Department of Physical Medicine and Rehabilitation (PM&R), University of Colorado, Aurora, CO, USA.
PM R. 2021 Sep;13(9):986-993. doi: 10.1002/pmrj.12524. Epub 2021 Jan 18.
We provide an updated analysis of data about U.S. Physical Medicine and Rehabilitation (PM&R) residency program applicants collected by the National Resident Matching Program (NRMP).
Analyze trends within NRMP data for PM&R residency match rates, compare matched to unmatched applicants, and compare PM&R applicants to other medical specialties.
Secondary analysis of NRMP data.
NRMP data set.
Residency program applicants who participated in the NRMP Match, 2007 to 2018.
Not applicable.
Number of applicants, match rates, difference in characteristics including rank order list (ROL), U.S. Medical Licensing Examination (USMLE) Step 1 and Step 2 Clinical Knowledge (CK) scores, publications, Alpha Omega Alpha (AOA) status, PhD degree, and experiences in research, volunteer, and work.
Number of applicants and residency positions increased from 2007 to 2018. Length of ROL increased and was longer for matched compared to unmatched applicants, with maximum mean difference of 7.4 in 2016 (95% confidence interval [CI] 5.6-9.2). Matched U.S. Allopathic Seniors had higher USMLE scores compared to unmatched, with a mean difference of 12.7 for Step 1 (95% CI 8.3-17.0) and 12.6 (95% CI 8.6-16.6) for Step 2 CK (P < .001). Number of publications and volunteer experiences were higher for matched U.S. Allopathic Seniors (0.64, 95% CI 0.09-1.2 and 1.5, 95% CI 0.65-2.3, respectively). PM&R USMLE Step 1 and 2 CK scores increased at a significantly faster rate than for all other specialties, with estimated rate differences of 0.46 (95% CI 0.21-0.71) and 0.69 (95% CI 0.45-0.93) points per year, respectively.
PM&R residency has become more competitive. USMLE Step 1 and 2 CK scores have outpaced the inflation of scores in other specialties. ROL length has increased, suggesting more ranked programs to successfully match. These analyses update our knowledge about PM&R residency applicants and suggest surrogate markers for a successful match.
我们提供了美国物理医学与康复（PM&R）住院医师培训项目申请人数据的最新分析，这些数据是由全国住院医师匹配项目（NRMP）收集的。
分析 PM&R 住院医师匹配率的 NRMP 数据中的趋势，比较匹配与不匹配的申请人，并比较 PM&R 申请人与其他医学专业。
NRMP 数据的二次分析。
NRMP 数据集。
参加 NRMP 匹配的住院医师培训项目申请人，2007 年至 2018 年。
不适用。
申请人人数、匹配率、特征差异，包括排名表（ROL）、美国医师执照考试（USMLE）第 1 步和第 2 步临床知识（CK）分数、出版物、阿尔法欧米茄阿尔法（AOA）地位、博士学位以及研究、志愿者和工作经验。
申请人和住院医师职位的数量从 2007 年到 2018 年有所增加。ROL 的长度增加，与不匹配的申请人相比，匹配的申请人的 ROL 更长，2016 年最大平均差异为 7.4（95%置信区间[CI] 5.6-9.2）。与不匹配的申请人相比，匹配的美国全科学士生的 USMLE 分数更高，第 1 步的平均差异为 12.7（95%CI 8.3-17.0），第 2 步 CK 的平均差异为 12.6（95%CI 8.6-16.6）（P<.001）。与不匹配的申请人相比，匹配的美国全科学士生的出版物和志愿者经验更高（分别为 0.64（95%CI 0.09-1.2）和 1.5（95%CI 0.65-2.3））。PM&R 的 USMLE 第 1 步和第 2 步 CK 分数的增长速度明显快于其他所有专业，估计每年的增长率分别为 0.46（95%CI 0.21-0.71）和 0.69（95%CI 0.45-0.93）。
PM&R 住院医师培训项目变得更具竞争力。USMLE 第 1 步和第 2 步 CK 分数的增长速度超过了其他专业分数的通胀速度。ROL 长度增加，表明有更多排名靠前的项目成功匹配。这些分析更新了我们对 PM&R 住院医师培训申请人的了解，并提出了成功匹配的替代指标。
