Ascension Providence Hospital, Department of Emergency Medicine, Southfield, Michigan.
Michigan State University, East Lansing, Michigan.
West J Emerg Med. 2024 May;25(3):332-341. doi: 10.5811/westjem.18436.
In the 2023 National Resident Matching Program (NRMP) match, there were 554 unfilled emergency medicine (EM) positions before the Supplemental Offer and Acceptance Program (SOAP). We sought to describe features of EM programs that participated in the match and the association between select program characteristics and unfilled positions.
The primary outcome measures included the proportion of positions filled in relation to state and population density, hospital ownership type, and physician employment model. Secondary outcome measures included comparing program-specific attributes between filled and unfilled programs, including original accreditation type, year of original accreditation, the total number of approved training positions, length of training, urban-rural designation, hospital size by number of beds, resident-to-bed ratio, and the percentage of disproportionate share patients seen.
The NRMP Match had 276 unique participating EM programs with 554 unfilled positions. Six states offered 52% of the total NRMP positions available. Five states were associated with two-thirds of the unfilled positions. Public hospitals had a statistically significant higher match rate (88%) when compared to non-profit and for-profit hospitals, which had match rates of 80% and 75%, respectively ( < 0.001). Programs with faculty employed by a health system had the highest match rate of 87%, followed by clinician partnerships at 79% and private equity groups at 68% ( < 0.001 overall and between all subgroups).
The 2023 match in EM saw increased rates in the number of residency positions and programs that did not fill before the SOAP. Public hospitals had higher match rates than for-profit or non-profit hospitals. Residency programs that employed academic faculty through the hospital or health system were associated with higher match rates.
在 2023 年全国住院医师匹配项目（NRMP）匹配中，补充报价和接受计划（SOAP）前有 554 个未填补的急诊医学（EM）职位。我们旨在描述参与匹配的 EM 项目的特征，以及选择项目特征与未填补职位之间的关系。
主要结果测量包括与州和人口密度、医院所有权类型和医生雇佣模式相关的职位填补比例。次要结果测量包括比较填补和未填补项目之间的特定项目属性，包括原始认证类型、原始认证年份、批准培训职位总数、培训长度、城乡指定、按床位数划分的医院规模、住院医师与床位比例以及不成比例患者就诊比例。
NRMP 匹配有 276 个独特的参与 EM 项目，有 554 个未填补职位。六个州提供了总 NRMP 职位的 52%。五个州与三分之二的未填补职位有关。公立医院的匹配率（88%）明显高于非营利和营利性医院，分别为 80%和 75%（ <0.001）。由医疗系统雇佣的教员的项目匹配率最高，为 87%，其次是临床合作伙伴，为 79%，私募股权集团为 68%（ <0.001 总体和所有亚组之间）。
2023 年 EM 匹配中，住院医师职位数量和在 SOAP 前未填补的职位数量有所增加。公立医院的匹配率高于营利性或非营利性医院。通过医院或医疗系统雇佣学术教员的住院医师项目与更高的匹配率相关。
