Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, United States of America.
Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, United States of America; Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic Head and Neck Institute, Cleveland, OH, United States of America.
Am J Otolaryngol. 2024 Jul-Aug;45(4):104344. doi: 10.1016/j.amjoto.2024.104344. Epub 2024 Apr 29.
To determine the characteristics of current US Otolaryngology-Head and Neck Surgery (Oto-HNS) residents and their medical school.
Data were manually collected between Dec 2022 and Jan 2023 for 1649 residents attending 163 US-based ACGME accredited Oto-HNS residency programs, reflecting the 2018-2022 cohort. All data were collected from publicly available sources including residency and medical school program websites, web of science, and professional networking sites (ex: LinkedIn, Doximity). Data were analyzed to determine the "feeder" schools which contributed the greatest number and percent of residents. Using univariable linear regression models, we characterized factors which were associated with feeder school status.
Of 1649 residents analyzed, 364 (22 %) matched to their home program and 918 (56 %) stayed in the region of their medical school. The median [IQR] number of published papers and abstracts was 5 [3, 9] with an h-index of 2 [1,4]. Factors associated with producing a greater percent of Oto-HNS residents include presence of an interest group, presence of a home program, USNWR research rank of the medical school, Doximity reputation rank of the home residency program, average pre-residency h-index of the school's graduates, and total NIH research funding (each p < 0.001).
In the changing landscape of residency applications after the USMLE Step 1 exam's transition in January 2022 to pass/fail scoring, it is important to objectively characterize current Oto-HNS residents. Findings from this study will inform prospective residents and residency programs seeking to improve access to Oto-HNS. Future small-scale studies may help further identify driving factors within medical school curricula.
确定当前美国耳鼻喉科-头颈外科（Oto-HNS）住院医师及其医学院的特点。
在 2022 年 12 月至 2023 年 1 月期间，我们从 163 个美国 ACGME 认证的 Oto-HNS 住院医师培训计划中手动收集了 1649 名住院医师的数据，反映了 2018-2022 年的 cohort。所有数据均来自公开来源，包括住院医师和医学院课程网站、Web of Science 和专业网络（例如：LinkedIn、Doximity）。对数据进行分析，以确定贡献数量最多和比例最高的“生源”学校。使用单变量线性回归模型，我们描述了与生源学校地位相关的因素。
在分析的 1649 名住院医师中，364 名（22%）与原籍计划相匹配，918 名（56%）留在医学院所在地区。发表的论文和摘要的中位数[IQR]数量为 5[3,9]，h 指数为 2[1,4]。与产生更多 Oto-HNS 住院医师比例相关的因素包括是否存在兴趣小组、是否有原籍计划、医学院在美国新闻与世界报道的研究排名、原籍住院医师计划在 Doximity 的声誉排名、学校毕业生的平均预住院 h 指数以及 NIH 研究经费总额（每项 p<0.001）。
在 2022 年 1 月 USMLE Step 1 考试成绩从及格/不及格改为通过/不通过评分后，在住院医师申请变化的背景下，客观地描述当前的 Oto-HNS 住院医师非常重要。本研究的结果将为未来的住院医师和寻求改善耳鼻喉科住院医师机会的住院医师培训计划提供信息。未来的小规模研究可能有助于进一步确定医学院课程中的驱动因素。
