Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville , Tennessee , USA.
Current Affiliation: Department of Orthopedic Surgery, Daniel and Jane Och Spine Hospital, Columbia University Medical Center, New York , New York , USA.
Neurosurgery. 2024 Sep 1;95(3):702-708. doi: 10.1227/neu.0000000000002907. Epub 2024 Mar 19.
Competition for neurosurgical residency training positions remains fierce. The support provided by applicants' home neurosurgery residency training programs (NRTP) is suspected to play a key role in the National Resident Matching Program (NRMP) process. We sought to evaluate the impact of the presence of an Accreditation Council for Graduate Medical Education-accredited NRTP at medical students' home institutions has on NRMP match outcomes.
Our cross-sectional observational study examined all US allopathic senior student Electronic Residency Application Service applications to a single NRTP from 2016 to 2022.
We analyzed a total of 1650 Electronic Residency Application Service applications to a single NRTP, of which 1432 (86.8%) were from schools with an Accreditation Council for Graduate Medical Education-accredited NRTP (NRTP+) and 218 (13.2%) were from schools without a residency (NRTP-). NRTP+ applicants matched a higher rate on both pooled analysis (80.8% vs 71.6%, P = .002) and paired analysis ( P = .02) over the seven-cycle study period. This difference was present before (82.4% vs 73.9%, P = .01) and after (77.2% vs 65.6%, P = .046) the COVID-19 pandemic. Cohorts were overall similar; however, NRTP+ applicants had more publication experiences (19.6 ± 19.0 vs 13.1 ± 10.2, P < .001) and were more likely to complete a research gap year (RGY) (25.8% vs 17.0%, P = .004). Completing a RGY was associated with an increased likelihood of matching for NRTP+ applicants but not for NRTP- applicants: NRTP+: 84.9% vs 78.1% ( P = .0056); NRTP-: 70.3% vs 70.9% ( P = .94).
The presence of a NRTP at a medical student's home institution is associated with improved NRMP match outcomes. This held true both before and after the COVID-19 pandemic. Applicants from schools with a NRTP had more publication experiences and were more likely to complete a RGY. Completion of a RGY is associated with an increased likelihood of matching only for students with an affiliated NRTP.
神经外科住院医师培训职位的竞争仍然激烈。申请人的家庭神经外科住院医师培训计划（NRTP）提供的支持被怀疑在全国住院医师匹配计划（NRMP）过程中发挥了关键作用。我们试图评估医学生原籍机构中存在经研究生医学教育认证委员会（ACGME）认证的 NRTP 对 NRMP 匹配结果的影响。
我们的横断面观察性研究分析了 2016 年至 2022 年期间向单一 NRTP 提交的所有美国全科学员电子住院医师申请服务申请。
我们共分析了 1650 份向单一 NRTP 提交的电子住院医师申请服务申请，其中 1432 份（86.8%）来自拥有 ACGME 认证的 NRTP（NRTP+）的学校，218 份（13.2%）来自没有住院医师的学校（NRTP-）。在研究的七个周期中，NRTP+申请人的匹配率在汇总分析（80.8%比 71.6%，P=.002）和配对分析（P=.02）中均更高。这一差异在 COVID-19 大流行之前（82.4%比 73.9%，P=.01）和之后（77.2%比 65.6%，P=.046）均存在。总体而言，队列相似；然而，NRTP+申请人的发表经验更多（19.6±19.0 比 13.1±10.2，P<.001），并且更有可能完成研究空档年（RGY）（25.8%比 17.0%，P=.004）。完成 RGY 与 NRTP+申请人的匹配可能性增加相关，但与 NRTP-申请人无关：NRTP+：84.9%比 78.1%（P=.0056）；NRTP-：70.3%比 70.9%（P=.94）。
医学生原籍机构中 NRTP 的存在与 NRMP 匹配结果的改善相关。这一结果在 COVID-19 大流行前后均成立。来自拥有 NRTP 的学校的申请人发表经验更多，并且更有可能完成 RGY。只有与附属 NRTP 相关的学生完成 RGY 与匹配可能性增加相关。
