Department of Otolaryngology-Head and Neck Surgery, Georgetown University Medical Center, Washington, DC.
Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, San Francisco, California.
Curr Opin Otolaryngol Head Neck Surg. 2021 Dec 1;29(6):517-525. doi: 10.1097/MOO.0000000000000760.
This article will provide an overview of recent disruptions to the otolaryngology residency match process and conclude with questions and resources that can guide future selection system design.
During the implementation of the single accreditation system, the loss of osteopathic programs, reduction of osteopathic leadership positions, and lack of interest in Osteopathic Recognition represent serious threats to the profession; this has implications for the distribution of the otolaryngology workforce, plausibly decreasing healthcare access in less-populated communities. Next, the impacts of COVID-19 reverberated throughout the application process, including the reduction/elimination of away rotations, modification of application requirements, conversion to virtual interviews, and initiation of preference signaling. Soon, the transition to pass/fail scoring for the United States Medical Licensing Exam Step 1 could stimulate a paradigm shift, with a heightened emphasis on holistic review.
The last two match cycles have been the most dynamic and unpredictable in decades. Out of the commotion, the otolaryngology community has an opportunity for a fresh start, combining insights from past literature with recent articles compiled for this review. Moving forward, it will be advantageous to approach residency selection as a well-executed quality improvement project, requiring continuous assessment and adjustment.
目的综述：本文将概述耳鼻喉科住院医师匹配过程中最近的中断，并以可以指导未来选择系统设计的问题和资源作为结论。
最新发现：在单一认证系统实施期间，失去骨病项目、减少骨病领导职位以及对骨病认可缺乏兴趣，这对该专业构成了严重威胁；这对耳鼻喉科劳动力的分布产生了影响，可能会降低人口较少社区的医疗保健可及性。其次，COVID-19 的影响在整个申请过程中都有所体现，包括减少/取消外展实习、修改申请要求、转为虚拟面试以及启动偏好信号。很快，美国医师执照考试第 1 步从及格/不及格评分制的过渡可能会引发范式转变，整体审查的重视程度将会提高。
总结：过去两个匹配周期是几十年来最具活力和最不可预测的周期。在混乱中，耳鼻喉科社区有机会重新开始，将过去文献中的见解与为本次综述汇编的最新文章相结合。展望未来，将住院医师选择作为一个精心执行的质量改进项目来处理将是有利的，这需要持续评估和调整。
