Characteristics Associated with Successful Residency Match in General Surgery
Objective:. To evaluate characteristics of matched and unmatched general surgery residency (GSR) applicants. Background:. Given the recent change of the United States Medical Licensing Exam Step 1 grading to pass/fail, understanding the factors that influence GSR match success is integral to identif...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-09-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000469 |
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| author | Reagan A. Collins, BA Kaitlyn Nimmer, BA Salma A. Sheriff, BS Tania K. Arora, MD Anai N. Kothari, MD, MS Carrie Cunningham, MD, MPH Callisia N. Clarke, MD, MS |
| author_facet | Reagan A. Collins, BA Kaitlyn Nimmer, BA Salma A. Sheriff, BS Tania K. Arora, MD Anai N. Kothari, MD, MS Carrie Cunningham, MD, MPH Callisia N. Clarke, MD, MS |
| author_sort | Reagan A. Collins, BA |
| collection | DOAJ |
| description | Objective:. To evaluate characteristics of matched and unmatched general surgery residency (GSR) applicants.
Background:. Given the recent change of the United States Medical Licensing Exam Step 1 grading to pass/fail, understanding the factors that influence GSR match success is integral to identifying potential interventions to improve match rates for diverse medical students.
Methods:. Retrospective review of GSR National Residency Matching Program (NRMP) applicant and Accreditation Council for Graduate Medical Education (ACGME) active resident data between 2011 and 2022. Data included application characteristics for United States (“US”) and “independent” applicants, factors cited by program directors in the interview and ranking process, paths pursued if applicants went unmatched, and racial/ethnic representation.
Results:. A total of 9149 US and 3985 independent applicants applied to GSR between 2011 and 2021. Matched versus unmatched applicants had higher step 1 scores (US: 236 vs 218, P = 0.005; independent: 237 vs 228, P = 0.001), higher step 2 scores (US: 248 vs 232, P = 0.006; independent: 245 vs 234, P < 0.001), more likely to belong to alpha omega alpha (US: 17.1% vs 1.6%, P = 0.002) or to attend a top 40 National Institutes of Health-funded school (US: 31.0% vs 19.4%, P = 0.002) compared to unmatched applicants. Program directors heavily factored step 1 and step 2 scores, letters of recommendation, interactions with faculty and trainees, and interpersonal skills when interviewing and ranking applicants. The proportion of active general surgery residents versus applicants was lower for Asians (12.3% vs 20.9%, P < 0.001), Black/African American (5.0% vs 8.8%, P < 0.001), Hispanic/Latino (5.0% vs 9.4%, P = 0.001), and underrepresented in medicine students (10.3% vs 19.1%, P < 0.001).
Conclusions:. In the pass/fail step 1 era, factors including step 2 score and other subjective metrics may be more heavily weighted in the GSR match process. |
| format | Article |
| id | doaj-art-99880c45409b463ba5ecd9e2c2488776 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-99880c45409b463ba5ecd9e2c24887762025-01-24T09:18:48ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-09-0153e46910.1097/AS9.0000000000000469202409000-00012Characteristics Associated with Successful Residency Match in General SurgeryReagan A. Collins, BA0Kaitlyn Nimmer, BA1Salma A. Sheriff, BS2Tania K. Arora, MD3Anai N. Kothari, MD, MS4Carrie Cunningham, MD, MPH5Callisia N. Clarke, MD, MS6From the * Department of Surgery, Massachusetts General Hospital, Boston, MA‡ Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI‡ Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI§ Division of Surgical Oncology, Department of Surgery, Augusta University at the Medical College of Georgia, Augusta, GA.‡ Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WIFrom the * Department of Surgery, Massachusetts General Hospital, Boston, MA‡ Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WIObjective:. To evaluate characteristics of matched and unmatched general surgery residency (GSR) applicants. Background:. Given the recent change of the United States Medical Licensing Exam Step 1 grading to pass/fail, understanding the factors that influence GSR match success is integral to identifying potential interventions to improve match rates for diverse medical students. Methods:. Retrospective review of GSR National Residency Matching Program (NRMP) applicant and Accreditation Council for Graduate Medical Education (ACGME) active resident data between 2011 and 2022. Data included application characteristics for United States (“US”) and “independent” applicants, factors cited by program directors in the interview and ranking process, paths pursued if applicants went unmatched, and racial/ethnic representation. Results:. A total of 9149 US and 3985 independent applicants applied to GSR between 2011 and 2021. Matched versus unmatched applicants had higher step 1 scores (US: 236 vs 218, P = 0.005; independent: 237 vs 228, P = 0.001), higher step 2 scores (US: 248 vs 232, P = 0.006; independent: 245 vs 234, P < 0.001), more likely to belong to alpha omega alpha (US: 17.1% vs 1.6%, P = 0.002) or to attend a top 40 National Institutes of Health-funded school (US: 31.0% vs 19.4%, P = 0.002) compared to unmatched applicants. Program directors heavily factored step 1 and step 2 scores, letters of recommendation, interactions with faculty and trainees, and interpersonal skills when interviewing and ranking applicants. The proportion of active general surgery residents versus applicants was lower for Asians (12.3% vs 20.9%, P < 0.001), Black/African American (5.0% vs 8.8%, P < 0.001), Hispanic/Latino (5.0% vs 9.4%, P = 0.001), and underrepresented in medicine students (10.3% vs 19.1%, P < 0.001). Conclusions:. In the pass/fail step 1 era, factors including step 2 score and other subjective metrics may be more heavily weighted in the GSR match process.http://journals.lww.com/10.1097/AS9.0000000000000469 |
| spellingShingle | Reagan A. Collins, BA Kaitlyn Nimmer, BA Salma A. Sheriff, BS Tania K. Arora, MD Anai N. Kothari, MD, MS Carrie Cunningham, MD, MPH Callisia N. Clarke, MD, MS Characteristics Associated with Successful Residency Match in General Surgery Annals of Surgery Open |
| title | Characteristics Associated with Successful Residency Match in General Surgery |
| title_full | Characteristics Associated with Successful Residency Match in General Surgery |
| title_fullStr | Characteristics Associated with Successful Residency Match in General Surgery |
| title_full_unstemmed | Characteristics Associated with Successful Residency Match in General Surgery |
| title_short | Characteristics Associated with Successful Residency Match in General Surgery |
| title_sort | characteristics associated with successful residency match in general surgery |
| url | http://journals.lww.com/10.1097/AS9.0000000000000469 |
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