Reardon Luke, Stucki Brenton, Akella Deepthi, Carr Michele M
3747 Lincoln Memorial University , DeBusk College of Osteopathic Medicine, Harrogate, TN, USA.
Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.
J Osteopath Med. 2025 Jul 1. doi: 10.1515/jom-2025-0063.
Following the implementation of the Single Accreditation System (SAS) in 2020, the integration of osteopathic and allopathic residency programs has reshaped access to surgical specialties. Despite these efforts, osteopathic medical graduates remain underrepresented in otolaryngology residencies, with historical concentration in a few Midwestern states and limited access to home residency programs.
The objective of this study was to assess the geographical distribution, training site characteristics, and match patterns of osteopathic otolaryngology residents from 2020 to 2024, including relationships with medical school location and program history (historically AOA-accredited vs. historically allopathic-only).
A retrospective cross-sectional analysis was conducted utilizing data on 109 osteopathic otolaryngology residents matched from 2020 to 2024. Data were gathered from National Resident Matching Program (NRMP) results, residency websites, and public sources. Variables included residency location, hospital size, urban/rural status, and medical school affiliation. Statistical methods included descriptive statistics, chi-square tests for trend, Pearson correlation, regression analysis, and a two-sample test for geographic mobility.
Michigan, Pennsylvania, and Ohio accounted for 74.3 % of residents. Geographic distribution trends over the 5-year period (2020-2024) showed no significant year-to-year change (p=0.54). A positive correlation (p=0.014) existed between osteopathic school locations and resident distribution. All residents trained in urban programs; 80.7 % trained in large hospitals (≥400 beds). A two-sample test showed that residents who relocated for residency moved significantly farther than those who remained in-state (p=0.014). More osteopathic residents matched into historically AOA-accredited programs than into formerly allopathic-only programs.
Five years after the SAS merger, osteopathic otolaryngology residents continue to cluster geographically near osteopathic medical schools and train predominantly in large, urban hospitals. Historically AOA-accredited programs remain a primary entry point for osteopathic graduates. Further efforts are needed to expand access and representation across the broader otolaryngology training landscape.
2020年实施单一认证系统（SAS）后，整骨疗法和西医住院医师培训项目的整合重塑了外科专科的准入情况。尽管做出了这些努力，但整骨疗法医学毕业生在耳鼻喉科住院医师培训中的代表性仍然不足，历史上集中在中西部的几个州，且进入家乡住院医师培训项目的机会有限。
本研究的目的是评估2020年至2024年整骨疗法耳鼻喉科住院医师的地理分布、培训地点特征和匹配模式，包括与医学院校所在地和项目历史（历史上由美国骨科协会认证与历史上仅由西医认证）的关系。
利用2020年至2024年匹配的109名整骨疗法耳鼻喉科住院医师的数据进行回顾性横断面分析。数据收集自全国住院医师匹配计划（NRMP）结果、住院医师培训网站和公共来源。变量包括住院医师培训地点、医院规模、城乡状况和医学院校附属关系。统计方法包括描述性统计、趋势卡方检验、皮尔逊相关性分析、回归分析和地理流动性双样本检验。
密歇根州、宾夕法尼亚州和俄亥俄州的住院医师占74.3%。2020年至2024年这5年期间的地理分布趋势显示，年与年之间没有显著变化（p=0.54）。整骨疗法医学院校所在地与住院医师分布之间存在正相关（p=0.014）。所有住院医师都在城市项目中接受培训；80.7%在大型医院（≥400张床位）接受培训。双样本检验表明，为住院医师培训而搬迁的人比留在本州的人搬迁得更远（p=0.014）。与以前仅由西医认证的项目相比，更多整骨疗法住院医师匹配到历史上由美国骨科协会认证的项目中。
SAS合并五年后，整骨疗法耳鼻喉科住院医师在地理上继续聚集在整骨疗法医学院校附近，并且主要在大型城市医院接受培训。历史上由美国骨科协会认证的项目仍然是整骨疗法毕业生的主要切入点。需要进一步努力扩大在更广泛的耳鼻喉科培训领域的准入机会和代表性。
