Division of Plastic Surgery, Department of Surgery, UC San Diego Health Center, San Diego, California.
Division of Plastic Surgery, Department of Surgery, UC San Diego Health Center, San Diego, California.
J Surg Educ. 2021 Nov-Dec;78(6):2138-2145. doi: 10.1016/j.jsurg.2021.03.021. Epub 2021 May 6.
Plastic surgery residencies are among the most competitive programs for graduate medical education. While board scores and research output are well-studied indicators of match success, no studies describe the association between an applicant's medical school ranking and subsequent residency ranking.
A cross-sectional study of integrated plastic surgery residents for the 2019 to 2020 academic year was performed. Integrated plastic surgery residency programs were ranked according to 2020 Doximity Residency Navigator. AAMC-affiliated allopathic medical schools were ranked according to US News & World Report 2020 Best Medical Schools. Multiple regression analysis was used to determine if academic pedigree predicted placement at highly competitive plastic surgery residency programs.
A total of 914 residents across 69 integrated plastic surgery residency programs were included. Ten medical schools accounted for 169 (18.4%) of all trainees. 159 (16.5%) matched at their home program for residency. Medical school ranking and medical school-affiliated integrated plastic surgery program ranking were significant predictors of match success and future residency competitiveness. The presence of an affiliated plastic surgery residency program predicted total number of medical school graduates who matriculated into plastic surgery residency (p < 0.0005). Graduates of top-ranked schools represented a disproportionate number of current plastic surgery residents (Top 10 program: 12.5%, Top 20: 24.1%, Top 40: 40.9%, Top 50: 49.1%).
Both medical school ranking and home plastic surgery program ranking appeared to influence match success and future residency training program competitiveness. This is the first study to demonstrate these associations.
整形外科学住院医师培训是研究生医学教育中竞争最激烈的项目之一。虽然委员会分数和研究成果是匹配成功的研究指标，但没有研究描述申请人的医学院排名与随后的住院医师排名之间的关系。
对 2019 至 2020 学年的综合整形住院医师进行了横断面研究。根据 2020 年 Doximity 住院医师导航对综合整形住院医师培训计划进行了排名。根据《美国新闻与世界报道》2020 年最佳医学院，对 AAMC 附属的整骨医学院进行了排名。使用多元回归分析来确定学术背景是否可以预测在竞争激烈的整形外科学住院医师培训计划中的安置。
共有 69 个综合整形外科学住院医师培训计划的 914 名住院医师参与了本研究。有 10 所医学院的 169 名（18.4%）受训者。有 159 名（16.5%）受训者在自己的住院医师培训计划中匹配了自己的专业。医学院排名和医学院附属综合整形外科学计划排名是匹配成功和未来住院医师竞争力的重要预测因素。附属整形外科学住院医师培训计划的存在预测了进入整形外科学住院医师培训的医学院毕业生总数（p<0.0005）。排名靠前的学校的毕业生在当前的整形外科学住院医师中所占比例不成比例（排名前 10 的计划：12.5%，排名前 20 的计划：24.1%，排名前 40 的计划：40.9%，排名前 50 的计划：49.1%）。
医学院排名和家庭整形外科学计划排名似乎都影响了匹配成功和未来住院医师培训计划的竞争力。这是第一项证明这些关联的研究。
