Beyond Medical Knowledge and Patient Care: A Program Director's Perspective for the Role of General Surgery Subinternships

Naples, Robert; Shin, Taehoon; French, Judith C.; Lipman, Jeremy M.

doi:10.1016/j.jsurg.2020.06.028

Cited by 13 publications

(9 citation statements)

References 12 publications

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“…1 , 2 Sub-internships and away rotations have been key for matching into competitive specialties, including neurosurgery, orthopedic surgery, and plastic surgery. 3 , 4 , 5 In light of the AAMC’s recommendations against direct clinical activities due to COVID-19, programs offered virtual away rotations for candidates applying into surgical specialties, 6 , 7 , 8 in addition to virtual interviews which were implemented for all specialties. 9 , 10…”

Section: Introductionmentioning

confidence: 99%

Effect of the COVID-19 pandemic on the residency match among surgical specialties

Iwai

Lenze

Mihalic

et al. 2022

Surgery

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Background Despite unprecedented changes to undergraduate medical education and the residency selection process during the COVID-19 pandemic, there is little objective evidence on how the pandemic impacted match outcomes such as matched applicant characteristics, interview distribution, geographic clustering, and associated costs. We investigated COVID-19’s impact on the residency match by comparing surgery applicants’ characteristics, interview distribution, and related costs from 2018-2020 to 2021. Methods Data from the Texas Seeking Transparency in Applications to Residency (STAR) initiative were analyzed. Descriptive statistics, bivariate testing, and sensitivity analysis were performed to compare matched applicants in surgical specialties from 2018-2020 to 2021. Results This study included 5,258 applicants who matched into ten surgical specialties from 2018-2021. In 2021, there was a decrease in proportion of students who reported a geographic connection to their matched program (38.4% vs. 42.1%; p=0.021 ) and no significant difference in number of interviews attended (mean (SD), 13.1 (6.2) vs. 13.3 (4.7); p=0.136 ) compared to prior years. Applicants in 2021 had more research experiences and fewer honored clerkships (both p<0.001 ), and these associations persisted in sensitivity analysis. Matched applicants in 2021 reported significantly lower total costs associated with the residency application process compared to 2018-2020 (mean (SD) $1959 (1275) vs. $6756 (4081); p<0.001 ). Conclusion Although COVID-19 appeared to result in a reduction in number of honored clerkships, it may have provided more opportunities for students to engage in research. Overall, the adoption of virtual interviews and away rotations may have successfully mitigated some of the adverse consequences of the pandemic on the residency match for surgical specialties.

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Section: Introductionmentioning

confidence: 99%

Effect of the COVID-19 pandemic on the residency match among surgical specialties

Iwai

Lenze

Mihalic

et al. 2022

Surgery

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“…10 Additionally, in the recent 2020 publication by Naples et al, the majority of program directors reported that assessment of a subintern’s suitability for their residency was the most important secondary purpose. 11 Their results also show that away rotations were perceived as of equal value to subinternships completed at the student’s home institution. 11 Finally, the cancellation of these rotations due to COVID-19 has resulted in the loss of letters of recommendation opportunities and also the real-time assessment of applicants’ capabilities on service.…”

Section: Discussionmentioning

confidence: 89%

“…11 Their results also show that away rotations were perceived as of equal value to subinternships completed at the student’s home institution. 11 Finally, the cancellation of these rotations due to COVID-19 has resulted in the loss of letters of recommendation opportunities and also the real-time assessment of applicants’ capabilities on service. 11…”

Section: Discussionmentioning

confidence: 89%

“…11 Finally, the cancellation of these rotations due to COVID-19 has resulted in the loss of letters of recommendation opportunities and also the real-time assessment of applicants' capabilities on service. 11 A direct solution for the access gap could come by encouraging osteopathic medical schools to increase the breadth and depth of clinical experiences and establishing greater affiliations with institutions that are home to residency programs in surgical subspecialties. Importantly, a solution such as this takes a significant amount of time and money.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Promoting Access of Osteopathic Medical Students to Surgical Residency Training Programs

Petree

Heard

Schenarts

et al. 2020

The American Surgeon

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The COVID-19 pandemic has uncovered disparities for allopathic and osteopathic surgical applicants for the upcoming 2021 residency application cycle. It has provided an opportunity for change to the current paradigm in surgical resident selection. This study seeks to quantify the disproportionality of opportunities between allopathic and osteopathic students and provides solutions to level the playing field for all applicants.

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Applying to Integrated Thoracic Surgery Residency: A Survey-Based Cost Analysis

Stinson,

Sharaf,

Valdes

et al. 2024

Annals of Thoracic Surgery Short Reports

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Beyond Medical Knowledge and Patient Care: A Program Director's Perspective for the Role of General Surgery Subinternships

Cited by 13 publications

References 12 publications

Effect of the COVID-19 pandemic on the residency match among surgical specialties

Effect of the COVID-19 pandemic on the residency match among surgical specialties

Promoting Access of Osteopathic Medical Students to Surgical Residency Training Programs

Applying to Integrated Thoracic Surgery Residency: A Survey-Based Cost Analysis

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