Kendall Brian, Ancell Kade M, Xu Ke Tom, Morris James
Department of Surgery, Texas Tech University Health Science Center, Lubbock, TX, USA.
Texas Tech University Health Science Center School of Medicine, Lubbock, TX, USA.
Adv Med Educ Pract. 2023 Nov 7;14:1249-1256. doi: 10.2147/AMEP.S425877. eCollection 2023.
The Match for Emergency Medicine residency has presented new challenges over the past 2 years (2022-2023). Use of a post-clerkship survey given to clerkship students could improve outcomes in The Match by helping the program identify its different strengths and weaknesses.
A post-clerkship survey, sent after The Match, was sent to Emergency Medicine bound students who completed our Emergency Medicine clerkship. This data was then collected and analyzed and, in collaboration with our faculty and residents, changes were made to the clerkship and residency program with the intention that these changes would improve our program and therefore our competitiveness in the upcoming cycle of The Match. These changes were analyzed in the subsequent post-clerkship survey. The survey included questions that asked students to reflect on their experiences with various aspects of the program and how these experiences influenced their personal ranking of our program compared to other emergency medicine residency programs they might have interacted with.
Results from the initial post-clerkship survey revealed that students found our faculty and residents (55% ranked higher), County hospital (55% ranked higher), and SLOE transparency (64% ranked higher) as the main aspects of our program that led them to rank the program higher. Living in Lubbock, TX was found to be the biggest drawback for students, with 55% ranking our program lower. The 2023 post-clerkship survey revealed that the changes we made to our clerkship and program were effective, with an overall decrease of 10 points in students who ranked our program lower based on "Living in Lubbock, TX". We also were able to keep 4 of our rotators, as opposed to 2 the year before. Lastly, we also did not need to go as far down our rank list in the 2023 cycle of The Match.
Using a post-clerkship survey to evaluate strengths and weaknesses of a program through a student's perspective can be an effective tool to help programs in their outcomes from The Match. Further study is necessary to validate these findings.
在过去两年（2022 - 2023年），急诊医学住院医师匹配项目面临了新的挑战。对实习学生进行实习后调查，有助于项目识别自身的不同优势和劣势，从而改善匹配结果。
在匹配结束后，向完成我们急诊医学实习的、意向从事急诊医学的学生发送了一份实习后调查问卷。然后收集并分析这些数据，并与我们的教员和住院医师合作，对实习和住院医师项目进行了改进，目的是通过这些改进提升我们的项目水平，进而提高我们在下一轮匹配中的竞争力。在随后的实习后调查中对这些改进进行了分析。该调查包括一些问题，要求学生反思他们在项目各个方面的经历，以及这些经历如何影响他们将我们的项目与他们可能接触过的其他急诊医学住院医师项目进行个人排名。
首次实习后调查的结果显示，学生们认为我们的教员和住院医师（55%的学生将其排名更高）、县医院（55%的学生将其排名更高）以及SLOE透明度（64%的学生将其排名更高）是我们项目中使他们将该项目排名更高的主要方面。学生们认为住在德克萨斯州拉伯克是最大的不利因素，55%的学生因此将我们的项目排名降低。2023年实习后调查显示，我们对实习和项目所做的改进是有效的，基于“住在德克萨斯州拉伯克”而将我们项目排名降低的学生总体减少了10分。我们还留住了4名轮转实习生，而前一年是2名。最后，在2023年的匹配周期中，我们也不需要在排名名单中选那么靠后的学生。
通过学生视角使用实习后调查来评估项目的优势和劣势，可能是帮助项目改善匹配结果的有效工具。需要进一步研究来验证这些发现。
