Department of Urology, Hofstra-Northwell Zucker School of Medicine, New Hyde Park, New York.
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio.
Urol Pract. 2024 Nov;11(6):999-1005. doi: 10.1097/UPJ.0000000000000645. Epub 2024 Jun 28.
This study assesses the effects of the recent changes to the urology residency match process.
We emailed an anonymous, multiple-choice survey to each candidate who applied to any of our 3 urology programs for the 2024 Urology Residency Match.
Of the 433 candidates invited, 146 (33.7%) completed the survey. Of the 133 respondents who matched, 38.3% matched where they did an away subinternship (sub-I), 20.3% matched with their home program, and 91.0% matched with a program where they sent a preference signal (PS); only 8 respondents (6.0%) matched with a program where they did not complete a sub-I or send a PS. Of the 4 candidates who did not take Step 2 before submitting their application, only 1 matched. The 126 applicants who completed 3 or more sub-Is, including the home sub-I, had a higher match rate (95.2%) than the 20 applicants who completed 1 or 2 (65.0%, < .0005). Disclosing any geographic preferences was associated with a decreased probability of matching (relative risk = 0.89, < .05).
Taking Step 2 before submitting applications and completing 3 or more sub-Is were both correlated with a higher match rate. Geographic signaling was correlated with a lower match rate. There was little benefit to applying to programs outside of those where the applicant had completed a sub-I or sent a PS. Future candidates should consider these findings early in the application process. These findings should be taken into consideration when making future changes to the application process.
本研究评估了泌尿科住院医师匹配过程最近变化的影响。
我们向申请我们的 3 个泌尿科项目的 2024 年泌尿科住院医师匹配的每位候选人发送了一份匿名的多项选择调查。
在邀请的 433 名候选人中，有 146 名（33.7%）完成了调查。在匹配的 133 名受访者中，38.3%在他们完成了外部实习（sub-I）的地方匹配，20.3%与他们的家庭项目匹配，91.0%与他们发送了偏好信号（PS）的项目匹配；只有 8 名（6.0%）受访者与他们没有完成 sub-I 或发送 PS 的项目匹配。在提交申请前没有参加 Step 2 的 4 名候选人中，只有 1 名匹配。完成 3 次或更多次 sub-I 的 126 名申请人（包括家庭 sub-I）的匹配率（95.2%）高于完成 1 次或 2 次 sub-I 的 20 名申请人（65.0%，<0.0005）。披露任何地理偏好与匹配概率降低相关（相对风险 = 0.89，<0.05）。
在提交申请前参加 Step 2 并完成 3 次或更多次 sub-I 都与更高的匹配率相关。地理信号与较低的匹配率相关。向申请人未完成 sub-I 或发送 PS 的项目申请几乎没有好处。未来的候选人应该在申请过程的早期考虑这些发现。在未来的申请过程中应考虑这些发现。
