Ani Chinecheta, Ani Lidia, Gardner Traci F
C. Ani is a Medical Student, New York Medical College, Valhalla, NY, United States.
L. Ani is a Fellow, Nuffield Orthopaedic Centre, Oxford University Hospitals, Oxford, UK.
J Natl Med Assoc. 2025 Aug;117(4):241-247. doi: 10.1016/j.jnma.2025.05.004. Epub 2025 May 17.
Many studies have examined the impact away rotations have on the residency match outcomes of medical students, the common impression being that they are beneficial for match success. Little is known about whether race/ethnicity affects the relationship between away rotations and match success. This study explored the impact that race/ethnicity has on the likelihood of a medical student matching at a program where they did an away rotation to help inform student's decision making.
Alumni and post-match medical students at a US medical school, residents and attendings at the hospital associated with the medical school, and Black medical organization members completed a survey about their away rotation and match experience. Responses were collected from August 2023 to March 2024. The statistical analysis was done with Graphpad Prism.
We analyzed 298 survey responses and found that while the respondents of all races did not feel that attending away rotations affected their match outcomes, Black respondents were significantly less likely to match at a program where they did an away rotation (p=0.02). There was a difference in the rates of students going into competitive specialties who matched at a place where they rotated between those who are underrepresented in medicine (23.1 %) and those who are not (44.1 %), but this difference was not statistically significant (p=0.16).
A one-size-fits-all recommendation for away rotations does not take into account the different realities faced by medical students. The impact that race/ethnicity can have on a student's match success should be acknowledged by students and advisors when making decisions about away rotations.
许多研究探讨了轮转对医学生住院医师匹配结果的影响，普遍观点认为这对匹配成功有益。关于种族/族裔是否会影响轮转与匹配成功之间的关系，我们知之甚少。本研究探讨了种族/族裔对医学生在进行了轮转的项目中匹配成功可能性的影响，以帮助学生做出决策。
美国一所医学院的校友、匹配后的医学生、与该医学院相关医院的住院医师和主治医师，以及黑人医学组织成员完成了一项关于他们轮转和匹配经历的调查。调查回复于2023年8月至2024年3月收集。统计分析使用Graphpad Prism软件完成。
我们分析了298份调查回复，发现虽然所有种族的受访者都认为参加轮转不会影响他们的匹配结果，但黑人受访者在进行了轮转的项目中匹配成功的可能性显著更低（p = 0.02）。在医学领域代表性不足的学生（23.1%）和非代表性不足的学生（44.1%）中，进入竞争激烈专业且在轮转地点匹配成功的学生比例存在差异，但这种差异无统计学意义（p = 0.16）。
一刀切的轮转建议没有考虑到医学生面临的不同现实情况。在就轮转做出决策时，学生和导师应认识到种族/族裔对学生匹配成功可能产生的影响。
