整形外科客场轮转的地理区域是否会影响各地区住院医师培训的成功率？

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-09-27 DOI:10.1016/j.bjps.2024.08.071

Mason J. Horne , Ethan D. Paliwoda , Ishan Patel , Dzifa S. Kpodzo , Angela P. Mihalic , Stephanie M.C. Bray

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引用次数: 0

摘要

简介：综合整形外科一直是竞争最激烈的住院医师培训专业之一。学生、顾问和导师都在不断寻找策略，以提高成功匹配的几率。客场轮转（AR）给学生和住院医师培训项目提供了一个相互体验的机会，让学生有机会了解项目是否适合自己，同时也让学生有能力展示自己对某一地区的兴趣。本研究的目的是确定在特定地区完成一次客场轮转是否会增加与该地区匹配的机会：分析了 2018-2023 年申请综合整形外科的美国医学生大四学生。数据来源为德克萨斯州 STAR 调查。收集了申请数量、面试、AR、申请者家乡地区和匹配结果等数据，并根据AAMC项目列表将申请者分层为中部、东北部、南部和西部4个地区。此外，还收集了申请人的统计数据，如标准化考试成绩。线性回归和逻辑回归评估了特定地理区域面试增加和成功匹配的相关性。使用 χ² 和独立 T 检验来评估匹配结果与申请人统计数据之间的关联：共有 401 名申请者提交了 28561 份申请，纳入分析。匹配成功率为 78.3%。大多数申请人至少完成了 1 次 AR（85.9%），平均每位申请人完成 2.04 次。在某一地区完成更多的 AR 可明显增加该地区的面试机会，平均每完成一次 AR 可增加 1.3 个面试机会（p 结论：在特定地理区域完成 AR 可增加同一区域的面试次数和匹配机会。

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Does the geographic region of plastic surgery away rotations influence residency match success by region?

Introduction

Integrated plastic surgery is consistently one of the most competitive residency specialties to successfully match. Students, advisors, and mentors are constantly looking for strategies to increase the odds of successfully matching. Away rotations (AR) give students and residency programs a chance to experience each other and get a gage of program fit and gives the student ability to show interest in a geographic region. The purpose of this study is to determine if completing an away rotation in a specific geographic region increases the chances of matching there.

Methods

U.S. medical student seniors from 2018-2023 applying into integrated plastic surgery were analyzed. The Texas STAR survey was used as a data source. Data was collected on the number of applications, interviews, AR, applicant home region, and match outcome and stratified into 4 regions, central, northeast, south, and west based on AAMC program listings. Applicant statistics such as standardized exam scores were also collected. Linear and logistic regression were conducted assess associations with increased interviews and successfully matching in specific geographic regions. χ² and independent T-tests were used to assess associations between match outcome and applicant statistics.

Results

401 applicants with 28561 applications were included for analysis. Match success was 78.3%. Most applicants completed at least 1 AR (85.9%) with a mean of 2.04 per applicant. Completing more AR in a region resulted in significantly more interview offers in that area, with an average increase of 1.3 interviews for each AR completed (p<.001). Completing more AR and having more interviews in a particular region increased the odds of matching in that region (p<.05). Number of interviews, completing an AR, USMLE Step 2 score, alpha omega alpha membership, and cumulative quartile rank were associated with increased match success.

Conclusion

Completing AR in specific geographic regions increased the number of interviews and chances of matching in the same region.

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.