Tarapore Rae, Wieland Mark D, Haislup Brett, Imbergamo Casey, McCormick Brian, Castillo Wilfrido, Boucher Henry
MedStar Orthopaedic Institute, Union Memorial Hospital, Baltimore, Maryland.
Montefiore Health System, Bronx, New York.
JB JS Open Access. 2024 Feb 15;9(1). doi: 10.2106/JBJS.OA.23.00135. eCollection 2024 Jan-Mar.
During the 2022 to 2023 orthopaedic surgery residency application cycle, "signaling" was added, allowing applicants to communicate strong interest to 30 programs of their choosing. This study's purpose was to evaluate signaling's impact on the 2022 to 2023 application cycle.
A cross-sectional survey was distributed to applicants who applied to a single residency program. We evaluated how many interviews the average applicant received, what proportion of interviews came from programs they had signaled, and what percentage of applicants matched at a program they had signaled. We stratified data by American Orthopaedic Association status, United States Medical Licensing Examination (USMLE) Step 1 and Step 2 scores, research items, sex, and race.
This survey was distributed to 611 applicants, with 124 (20.3%) responding to the survey. Ninety-five respondents (76.6%) matched. The percentage of applicant interviews that came from signaled programs was 78.7%. Ninety-one percent of matched applicants matched at a program they signaled. Sixty-three percent of matched applicants performed an away rotation at their matched programs. Forty-five percent of applicants felt that signaling incentivized reducing the programs they applied to, and applicants gave signaling a high favorability rating of 4/5. Applicants with Alpha Omega Alpha status received more interviews per application (0.18 ± 0.11 vs. 0.10 ± 0.10, p < 0.001) and more interviews from programs they did not signal (74% of interviews from signaled programs vs. 90% of interviews from signaled programs, p < 0.001). Higher Step 1 and Step 2 scores were associated with more interviews per application (Step 1: 0.16 ± 0.12 vs. 0.12 ± 0.08, p = 0.032) (Step 2: 0.16 ± 0.11 vs. 0.12 ± 0.09, p = 0.032).
Orthopaedic residency applicants received most of their interviews from programs that they signaled, with an overwhelming majority matching at signaled program. Alpha Omega Alpha status and high USMLE scores were associated with more interviews granted per application, regardless of signaling status. Signaling seems to be a favorable option for orthopaedic applicants. Data from future application cycles will help further evaluate signaling's impact on the orthopaedic match.
在2022至2023年骨科住院医师申请周期中，新增了“信号传递”功能，允许申请人向其选择的30个项目表达强烈兴趣。本研究的目的是评估信号传递对2022至2023年申请周期的影响。
对申请单一住院医师项目的申请人进行了横断面调查。我们评估了平均每位申请人收到多少面试邀请、来自他们发出信号的项目的面试比例，以及在他们发出信号的项目中匹配的申请人百分比。我们按美国骨科协会会员身份、美国医师执照考试（USMLE）第一步和第二步成绩、研究项目、性别和种族对数据进行分层。
本次调查共发放给611名申请人，124人（20.3%）回复了调查。95名受访者（76.6%）成功匹配。来自发出信号项目的申请人面试比例为78.7%。91%的匹配申请人在他们发出信号的项目中匹配成功。63%的匹配申请人在其匹配的项目中进行了外地轮转。45%的申请人认为信号传递促使他们减少申请的项目数量，并且申请人对信号传递的好感度评分为4/5（满分5分）。具有Alpha Omega Alpha会员身份的申请人每份申请获得的面试更多（0.18±0.11对0.10±0.10，p<0.001），并且来自他们未发出信号的项目的面试更多（发出信号项目的面试占74%，未发出信号项目的面试占90%，p<0.001）。更高的第一步和第二步成绩与每份申请获得更多面试相关（第一步：0.16±0.12对0.12±0.08，p=0.032）（第二步：0.16±0.11对0.12±0.09，p=0.032）。
骨科住院医师申请人收到的大部分面试邀请来自他们发出信号的项目，绝大多数申请人在发出信号的项目中匹配成功。Alpha Omega Alpha会员身份和高USMLE成绩与每份申请获得更多面试相关，与信号传递状态无关。信号传递似乎是骨科申请人的一个有利选择。未来申请周期的数据将有助于进一步评估信号传递对骨科匹配的影响。
