研究差距现状-骨科住院医师申请人的空档年：项目主任的观点。
Current State of Research Gap-Years in Orthopedic Surgery Residency Applicants: Program Directors' Perspectives.
机构信息
Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
出版信息
Iowa Orthop J. 2022 Jun;42(1):19-30.
BACKGROUND
The purpose of this study was to determine how orthopedic residency program directors (PDs) evaluate residency applicants who participated in a research gap-year (RGY).
METHODS
A 23 question electronically administered survey was created and emailed to all Accreditation Council for Graduate Medical Education (ACGME) orthopedic residency PDs for the 2020-21 application cycle. PDs were emailed directly if active contact information was identifiable. If not, program coordinators were emailed. The survey contained questions regarding the background information of programs and aimed at identifying how PDs view and evaluate residency applicants who participated in a RGY. Descriptive statistics for each question were performed.
RESULTS
Eighty-four (41.8%) of 201 PDs responded. Most respondent programs (N=62, 73.8%) identified as an academic center. The most common geographic region was the Midwest, N=33 (39.3%). Few programs (N=3, 3.8%) utilize a publication "cut-off" when screening residency applicants. When asked how many peer-reviewed publications were necessary to deem a RGY as "productive," responses ranged from 0-15 publications (median interquartile range 4.5 [3-5]). Forty-one (53.3%) PDs stated they would council medical students to take a RGY with USMLE Step 1 scores being the #1 factor guiding that advice. More PDs disagree than agree (N=35, 43.6%; vs N=22, 28.2%) that applicants who complete a RGY are more competitive applicants, and 35 PDs (45.5%) agree research experiences will become more important in resident selection as USMLE Step 1 transitions to Pass/Fail.
CONCLUSION
Program directors have varying views on residency applicants who did a RGY. While few programs use a publication cutoff, the median number of publications deemed as being a "productive" RGY was approximately 5. Many PDs agree that research experiences will become more important as USMLE Step becomes Pass/Fail. This information can be useful for students interested in pursuing a RGY and for residency programs when evaluating residency applicants. .
背景
本研究旨在确定骨科住院医师培训计划主任（PD）如何评估参加研究空档年（RGY）的住院医师申请人。
方法
创建了一份 23 个问题的电子管理调查，并在 2020-21 申请周期内向所有骨科住院医师培训计划主任（ACGME）发送电子邮件。如果可以识别出主任的有效联系方式，则直接向主任发送电子邮件。如果没有，则向项目协调员发送电子邮件。调查包含有关计划背景信息的问题，旨在确定 PD 如何看待和评估参加 RGY 的住院医师申请人。对每个问题进行了描述性统计分析。
结果
84 名（41.8%）201 名 PD 做出了回应。大多数回应计划（N=62，73.8%）被确定为学术中心。最常见的地理区域是中西部，N=33（39.3%）。很少有计划（N=3，3.8%）在筛选住院医师申请人时使用出版物“截止”。当被问及需要多少篇同行评议的出版物才能认为 RGY 是“有成效的”时，答案从 0 到 15 篇出版物不等（中位数四分位距 4.5 [3-5]）。41 名（53.3%）PD 表示，他们会建议医学生在 USMLE 第 1 步成绩是指导该建议的首要因素的情况下，参加 RGY。不同意（N=35，43.6%）比同意（N=22，28.2%）认为完成 RGY 的申请人是更有竞争力的申请人的 PD 更多，35 名 PD（45.5%）同意，随着 USMLE 第 1 步过渡到通过/失败，研究经验将在居民选择中变得更加重要。
结论
PD 对参加 RGY 的住院医师申请人有不同的看法。虽然很少有计划使用出版物截止，但被认为是“有成效的”RGY 的中位数出版物数量约为 5 篇。许多 PD 同意，随着 USMLE 成为通过/失败，研究经验将变得更加重要。这些信息对有兴趣参加 RGY 的学生和评估住院医师申请人的住院医师计划都很有用。
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