培养骨科手术住院医师比例最高的美国医学院校的特点：对2019年至2023年骨科手术住院医师队列的分析。
Characteristics of US Medical Schools That Produce the Highest Percentage of Orthopaedic Surgery Residents: Analysis of the 2019 to 2023 Orthopaedic Surgery Residency Cohort.
作者信息
Lee Justin J, Jacome Freddy P, Weintraub Matthew, Kim Isaac E, Cho Sia, Chopra Avani, Akwuole Frances, Lema Owen, Bakaes Yianni, Hsu Wellington
机构信息
Northwestern University, Simpson Querrey Institute (SQI), Chicago, Illinoiss.
Rutgers New Jersey Medical School, Newark, New Jersey.
出版信息
JB JS Open Access. 2025 Jun 20;10(2). doi: 10.2106/JBJS.OA.24.00185. eCollection 2025 Apr-Jun.
INTRODUCTION
The inherent difficulties of matching into an orthopaedic surgery residency have led to the analysis of factors that influence this outcome. The aim of this study was to investigate which US medical schools produced the most orthopaedic surgery residents and the characteristics of these schools contributing to higher match rates.
METHODS
Demographic and bibliometric data were collected for 4,376 residents from 208 US-based Accreditation Council for Graduate Medical Education accredited orthopaedic surgery programs. This cohort spanned 2019 to 2023. Collected variables included medical school, gender, year of graduation, Alpha Omega Alpha (AOA) membership, and research productivity. A list of US medical schools matching the greatest number of residents into orthopaedic surgery was created and analyzed for correlative and predictive factors. Statistical analysis included Pearson correlation coefficient and univariable and multivariable linear regression.
RESULTS
Among 4,376 residents, 21.4% were female, 12.6% held DO degrees, and 25.4% were AOA members. Residents averaged 3.4 published articles and a pre-residency h-index of 1.4. Georgetown University matched the highest number of students (n = 68), while New York University matched the highest percentage of their graduating class (7.7%). 59.6% of residents matched in the same region as their medical school. Factors significantly associated with matching were having a home orthopaedic surgery residency (p < 0.05) and National Institute of Health (NIH) funding (p < 0.05).
CONCLUSION
As objective data, such as United States Medical Licensing Exam (USMLE) Step 1 scores change, understanding factors that influence match success becomes critical. The presence of a home orthopaedic surgery program and NIH funding were significant predictors, underscoring the role of research productivity in match success.
LEVEL OF EVIDENCE
Level III. See Instructions for Authors for a complete description of levels of evidence.
引言
成功匹配到骨科手术住院医师项目存在诸多内在困难，这促使人们对影响这一结果的因素进行分析。本研究旨在调查美国哪些医学院培养出了最多的骨科手术住院医师，以及这些学校有助于提高匹配率的特征。
方法
收集了来自美国研究生医学教育认证委员会认证的208个骨科手术项目的4376名住院医师的人口统计学和文献计量学数据。该队列涵盖2019年至2023年。收集的变量包括医学院、性别、毕业年份、美国医学生荣誉学会（AOA）会员资格和研究产出。创建了一份将最多住院医师匹配到骨科手术的美国医学院名单，并对相关因素和预测因素进行了分析。统计分析包括Pearson相关系数以及单变量和多变量线性回归。
结果
在4376名住院医师中，21.4%为女性，12.6%拥有医学博士学位，25.4%是AOA会员。住院医师平均发表了3.4篇文章，住院前的h指数为1.4。乔治敦大学匹配的学生人数最多（n = 68），而纽约大学匹配的毕业生比例最高（7.7%）。59.6%的住院医师在与他们医学院相同的地区匹配。与匹配显著相关的因素是拥有本校的骨科手术住院医师项目（p < 0.05）和美国国立卫生研究院（NIH）的资助（p < 0.05）。
结论
随着诸如美国医师执照考试（USMLE）第一步成绩等客观数据的变化，了解影响匹配成功的因素变得至关重要。本校骨科手术项目的存在和NIH的资助是显著的预测因素，凸显了研究产出在匹配成功中的作用。
证据水平
三级。有关证据水平的完整描述，请参阅作者指南。
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