Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York.
Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York.
West J Emerg Med. 2023 Jan 16;24(1):1-7. doi: 10.5811/westjem.2022.11.58060.
The Match in emergency medicine (EM) is historically competitive for applicants; however, the 2022 residency Match had a large number of unfilled positions. We sought to characterize the impact of and response to the Match on programs and determine programs' needs for successful recruitment strategies.
We conducted a web-based survey of EM residency program leadership during March-April 2022. Program characteristics were generated from publicly available data, and descriptive statistics were generated. We analyzed free-text responses thematically.
There were 133/277 (48%) categorical EM residency programs that responded. Of those, 53.8% (70/130) reported a negative impression of their Match results; 17.7% (23/130) positive; and the remainder neutral (28.5%; 37/130). Three- and four-year programs did not differ in their risk of unfilled status. Hybrid programs had a higher likelihood of going unfilled (odds ratio [OR] 4.52, confidence interval [CI] 1.7-12.04) vs community (OR 1.62, CI 0.68-3.86) or university programs (0.16, 0.0-0.49). Unfilled programs were geographically concentrated. The quality of applicants was perceived the same as previous years and did not differ between filled and unfilled programs. Respondents worried the expansion of EM residency positions and perceptions of the EM job market were major factors influencing the Match. They expressed interest in introducing changes to the interview process, including caps on applications and interviews, as well as a need for more structural support for programs and the specialty.
This survey identifies impacts of the changed match environment on a broad range of programs and identifies specific needs. Future work should be directed toward a deeper understanding of the factors contributing to changes in the specialty and the development of evidence-based interventions.
急诊医学（EM）的住院医师匹配历史上对申请者来说具有竞争性；然而，2022 年住院医师匹配有大量未填补的职位。我们旨在描述匹配对项目的影响和反应，并确定项目成功招聘策略的需求。
我们在 2022 年 3 月至 4 月期间对急诊医学住院医师项目领导层进行了一项基于网络的调查。从公开数据中生成项目特征，并生成描述性统计数据。我们对自由文本回复进行了主题分析。
共有 277 个分类 EM 住院医师项目中的 133 个（48%）做出了回应。其中，53.8%（70/130）对他们的匹配结果印象负面；17.7%（23/130）印象正面；其余的则是中性（28.5%；37/130）。三年制和四年制项目在空缺状态的风险方面没有差异。混合项目的空缺可能性更高（优势比 [OR] 4.52，置信区间 [CI] 1.7-12.04），而不是社区（OR 1.62，CI 0.68-3.86）或大学项目（0.16，0.0-0.49）。未填补的项目在地理上集中。申请人的质量被认为与前几年相同，且在填补和未填补的项目之间没有差异。受访者担心急诊医学住院医师职位的扩张和对急诊医学就业市场的看法是影响匹配的主要因素。他们对改变面试流程表现出兴趣，包括对申请和面试的限制，以及对项目和专业的更多结构性支持的需求。
这项调查确定了匹配环境变化对广泛项目的影响，并确定了具体需求。未来的工作应该致力于更深入地了解导致专业变化的因素，并开发基于证据的干预措施。
