Courneya Carol Ann, Cheung Winson, McMillan M Janette
University of British Columbia, British Columbia, Canada.
University of Calgary, Alberta, Canada.
Can Med Educ J. 2020 Jul 15;11(3):e4-e12. doi: 10.36834/cmej.53018. eCollection 2020 Jul.
Medical students are anxious about not getting a preferred residency position. We described elective patterns of two recent cohorts and examined associated match outcomes.
We conducted a retrospective review of the final-year electives of all students who participated in the residency match (first iteration) at one school for 2017 and 2018. We categorized elective patterns and associated them with aggregated match outcomes. We examined high-demand/low-supply (HDLS) disciplines separately.
We described three elective patterns: High Dive, Parallel Plan(s), and No Clear Pattern. Many students had High Dive and Parallel Plans patterns; only a few showed No Clear Pattern. Match rates for High Dive and Parallel Plan patterns were high but many students matched to Family and Internal Medicine. When we separated out HDLS predominance, the match rate remained high but a significant number matched to disciplines in which they did not have a majority of electives. Most High Dive and Parallel Plan students who went unmatched did so with HDLS discipline electives.
Many students chose High Dive and Parallel Plan strategies to both high-capacity and HDLS disciplines. Match rates were high for both patterns but students also matched to non-primary disciplines. Back-up planning may reside in the entire application, and not just electives selection.
医学生担心无法获得理想的住院医师职位。我们描述了最近两届学生的选修模式，并研究了相关的匹配结果。
我们对2017年和2018年在一所学校参加住院医师匹配（首轮）的所有学生的最后一年选修课进行了回顾性研究。我们对选修模式进行了分类，并将其与汇总的匹配结果相关联。我们分别研究了高需求/低供应（HDLS）学科。
我们描述了三种选修模式：“高风险型”、“平行计划型”和“无明确模式型”。许多学生采用“高风险型”和“平行计划型”模式；只有少数学生表现为“无明确模式型”。“高风险型”和“平行计划型”模式的匹配率很高，但许多学生匹配到了家庭医学和内科专业。当我们区分出HDLS优势学科时，匹配率仍然很高，但有相当一部分学生匹配到了他们选修课程中占比不多的学科。大多数未匹配成功的“高风险型”和“平行计划型”学生是因为选择了HDLS学科的选修课。
许多学生对高容量学科和HDLS学科都采用了“高风险型”和“平行计划型”策略。两种模式的匹配率都很高，但学生也匹配到了非主要学科。后备计划可能存在于整个申请过程中，而不仅仅是选修课的选择。
