Preference Signaling for Competitive Residency Programs in the NRMP

Salehi, Parsa P; Azizzadeh, Babak; Lee, Yan H.

doi:10.4300/jgme-d-19-00695.1

Cited by 25 publications

(35 citation statements)

References 5 publications

(12 reference statements)

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“…From their early experiences, the authors reported that fellows’ attitudes towards telemedicine were largely positive, and that 81% of subjects agreed that telemedicine should be required in a one-year ACGME-accredited vascular fellowship. Similar pilot curricula have been developed within medical schools, internal medicine, family medicine, and dermatology residencies, with modest early success [ 14 , 23 – 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Despite these early advances, implementation of formal telemedicine training is challenged by a diverse array of platforms and technologies and their associated technical difficulties and the lack of standardized physical examination practices [ 14 , 26 , 27 ]. Our results indicate that, while spine surgeons may be as comfortable imparting history-taking skills and evaluation of imaging via telemedicine, the inherent remote nature of the visit creates a unique challenge in teaching orthopaedic/neurologic physical examination maneuvers (Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, no prior studies have evaluated if or how telemedicine should be incorporated into training spine surgery residents or fellows. Given the recent ubiquity of telemedicine use and its early benefit in supporting resident training, those formulating Accreditation Council for Graduate Medical Education (ACGME) compliant curricula must consider current implementation of and attitudes towards telemedicine [ 14 , 15 ]. The purpose of this study was to survey spine surgeons’ perspectives towards research and resident education within telemedicine.…”

Section: Introductionmentioning

confidence: 99%

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Telemedicine in research and training: spine surgeon perspectives and practices worldwide

et al. 2021

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Purpose To utilize a global survey to elucidate spine surgeons’ perspectives towards research and resident education within telemedicine. Methods A cross-sectional, anonymous email survey was circulated to the members of AO Spine, an international organization consisting of spine surgeons from around the world. Questions were selected and revised using a Delphi approach. A major portion of the final survey queried participants on experiences with telemedicine in training, the utility of telemedicine for research, and the efficacy of telemedicine as a teaching tool. Responses were compared by region. Results A total of 485 surgeons completed the survey between May 15, 2020 and May 31, 2020. Though most work regularly with trainees (83.3%) and 81.8% agreed that telemedicine should be incorporated into clinical education, 61.7% of respondents stated that trainees are not present during telemedicine visits. With regards to the types of clinical education that telemedicine could provide, only 33.9% of respondents agreed that interpretation of physical exam maneuvers can be taught (mean score = − 0.28, SD = ± 1.13). The most frequent research tasks performed over telehealth were follow-up of imaging (28.7%) and study group meetings (26.6%). Of all survey responses provided by members, there were no regional differences (p > 0.05 for all comparisons). Conclusions Our study of spine surgeons worldwide noted high agreement among specialists for the implantation of telemedicine in trainee curricula, underscoring the global acceptance of this medium for patient management going forward. A greater emphasis towards trainee participation as well as establishing best practices in telemedicine are essential to equip future spine specialists with the necessary skills for navigating this emerging platform.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Telemedicine in research and training: spine surgeon perspectives and practices worldwide

et al. 2021

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“…Nevertheless, the optimal number of “stars” to afford applicants in such a system remains contentious. 1,53,55,56 Potential drawbacks to this system include applicants being discriminated against for not signaling a program, difficulties coordinating logistics (eg, number of stars) among programs, and certain highly desirable programs receiving a disproportionate amount of “stars.” 1,55,56,58…”

Section: Discussionmentioning

confidence: 99%

“…Ever since the first editorial by Baroody et al 38 in 2008, many proposals regarding the residency selection process have filled the OTO-HNS literature. 1,6,27,29,55,58 The main catalysts for many of the aforementioned proposals have been to control the rising OTO-HNS applicant volume to relieve the difficulties high-applicant volumes create for programs 12,13,38 and discourage students from broadly applying to programs simply to potentially increase their matching chances—which obscures the programs’ abilities to discern true interest among applicants. 1,6 Moreover, as more than half of OTO-HNS programs use USMLE scores as a screening tool, 41 the recently announced change of the USMLE Step 1 examination to pass/fail scoring furthers the need for residency selection reform.…”

Section: Implications For Practicementioning

confidence: 99%

Ideas and Innovations to Improve the Otolaryngology–Head and Neck Surgery Residency Application and Selection Process

Salehi

Heiser

Salehi

et al. 2020

Otolaryngol.--head neck surg.

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Objective To (1) summarize strategies proposed in the recent otolaryngology–head and neck surgery (OTO-HNS) literature for improving the residency application and selection process, (2) evaluate the effects of recently implemented changes to the OTO-HNS match, and (3) discuss recommendations for future changes to the OTO-HNS residency application and selection process. Data Sources PubMed, Medline Ovid database, and article reference lists. Review Methods A structured literature search was performed to identify current English language articles relating to the objectives of this study using the aforementioned data sources, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines. The search was limited to submissions published between January 1, 2015, and January 1, 2020. Conclusions Numerous proposals have been made for improving the otolaryngology residency application and selection process and addressing the competitive nature of the Match. These proposals include but are not limited to mandating a secondary essay, implementing consortia and early match processes, using a signaling system, conducting regional and web-based interviews, offering early engagement with interest groups, instituting a hard cap on applications, increasing costs of applying, counseling self-restraint to prospective applicants, and creating application filters. Implications for Practice As the volume of literature surrounding the OTO-HNS Match continues to increase, this review aims to provide a summary of past proposals and serve as a guide for possible future innovations. We propose 3 initiatives that may improve the residency application and selection process for both program and resident, with minimal impact to the current National Resident Matching Program (NRMP) Match structure.

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Rethinking the Internal Medicine Residency Application Process to Prioritize the Public Good: A Consensus Statement of the Alliance for Academic Internal Medicine

Catalanotti,

Abraham,

Choe

et al. 2024

The American Journal of Medicine

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Preference Signaling for Competitive Residency Programs in the NRMP

Cited by 25 publications

References 5 publications

Telemedicine in research and training: spine surgeon perspectives and practices worldwide

Telemedicine in research and training: spine surgeon perspectives and practices worldwide

Ideas and Innovations to Improve the Otolaryngology–Head and Neck Surgery Residency Application and Selection Process

Rethinking the Internal Medicine Residency Application Process to Prioritize the Public Good: A Consensus Statement of the Alliance for Academic Internal Medicine

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