Lenze Nicholas R, Mihalic Angela P, Kovatch Kevin J, Thorne Marc C, Kupfer Robbi A
Department of Otolaryngology - Head & Neck Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, U.S.A.
Department of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor, Michigan, U.S.A.
Laryngoscope. 2022 Jun;132(6):1177-1183. doi: 10.1002/lary.29860. Epub 2021 Sep 21.
OBJECTIVES/HYPOTHESIS: To estimate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the 2021 otolaryngology match with regard to geographic clustering, interview distribution, applicant-reported costs, and matched applicant characteristics.
Retrospective cohort study.
Survey data from applicants to otolaryngology residency programs were obtained from the Texas Seeking Transparency in Applications to Residency database. Applicant differences between the 2021 match year and prior match years (2018, 2019, and 2020) were analyzed using two-sided t-tests, Chi-square tests, and Fisher's exact tests.
A total of 442 otolaryngology residency applicants responded to the survey, including 329 from the match years 2018 to 2020 and 113 from match year 2021. In 2021, 30.7% of responding applicants reported matching at a program where they had a geographic connection, compared to 40.0% in prior years (P = .139). Matched applicants in 2021 reported attending less interviews than applicants in prior years (mean 12.2 vs. 13.3, P = .040), and 26.1% of responding applicants reported matching at a program where they sent a preference signal. Applicants in the 2021 match reported significantly lower total costs than applicants in prior years (mean difference -$5,496, 95% confidence interval -$6,234 to -$4,759; P < .001). Compared to prior match years, matched applicants in 2021 had no meaningful differences in characteristics such as United States Medical Licensing Exam board scores, clerkship grades, honors society memberships, research output, volunteer experiences, or leadership experiences.
Based on this sample, there was no evidence of significant interview hoarding or increased geographic clustering in the 2021 otolaryngology match, and the COVID-19 pandemic did not appear to result in significantly different matched applicant characteristics.
4 Laryngoscope, 132:1177-1183, 2022.
目的/假设：评估2019年冠状病毒病（COVID-19）大流行对2021年耳鼻咽喉科住院医师匹配在地理聚集、面试分布、申请人报告的费用以及匹配申请人特征方面的影响。
回顾性队列研究。
从德克萨斯州住院医师申请透明度数据库中获取耳鼻咽喉科住院医师项目申请人的调查数据。使用双侧t检验、卡方检验和费舍尔精确检验分析2021年匹配年份与之前匹配年份（2018年、2019年和2020年）之间的申请人差异。
共有442名耳鼻咽喉科住院医师申请人回复了调查，其中包括2018年至2020年匹配年份的329名和2021年匹配年份的113名。2021年，30.7%的回复申请人报告在与他们有地理联系的项目中匹配，而前几年为40.0%（P = 0.139）。2021年匹配的申请人报告参加的面试比前几年的申请人少（平均12.2次对13.3次，P = 0.040），26.1%的回复申请人报告在他们发送了偏好信号的项目中匹配。2021年匹配的申请人报告的总成本明显低于前几年的申请人（平均差异 -$5,496，95%置信区间 -$6,234至 -$4,759；P < 0.001）。与之前的匹配年份相比，2021年匹配的申请人在美国医学执照考试委员会分数、实习成绩、荣誉学会会员资格、研究产出、志愿者经历或领导经历等特征方面没有有意义的差异。
基于这个样本，没有证据表明2021年耳鼻咽喉科匹配中存在明显的面试囤积或地理聚集增加，并且COVID-19大流行似乎没有导致匹配申请人特征有显著差异。
4 《喉镜》，132:1177 - 1183，2022年。
