University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, U.S.A.
Laryngoscope. 2021 Sep;131(9):E2506-E2512. doi: 10.1002/lary.29521. Epub 2021 Mar 18.
OBJECTIVES/HYPOTHESIS: While many students participate in research years or fellowships prior to entering the otolaryngology-head and neck surgery (OHNS) match, the effects of these fellowships on match outcomes remains unclear. This study aimed to assess the impact of research fellowships on odds of matching into OHNS.
Cross-sectional analysis.
Applications from first-time, US allopathic seniors between the 2014-2015 and the 2019-2020 application cycles were reviewed. Data were abstracted from Electronic Residency Application Service applications and match results determined using the National Residency Matching Program database and online public sources. The relationship between research fellowships and matching was analyzed using multivariate logistic regression.
Of the 1775 applicants included, nearly 16% (n = 275) participated in research fellowships and 84.1% matched (n = 1492). Research fellows were no more likely to match into OHNS than non-research fellows (86.9% vs. 83.5%, unadjusted odds ratio [OR] 1.31, P = .161), even when adjusting for applicant characteristics (predicted probability [PP]: 88.8% vs. 85.8%, adjusted OR 1.31, P = .210). For applicants from top 25 medical schools, however, research fellowships were associated with higher odds of matching (PP: 96.5% vs. 90.0%, adjusted OR 3.07, P = .017). In addition, completing a fellowship was associated with significantly greater odds of matching into a top 25 OHNS residency program (PP: 58.6% vs. 30.5%, adjusted OR 3.24, P < .001).
Fellowships may be beneficial for select applicants, though for most, they are not associated with improved odds of matching. These findings provide context for OHNS residency candidates considering research fellowships and should be carefully weighed against other potential advantages and disadvantages of fellowships.
NA Laryngoscope, 131:E2506-E2512, 2021.
目的/假设：虽然许多学生在进入耳鼻喉科-头颈外科学（OHNS）匹配之前参加过研究年或研究员，但这些研究员对匹配结果的影响仍不清楚。本研究旨在评估研究研究员对 OHNS 匹配机会的影响。
横断面分析。
审查了 2014-2015 年和 2019-2020 年申请周期的首次，美国全医学龄高级别申请人的申请。从电子住院申请服务申请中提取数据，并使用全国住院医师匹配计划数据库和在线公共资源确定匹配结果。使用多元逻辑回归分析研究研究员与匹配之间的关系。
在 1775 名申请人中，近 16%（n=275）参加了研究研究员，84.1%的人匹配（n=1492）。研究员与非研究员相比，更不可能匹配 OHNS（86.9%比 83.5%，未调整的优势比[OR]1.31，P=0.161），即使调整了申请人的特征（预测概率[PP]：88.8%比 85.8%，调整后的 OR 1.31，P=0.210）。然而，对于来自前 25 名医学院的申请人，研究研究员与更高的匹配几率相关（PP：96.5%比 90.0%，调整后的 OR 3.07，P=0.017）。此外，完成研究员与进入前 25 名 OHNS 住院医师计划的几率显著增加相关（PP：58.6%比 30.5%，调整后的 OR 3.24，P<0.001）。
研究员可能对某些申请人有益，尽管对于大多数申请人而言，他们与提高匹配几率无关。这些发现为考虑研究员的 OHNS 住院医师候选人提供了背景信息，应仔细权衡研究员的其他潜在优势和劣势。
无喉镜，131：E2506-E2512，2021。
