Berglas Eli, Liker Jakob, Lavi Aaron B, Lainis Zoe A, Berglas Rachel, Haque Haroun, Del Rosario Adrii, Kochman Eliyahu M, Adamo Matthew A
Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
Medicine, Albert Einstein College of Medicine, Bronx, USA.
Cureus. 2025 Jul 24;17(7):e88701. doi: 10.7759/cureus.88701. eCollection 2025 Jul.
Objective The 2024 Residency Match was the first in recent history where most applicants did not report a numerical United States Medical Licensing Examination Step 1 score. This study will quantify the effects the scoring change had on the research productivity of successfully matched neurosurgery applicants. Methods Data on sex, MD/PhD status, medical school attended, and residency program were collected. Articles were categorized based on authorship, relation to neurosurgery, type of article, and the h5-index of the journal. Differences were evaluated based on sex, top 40 National Institutes of Health-funded medical school status, and acceptance at a top 30 residency program. Results This study evaluated the publications of 181 out of 241 matched students. They produced 2,002 articles, 85% of which were related to neurosurgery. Clinical studies were the most frequently published. The mean and median total publications were 11.1±12.8 and 8.0, respectively. On average, first-author publications accounted for 2.9±4.0 (median=2.0) of publications. Significant differences in publication metrics were found when comparing based on sex and matching into a top 30 residency program. Conclusions The transition of the Step 1 scoring system to Pass/Fail amplified the emphasis successful applicants placed on research. The need for an extensive research portfolio has only become greater. Results of this study may also suggest that the change to Step 1 scoring may not have lessened the burden on medical students but rather shifted it elsewhere.
目的 2024年住院医师匹配是近期历史上首次大多数申请者未报告美国医学执照考试第一步的分数。本研究将量化评分变化对成功匹配的神经外科申请者研究生产力的影响。方法 收集了性别、医学博士/哲学博士身份、就读医学院校和住院医师项目的数据。文章根据作者身份、与神经外科的关系、文章类型和期刊的h5指数进行分类。根据性别、国立卫生研究院资助排名前40的医学院校身份以及被排名前30的住院医师项目录取情况评估差异。结果 本研究评估了241名匹配学生中181名的出版物。他们发表了2002篇文章，其中85%与神经外科相关。临床研究发表得最为频繁。出版物总数的均值和中位数分别为11.1±12.8和8.0。平均而言，第一作者的出版物占出版物总数的2.9±4.0（中位数=2.0）。在根据性别和匹配到排名前30的住院医师项目进行比较时，发现出版物指标存在显著差异。结论 第一步评分系统向通过/未通过的转变放大了成功申请者对研究的重视程度。对广泛研究组合的需求只会变得更大。本研究结果还可能表明，第一步评分的变化可能并未减轻医学生的负担，而是将其转移到了其他方面。
