Division of Cardiothoracic Surgery, Department of Surgery, Larner College of Medicine at The University of Vermont, Burlington, Vt.
Division of Cardiothoracic Surgery, Department of Surgery, The University of Vermont Medical Center, Burlington, Vt.
J Thorac Cardiovasc Surg. 2023 Sep;166(3):904-914. doi: 10.1016/j.jtcvs.2021.11.112. Epub 2022 Mar 22.
The objective of this study was to evaluate trends, qualifications, race/ethnicity, and gender of applicants to integrated cardiothoracic (CT I-6) residency programs and compare them with other competitive surgical subspecialties.
Data were collected from the National Residency Matching Program, Electronic Residency Application Service, and Association of American Medical Colleges for thoracic surgery, orthopedic surgery, neurological surgery, otolaryngology (ENT), plastic surgery, and vascular surgery for 2010 t0 2020. Applicant gender, race/ethnicity, Alpha Omega Alpha (AOA) membership, United States Medical Licensing Examination scores, research productivity, and graduation from a top-40 medical school were analyzed.
From 2010 to 2020, CT I-6 experienced growth in postgraduate year 1 positions (280.0%), total applicants (62.2%), and US senior applicants (59.2%). No growth in CT I-6 positions (38) or programs (29) occurred from 2016 to 2020. CT I-6 had the lowest match rates among total applicants (31.7%) and US seniors (41.0%) in 2020. CT I-6 had fewer female applicants compared with ENT (P < .001) and plastic surgery (P < .001), but more than orthopedic surgery (P < .001). Although most CT I-6 US applicants self-identified as White (75.0%), there were more Asian applicants compared with applicants for orthopedic surgery (P < .001), ENT (P < .001), plastic surgery (P < .001), and neurological surgery (P < .01). Matched applicants averaged the highest Step 2-Clinical Knowledge scores (255.1), AOA membership (48.5%), and graduation rates from top-40 medical schools (54.5%).
Despite tremendous growth in positions, CT I-6 has consistently been the most difficult surgical subspecialty to match. CT I-6 has recently attracted an increasingly diverse applicant pool. For the 2019 to 2020 National Residency Matching Program Match Cycle, successful applicants had the highest Step 2-Clinical Knowledge scores, AOA membership rates, and graduation rates from a top-40 medical school among all surgical subspecialties examined.
本研究旨在评估申请综合心胸科（CT I-6）住院医师项目的申请人的趋势、资格、种族/族裔和性别，并将其与其他竞争激烈的外科专业进行比较。
从 2010 年到 2020 年，数据来自全国住院医师匹配项目、电子住院医师申请服务和美国医学协会，涉及胸外科、骨科、神经外科、耳鼻喉科（ENT）、整形外科学和血管外科学。分析了申请人的性别、种族/族裔、阿尔法欧米茄阿尔法（AOA）会员资格、美国医师执照考试成绩、研究成果以及是否毕业于前 40 名医学院。
从 2010 年到 2020 年，CT I-6 的研究生一年级职位（280.0%）、总申请人（62.2%）和美国高年级申请人（59.2%）有所增加。从 2016 年到 2020 年，CT I-6 的职位（38 个）或项目（29 个）没有增加。2020 年，CT I-6 在总申请人（31.7%）和美国高年级申请人（41.0%）中的匹配率最低。与 ENT（P<.001）和整形外科学（P<.001）相比，CT I-6 的女性申请人较少，但比骨科（P<.001）多。尽管大多数 CT I-6 的美国申请人自认为是白人（75.0%），但与骨科（P<.001）、ENT（P<.001）、整形外科学（P<.001）和神经外科学（P<.01）相比，亚裔申请人更多。
尽管职位数量大幅增长，但 CT I-6 一直是最难匹配的外科专业。CT I-6 最近吸引了越来越多样化的申请人。在 2019 至 2020 年全国住院医师匹配项目匹配周期中，与所有检查的外科专业相比，成功申请人的 Step 2-Clinical Knowledge 成绩最高，AOA 会员率最高，以及毕业于前 40 名医学院的比例最高。
