Iwai Yoshiko, Lenze Nicholas R, Becnel Chad M, Mihalic Angela P, Stitzenberg Karyn B
The University of North Carolina School of Medicine, Chapel Hill, North Carolina.
The University of North Carolina School of Medicine, Chapel Hill, North Carolina.
J Surg Educ. 2022 May-Jun;79(3):579-586. doi: 10.1016/j.jsurg.2021.11.003. Epub 2021 Nov 29.
To determine predictive factors for a successful residency match among general surgery applicants from 2018 to 2021.
A retrospective cross-sectional study of general surgery applicants who matched and went unmatched in match years 2018 to 2021. Applicant characteristics, geographic connections to a program, and away rotations were compared among matched and unmatched applicants.
Data were sourced from the Texas Seeking Transparency in Applications to Residency initiative for general surgery applicants.
All fourth-year medical students applying in the 2018 to 2021 cycles at participating U.S. medical schools were eligible to respond to the Texas Seeking Transparency in Applications to Residency survey. This study included a total of 1,425 general surgery applicants.
Of 1,425 general surgery applicants, 88% matched and 12% went unmatched. Significant predictors for a successful match included Step 1 Score ≥237 (odds ratio (OR) 1.59 [95% CI 1.15-2.19]; p = 0.005); Step 2 CK Score ≥252 (OR 1.88 [95% CI 1.36-2.60]; p < 0.001); ≥3 Honored Clerkships (OR 1.84 [95% CI 1.33-2.53]; p < 0.001); Honors in General Surgery Clerkship (OR 1.73 [95% CI 1.33-2.53]; p = 0.001); AOA membership (OR 2.14 [95% CI 1.34-3.42]; p = 0.001); ≥4 abstracts, posters, or publications (OR 1.66 [95% CI 1.20-2.30]; p=0.002); and ≥1 peer-reviewed publications (OR 1.52 [95% CI 1.09-2.12]; p = 0.014). On average, matched applicants completed more away rotations than unmatched applicants (p = 0.004). Overall, 36% of matched applicants reported a geographic connection to the program where they matched.
We found that Step 2 CK score, research productivity, honored clerkships, AOA status, and away rotations are significant predictors for successfully matching into general surgery residency. Medical schools can encourage students to prepare a holistic application incorporating variables quantified in this study in preparation for the Step 1 reporting change.
确定2018年至2021年普通外科申请者成功匹配住院医师培训项目的预测因素。
对2018年至2021年匹配和未匹配的普通外科申请者进行回顾性横断面研究。比较匹配和未匹配申请者的特征、与项目的地域联系以及异地轮转情况。
数据来源于德克萨斯州住院医师申请透明度倡议项目中普通外科申请者的数据。
所有在2018年至2021年期间申请参与美国医学院校普通外科住院医师培训项目的四年级医学生均有资格回应德克萨斯州住院医师申请透明度调查。本研究共纳入1425名普通外科申请者。
在1425名普通外科申请者中，88%匹配成功，12%未匹配成功。成功匹配的显著预测因素包括：第一步考试成绩≥237分（优势比（OR）1.59 [95%置信区间1.15 - 2.19]；p = 0.005）；第二步临床知识考试成绩≥252分（OR 1.88 [95%置信区间1.36 -
