Midwestern University Chicago College of Pharmacy, Downers Grove, IL, USA.
Practice Management of America, Smithtown, NY, USA.
J Pharm Pract. 2022 Feb;35(1):158-164. doi: 10.1177/0897190020958263. Epub 2020 Sep 15.
Mentors often provide advice to students regarding selection of Advanced Pharmacy Practice Experience (APPE) rotations to strengthen their candidacy for a residency position. However, the impact of APPE characteristics on the chances of matching is unknown.
To determine the impact of APPE characteristics on Post Graduate Year-1 (PGY1) residency match rates at a Midwest US college of pharmacy.
Graduates from a single college of pharmacy who participated in the PGY1 match in 2015 or 2016 were included. Match data were obtained from National Matching Services. APPE characteristics (e.g., rotation timing relative to the Midyear Clinical Meeting [MCM], rotation type, and setting) were stratified by matched status. Independent predictors were identified using multivariate logistic regression and tree-based models.
Ninety-nine students were included with 57 matching (57.6%). Students completing an infectious diseases rotation (75 vs. 51%; = 0.028), a hospital rotation before the MCM (67 vs. 47%; = 0.039), or a rotation in an ambulatory care clinic (67 vs. 47%; = 0.045) were more likely to match. Students completing an independent community pharmacy rotation were less likely to match (8.3 vs. 64%; < 0.001). After multivariate adjustment, all of these factors were associated with the likelihood of matching except completion of an infectious diseases ( = 0.077) or ambulatory care rotation ( = 0.073).
A hospital rotation prior to the MCM was positively associated with matching while completion of an independent community pharmacy rotation was associated with non-matched status. The utility of these findings in guiding APPE selections for students pursing residency should be explored.
导师通常会就高级药学实践经验（APPE）实习轮转的选择向学生提供建议，以增强他们在住院医师职位上的竞争力。然而，APPE 特征对匹配机会的影响尚不清楚。
确定美国中西部某药学院 APPE 特征对 PGY1 住院医师匹配率的影响。
纳入 2015 年或 2016 年参加 PGY1 匹配的单一药学院的毕业生。匹配数据从全国匹配服务机构获得。根据匹配情况对 APPE 特征（例如，轮转时间与中期临床会议（MCM）的相对关系、轮转类型和设置）进行分层。使用多变量逻辑回归和基于树的模型确定独立预测因子。
共纳入 99 名学生，其中 57 名匹配（57.6%）。完成传染病轮转的学生（75%比 51%； = 0.028）、在 MCM 之前完成医院轮转的学生（67%比 47%； = 0.039）或在门诊诊所完成轮转的学生（67%比 47%； = 0.045）更有可能匹配。完成独立社区药房轮转的学生匹配率较低（8.3%比 64%； < 0.001）。多变量调整后，除完成传染病（ = 0.077）或门诊护理（ = 0.073）外，所有这些因素均与匹配可能性相关。
MCM 之前的医院轮转与匹配呈正相关，而独立社区药房轮转的完成与非匹配状态相关。这些发现对于指导学生选择 APPE 以追求住院医师资格应该是有用的。
