Cheston Christine C, Michelson Kenneth A
Department of Pediatrics (CC Cheston), Boston Medical Center, Boston, Mass; Department of Pediatrics (CC Cheston), Boston University Chobanian and Avedisian School of Medicine, Boston, Mass.
Division of Emergency Medicine (KA Michelson), Boston Children's Hospital, Boston, Mass.
Acad Pediatr. 2023 Jul;23(5):855-859. doi: 10.1016/j.acap.2022.09.016. Epub 2022 Sep 24.
We sought to assess whether the change from in-person to virtual interviews was associated with differences in applicant and match location geography.
We conducted a retrospective study of all U.S. applicants to a large pediatric residency. Distances from applicants to our residency program (applicant-to-program) and residency location (applicant-to-match) were compared across demographic subgroups and eras, defined as pre-COVID (2018-2020) and COVID (2021-2022).
Applicant-to-program distance (pre-COVID median 737 miles, IQR 265, 1254; COVID median 739 miles; IQR 268, 1284, P = .31) did not change across eras. While overall applicant-to-match distance (pre-COVID median 425 miles, IQR 88, 1142; COVID median 354 miles; IQR 80, 1084, P = .11) did not change, subgroup analysis revealed that applicant-to-match distance for those not participating in a couples match was farther during the pre-COVID era (430 vs 340 miles, P = .04).
A transition to virtual interviews was associated with shorter distance between applicants and residency location for those matching alone at a large, urban pediatric residency. While decisions about where to apply appeared unchanged, rank list decisions may have been impacted by virtual interviews for these applicants. Further study to describe geographic considerations in the virtual era are needed to inform advancement of larger workforce goals.
我们试图评估从面对面面试改为虚拟面试是否与申请人及匹配地点的地理位置差异有关。
我们对一个大型儿科住院医师培训项目的所有美国申请人进行了一项回顾性研究。比较了不同人口亚组和时期（定义为新冠疫情前（2018 - 2020年）和新冠疫情期间（2021 - 2022年））申请人到我们住院医师培训项目的距离（申请人到项目）和住院医师培训地点的距离（申请人到匹配地点）。
申请人到项目的距离在不同时期没有变化（新冠疫情前中位数为737英里，四分位距为265, 1254；新冠疫情期间中位数为739英里；四分位距为268, 1284，P = 0.31）。虽然总体申请人到匹配地点的距离（新冠疫情前中位数为425英里，四分位距为88, 1142；新冠疫情期间中位数为354英里；四分位距为80, 1084，P = 0.11）没有变化，但亚组分析显示，在新冠疫情前时期，未参加夫妻匹配的申请人到匹配地点的距离更远（430英里对340英里，P = 0.04）。
对于一个大型城市儿科住院医师培训项目中单独匹配的申请人而言，向虚拟面试的转变与申请人和住院医师培训地点之间的较短距离相关。虽然关于申请地点的决定似乎没有改变，但这些申请人的排名决定可能受到了虚拟面试的影响。需要进一步研究来描述虚拟时代的地理因素考量，以为更大的劳动力目标推进提供信息。
