Laughlin Ruple S, Adkins Shirlyn, Baer Michael, Dehbashi Sara, Gable Karissa, Govindarajan Raghav, Guidon Amanda C, Gwathmey Kelly G, Hehir Michael K, Imperioli Matthew, Price Raymond S, Sakamuri Sarada, Sokol Jacob, Tiongson Noelle, Wong Ericka S, London Zachary
From the Mayo Clinic (R.S.L.); AANEM (S.A., J.S.), Rochester, MN; University of Pennsylvania (M.B., R.S.P.); Thomas Jefferson University (S.D., E.S.W.), Philadelphia, PA; Duke University (K.G.), Durham, NC; University of Missouri (R.G.), St. Louis; Department of Neurology (A.C.G.), Harvard Medical School/Massachusetts General Hospital, Boston, MA; Virginia Commonwealth University (K.G.G.), Richmond; University of Vermont (M.K.H.), Burlington; University of Connecticut (M.I.), Storrs; Department of Neurological Sciences (S.S.), Stanford University, Stanford, CA; Keck USC College of Medicine (N.T.), Los Angeles, CA; and University of Michigan (Z.L.), Ann Arbor.
Neurol Educ. 2023 Aug 23;2(3):e200086. doi: 10.1212/NE9.0000000000200086. eCollection 2023 Sep 25.
Prior to 2021, the neuromuscular medicine fellowship application process suffered from non-standardized timelines and substantial variability. To rectify this, the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) established a standardized application timeline and an online application portal in 2020-2021, followed by the introduction of a partial match process. In 2021-2022, AANEM launched a traditional, binding, two-way match system for fellowship positions allocation based on the Gale-Shapley stable matching algorithm. Surveys assessing perceptions of fairness in the application portal and match process were dispatched to applicants and program directors following the 2021 and 2022 recruitment cycles. In the 2020-21 cycle, 90% of program directors and 95% of applicants affirmed the standardized timeline benefited applicants. However, 57% of applicants deemed the process as unfair. All programs and most applicants (58%) favored a transition to a two-way match. The implementation of the two-way match in 2021-22 attracted participation from 97% of programs, with 80% of applicants and 95% of programs viewing the process as fair to applicants. A significant majority of both applicants (86%) and programs (94%) supported maintaining the standardized timeline and two-way match. We advocate for the universal adoption of the AANEM Match for neuromuscular fellowship recruitment and a standardized fellowship application timeline across all neurologic specialties to promote transparency, fairness, and equity for applicants.
在2021年之前，神经肌肉医学专科培训申请流程存在时间线不规范和显著差异的问题。为纠正这一情况，美国神经肌肉与电诊断医学协会（AANEM）在2020 - 2021年建立了标准化的申请时间线和在线申请门户，随后引入了部分匹配流程。在2021 - 2022年，AANEM基于盖尔 - 沙普利稳定匹配算法推出了用于专科培训职位分配的传统、有约束力的双向匹配系统。在2021年和2022年招聘周期结束后，向申请人和项目主任发放了评估对申请门户和匹配流程公平性看法的调查问卷。在2020 - 21周期，90%的项目主任和95%的申请人确认标准化时间线对申请人有益。然而，57%的申请人认为该流程不公平。所有项目以及大多数申请人（58%）都倾向于过渡到双向匹配。2021 - 22年双向匹配的实施吸引了97%的项目参与，80%的申请人和95%的项目认为该流程对申请人公平。绝大多数申请人（86%）和项目（94%）都支持维持标准化时间线和双向匹配。我们主张在神经肌肉专科培训招聘中普遍采用AANEM匹配方式，并在所有神经科专业中采用标准化的专科培训申请时间线，以提高透明度，为申请人促进公平和公正。
