General Surgery Versus Integrated Surgical Sub-specialties: Predictors for Residency Match and Interview Invites Among Surgical Candidates

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-11-02 DOI:10.1016/j.jsurg.2024.103314

Yoshiko Iwai MD, MS , Kelsey R. Landrum MS , J. Nathaniel Diehl MD, PhD , Audrey L. Khoury MD, MPH , Angela P. Mihalic MD , Luigi Pascarella MD, FACS , Lynn A. Damitz MD, FACS , Karyn B. Stitzenberg MD, MPH, FACS , Chris B. Agala PhD , Jason M. Long MD, MPH, FACS

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引用次数: 0

Abstract

Objective

The goal of this study was to assess predictive factors for receiving interviews and matching in general surgery (GS), cardiothoracic surgery (TS), vascular surgery (VS), and plastic surgery (PS).

Design

The Texas Seeking Transparency in Applications to Residency (STAR) survey was analyzed for match years 2018-2023. Chi-Square Tests of Independence were used to assess differences among participants who received ≥16 vs <16 interviews and, separately, participants who matched vs went unmatched. Odds ratios (OR) for matching were adjusted for board scores, home region, publications, and honors in applicant specialty.

Setting

All US medical schools participating in the Texas STAR survey from 2018-2023.

Participants

All fourth-year students who completed the survey during the study period.

Results

Of the 2,687 individuals included, 78.15% applied in GS, 13.58% in PS, 4.43% in VS, and 3.82% in TS. Participants had higher odds of receiving ≥16 interviews when having >240 step 1 score vs ≤239 (OR 1.76 (95% CI 1.46-2.12); p < 0.001), >250 step 2 score vs ≤249 (2.42 (2.00-2.91); p < 0.001), honors in their specialty (1.48 (1.21-1.80); p < 0.001), and >5 publications vs ≤4 (1.46 (1.16-1.83); p = 0.001). Odds of matching were lower among PS (0.50 (0.36-0.69); p < 0.001) and TS (0.2 (0.13-0.31); <0.001) compared to GS applicants. Participants had higher odds of matching when having >240 step 1 score vs ≤239 (1.33 (1.04-1.70); p = 0.026), >250 step 2 score vs ≤249 (1.52 (1.20-1.92); p < 0.001), and were more likely to match at a program where they indicated a geographic preference (5.49 (2.58-11.66); p < 0.0001) or program signal (3.87 (1.85-8.11); p < 0.001).

Conclusions

The novel geographic preferencing and program signal functions were associated with increased match success. More studies are needed to assess the generalizability of these findings.

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普通外科与综合外科亚专科：外科候选人的住院实习匹配和面试邀请的预测因素。

研究目的本研究旨在评估普外科（GS）、心胸外科（TS）、血管外科（VS）和整形外科（PS）接受面试和匹配的预测因素：对德克萨斯州寻求住院医师申请透明度（STAR）调查进行了分析，调查对象为2018-2023年的配对年。采用Chi-Square独立性检验来评估获得≥16与设置的参与者之间的差异：2018-2023年参与德克萨斯州STAR调查的所有美国医学院校：所有在研究期间完成调查的四年级学生：在纳入的2687人中，78.15%申请了GS，13.58%申请了PS，4.43%申请了VS，3.82%申请了TS。参与者的第 1 步得分>240 分与≤239 分（OR 1.76 (95% CI 1.46-2.12); p < 0.001）、第 2 步得分>250 分与≤249 分（2.42 (2.00-2.91); p < 0.001)、在本专业获得荣誉 (1.48 (1.21-1.80); p < 0.001)、发表 >5 篇论文 vs ≤4 篇 (1.46 (1.16-1.83); p = 0.001)。PS（0.50 (0.36-0.69); p < 0.001）和 TS（0.2 (0.13-0.31); 240 第 1 步评分 vs ≤239 (1.33 (1.04-1.70); p = 0.026)，>250 第 2 步评分 vs ≤249 (1.52 (1.20-1. 92); p < 0.001)）的匹配几率较低。92）；p＜0.001），并且更有可能在他们表示地理偏好（5.49（2.58-11.66）；p＜0.0001）或项目信号（3.87（1.85-8.11）；p＜0.001）的项目中匹配：结论：新颖的地理优选和程序信号功能与匹配成功率的提高有关。需要更多的研究来评估这些发现的普遍性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.