Geographic Trends for United States Allopathic Seniors Participating in the Residency Match: a Descriptive Analysis

Shappell, Claire; Farnan, Jeanne M.; McConville, John F.; Martin, Shannon

doi:10.1007/s11606-018-4686-1

Cited by 16 publications

(15 citation statements)

References 4 publications

(4 reference statements)

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“…Women and men travel similar distances for EM residency training, with almost half of students of both genders staying within the same geographic region as their medical school. These findings correspond with work by Shappell et al 15 and Dhar et al 16 showing strong regional preferences across specialties. The consistency of these findings has two important implications for residency selection practices.…”

Section: Discussionsupporting

confidence: 91%

“…An otolaryngology study demonstrated a tendency for students to match in the same geographic region as their medical school 13 . Similarly, anesthesiology trainees were more likely to match to their home state, and a multispecialty study in 2016 reaffirmed the regionality of match results 14,15 . While gender‐specific data are sparse, a retrospective single‐site study from the surgery department at the University of Cincinnati demonstrated that most of their applicants matched at a program within 640 miles of their medical school and did not find any gender differences in distance between medical school and training site 16 .…”

Section: Introductionmentioning

confidence: 99%

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Geographic mobility in the emergency medicine residency match and the influence of gender

Regan

Gisondi

Branzetti

et al. 2021

AEM Education and Training

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Objectives Women are underrepresented in emergency medicine (EM) leadership. Some evidence suggests that geographic mobility improves career advancement. We compared movement between medical school and residency by gender. Our hypothesis was that women move a shorter distance than men. Methods We collected National Residency Matching Program (NRMP) lists of ranked applicants from eight EM residency programs from the 2020 Main Residency Match. We added the gender expressed in interviews and left the Association of American Medical Colleges (AAMC) number as the unique identifier. Applicant data for matched osteopathic and allopathic seniors in the continental United States was included. We obtained street addresses for medical schools from an AAMC database and residency program addresses from the ACGME website. We performed geospatial analysis using ArcGIS Pro and compared results by gender. NRMP approved the data use and our institutional review board granted exempt status. Results A total of 881 of 944 unique applicants met inclusion criteria and included 48.5% (830/1,713) of matched allopaths and 37% of all matched seniors; 48% (420) were female. There was no significant difference between genders for distance moved (p = 0.31). Women moved a mean (±SD) 619 (±698) miles (median = 341 miles, range = 0–2,679 miles); and men, a mean (±SD) 641 (±717) miles (median = 315 miles, range = 0–2,671 miles). Further analysis of applicants traveling less than 50 miles (49 women, 51 men) and by census division showed no significant frequency differences. Conclusion Women and men travel similar distances for EM residency with the majority staying within geographic proximity to their medical school. This suggests that professional mobility at this stage is not a constraint. Our study findings are limited because we do not know which personal and professional factors inform relocation decisions. Gender is not associated with a difference in distance moved by students for residency. This finding may have implications for resident selection and career development.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Geographic mobility in the emergency medicine residency match and the influence of gender

Regan

Gisondi

Branzetti

et al. 2021

AEM Education and Training

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“…20 The presented geographic associations among otolaryngology residents and their previously-attended medical schools (Table 1) can be compared to that of all 2011 to 2015 medical students participating in the overall residency match. 21 The greatest discrepancy was between medical students from the West and Northeast, who matched into regional otolaryngology programs 15% and 7% less than students matching to all specialties combined. 21 Similarly to our study, other surgical specialties such as orthopedic, 22 plastic, 23 and general surgery 24 have also investigated the influence of medical students' geography on their match outcome/location.…”

Section: Discussionmentioning

confidence: 99%

Does Medical School Geography and Ranking Influence Residency Match in Otolaryngology?

Goshtasbi

Tsutsumi

Merna

et al. 2021

Ann Otol Rhinol Laryngol

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Objective: To elucidate the associations between geographic locations, rankings, and size/funding of medical schools and residency programs among the current otolaryngology residents. Methods: This retrospective cross-sectional study queried otolaryngology residency program websites for relevant publicly accessible information. Location was categorized as Midwest, Northeast, South, and West. Ranking was according to Doximity (residency) and US News and World Report (medical school). Medical school and residency programs were labeled large if they had >704 students or >15 residents, respectively. Results: A total of 1413 residents from 98 (89%) otolaryngology residency programs were included. Residents attending their home medical schools (18%) were equally distributed among regions ( P = .845). Residents who attended medical schools in the same US regions (54%) were more likely from top-25 ( P = .001) or private ( P < .001) medical schools. Southern residents were most likely (64%) and Western residents were least likely (39%) from regional medical schools ( P < .001), while residents from Midwest and Northeast had similar rates (54%-55%). The percentage of Midwest residents coming from regional medical schools has decreased from the 2013 to 2014 residency cycle ( P = .037). Completing undergraduate school, medical school, and residency in the same region (38%) was also highest in the South (45%) and lowest in the West (25%) ( P < .001). Residents at top-ranked residency programs were more likely from top-ranked ( P < .001), large ( P = .025), and private ( P = .018) medical schools. Conclusion: There exist significant associations between otolaryngology residents’ medical school location, ranking, size, and funding source and their residency destination. More than half of the current otolaryngology residents attended medical school in the same geographic region, and about one-fifth have attended medical school and residency at the same institution. Future studies are warranted to evaluate how these results change as the match process evolves in the future. Level of Evidence: N/A.

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“… 2 For students interested in programs in a different region of country than their medical school, completion of a visiting rotation in their preferred region may help in signaling this preference, as most medical students match in the same region as their medical school. 7 , 8 …”

mentioning

confidence: 99%

Thoughts on 2021–2022 visiting rotation recommendations from current and recent applicants in surgery

Singh

Fang

Lopez

et al. 2021

The American Journal of Surgery

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Geographic Trends for United States Allopathic Seniors Participating in the Residency Match: a Descriptive Analysis

Cited by 16 publications

References 4 publications

Geographic mobility in the emergency medicine residency match and the influence of gender

Geographic mobility in the emergency medicine residency match and the influence of gender

Does Medical School Geography and Ranking Influence Residency Match in Otolaryngology?

Thoughts on 2021–2022 visiting rotation recommendations from current and recent applicants in surgery

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