Applicant Factors for Matching Into an Orthopaedic Foot and Ankle Fellowship.

Foot & Ankle Orthopaedics Pub Date : 2025-03-23 eCollection Date: 2025-01-01 DOI:10.1177/24730114251327208
Zachary C Lum, Kyle Astleford, Christopher Kreulen, Eric Giza
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引用次数: 0

Abstract

Background: Over the past 2 decades, various initiatives have aimed to enhance diversity in orthopaedic surgery, promoting greater racial, ethnic, and gender equity. Building on this progress, demographic data on orthopaedic fellowship matches has been collected over the last 3 years. This study seeks to analyze trends in applicants to foot and ankle fellowships, characterize the applicant pool, and identify traits associated with successful matches.

Methods: All applicant information from a fellowship application service site was obtained for match years 2022-2024. Applicants were selected only if they applied to the specific subspecialty fellowship. Gender, race, and ethnicity were recorded. Applicant factors such as Alpha Omega Alpha (AOA) status, Gold Humanitarian status, United States Medical Licensing Examination (USMLE) Step 2 score, number of applications, and number of interview invitations were used. Applicant medical school status, including allopathic, osteopathic, Canadian, and foreign medical graduate (FMG) were analyzed. χ2 test was performed between US and FMG applicants. Univariate and multivariate binomial logistic regression was performed for FMGs.

Results: There were 286 applicants, 82.8% males, 16.5% females, 133 US- and Canadian-trained graduates, and 153 FMGs. The match rate for US- and Canadian-trained graduates was 99.2% compared with FMGs, which was 43.7% and associated with lower matching rates (P < .00001). When performing analysis in US and FMG groups independently because of multicollinearity, no factors could be associated with matching. Only when the applicant had FMG status, then the number of interview invitations were associated with matching. When the number of interviews approached 6, the likelihood of matching was >95%.All except 1 US F&A applicant matched into an F&A fellowship. During the match period, US-trained applicants were 28%-32% female, 4%-8% Black/African American, 8%-17% Asian, 65%-73% White, 2%-4% American Indian, and 2%-8% Hispanic, with no Native Hawaiian and Pacific Islanders applying. Female applicants were above representation compared to Accreditation Council for Graduate Medical Education (ACGME) numbers, but the remaining race and ethnicity applicants were within the range of current ACGME standings, which is still lower than US Census results.

Conclusion: Nearly all US-trained foot and ankle applicants matched, whereas FMG applicants matched 43% of the time.

申请骨科足踝奖学金的因素。
背景:在过去的20年里,各种各样的举措旨在提高骨科手术的多样性,促进更大的种族、民族和性别平等。在这一进展的基础上,在过去3年中收集了骨科奖学金匹配的人口统计数据。本研究旨在分析足部和踝关节奖学金申请者的趋势,确定申请者群体的特征,并确定与成功匹配相关的特征。方法:从奖学金申请服务网站获得2022-2024赛季的所有申请人信息。申请人只有在申请特定的亚专业奖学金时才会被选中。记录性别、种族和民族。申请人因素如Alpha Omega Alpha (AOA)状态、黄金人道主义状态、美国医疗执照考试(USMLE)第2步分数、申请数量和面试邀请数量被使用。分析了申请人的医学院状况,包括对抗疗法、整骨疗法、加拿大和外国医学毕业生(FMG)。美国和FMG申请人之间进行χ2检验。对fmg进行单因素和多因素二项逻辑回归。结果:申请者286人,男性占82.8%,女性占16.5%,美国和加拿大毕业生133人,fmg 153人。美国和加拿大毕业生的匹配率为99.2%,而fmg的匹配率为43.7%,匹配率较低(P = 95%)。除1名美国F&A申请人外,所有申请人都符合F&A奖学金。在比赛期间,在美国接受培训的申请人中,女性占28%-32%,黑人/非裔美国人占4%-8%,亚洲人占8%-17%,白人占65%-73%,美洲印第安人占2%-4%,西班牙裔占2%-8%,没有夏威夷原住民和太平洋岛民申请。与研究生医学教育认证委员会(ACGME)的人数相比,女性申请人的人数高于代表性,但其余种族和族裔申请人的人数在ACGME目前排名的范围内,这仍然低于美国人口普查结果。结论:几乎所有在美国训练的足部和踝关节申请者都匹配,而FMG申请者的匹配率为43%。
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
Foot & Ankle Orthopaedics
Foot & Ankle Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
1.20
自引率
0.00%
发文量
1152
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