Monir Reesa L, Michaudet Kristina, Monir Joseph G, Rahmanian Kiarash P, Michaudet Charlie, Cooper Lou Ann, Harrell Heather
Dermatology, University of Florida College of Medicine, Gainesville, USA.
Radiology, Stanford University School of Medicine, Stanford, USA.
Cureus. 2021 Jan 20;13(1):e12823. doi: 10.7759/cureus.12823.
Introduction The National Resident Matching Program (NRMP) requires all Match participants to adhere to a strict code of conduct known as the Match Participation Agreement, yet Match violations continue to occur. We sought to determine how interview experiences, including Match violations, impact applicants' perceptions and rankings of residency programs. Methods An electronic survey was sent to all accredited medical school Deans of Student Affairs and Association of American Medical Colleges Student Representatives for distribution to fourth-year medical students. Questions assessed pressures that residency programs placed on applicants during interview season and their impact on applicants. Both quantitative and qualitative data were collected. Results Of the 433 included respondents, 31.2% (n = 135) reported breaches of the NRMP Match Participation Agreement. Of those, 63% (n = 85) had a negative perception of the violating programs, and 37.8% (n = 51) were less likely to rank those programs highly. Violations included asking applicants about the locations of their other interviews (60.3%, n = 261), pressuring applicants to reveal their ranking (24.0%, n = 104), explicitly requesting applicants to reveal their ranking (6.5%, n = 28), asking applicants to provide a commitment before Match day (3.9%, n = 17), and other behavior that was felt to ignore the spirit of the Match (16.4%, n = 71). Implying that applicants would match into a program if they ranked it highly (37.2%, n = 161) was received positively by 65.2% (n = 105) of applicants experiencing this breach, with 42.2% (n = 68) ranking the program more highly. Three major themes impacting applicants' impressions of residency programs emerged from the qualitative data: interview experience, professionalism, and post-interview communication (PIC). Respondents overwhelmingly agreed that PIC should either be eliminated or that programs should set clear expectations for PIC. Conclusions Match violations continue to occur, despite the NRMP Match Participation Agreement. With the notable exception of communication implying that applicants would match into a program, applicants overwhelmingly view programs that commit these violations negatively and often rank these programs lower as a result.
引言 国家住院医师匹配计划（NRMP）要求所有参与匹配的人员遵守一项名为《匹配参与协议》的严格行为准则，但违反匹配规定的情况仍在发生。我们试图确定面试经历，包括违反匹配规定的行为，如何影响申请人对住院医师培训项目的看法和排名。方法 向所有获得认证的医学院学生事务院长和美国医学院协会学生代表发送电子调查问卷，以便分发给四年级医学生。问题评估了住院医师培训项目在面试季对申请人施加的压力及其对申请人的影响。收集了定量和定性数据。结果 在433名纳入的受访者中，31.2%（n = 135）报告有违反NRMP匹配参与协议的行为。其中，63%（n = 85）对违规项目有负面看法，37.8%（n = 51）不太可能将这些项目排在高位。违规行为包括询问申请人其他面试的地点（60.3%，n = 261）、迫使申请人透露其排名（24.0%，n = 104）、明确要求申请人透露其排名（6.5%，n = 28）、要求申请人在匹配日之前做出承诺（3.9%，n = 17）以及其他被认为无视匹配精神的行为（16.4%，n = 71）。暗示申请人如果将某个项目排在高位就会匹配成功（37.2%，n = 161），65.2%（n = 105）经历这种违规行为的申请人对此持积极态度，42.2%（n = 68）将该项目排在更高位置。定性数据中出现了影响申请人对住院医师培训项目印象的三个主要主题：面试经历、专业素养和面试后沟通（PIC）。受访者压倒性地同意应消除PIC，或者项目应该对PIC设定明确期望。结论 尽管有NRMP匹配参与协议，但违反匹配规定的情况仍在发生。除了暗示申请人会匹配成功的沟通这一显著例外，申请人绝大多数对实施这些违规行为的项目持负面看法，结果往往将这些项目排在较低位置。
