The Impact of Applicant Signaling on the General Surgery Match Process: A Single Institution Experience

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-02-21 DOI:10.1016/j.jsurg.2025.103476

Peyton Murdock MD, Juyeon Park MD, Eric Heidel PhD, Ginger Miya-Hildebrand, Andrew Russ MD, Catherine McKnight MD, Tanaz Vaghaiwalla MD

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引用次数: 0

Abstract

Objective

This single-institution study examined both the outcomes of signaling on the general surgery match and the perceptions of signaling by the applicants and the interviewers at an academic residency program.

Design

A retrospective review was performed using prospective data collected at a single institution over 2 application cycles that spanned 2022 to 2024. Applications were submitted through the Electronic Residency Application Service (ERAS). Statistical analysis was performed using Chi to square and logistic regression.

Setting

A tertiary academic medical center in the South.

Participants

Study participants were drawn from a pool of applicants in the general surgery residency program 2022 to 2024 application cycles. During this period, 2,421 candidates applied to this program and 155 (6.4%) signaled. Additionally, voluntary surveys were electronically distributed to the current and immediate past program directors, the chief residents involved in the interview process during this period, and the applicants who matched in 2024.

Results

Among applicants who signaled, those who were and were not interviewed exhibited no statistically significant differences in the United States Medical Licensing Exam (USMLE) Step 1 pass rate, gender, race/ethnicity, or medical school geographic region. Applicants who signaled were more likely to be interviewed, with a significantly higher interview rate, X2(1) = 187.42, p < 0.001, and 8.3 times higher odds of interviewing (95% CI 5.88-11.84). These applicants were also more likely to match at the program, with a significantly higher rate of matching, X2(1) = 38.25, p < 0.001, and 15.2 times higher odds of matching (95% CI 4.83-47.6). Lastly, among the applicants who signaled, multiple regression analysis was used to show that completion of a fourth-year rotation increased the odds of interviewing by 25 times (95% CI 2.73-228.44).

Conclusion

At this studied institution, the odds of interviewing and matching to this program were significantly higher for applicants who signaled. Multi-institutional studies are needed to validate the study findings.

查看原文本刊更多论文

申请人信号对普外科匹配过程的影响：单一机构经验

目的：本研究考察了在一个学术住院医师项目中，信号在普外科匹配中的结果以及申请人和面试官对信号的感知。DesignA采用在2022年至2024年的两个申请周期内从单个机构收集的前瞻性数据进行回顾性审查。申请是通过电子居留申请服务（ERAS）提交的。采用卡方回归和逻辑回归进行统计分析。南方三级学术医疗中心。研究参与者是从普通外科住院医师项目2022年至2024年申请周期的申请人中抽取的。在此期间，2421名候选人申请了该计划，155名（6.4%）发出了信号。此外，自愿调查以电子方式分发给现任和前任项目主任，在此期间参与面试过程的总住院医师，以及在2024年匹配的申请人。结果在发出信号的申请人中，接受和未接受面试的申请人在美国医学执照考试（USMLE）第一步通过率、性别、种族/民族或医学院地理区域方面没有统计学上的显著差异。发出信号的申请人更有可能被面试，面试率明显更高，X2(1) = 187.42,p <；0.001，访谈几率高出8.3倍（95% CI 5.88-11.84）。这些申请人也更有可能在项目中匹配，匹配率显着更高，X2(1) = 38.25,p <；匹配几率高出15.2倍（95% CI 4.83-47.6）。最后，在发出信号的申请人中，使用多元回归分析显示，完成第四年轮岗使面试的几率增加了25倍（95% CI 2.73-228.44）。在这所研究的机构中，对于那些发出信号的申请人来说，面试和匹配这个项目的几率要高得多。需要多机构研究来验证研究结果。

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.