de Araujo Olivia B, O'Connell Daniel J, Allen Austin J, Mitchell Stuart L
Orthopaedic Surgery, Jackson Memorial Hospital, Miller School of Medicine, University of Miami, Miami, USA.
Orthopaedic Surgery, Geisinger South Wilkes-Barre, Wilkes-Barre, USA.
Cureus. 2024 Dec 6;16(12):e75203. doi: 10.7759/cureus.75203. eCollection 2024 Dec.
: Objective data examining match trends and applicant characteristics are in high demand given the stakes involved with the orthopaedic surgery match. Our study sought to analyse the trends among matched orthopaedic surgery applicants to clarify how medical students can best prepare for and assess their chances of a successful orthopaedic residency match. : We used the publicly available National Residency Matching Program (NRMP) tool to gather characteristics for matched and unmatched orthopaedic surgery applicants from 2016 to 2022 and compare the probability of matching for all applicants versus each subgroup of reported applicant characteristics using risk difference (RD) and two-tailed p-values. : Step 1 score >250 (p <0.001), being a US MD applicant (p <0.001), ranking ≥11 contiguous programs (p<0.001), Step 2 score >250 (p <0.001), five to 10 research experiences (p <0.001), five to 15 publications (p <0.002), five to 25 volunteer experiences (p<0.03), and Alpha Omega Alpha (AOA) Honor Medical Society membership (p<0.001) were associated with increased chance of matching while having a non-PhD graduate degree decreased probability of matching (RD -8.3%, p<0.001) and a PhD degree had no associated change in match probability. : These results show that applicants who possess higher Step 1 and 2 scores, are AOA members, US MD applicants, and have a rank ≥11 in orthopaedic programs are more likely to successfully match. A continuing significant increase in the probability of matching was noted until more than 25 programs were ranked.
鉴于骨科手术匹配所涉及的利害关系,对审视匹配趋势和申请人特征的客观数据有很高的需求。我们的研究旨在分析匹配的骨科手术申请人的趋势,以阐明医学生如何能最好地为成功匹配骨科住院医师做好准备并评估自己的机会。
我们使用公开可用的国家住院医师匹配计划(NRMP)工具,收集2016年至2022年匹配和未匹配的骨科手术申请人的特征,并使用风险差异(RD)和双侧p值比较所有申请人与报告的申请人特征各亚组的匹配概率。
第一步考试成绩>250(p<0.001)、是美国医学博士申请人(p<0.001)、排名≥11个连续项目(p<0.001)、第二步考试成绩>250(p<0.001)、有5至10次研究经历(p<0.001)、有5至15篇出版物(p<0.002)、有5至25次志愿者经历(p<0.03)以及成为医学荣誉学会(AOA)成员(p<0.001)与匹配机会增加相关,而拥有非博士研究生学位会降低匹配概率(RD -8.3%,p<0.001),博士学位与匹配概率无相关变化。
这些结果表明,第一步和第二步考试成绩较高、是AOA成员、美国医学博士申请人且在骨科项目中排名≥11的申请人更有可能成功匹配。在排名超过25个项目之前,匹配概率持续显著增加。