Division of Plastic Surgery, Lahey Hospital & Medical Center, Burlington, Massachusetts; Tufts University School of Medicine, Boston, Massachusetts.
Division of Plastic Surgery, Lahey Hospital & Medical Center, Burlington, Massachusetts.
J Surg Educ. 2022 Jan-Feb;79(1):243-248. doi: 10.1016/j.jsurg.2021.07.011. Epub 2021 Aug 5.
The Covid-19 pandemic eliminated nearly all visiting sub-internships. We seek to uncover match rate disparities across plastic surgery, otolaryngology, urology, and neurosurgery subspecialties with respect to in-person appraisals. These data aim to highlight the common practices as well as subtle differences that each subspecialty may be displaying in selecting their respective residency candidates.
We accessed publicly available online spreadsheets between March 24 to 27 specific to the following surgical subspecialties: plastic surgery, otolaryngology, neurosurgery, and urology. We collected available information including the matched applicants' medical school, the institution at which they matched, and whether they had previous communication with their matched program. This data was then used to record whether the applicant matched at their home institution.
N/A PARTICIPANTS: N/A RESULTS: There was a statistically significant increase in the number of plastic surgery and otolaryngology applicants who matched at their home programs during the 2020 to 2021 application cycle. 12.1% and 17.2% of plastic surgery applicants matched at their home program in the 2018 to 2019 and 2019 to 2020 application cycles, compared to 25.0% during the 2020 to 2021 application cycle (p = 0.0345). Overall, 23.4% and 22.2% of otolaryngology applicants matched at their home program in the 2018 to 2019 and 2019 to 2020 application cycles, compared to 31.3% during the 2020 to 2021 application cycle (p = 0.0482). Neurosurgery and urology applicants did not demonstrate statistically significant differences in home match rates during the 2020 to 2021 application cycle (p = 0.164 and p = 0.105, respectively).
Covid-19 related restrictions in the 2020 to 2021 match cycle led residency programs to utilize novel selection mechanisms to evaluate applicants. Without visiting sub-internships during the 2020 to 2021 match cycle, some programs appear to have intentionally favored candidates with whom they were previously acquainted. The significantly higher number of international medical graduates and non-senior medical graduates among neurosurgery and urology residencies, respectively, likely washed out the home matching effect among these specialties but does not discount the importance of in-person appraisals.
Covid-19 大流行几乎取消了所有实习医师的实地参观。我们试图揭示整形外科学、耳鼻喉科学、泌尿外科学和神经外科学等专业在面对面评估方面的匹配率差异。这些数据旨在突出每个专业在选择住院医师候选人方面的常见做法和细微差异。
我们在 2023 年 3 月 24 日至 27 日期间访问了整形外科学、耳鼻喉科学、神经外科学和泌尿外科学等特定外科专业的公开在线电子表格。我们收集了包括匹配申请人的医学院、他们匹配的机构以及他们是否与匹配项目有过之前的交流在内的可用信息。然后，使用这些数据记录申请人是否在其原籍机构匹配。
无。参与者：无。结果：在 2020 年至 2021 年申请周期中，整形外科和耳鼻喉科申请人在原籍计划中匹配的人数显著增加。在 2018 年至 2019 年和 2019 年至 2020 年申请周期中，分别有 12.1%和 17.2%的整形外科申请人在原籍计划中匹配，而在 2020 年至 2021 年申请周期中这一比例为 25.0%（p=0.0345）。总体而言，在 2018 年至 2019 年和 2019 年至 2020 年申请周期中，分别有 23.4%和 22.2%的耳鼻喉科申请人在原籍计划中匹配，而在 2020 年至 2021 年申请周期中这一比例为 31.3%（p=0.0482）。在 2020 年至 2021 年申请周期中，神经外科和泌尿科申请人的原籍匹配率没有显示出统计学上的显著差异（p=0.164 和 p=0.105）。
在 2020 年至 2021 年的匹配周期中，与新冠病毒相关的限制促使住院医师计划采用新的选择机制来评估申请人。在 2020 年至 2021 年的匹配周期中没有实地参观实习医师，一些计划似乎有意青睐他们之前熟悉的候选人。神经外科和泌尿科住院医师分别有更多的国际医学毕业生和非高年级医学毕业生，这可能抵消了这些专业的原籍匹配效应，但不能否定面对面评估的重要性。
