Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, CT, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Vermont College of Medicine, Burlington, VT, USA.
Ann Otol Rhinol Laryngol. 2021 Aug;130(8):929-940. doi: 10.1177/0003489420987408. Epub 2021 Jan 13.
To evaluate the recent Otolaryngology-Head and Neck Surgery (OTO-HNS) applicant characteristics, to identify which applicant characteristics are associated with successful match into OTO-HNS, and to compare OTO-HNS applicant trends and characteristics to that of peer surgical specialties (PS).
Data were obtained from official reports by the National Residency Matching Program (NRMP) for OTO-HNS, plastic and reconstructive surgery, orthopedic surgery, neurosurgery, and dermatology from 2006 to 2019. Alpha Omega Alpha (AOA) membership, United States Medical Licensing Examination (USMLE) scores, research productivity, graduation from a top-40 NIH-funded U.S. medical school, and additional graduate degree were recorded. Odds ratios (OR) were calculated to evaluate the relationship between applicant qualifications and match success.
From 2014 to 2018, the OTO-HNS applicant pool shrunk from 443 to 333, representing the largest drop of all PS. Furthermore, OTO-HNS reported the most unfilled positions and highest match rates in 2017 (n = 14; 92.1%) and 2018 (n = 12; 94.6%) among any PS. Despite recent trends, 2019 NRMP data revealed a 38.74% increase in OTO-HNS applicant numbers compared to 2018. AOA membership (OR, 7.3; = .030), USMLE Step 2 scores between 241 and 260 (OR, 6.5; = .009), and research productivity (OR, 5.6; = .005) significantly increased the odds of matching into OTO-HNS.
Despite recent fluctuations in application trends, OTO-HNS continues to successfully match highly qualified applicants, including applicants with AOA membership, high Step 2 scores, and high research productivity. An understanding of the qualifications used to evaluate residency applicants may be helpful to both applicants and residency programs of OTO-HNS.
评估最近的耳鼻喉科-头颈外科（OTO-HNS）申请人的特征，确定哪些申请人特征与成功匹配 OTO-HNS 相关，并比较 OTO-HNS 申请人趋势和特征与同行外科专业（PS）。
数据来自国家住院医师匹配计划（NRMP）的官方报告，涉及耳鼻喉科、整形和重建外科、骨科、神经外科和皮肤科，时间范围为 2006 年至 2019 年。记录了 Alpha Omega Alpha（AOA）会员资格、美国医师执照考试（USMLE）成绩、研究成果、毕业于 NIH 资助的前 40 名美国医学院，以及额外的研究生学位。计算比值比（OR）来评估申请人资格与匹配成功率之间的关系。
从 2014 年到 2018 年，耳鼻喉科-头颈外科的申请人人数从 443 人减少到 333 人，是所有 PS 中降幅最大的。此外，在 2017 年（n=14；92.1%）和 2018 年（n=12；94.6%），耳鼻喉科-头颈外科报告的未填补职位数量最多，匹配率最高。尽管最近出现了趋势，但 2019 年 NRMP 数据显示，与 2018 年相比，耳鼻喉科-头颈外科的申请人数量增加了 38.74%。AOA 会员资格（OR，7.3；=0.030）、USMLE 第 2 步成绩在 241 到 260 之间（OR，6.5；=0.009）和研究成果（OR，5.6；=0.005）显著增加了匹配 OTO-HNS 的几率。
尽管最近申请趋势波动较大，但 OTO-HNS 仍继续成功匹配高素质申请人，包括 AOA 会员、高 Step 2 成绩和高研究成果的申请人。了解用于评估住院医师申请人的资格可能对 OTO-HNS 的申请人和住院医师计划都有帮助。
