Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Department of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa, USA.
Iowa Orthop J. 2022;42(2):8-21.
Mentorship and research have been shown to be important decision factors influencing medical students to pursue a particular specialty. The cost of applying to orthopedic surgery residency is at an all-time high. The purpose of this study is to identify the factors which increase the likelihood of medical students matching into orthopedic surgery, identify the timing and strength of impact these factors have on medical students' career choices, determine how many students have chosen orthopedic surgery prior to beginning medical school, and compare the financial impact of applying to orthopedics.
608 medical students were surveyed 5 times during medical school (at the start of M1, M2, M3, M4 year and after the match process) to identify ongoing factors that influence their career choice and ultimately matching in orthopedic surgery. Unadjusted odds ratios and cost analysis were used to determine the factors influencing specialty choice. Level of evidence: III.
Students who matched into orthopedic surgery were more likely to be mentored by an orthopedic surgeon at all 5 survey points (M1 OR=30.93, M2 OR=12.38, M3 OR=17.96, M4 OR=65.2, Match OR=215.45) and involved in orthopedic surgery research at the last 4 survey points (M2 OR=20.05, M3 OR=14.00, M4 OR=12.00, Match OR=1566.60) compared to students who did not match into orthopedic surgery. 10 out of 19 students (52.6%) who matched into orthopedic surgery listed the specialty as their preference in the M1 survey. Students who matched into orthopedic surgery spent $8,838.80 on applications and interviews, while students applied to and matched into other specialties spent an average of $6,173.4 (p-value=0.007).
Many students have a predetermined plan to enter orthopedic surgery prior to medical school. Mentorship and research are important factors increasing students' interest in orthopedic surgery and ultimately leading to a successful match process. Going through the orthopedic surgery match process is significantly more expensive than other specialties. .
指导和研究已被证明是影响医学生选择特定专业的重要决策因素。申请骨科住院医师的费用处于历史最高水平。本研究的目的是确定增加医学生匹配到骨科手术的可能性的因素，确定这些因素对医学生职业选择的时间和强度的影响，确定有多少学生在开始医学院之前就选择了骨科手术，并比较申请骨科的财务影响。
在医学院期间（M1、M2、M3、M4 年级和匹配过程后）对 608 名医学生进行了 5 次调查，以确定影响他们职业选择并最终匹配到骨科手术的持续因素。使用未调整的优势比和成本分析来确定影响专业选择的因素。证据水平：III。
匹配到骨科手术的学生在所有 5 个调查点都更有可能接受骨科医生的指导（M1 优势比=30.93，M2 优势比=12.38，M3 优势比=17.96，M4 优势比=65.2，匹配优势比=215.45），并且在最后 4 个调查点参与骨科手术研究（M2 优势比=20.05，M3 优势比=14.00，M4 优势比=12.00，匹配优势比=1566.60），而未匹配到骨科手术的学生则没有。在 M1 调查中，19 名匹配到骨科手术的学生中有 10 名（52.6%）将该专业列为首选。匹配到骨科手术的学生申请和面试的费用为 8838.80 美元，而申请和匹配到其他专业的学生平均花费 6173.4 美元（p 值=0.007）。
许多学生在进入医学院之前就已经有了进入骨科的预定计划。指导和研究是增加学生对骨科手术兴趣并最终成功匹配过程的重要因素。参加骨科手术匹配过程的费用明显高于其他专业。
