Analysis of the microsurgery fellowship match: 2019–2022 update

IF 1.5 3区 医学 Q3 SURGERY
Microsurgery Pub Date : 2024-07-24 DOI:10.1002/micr.31217
J. Reed McGraw MD, Reena S. Sulkar MBA, Chris Amro MD, Zachary Gala MD, Babak J. Mehrara MD, Alex K. Wong MD, Stephen J. Kovach III. MD, FACS, Evan Matros MD, MPH, MMSc, Saïd C. Azoury MD
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Abstract

Background

A recent analysis of microsurgery fellowship match data published in 2019 demonstrated increased competition for available positions. With growing opportunities in the field, the authors hypothesize that the landscape for both applicants and programs has become more competitive. The aim of this study is to compare two periods of match data to inform residents and programs in microsurgery.

Methods

Microsurgery fellowship match data was obtained from the San Francisco Match with approval by the American Society for Reconstructive Microsurgery for the years 2014–2022. Data were stratified into the categories of 2016–2018 and 2019–2022. Parameters assessed included: program and position fill rates, match rates, and in-service examination percentiles. Data were analyzed using Pearson's Chi-square tests and unpaired t-tests.

Results

The median number of participating programs and positions increased to 29 and 47 in 2019–2022, compared with 23 and 40 in 2016–2018. This coincided with a decrease in the number of applicants per position (1.3 [52–40] vs. 1.1 [50–47], p = .45). There was a significant increase in the match rate between groups (67.8% vs. 80.2%, p = .007). Recently, 2022 saw the lowest position fill rate on record, at 75.4% (40 of 53 positions filled), down from 85.3% (35 of 41) in 2018 (p = .35) and 95.6% (43 of 45) in 2019 (p = .006). Mean in-service examination percentiles for successfully matched applicants did not differ between (2016–2018) and (2019–2022) applicants.

Conclusion

Recent years have seen a rise in the number of microsurgery fellowship training programs with a decline in the number of applicants. Accordingly, there has been an increased match rate for prospective applicants. Despite this, a pool of unmatched applicants and unfilled positions with training opportunities still remain. The reasons for which are likely multifactorial.

显微外科奖学金匹配分析:2019-2022 年更新。
背景:最近发布的 2019 年显微外科奖学金匹配数据分析显示,现有职位的竞争日益激烈。作者推测,随着该领域机会的增加,申请者和项目的竞争也变得更加激烈。本研究旨在比较两个时期的匹配数据,为显微外科住院医师和项目提供参考:方法:经美国显微外科重建学会批准,从旧金山匹配项目中获得了2014-2022年显微外科研究员匹配数据。数据分为 2016-2018 年和 2019-2022 年两类。评估参数包括:计划和职位填补率、匹配率和在职考试百分比。数据采用皮尔逊卡方检验和非配对 t 检验进行分析:与 2016-2018 年的 23 个和 40 个相比,2019-2022 年参与计划和职位的中位数分别增至 29 个和 47 个。与此同时,每个职位的申请人数也有所减少(1.3 [52-40] vs. 1.1 [50-47],p = .45)。各组之间的匹配率大幅上升(67.8% vs. 80.2%,p = .007)。最近,2022 年的职位填补率是有记录以来最低的,为 75.4%(53 个职位填补了 40 个),低于 2018 年的 85.3%(41 个职位填补了 35 个)(p = .35)和 2019 年的 95.6%(45 个职位填补了 43 个)(p = .006)。成功配对的申请人的在职考试平均百分位数在(2016-2018 年)和(2019-2022 年)申请人之间没有差异:近年来,显微外科研究员培训项目的数量有所增加,但申请人数却有所下降。因此,潜在申请人的匹配率有所提高。尽管如此,仍有大量未匹配的申请人和未填补的培训机会职位。其原因可能是多方面的。
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来源期刊
Microsurgery
Microsurgery 医学-外科
CiteScore
3.80
自引率
19.00%
发文量
128
审稿时长
4-8 weeks
期刊介绍: Microsurgery is an international and interdisciplinary publication of original contributions concerning surgery under microscopic magnification. Microsurgery publishes clinical studies, research papers, invited articles, relevant reviews, and other scholarly works from all related fields including orthopaedic surgery, otolaryngology, pediatric surgery, plastic surgery, urology, and vascular surgery.
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