Hovis Gabrielle E A, Harris Mark H, Nguyen Andrew, Picton Bryce, Kuo Cathleen C, Hamidi Sabah, Brown Nolan J, Gendreau Julian, Beyer Ryan S, Golshani Kiarash, Oh Michael Y
Department of Neurosurgery, University of California, Irvine, Orange, California, USA.
Department of Neurosurgery, University of California, Irvine, Orange, California, USA.
World Neurosurg. 2023 Apr;172:e695-e700. doi: 10.1016/j.wneu.2023.02.004. Epub 2023 Feb 9.
With the recent changes to the U.S. Medical Licensing Examination grading system, an understanding of the factors that influence the neurological surgery residency match process is crucial for residency directors. The aim of the present retrospective study was to explore the associations of medical school location, ranking, private school status, size, and presence of an American Association of Neurological Surgeons (AANS) chapter or neurological surgery interest group (NSIG) with the neurosurgery match outcomes.
An enrollment list of all accredited U.S. neurosurgery residency programs was compiled on June 28, 2021. For the included residents, the residency program, degree, and previously attended medical school were retrieved. The geographic location, ranking, private school status, and size were collected for the residency programs and medical schools attended by the residents at each program.
A total of 1437 residents from 101 neurosurgery residency programs (89%) were included. Graduates from the top 25 medical schools were more likely to match into their home residency programs (P < 0.001) and highly ranked residency programs (P < 0.001). Students from larger medical schools were also more likely to match into larger (P < 0.001) and highly ranked (P < 0.001) programs than were applicants from smaller schools. Students from medical schools with an AANS chapter or NSIG were also more likely to match into top ranked programs (P < 0.001 for both).
Medical students from the top 25 medical schools, private medical schools, medical schools with an AANS chapter, and medical schools with an NSIG were more likely to match into a prestigious residency program. These findings suggest that underlying biases might be present for program directors to consider in the resident selection process.
随着美国医师执照考试评分系统最近的变化，了解影响神经外科住院医师匹配过程的因素对住院医师项目主任至关重要。本回顾性研究的目的是探讨医学院校所在地、排名、私立学校身份、规模以及是否存在美国神经外科医师协会（AANS）分会或神经外科兴趣小组（NSIG）与神经外科匹配结果之间的关联。
2021年6月28日编制了所有经认可的美国神经外科住院医师项目的招生名单。对于纳入的住院医师，检索其住院医师项目、学位以及之前就读的医学院校。收集每个项目中住院医师就读的住院医师项目和医学院校的地理位置、排名、私立学校身份和规模。
共纳入了来自101个神经外科住院医师项目（89%）的1437名住院医师。排名前25的医学院校的毕业生更有可能匹配到本校的住院医师项目（P < 0.001）和排名靠前的住院医师项目（P < 0.001）。与较小医学院校的申请者相比，来自较大医学院校的学生也更有可能匹配到规模较大（P < 0.001）和排名靠前（P < 0.001）的项目。来自设有AANS分会或NSIG的医学院校的学生也更有可能匹配到排名靠前的项目（两者P均 < 并得出结论：排名前25的医学院校、私立医学院校、设有AANS分会的医学院校以及设有NSIG的医学院校的医学生更有可能匹配到有声望的住院医师项目。这些发现表明，项目主任在住院医师选拔过程中可能存在潜在偏见需要考虑。 0.001）。
排名前25的医学院校、私立医学院校、设有AANS分会的医学院校以及设有NSIG的医学院校的医学生更有可能匹配到有声望的住院医师项目。这些发现表明，项目主任在住院医师选拔过程中可能存在潜在偏见需要考虑。
