住院医师申请人社会人口学特征与专业选择和面试结果的关系

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-04-24 DOI:10.1016/j.jsurg.2025.103513

Nicholas R. Lenze MD, MPH , Trinithas Boyi MD, MA , William J. Benjamin MD, MPH , Angela P. Mihalic MD , David J. Brown MD , Louito Edje MD, MHPE, FAAFP , Michael J. Brenner MD , Robbi A. Kupfer MD

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引用次数: 0

摘要

目的评价住院医师申请人的社会人口学特征与专业选择、学术指标和申请结果的关系。学术指标包括职员荣誉、荣誉学会会员资格、美国医学执照考试（USMLE）分数、学位类型（对抗疗法或骨科）、第二学位或研究年份、所需补习、配对、研究成果、志愿者或领导职位。DesignRetrospective，对回应德克萨斯州寻求居留权申请透明度（STAR）调查的申请人进行横断面分析。背景：对美国医科学生的全国性调查。参与2021至2022年和2022至2023年住院医师申请周期的美国医学生。结果在2022年和2023年的10856名申请者中，1687人（15.5%）被确定为医学代表性不足（URiM）， 1642人（15.1%）是第一代大学生，931人（8.6%）报告有食物或住房不安全史，6104人（56.2%）被确定为女性。所有这些组应用外科亚专科的可能性均显著降低(OR 0.76, p <；0.001;OR 0.81, p = 0.009；OR 0.81, p = 0.041；OR 0.41, p <；分别为0.001)。在调整学术指标后，这种关联在女性申请者中仍然存在(OR 0.58, p <；0.001)，而对于URiM申请人则相反（OR 1.28, p = 0.016）。有食物或住房不安全历史的申请人的匹配率较低(73.3%对83.4%；P = 0.008)。访谈和匹配结果在其他历史上在外科手术中代表性不足的社会人口统计学群体中并不差。结论：在医学中已经普遍存在的代表性不足在外科专科中被放大，强调了在整个医学教育连续体中应用公平镜头的必要性。

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Association of Residency Applicant Sociodemographic Characteristics With Specialty Choice and Interview Outcomes

Objective

To evaluate associations of residency applicant sociodemographic characteristics with specialty choice, academic metrics, and application outcomes. Academic metrics included clerkship honors, honor society membership, United States Medical Licensing Exam (USMLE) scores, degree type (allopathic or osteopathic), second degrees or research year, required remediation, couples match, research output, and volunteer or leadership positions.

Design

Retrospective, cross-sectional analysis of applicants who responded to the Texas Seeking Transparency in Application to Residency (STAR) survey.

Setting

National survey of medical students in the United States.

Participants

Medical students in the United States participating in the 2021 to 2022 and 2022 to 2023 residency application cycles.

Results

Among 10,856 applicants during the 2022 and 2023 match years, 1,687 (15.5%) identified as Underrepresented in Medicine (URiM), 1642 (15.1%) were the first generation to attend college, 931 (8.6%) reported a history of food or housing insecurity, and 6104 (56.2%) identified as female. All of these groups were significantly less likely to apply to surgical subspecialties (OR 0.76, p < 0.001; OR 0.81, p = 0.009; OR 0.81, p = 0.041; OR 0.41, p < 0.001, respectively). When adjusting for academic metrics, this association persisted for female applicants (OR 0.58, p < 0.001), and it was the inverse for URiM applicants (OR 1.28, p = 0.016). Applicants with a history of food or housing insecurity had a lower match rate (73.3% vs. 83.4%; p = 0.008) than those without. Interview and match outcomes were noninferior among the other sociodemographic groups historically underrepresented in surgery.

Conclusion

Underrepresentation, already pervasive in medicine, is amplified in surgical subspecialties, underscoring the need for applying an equity lens across the continuum of medical education.

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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.