Fellows T K, Freiman S, Ljubojevic V, Saravanabavan S
Faculty of Medicine, University of Toronto, Ontario, Canada.
Can Med Educ J. 2020 Jul 15;11(3):e129-e132. doi: 10.36834/cmej.69322. eCollection 2020 Jul.
There is increasing concern amongst stakeholders over the high numbers of unmatched Canadian Medical Graduates (CMGs), yet little is known from the perspective of those who go unmatched. We present an opinion-based narrative analysis examining the matching process by reflecting on the pre- and post-match period and provide suggestions related to the Canadian context from the unmatched perspective. The challenge in the pre-match period was a lack of transparency around elective availability, resident selection criteria, and what happens after going unmatched. For the post-matched period, we were challenged with decision-making during a time-sensitive period, scheduling post-match electives, handling our finances, and improving our future residency applications without feedback. We have tried to identify the most impactful issues we encountered as applicants and unmatched students, and offered suggestions to improve the applicant experience. In addition to sharing our reflection in going unmatched, we also highlight the positive side of this formative experience.
利益相关者对大量未匹配的加拿大医学毕业生（CMG）越来越关注，但从未匹配者的角度了解到的情况却很少。我们通过对匹配前和匹配后的时期进行反思，呈现了一种基于观点的叙述性分析，审视匹配过程，并从未匹配者的角度提供与加拿大背景相关的建议。匹配前期的挑战在于选修课程的可获得性、住院医师选拔标准以及未匹配后会发生什么缺乏透明度。对于匹配后期，我们在时间紧迫的时期面临决策挑战，安排匹配后的选修课程，处理财务问题，以及在没有反馈的情况下改进未来的住院医师申请。我们试图确定作为申请者和未匹配学生所遇到的最具影响力的问题，并提出改善申请者体验的建议。除了分享我们对未匹配的反思，我们还强调了这段成长经历的积极一面。
