Trends in the 10-year history of the vascular integrated residency match: More work, higher cost, same result

Lombardi, Joseph V.; Caputo, Francis J.; Hoell, Nicholas G.; Trani, Jose; Carpenter, Jeffrey P.

doi:10.1016/j.jvs.2019.10.066

Cited by 13 publications

(9 citation statements)

References 11 publications

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“…There are several study limitations, which have been outlined in previous studies using this methodology. 9-11 The NRMP data are part of public records and are unable to be verified with individual matching results. Hence, we were unable to perform a multivariate analysis and had to rely on univariate analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Similar to previous studies analyzing trends in the match, objective metrics were recorded from the “Summary Statistics on U.S. Allopathic Seniors” tables and graphs in the NRMP’s 2018 Charting Outcomes report for matched and unmatched applicants, respectively, for each specialty. 9-11 Total number of applicants and positions available were recorded to calculate the average number of applicants per position each year. The total number of positions offered and the total number of applicants were recorded to calculate the match rate.…”

Section: Methodsmentioning

confidence: 99%

“…Given recent trends, it is important to evaluate how the qualifications of recent successful OTO-HNS applicants have changed, if at all. While studies of applicant trends and qualifications exist in other specialties, 9-11 such studies have not been performed in the field of OTO-HNS, and literature comparing such trends among surgical sub-specialties remains limited. Our objectives are to evaluate recent OTO-HNS residency applicant trends, identify applicant characteristics associated with successful matches, and compare the trends and qualifications of OTO-HNS applicants to that of peer specialties.…”

Section: Introductionmentioning

confidence: 99%

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Otolaryngology Applicant Characteristics and Trends: Comparing OTO-HNS with Peer Specialties

Salehi

Heiser

Salehi

et al. 2021

Ann Otol Rhinol Laryngol

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Purpose: To evaluate the recent Otolaryngology-Head and Neck Surgery (OTO-HNS) applicant characteristics, to identify which applicant characteristics are associated with successful match into OTO-HNS, and to compare OTO-HNS applicant trends and characteristics to that of peer surgical specialties (PS). Materials and Methods: Data were obtained from official reports by the National Residency Matching Program (NRMP) for OTO-HNS, plastic and reconstructive surgery, orthopedic surgery, neurosurgery, and dermatology from 2006 to 2019. Alpha Omega Alpha (AOA) membership, United States Medical Licensing Examination (USMLE) scores, research productivity, graduation from a top-40 NIH-funded U.S. medical school, and additional graduate degree were recorded. Odds ratios (OR) were calculated to evaluate the relationship between applicant qualifications and match success. Results: From 2014 to 2018, the OTO-HNS applicant pool shrunk from 443 to 333, representing the largest drop of all PS. Furthermore, OTO-HNS reported the most unfilled positions and highest match rates in 2017 (n = 14; 92.1%) and 2018 (n = 12; 94.6%) among any PS. Despite recent trends, 2019 NRMP data revealed a 38.74% increase in OTO-HNS applicant numbers compared to 2018. AOA membership (OR, 7.3; P = .030), USMLE Step 2 scores between 241 and 260 (OR, 6.5; P = .009), and research productivity (OR, 5.6; P = .005) significantly increased the odds of matching into OTO-HNS. Conclusions: Despite recent fluctuations in application trends, OTO-HNS continues to successfully match highly qualified applicants, including applicants with AOA membership, high Step 2 scores, and high research productivity. An understanding of the qualifications used to evaluate residency applicants may be helpful to both applicants and residency programs of OTO-HNS.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Otolaryngology Applicant Characteristics and Trends: Comparing OTO-HNS with Peer Specialties

Salehi

Heiser

Salehi

et al. 2021

Ann Otol Rhinol Laryngol

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“…107 Finally, one article endorsed visual letters of recommendation (eg, word clouds), utilizing terms from the SLOR to enhance review efficiency. 108 Reforms to the Interview Process Pre-Interview Screening: Thirteen articles proposed pre-interview screening via standardized video interviews, 66,69,88,109,110 preliminary videoconference or telephone interviews, 21,26,57,64,68,76,111 or regional interviews 29,112 prior to on-site interviews. Such screening practices enable early assessment of applicant/program compatibility and reduce the interview cohort size, delivering cost-savings to applicants and programs alike.…”

Section: Reforms To the Application Review Processmentioning

confidence: 99%

“…Such screening practices enable early assessment of applicant/program compatibility and reduce the interview cohort size, delivering cost-savings to applicants and programs alike. 57,64,109,112 However, concerns exist regarding the scalability and increased administrative burden of pre-interview screening. 88,109 Interview Allocation and Scheduling: Seven articles suggested date standardization for interview offers with an acceptance window, creating a predictable timeline for applicants and minimizing clinical distractions.…”

Section: Reforms To the Application Review Processmentioning

confidence: 99%

Systems-Level Reforms to the US Resident Selection Process: A Scoping Review

Zastrow

Burk-Rafel²,

London

2021

Journal of Graduate Medical Education

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Background Calls to reform the US resident selection process are growing, given increasing competition and inefficiencies of the current system. Though numerous reforms have been proposed, they have not been comprehensively cataloged. Objective This scoping review was conducted to characterize and categorize literature proposing systems-level reforms to the resident selection process. Methods Following Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, searches of Embase, MEDLINE, Scopus, and Web of Science databases were performed for references published from January 2005 to February 2020. Articles were included if they proposed reforms that were applicable or generalizable to all applicants, medical schools, or residency programs. An inductive approach to qualitative content analysis was used to generate codes and higher-order categories. Results Of 10 407 unique references screened, 116 met our inclusion criteria. Qualitative analysis generated 34 codes that were grouped into 14 categories according to the broad stages of resident selection: application submission, application review, interviews, and the Match. The most commonly proposed reforms were implementation of an application cap (n = 28), creation of a standardized program database (n = 21), utilization of standardized letters of evaluation (n = 20), and pre-interview screening (n = 13). Conclusions This scoping review collated and categorized proposed reforms to the resident selection process, developing a common language and framework to facilitate national conversations and change.

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Paradigm Shift in Vascular Surgery Training: Independent versus Integrated Match Outcomes

Silvestre

Nawaz

Rowe

et al. 2023

Annals of Vascular Surgery

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Trends in the 10-year history of the vascular integrated residency match: More work, higher cost, same result

Cited by 13 publications

References 11 publications

Otolaryngology Applicant Characteristics and Trends: Comparing OTO-HNS with Peer Specialties

Otolaryngology Applicant Characteristics and Trends: Comparing OTO-HNS with Peer Specialties

Systems-Level Reforms to the US Resident Selection Process: A Scoping Review

Paradigm Shift in Vascular Surgery Training: Independent versus Integrated Match Outcomes

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