Surgical Oncology Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Biostatistics and Data Management Section, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Ann Thorac Surg. 2021 Dec;112(6):2070-2075. doi: 10.1016/j.athoracsur.2020.12.017. Epub 2020 Dec 27.
Thoracic surgery (TS) residency positions are in high demand. There is no study describing the nationwide attributes of successful matriculants in this specialty. We examined the characteristics of TS resident applicants and identified factors associated with acceptance.
Applicant data from 2014 to 2017 application cycles was extracted from the Electronic Residency Application System and stratified by matriculation status. Medical education, type of general surgery residency, and research achievements were analyzed. The number of peer-reviewed publications and the corresponding impact factor for the journals where they were published were quantified.
There were 492 applicants and 358 matriculants. The overall population was primarily male (79.5%), white (55.1%), educated at United States allopathic medical schools (66.5%), and trained at university-based general surgery residencies (59.6%). Education at United States allopathic schools (odds ratio [OR], 2.54; P < .0001), being a member of the American Osteopathic Association (OR, 3.27; P = .021), general surgery residency affiliation with a TS residency (OR, 2.41; P = .0003) or National Cancer Institute designated Comprehensive Cancer Center (OR, 1.76; P = .0172), and being a first-time applicant (OR, 4.71, P < .0001) were independently associated with matriculation. Matriculants published a higher number of manuscripts than nonmatriculants (median of 3 vs 2, P < .0001) and more frequently published in higher impact journals (P < .0001).
Our study includes objective and quantifiable data from recent application cycles and represents an in-depth examination of applicants to TS residency. The type of medical school and residency, as well as academic productivity, correlate with successful matriculation.
胸外科（TS）住院医师职位需求量大。目前尚无研究描述该专业成功入学申请人的全国性特征。我们研究了 TS 住院医师申请人的特征，并确定了与录取相关的因素。
从 2014 年至 2017 年的电子住院医师申请系统中提取申请数据，并按入学情况进行分层。分析医学教育、普通外科住院医师类型和研究成果。量化了同行评审出版物的数量和发表论文的期刊的相应影响因子。
共有 492 名申请人和 358 名入学申请人。总体人群主要为男性（79.5%）、白人（55.1%）、在美国获得医学学位（66.5%）、并在大学附属普通外科住院医师培训（59.6%）。在美国获得医学学位（优势比[OR]，2.54；P<.0001）、是美国骨病协会成员（OR，3.27；P=.021）、普通外科住院医师培训与胸外科住院医师培训相关（OR，2.41；P=.0003）或与国立癌症研究所指定的综合癌症中心相关（OR，1.76；P=.0172）、以及首次申请（OR，4.71，P<.0001）与入学独立相关。入学申请人发表的论文数量多于未入学申请人（中位数为 3 篇 vs 2 篇，P<.0001），且更多地发表在影响因子较高的期刊上（P<.0001）。
本研究纳入了来自最近申请周期的客观和可量化数据，对胸外科住院医师申请进行了深入的研究。医学院和住院医师类型以及学术成果与成功入学相关。
