Martinez Victor H, Quirarte Jaime A, Smith Matthew D, Gibbons Steven D, Rose Ryan A
University of the Incarnate Word, School of Osteopathic Medicine, San Antonio, TX, United States.
UT Health San Antonio, Long School of Medicine, San Antonio, TX, United States.
Surg Pract Sci. 2023 Jan 31;12:100155. doi: 10.1016/j.sipas.2023.100155. eCollection 2023 Mar.
To apply a normalized competitive index over a 20-year period to analyse applicant trends in orthopaedic surgery residency programs.
A retrospective analysis of orthopaedic surgery residency program data from the National Resident Matching Program (NRMP) Main Residency Match data from 2003 to 2022 and NRMP Charting Outcomes data from 2007 to 2021 was performed. A competitive index (CI) was utilized by dividing the number of programs ranked per applicant, multiplied by available positions, and by the match rate for each year. Next, the index was normalized to a value of 1 to establish a normalized competitive index (NCI) by dividing the yearly CI by the average CI.
National Resident Matching Program (NRMP) Main Residency Match data from 1992 to 2021 and NRMP Charting Outcomes data from 2007 to 2021.
Orthopaedic surgery residency applicants.
The NCI was significantly different over time (R= 0.95, < 0.001) with an upward trending NCI slope. Total applicants have nearly doubled over the past two decades (2003, 830 vs. 2022, 1460; <0.001). The match rate did not significantly change over the two decades (2003-2012 vs. 2013-2022; 70% vs. 70%; = 0.76). However, in 2022, the match rate dropped to 59.5%. The 2022 applicant cycle had 14% more applicants, while positions increased by 0.8% compared to the year prior. The USMLE Step 1 and Step 2 scores of matched applicants increased over time (R>0.83, < 0.001). Research output quadrupled over the 2007-2021 period (3 vs. 14, < 0.001).
Despite match rates remaining constant over time, the NCI metric demonstrated the increasing competitiveness of orthopaedic surgery residency programs over twenty years. Match rates have inherent limitations as a singular metric and should only be used in conjunction with additional metrics. Establishing a more comprehensive index with applicant metrics provides insight into the growing competitiveness of orthopaedic programs and a more comprehensive outlook for future applicants.
应用一个标准化竞争指数，对20年期间骨科住院医师培训项目的申请人趋势进行分析。
对2003年至2022年全国住院医师匹配项目（NRMP）主要住院医师匹配数据以及2007年至2021年NRMP结果数据中的骨科住院医师培训项目数据进行回顾性分析。通过将每位申请人排名的项目数量乘以可用职位数，再除以每年的匹配率，得出竞争指数（CI）。接下来，将该指数标准化为1，即通过将年度CI除以平均CI来建立标准化竞争指数（NCI）。
1992年至2021年全国住院医师匹配项目（NRMP）主要住院医师匹配数据以及2007年至2021年NRMP结果数据。
骨科住院医师培训申请人。
NCI随时间有显著差异（R = 0.95，P < 0.001），NCI斜率呈上升趋势。在过去二十年中，申请人总数几乎翻了一番（2003年为830人，2022年为1460人；P < 0.001）。二十年间匹配率没有显著变化（2003 - 2012年与2013 - 2022年相比；70%对70%；P = 0.76）。然而，2022年匹配率降至59.5%。与上一年相比，2022年申请人周期的申请人增加了14%，而职位增加了0.8%。匹配申请人的美国医师执照考试第一步和第二步成绩随时间提高（R > 0.83，P < 0.001）。2007年至2021年期间研究产出增长了四倍（3对14，P < 0.001）。
尽管随着时间推移匹配率保持不变，但NCI指标显示出二十年来骨科住院医师培训项目的竞争日益激烈。匹配率作为单一指标有其固有局限性，应仅与其他指标结合使用。建立一个包含申请人指标的更全面指数，有助于深入了解骨科项目竞争日益激烈的情况，并为未来申请人提供更全面的前景。
