Clark Megan, Shah Sachin, Kolla Lee, Marshall Stephanie, Bryson Sara, Nair Bindu
University of Saskatchewan, Saskatchewan, Canada.
Can Med Educ J. 2020 Jul 15;11(3):e101-e110. doi: 10.36834/cmej.69330. eCollection 2020 Jul.
We aimed to analyze which medical school experiences contribute to success in an increasingly competitive CaRMS match.
We surveyed all matched University of Saskatchewan 2019 medical graduates on characteristics of their applications: number of program applications, interviews obtained, experiences (research, volunteer, leadership), awards and money spent on the residency match process, and qualitative reflections on the process. Using published CaRMS statistics based on number of positions versus applicants, specialties were divided into high availability/low demand (HA) (e.g. family and internal medicine) and low availability/high demand (LA) (e.g. dermatology and emergency medicine). Quantitative results were analyzed using descriptive statistics, chi-square and t-tests, and qualitative results thematically.
Data from 27 of 94 matched students were included. LA applicants were more likely to report at least one research project on their CV (66.67% among LA vs. 15.38% among HA, = 27, χ2 = 8.640, = 0.013), with a greater number of research presentations (mean=3.75 presentations vs. 2.07, (25) = -2.251, = 0.033). LA applicants had more elective weeks outside Saskatchewan (mean 11.75 weeks vs. 7.40 weeks, (25) = -2.532, = 0.018). Other application variables were not different between groups. Some students endorsed broader electives strategies, others (especially in surgical disciplines) supported narrower ones. Students reported travel, financial burden, document submission, and uncertainty as the greatest match process stressors.
LA applicants cited more research projects and presentations, spent more elective weeks outside Saskatchewan, but were otherwise similar to HA applicants. Further studies should be done on student factors in the residency match process.
我们旨在分析在竞争日益激烈的加拿大住院医师匹配服务（CaRMS）中，哪些医学院的经历有助于取得成功。
我们对2019年萨斯喀彻温大学所有匹配成功的医学毕业生进行了调查，内容包括他们申请的特点：申请项目的数量、获得的面试机会、经历（研究、志愿者、领导能力）、奖项以及在住院医师匹配过程中花费的金钱，还有对该过程的定性反思。根据已公布的基于职位数量与申请人数量的CaRMS统计数据，专业被分为高可用性/低需求（HA）（如家庭医学和内科）和低可用性/高需求（LA）（如皮肤科和急诊医学）。定量结果采用描述性统计、卡方检验和t检验进行分析，定性结果进行主题分析。
纳入了94名匹配成功学生中的27名的数据。LA申请人更有可能在简历中列出至少一个研究项目（LA组为66.67%，HA组为15.38%，n = 27，χ2 = 8.640，p = 0.013），研究报告的数量更多（平均3.75次报告对2.07次，t(25) = -2.251，p = 0.033）。LA申请人在萨斯喀彻温省以外有更多的选修周（平均11.75周对7.40周，t(25) = -2.532，p = 0.018）。其他申请变量在两组之间没有差异。一些学生支持更广泛的选修策略，另一些学生（尤其是外科专业的）则支持更窄的策略。学生们报告说旅行、经济负担、文件提交和不确定性是匹配过程中最大的压力源。
LA申请人提到了更多的研究项目和报告，在萨斯喀彻温省以外度过了更多的选修周，但在其他方面与HA申请人相似。应进一步研究住院医师匹配过程中的学生因素。
