过程。本研究发现，来自声誉较高的住院医师规范化培训项目的申请人申请的项目较少，获得的面试机会更多，在其排名名单上的匹配位置也高于其他住院医师规范化培训项目的申请人。
