Sergesketter Amanda R, Glener Adam D, Shammas Ronnie L, Nguyen Vu T, Ko Jason H, Lifchez Scott D, Momoh Adeyiza O, Marcus Jeffrey R, Hollenbeck Scott T, Phillips Brett T
From the Division of Plastic, Oral, and Maxillofacial Surgery, Duke University; the Department of Plastic Surgery, University of Pittsburgh; the Division of Plastic Surgery, Northwestern University; the Department of Plastic and Reconstructive Surgery, Johns Hopkins University; and the Section of Plastic Surgery, University of Michigan.
Plast Reconstr Surg. 2021 Jun 1;147(6):1050e-1056e. doi: 10.1097/PRS.0000000000007984.
Given the competition in the integrated plastic surgery Match, away rotations are ubiquitous among plastic surgery applicants to differentiate their applications. This study aimed to characterize how performing an away rotation affects rank order and Match outcomes for integrated plastic surgery programs.
An online survey was designed and distributed to the top 25 integrated plastic surgery programs in the United States as determined by Doximity. Programs were polled about away rotation structure, position of rotators on their 2018 to 2019 rank list, and composition of current resident classes.
Twenty-five programs completed the survey (response rate, 100 percent). On average, programs interviewed 34.9 applicants (range, 22 to 50 applicants) and ranked 32.8 applicants (range, 10 to 50 applicants). Most "ranked-to-match" positions were occupied by home students or away rotators (60.9 percent). Rank order of home students, away rotators, and nonrotators varied significantly (p < 0.001), with median rank order of home students [5 (interquartile range, 1 to 9)] and rotators [14 (interquartile range, 6 to 27)] higher than nonrotators [17 (interquartile range, 10 to 29)]. Rank orders of away rotators tended to follow a bimodal distribution. Furthermore, 64.4 percent of integrated residents were either a home student or away rotator at their matched integrated program, with 20 percent of residency programs composed of greater than 70 percent of away rotators/home students across postgraduate years 1 through 6 classes.
For integrated plastic surgery programs, the majority of ranked-to-match students on rank lists and current residents were either home students or away rotators at their respective program. Performing well on an away rotation appears to confer significant benefit to the applicant applying in the integrated plastic surgery Match.
鉴于整形外科综合住院医师招录匹配中的竞争，外地轮转在整形外科申请者中很普遍，以使其申请脱颖而出。本研究旨在描述进行外地轮转如何影响整形外科综合住院医师项目的排名顺序和匹配结果。
设计了一项在线调查，并分发给美国Doximity确定的排名前25的整形外科综合住院医师项目。就外地轮转结构、轮转学员在其2018至2019年排名列表中的位置以及当前住院医师班级的组成情况对各项目进行了调查。
25个项目完成了调查（回复率为100%）。各项目平均面试34.9名申请者（范围为22至50名申请者），并对32.8名申请者进行排名（范围为10至50名申请者）。大多数“排名到匹配”的职位由本校学生或外地轮转学员占据（60.9%）。本校学生、外地轮转学员和未轮转学员的排名顺序差异显著（p<0.001），本校学生的中位排名顺序为[5（四分位间距，1至9）]，轮转学员为[14（四分位间距，6至27）]，高于未轮转学员[17（四分位间距，10至29）]。外地轮转学员的排名顺序倾向于呈双峰分布。此外，64.4%的整形外科综合住院医师在其匹配的项目中是本校学生或外地轮转学员，20%的住院医师项目在研究生1至6年级班级中，超过70%是外地轮转学员/本校学生。
对于整形外科综合住院医师项目，排名列表上大多数排名到匹配的学生以及当前住院医师在各自项目中要么是本校学生要么是外地轮转学员。在外地轮转中表现出色似乎会给申请整形外科综合住院医师招录匹配的申请者带来显著优势。
