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重新构想一份不匹配的骨科住院医师申请之路:项目主任调查

Reimagining the Path of an Unmatched Orthopaedic Residency Application: A Survey of Program Directors.

作者信息

Bryant Stewart A, Jardaly Achraf H, Ponce Brent A, Guthrie S Trent, Slone Harris, Bruce Jeremy R

机构信息

Department of Orthopaedic Surgery, Stanford University, Stanford, California.

Department of Orthopaedic Surgery, Saint Louis University School of Medicine, St. Louis, Missouri.

出版信息

JB JS Open Access. 2023 Aug 22;8(3). doi: 10.2106/JBJS.OA.22.00044. eCollection 2023 Jul-Sep.

DOI:10.2106/JBJS.OA.22.00044
PMID:37608919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10438795/
Abstract

BACKGROUND

Few evidence-based suggestions are available to help applicants and mentors improve reapplication outcomes. We sought to provide program directors' (PDs) perspectives on actionable steps to improve reapplicants' chances for a match.

METHODS

The PDs were asked to rank positions unmatched applicants can pursue, steps these applicants can take for the next application cycle, and reasons why reapplicants do not match.

RESULTS

Responses from 66 of 123 PDs were received (53.6% response rate). Obtaining new recommendation letters and rotating with orthopaedics were the highest 20 ranked steps unmatched applicants can take. No curriculum vitae (CV) improvement, poor interview, and poor letters of recommendation were the most important reasons hindering applicants from matching when reapplying.

CONCLUSIONS

Steps reapplicants could prioritize include obtaining new recommendation letters, rotating in orthopaedics, and producing new research items. CV strengthening and improving interview skills address the 2 main reasons why unmatched applicants failed in subsequent attempts.

LEVEL OF EVIDENCE

Level IV.

摘要

背景

几乎没有基于证据的建议可帮助申请人和导师提高重新申请的结果。我们试图提供项目主任(PDs)对于可采取行动步骤的观点,以提高重新申请人匹配成功的几率。

方法

要求PDs对未匹配申请人可采取的职位、这些申请人在下一个申请周期可采取的步骤以及重新申请人未匹配成功的原因进行排序。

结果

收到了123名PDs中66人的回复(回复率为53.6%)。获得新的推荐信和参与骨科轮转是未匹配申请人可采取的排名前20的步骤。简历没有改进、面试表现差和推荐信质量不佳是重新申请时阻碍申请人匹配成功的最重要原因。

结论

重新申请人可优先考虑的步骤包括获得新的推荐信、参与骨科轮转以及产出新的研究项目。加强简历和提高面试技巧可解决未匹配申请人在后续尝试中失败的两个主要原因。

证据水平

四级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/10438795/60415d7fea42/jbjsoa-8-e22.00044-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/10438795/a1aa0dacfe1a/jbjsoa-8-e22.00044-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/10438795/60415d7fea42/jbjsoa-8-e22.00044-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/10438795/a1aa0dacfe1a/jbjsoa-8-e22.00044-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/10438795/60415d7fea42/jbjsoa-8-e22.00044-g002.jpg

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本文引用的文献

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2
Applying to Orthopaedic Residency and Matching Rates: Analysis and Review of the Past 25 Years.申请骨科住院医师和匹配率:过去 25 年的分析和回顾。
J Bone Joint Surg Am. 2019 Dec 18;101(24):e134. doi: 10.2106/JBJS.18.00371.
3
Matching in Orthopaedic Surgery.骨科手术中的匹配。
Research Fellowships for Unmatched Orthopaedic Applicants: What Can They Expect?
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JB JS Open Access. 2024 Oct 24;9(4). doi: 10.2106/JBJS.OA.24.00131. eCollection 2024 Oct-Dec.
J Am Acad Orthop Surg. 2020 Feb 15;28(4):135-144. doi: 10.5435/JAAOS-D-19-00313.
4
Considerations for Medical Students and Advisors After an Unsuccessful Match.未成功匹配后医学生及导师应考虑的事项。
Acad Med. 2017 Jul;92(7):918-922. doi: 10.1097/ACM.0000000000001672.
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A Comparison of Matched and Unmatched Orthopaedic Surgery Residency Applicants from 2006 to 2014: Data from the National Resident Matching Program.2006年至2014年匹配与未匹配的骨科手术住院医师申请人比较:来自全国住院医师匹配计划的数据。
J Bone Joint Surg Am. 2017 Jan 4;99(1):e1. doi: 10.2106/JBJS.16.00293.
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Academic Characteristics of Orthopaedic Surgery Residency Applicants from 2007 to 2014.2007年至2014年骨科住院医师申请人员的学术特征
J Bone Joint Surg Am. 2016 May 4;98(9):788-95. doi: 10.2106/JBJS.15.00222.
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How should unmatched orthopaedic surgery applicants proceed?未匹配到骨科手术的申请人该如何进行?
Clin Orthop Relat Res. 2013 Feb;471(2):672-9. doi: 10.1007/s11999-012-2471-8. Epub 2012 Jul 24.