Modica Anthony, Kazimierczak Adam, Klein Brandon J, White Peter B, Bitterman Adam D, Cohn Randy M
Northwell, New Hyde Park, New York.
Department of Orthopaedic Surgery at Huntington Hospital, Huntington, New York.
JB JS Open Access. 2024 Aug 5;9(3). doi: 10.2106/JBJS.OA.24.00041. eCollection 2024 Jul-Sep.
Fourth-year away rotations are an important modifiable variable proven to increase students' opportunities to match into orthopaedic surgery. The purpose of this study was to determine differences in away rotation eligibility requirements and cost of rotation between allopathic and osteopathic students during the 2023 application cycle. Eligibility requirements and fees were then compared with the 2021 application cycle.
A cross-sectional study was performed during the 2023 application cycle of all nonmilitary, Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopaedic surgery residency programs (n = 194). Each program's website, affiliated school of medicine's website, visiting student application service portal, and Residency Explorer tool were searched for eligibility criteria, associated rotation fees, and other rotation requirements. Two-sample Z tests for proportions were utilized to compare differences in programs with differing requirements for students based on academic degree type. Data were compared statistically with previously reported data from the 2021 application cycle.
In 2023, there were more programs that restricted osteopathic medical students from away rotations than programs that restricted allopathic medical students (12/194, 6.2% vs. 0/194, 0.0%; p < 0.001). All 12 programs were formerly ACGME-accredited before the integration into a single accreditation system. There was a decrease in the number of programs restricting osteopathic medical students from away rotations compared with the 2021 application cycle (18/194, 9.3% vs. 12/194, 6.2%; p = 0.254). Fees associated with away rotations ranged from $25 to $4,000 for both allopathic and osteopathic students. The number of programs that charged osteopathic medical students higher rotation fees than programs that charged allopathic students when compared with the 2021 application cycles decreased (1/194, 0.5% vs. 5/194, 2.6%; p = 0.049).
While some programs continue to have away rotation eligibility requirements that prohibit osteopathic medical students from rotating, only one residency program currently charges osteopathic medical students a higher fee to rotate than allopathic medical students.
四年级的校外轮转是一个重要的可调节变量，已被证明能增加学生匹配到骨科手术专业的机会。本研究的目的是确定在2023年申请周期中，全科医学和骨科医学专业学生在校外轮转资格要求和轮转费用方面的差异。然后将资格要求和费用与2021年申请周期进行比较。
在2023年申请周期内，对所有非军事的、经研究生医学教育认证委员会（ACGME）认证的骨科手术住院医师项目（n = 194）进行了一项横断面研究。在每个项目的网站、附属医学院的网站、访问学生申请服务门户和住院医师探索工具中搜索资格标准、相关轮转费用和其他轮转要求。使用两样本Z检验比例来比较对不同学位类型学生有不同要求的项目之间的差异。将数据与2021年申请周期先前报告的数据进行统计学比较。
2023年，限制骨科医学专业学生进行校外轮转的项目比限制全科医学专业学生的项目更多（12/194，6.2%对0/194，0.0%；p < 0.001）。所有12个项目在整合到单一认证系统之前均为ACGME认证项目。与2021年申请周期相比，限制骨科医学专业学生进行校外轮转的项目数量有所减少（18/194，9.3%对12/194，6.2%；p = 0.254）。全科医学和骨科医学专业学生的校外轮转相关费用从25美元到4000美元不等。与2021年申请周期相比，向骨科医学专业学生收取比向全科医学专业学生更高轮转费用的项目数量有所减少（1/194，0.5%对5/194，2.6%；p = 0.049）。
虽然一些项目仍然有校外轮转资格要求，禁止骨科医学专业学生轮转，但目前只有一个住院医师项目向骨科医学专业学生收取比全科医学专业学生更高的轮转费用。
