Mullen Sarah A, Akhter Haris M, Weis Lauren E, Samson Kaeli K, Hon Heidi H
From University of Nebraska Medical Center, College of Medicine, Omaha, Neb.
Department of Biostatistics, University of Nebraska Medical Center, Omaha, Neb.
Plast Reconstr Surg Glob Open. 2024 Mar 25;12(3):e5691. doi: 10.1097/GOX.0000000000005691. eCollection 2024 Mar.
There is a trend toward matching in a different region than previous training for the independent plastic surgery match cycles from 2019 to 2021, which differs from the trend to match within the same region for integrated plastic surgery programs. Notably, residency interviews transitioned from in-person to virtual in 2020 due to the coronavirus pandemic. Therefore, we compared in-person versus virtual interview match trends from 2019 to 2023.
Zip codes and regions of each successfully matched plastic surgery applicant's medical school, residency, and plastic surgery program were gathered from publicly available data for the 2019 and 2020 in-person interview cycles and 2021, 2022, and 2023 virtual interview cycles.
Although regions did not differ significantly in the proportions of positions each year ( = 0.85), there was a trend toward fewer positions in each region from 2019 to 2022. Overall, applicants were more likely to match in a different region as their medical school or residency during virtual compared with in-person interviews ( = 0.002 and = 0.04). Applicants matched to programs further from their medical school zip code in virtual interview years ( = 0.02). There was no significant difference in distance between surgical residencies and plastic surgery residencies between the two time periods ( = 0.51).
Trends toward matching into a different region than prior training after the switch to virtual interviews could be attributed to applicant accessibility to interview broadly. However, this could also be due to the decreased number of independent residency positions over the years, requiring applicants to move regions and travel further from where they began their training.
在2019年至2021年独立整形外科匹配周期中,出现了一种与之前培训所在地区不同的匹配趋势,这与综合整形外科项目在同一地区内匹配的趋势不同。值得注意的是,由于冠状病毒大流行,2020年住院医师面试从面对面形式转变为虚拟形式。因此,我们比较了2019年至2023年面对面面试与虚拟面试的匹配趋势。
从公开数据中收集了2019年和2020年面对面面试周期以及2021年、2022年和2023年虚拟面试周期中,每位成功匹配的整形外科申请人的医学院校、住院医师培训项目和整形外科项目的邮政编码及所在地区。
尽管每年各地区的职位比例差异不显著(P = 0.85),但从2019年到2022年每个地区的职位有减少的趋势。总体而言,与面对面面试相比,申请人在虚拟面试期间更有可能在与他们医学院校或住院医师培训项目不同的地区匹配(P = 0.002和P = 0.04)。在虚拟面试年份,申请人匹配到的项目距离其医学院校邮政编码更远(P = 0.02)。两个时间段内外科住院医师培训项目和整形外科住院医师培训项目之间的距离没有显著差异(P = 0.51)。
转向虚拟面试后,与之前培训地区不同的匹配趋势可能归因于申请人能够更广泛地参加面试。然而,这也可能是由于多年来独立住院医师职位数量减少,要求申请人跨地区流动,前往距离他们开始培训地点更远的地方。