Journal of graduate medical education最新文献

{"title":"Standardized Letters of Recommendation and Match Success Among Orthopaedic Surgery Residency Applicants.","authors":"Matthew C Gallo, Fergui Hernandez, Jacob R Ball, Julius Reynolds, Aura Elias, Tara Shelby, Jay R Lieberman","doi":"10.4300/JGME-D-25-01102.1","DOIUrl":"10.4300/JGME-D-25-01102.1","url":null,"abstract":"<p><strong>Background: </strong>Standardized letters of recommendation (SLORs) aim to make applicant letters more comparable, but score inflation raises concerns about their usefulness. In orthopaedic surgery, the 2023 SLOR was similarly affected.</p><p><strong>Objective: </strong>To evaluate the 2023 SLOR's association with orthopaedic surgery residency Match success and the association between below-average scores and Match outcomes.</p><p><strong>Methods: </strong>We reviewed all applications to our orthopaedic surgery residency program during the 2023-2024 cycle, including demographics, objective applicant metrics, and 2023 SLOR scores (7 criteria, 10-point scale). SLORs are optional, and applicants may submit 0 to 4 at our program. Match success was defined as matching into an orthopaedic surgery residency program by the start of the next academic year, confirmed via internet search. Univariate testing and multivariable logistic regression evaluated associations between objective metrics, SLOR scores, and Match success. Effect estimates are reported with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Of 492 applications, 367 (75%) contained 2023 SLORs; of these, 234 applicants (64%) matched into orthopaedic surgery. Matched applicants had higher mean cumulative SLOR scores than unmatched applicants (8.9±0.8 vs 8.3±1.2; difference, 0.6; 95% CI, 0.3-0.8; <i>P</i><.001), and mean score was independently associated with Match success (OR, 1.80; 95% CI, 1.36-2.38). Across all SLORs, a single score of 6 or below (n=37) was not associated with reduced Match success, whereas multiple such scores (n=44) were associated with a 42 percentage point lower Match rate (36% vs 78%; 95% CI, -58 to -21; <i>P</i><.001).</p><p><strong>Conclusions: </strong>Higher 2023 SLOR scores were positively associated with Match success. A single score of 5 or 6 was not associated with decreased Match success, whereas multiple such ratings were.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"574-581"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Scars or the Screen.","authors":"Prasad Iyer","doi":"10.4300/JGME-D-26-00575.1","DOIUrl":"https://doi.org/10.4300/JGME-D-26-00575.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"561-562"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnitude Matters: The Persistent Gap in Effect Size Reporting in Medical Education and a Path Forward.","authors":"R Logan Jones, Bart C Moulton, Patricio Riquelme, Patricia A Carney","doi":"10.4300/JGME-D-25-01030.1","DOIUrl":"10.4300/JGME-D-25-01030.1","url":null,"abstract":"<p><p></p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"536-539"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Authors: Verify and Read Your References!","authors":"Gail M Sullivan, Deborah Simpson","doi":"10.4300/JGME-D-26-00871.1","DOIUrl":"10.4300/JGME-D-26-00871.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"521-524"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The State of the Transitional Year: Results From a National Survey of Program Directors.","authors":"John C Christensen, M L Sydney LeGuyader, Sarah E Linson, Dave S Collingridge, AnnaLeah Eliason, J P Leshock, Jesse Steadman, Julie McCausland, Mary Warden","doi":"10.4300/JGME-D-26-00016.1","DOIUrl":"10.4300/JGME-D-26-00016.1","url":null,"abstract":"<p><strong>Background: </strong>The transitional year (TY) residency program is a rapidly growing and unique program where the Accreditation Council for Graduate Medical Education (ACGME) permits innovations in structure, design, and curriculum delivery. However, little is known about how programs differ within this framework and what constitutes typical TY curriculum. Understanding this variation is important because TY programs serve as the foundational clinical year for residents entering numerous advanced specialties. To our knowledge, there is no study investigating these differences.</p><p><strong>Objective: </strong>To describe TY curriculum variability via a nationwide survey of TY program directors.</p><p><strong>Methods: </strong>From May to August 2024, program directors for each of the 178 ACGME-accredited TY programs were sent a 31-question survey via a web link. The survey included questions about program structure, affiliations, electives, call schedules, and curriculum delivery.</p><p><strong>Results: </strong>Sixty of 178 TY programs responded to the survey (33.7%). The most common program size was 11 to 15 residents. One hundred percent of TY programs required an internal medicine rotation and 70% (n=42) required a surgery rotation. Most TY programs required an ICU experience (n=46, 76.7%) while fewer required pediatric (n=12, 20%) or obstetrics and gynecology (n=8, 13.3%) rotations. Only 25% (n=15) of respondent TY programs required 24-hour call, but 75% (n=45) required night float.</p><p><strong>Conclusions: </strong>We describe widespread variation in the delivery of the ACGME-required TY curriculum, elective time, specialty rotations, and call schedules. Based on the survey results, several common curricular features emerged, including ≥70% (n=42) inclusion of internal medicine, general surgery, ICU, and night float rotations and ≤25% (n=15) inclusion of 24-hour call.</p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"582-587"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Before You Say Yes: Navigating an Invited Talk, Including the Honorarium.","authors":"Juan N Lessing, Kimberly D Manning, Anthony R Artino, Marisha Burden","doi":"10.4300/JGME-D-26-00880.1","DOIUrl":"10.4300/JGME-D-26-00880.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"611-612"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Through Their Eyes.","authors":"Qin Xiang Ng","doi":"10.4300/JGME-D-26-00280.1","DOIUrl":"10.4300/JGME-D-26-00280.1","url":null,"abstract":"<p><p></p>","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"559-560"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpreting Associations Between United States Medical Licensing Examination Performance and Patient Outcomes: A Scholarly Perspective.","authors":"Richard C Jarvis","doi":"10.4300/JGME-D-26-00368.1","DOIUrl":"10.4300/JGME-D-26-00368.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"529-531"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transactional Competence, Reliance, and Trustworthiness: Essential Attributes of Successful Residents.","authors":"Gabriel M Daniels, Leah Colucci, Christina C Huang, Donna A Caniano, Timothy P Brigham, Thomas J Nasca","doi":"10.4300/JGME-D-26-00918.1","DOIUrl":"10.4300/JGME-D-26-00918.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"621-625"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To the Editor: Beyond Legislation: A Structured Gastroenterology Research Orientation as an Institutional Pipeline Strategy.","authors":"Sudharshan Raajkumar Ezhil, Athanasios Naum, Anushka Deogaonkar, Kris Kokoneshi, Lucas Heilbroner, Ivan Berezowski, Omar Abu-Ghannam, Omar Saadi, Marie Borum","doi":"10.4300/JGME-D-26-00688.1","DOIUrl":"10.4300/JGME-D-26-00688.1","url":null,"abstract":"","PeriodicalId":37886,"journal":{"name":"Journal of graduate medical education","volume":"18 5","pages":"614-615"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}