Division of Plastic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Microsurgery. 2024 Sep;44(6):e31217. doi: 10.1002/micr.31217.
A recent analysis of microsurgery fellowship match data published in 2019 demonstrated increased competition for available positions. With growing opportunities in the field, the authors hypothesize that the landscape for both applicants and programs has become more competitive. The aim of this study is to compare two periods of match data to inform residents and programs in microsurgery.
Microsurgery fellowship match data was obtained from the San Francisco Match with approval by the American Society for Reconstructive Microsurgery for the years 2014-2022. Data were stratified into the categories of 2016-2018 and 2019-2022. Parameters assessed included: program and position fill rates, match rates, and in-service examination percentiles. Data were analyzed using Pearson's Chi-square tests and unpaired t-tests.
The median number of participating programs and positions increased to 29 and 47 in 2019-2022, compared with 23 and 40 in 2016-2018. This coincided with a decrease in the number of applicants per position (1.3 [52-40] vs. 1.1 [50-47], p = .45). There was a significant increase in the match rate between groups (67.8% vs. 80.2%, p = .007). Recently, 2022 saw the lowest position fill rate on record, at 75.4% (40 of 53 positions filled), down from 85.3% (35 of 41) in 2018 (p = .35) and 95.6% (43 of 45) in 2019 (p = .006). Mean in-service examination percentiles for successfully matched applicants did not differ between (2016-2018) and (2019-2022) applicants.
Recent years have seen a rise in the number of microsurgery fellowship training programs with a decline in the number of applicants. Accordingly, there has been an increased match rate for prospective applicants. Despite this, a pool of unmatched applicants and unfilled positions with training opportunities still remain. The reasons for which are likely multifactorial.
最近，2019 年公布的一项关于显微外科研修研究员匹配数据的分析表明，可用职位的竞争加剧。随着该领域机会的增加，作者假设申请人和项目的竞争格局变得更加激烈。本研究的目的是比较两个时期的匹配数据，为显微外科的住院医生和项目提供信息。
获得了旧金山匹配的显微外科研修研究员匹配数据，并获得美国重建显微外科学会的批准，时间为 2014 年至 2022 年。数据分为 2016-2018 年和 2019-2022 年两个阶段。评估的参数包括：计划和职位填补率、匹配率和在职考试百分位。使用 Pearson's Chi-square 检验和未配对 t 检验分析数据。
2019-2022 年，参与计划和职位的中位数分别增加到 29 个和 47 个，而 2016-2018 年分别为 23 个和 40 个。这与每个职位的申请人数量减少（1.3[52-40] 与 1.1[50-47]，p=0.45）相吻合。组间匹配率显著增加（67.8% 与 80.2%，p=0.007）。最近，2022 年的职位填补率创历史新低，为 75.4%（53 个职位中有 40 个填补），低于 2018 年的 85.3%（41 个中有 35 个）（p=0.35）和 2019 年的 95.6%（45 个中有 43 个）（p=0.006）。成功匹配申请人的在职考试百分位平均值在 2016-2018 年和 2019-2022 年申请人之间没有差异。
近年来，显微外科研修培训计划的数量有所增加，而申请人的数量有所减少。因此，未来的申请人匹配率有所提高。尽管如此，仍有大量未匹配的申请人和未填补的职位，这些职位仍有培训机会。原因可能是多方面的。
