Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX 77555, USA.
Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA 92134, USA.
Mil Med. 2023 Nov 3;188(11-12):3641-3644. doi: 10.1093/milmed/usac267.
The U.S. Navy offers an attractive opportunity for residency training in orthopedic surgery. The factors that Navy orthopedic residency program leadership finds important in applicant selection for training have not been reported. Additionally, data regarding the academic competitiveness of recently matched applicants have not been previously published. This study presents the results of two surveys administered to all navy orthopedic program directors and department chairmen, as well as data for United States Medical Licensing Examination (USMLE) Steps 1 and 2, medical school class percentile, leadership responsibilities, research endeavors, and letters of recommendation of both matched and unmatched applicants.
Two anonymous surveys were administered to all program directors and department chairmen at Navy orthopedic residency training programs with questions designed to gauge perceived importance of various application factors when selecting for the match. The results were compiled, and mean levels of importance were reported. Deidentified data were collected on all applicants to Navy orthopedic residency programs from 2015 to 2019. Data points specific to USMLE Step 1 and 2 board scores, medical school class percentile, research, leadership, and letters of recommendation were analyzed using single and multiple logistic regression analyses, and odds ratios for each variable were calculated.
Navy leadership unanimously expressed that clerkship performance at the individual program director's institution was most important, followed by Steps 1 and 2 licensing examination scores. Single logistic regression analyses showed that Step 1 score and clinical, leadership, and recommendation scores were statistically significant. When controlled for Step 1 score, only academic performance and leadership scores maintained statistical significance.
Applicants to Navy orthopedic surgery residency programs should strive to be competitive in all aspects of their application, with specific emphasis placed on outstanding performance during orthopedic clerkships, demonstration of leadership characteristics, and academic excellence. With transition to a pass/fail grading system for Step 1, there will be more emphasis on other measures of academic success, such as Step 2 scores and clinical clerkship grades.
美国海军为骨科住院医师培训提供了极具吸引力的机会。海军骨科住院医师培训计划领导层认为，在选择培训申请人时，有一些重要因素，但这些因素尚未报道。此外，关于最近匹配申请人的学术竞争力的数据以前也没有公布过。本研究介绍了对所有海军骨科项目主任和系主任进行的两项调查的结果，以及美国医师执照考试（USMLE）步骤 1 和 2、医学院班级百分位、领导责任、研究工作以及匹配和不匹配申请人的推荐信的数据。
向所有海军骨科住院医师培训项目的项目主任和系主任进行了两次匿名调查，问题旨在衡量在选择匹配时各种申请因素的重要性。结果被汇编，并报告了平均重要性水平。从 2015 年到 2019 年，收集了所有申请海军骨科住院医师培训项目的申请人的匿名数据。使用单因素和多因素逻辑回归分析分析了 USMLE 步骤 1 和 2 委员会分数、医学院班级百分位、研究、领导和推荐信的具体数据点，并计算了每个变量的优势比。
海军领导层一致表示，在个人项目主任所在机构的实习表现最重要，其次是步骤 1 和 2 许可考试成绩。单因素逻辑回归分析显示，步骤 1 分数和临床、领导和推荐分数具有统计学意义。当控制步骤 1 分数时，只有学术表现和领导分数保持统计学意义。
申请海军骨科手术住院医师培训计划的申请人应努力在其申请的各个方面具有竞争力，特别强调在骨科实习期间表现出色、展示领导特质和学术卓越。随着步骤 1 采用通过/失败评分系统，将更加重视其他学术成功指标，例如步骤 2 分数和临床实习成绩。
