Nitin Vidyasagar BS , Samuel R. Bunting MD, MSHA , Sarah Shapiro BS , Madan Kumar DO , Nicola M. Orlov MD, MPH , Maria A. Alkureishi MD
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We used descriptive statistics to characterize common specialty combinations with Pediatrics.</div></div><div><h3>Results</h3><div>The present analysis examined data representing 81 138 unique Pediatrics applicants. The proportion of Pediatrics parallel applicants (65.9% vs 48.4%, <em>P</em> < .001) and the mean number of specialties applied to (4.1 to 3.9, <em>P</em> < .001) declined from 2009 to 2023. The proportion of international medical graduates (IMG) (88.9% [n = 4468] vs 76.5% [n = 1906]; B = −0.90, <em>P</em> < .001) parallel applying decreased while the proportion of MD applicants (17.3% [n = 370] vs 22.1% [n = 485]; B = 0.56, <em>P</em> = .03) parallel applying increased between 2009 and 2023. During that period, the proportion of DO (32.9% [n = 116] vs 34.0% [n = 291]; B = −0.06, <em>P</em> = .21) applicants parallel applying did not significantly increase. Internal medicine (66.9%) and family medicine (60.7%) were the most common specialty combinations for parallel applicants in 2023. Between 2009 and 2023, the mean applications increased for single-specialty (25.3 vs 51.0; <em>P</em> < .001) and parallel applicants (119.7 vs 146.3; <em>P</em> < .001). IMG (127.1 vs 164.6; <em>P <</em> .001), DO (43.5 vs 119.8; <em>P <</em> .001) and MD (53.4 vs 90.0; <em>P <</em> .001) parallel applicants all experienced significant increases in the mean number of applications submitted.</div></div><div><h3>Conclusions</h3><div>Although fewer applicants are applying to Pediatrics, around 50% of Pediatrics applicants parallel applied with the proportion of parallel applicants decreasing among IMG applicants and increasing among medical doctor applicants. Medical schools, residency programs, and application systems should revisit residency advising and application limits to reduce the strain of parallel application on applicants and residency programs.</div></div>","PeriodicalId":54774,"journal":{"name":"Journal of Pediatrics","volume":"286 ","pages":"Article 114777"},"PeriodicalIF":3.5000,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trends in Parallel Applications to Pediatrics Residency in the United States Between 2009-2023\",\"authors\":\"Nitin Vidyasagar BS , Samuel R. Bunting MD, MSHA , Sarah Shapiro BS , Madan Kumar DO , Nicola M. Orlov MD, MPH , Maria A. Alkureishi MD\",\"doi\":\"10.1016/j.jpeds.2025.114777\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>We analyzed the trends in application to Pediatrics residency with concurrent application to one or more other specialties (parallel applications) between 2009 and 2023.</div></div><div><h3>Study design</h3><div>A retrospective analysis of custom Association of American Medical Colleges Electronic Residency Application Service data of applicants to Pediatrics residency between 2009 and 2023 was conducted. Descriptive statistics and linear regressions were used to identify trends of the percent parallel applying as well as the mean number of specialties and applications submitted. We used descriptive statistics to characterize common specialty combinations with Pediatrics.</div></div><div><h3>Results</h3><div>The present analysis examined data representing 81 138 unique Pediatrics applicants. The proportion of Pediatrics parallel applicants (65.9% vs 48.4%, <em>P</em> < .001) and the mean number of specialties applied to (4.1 to 3.9, <em>P</em> < .001) declined from 2009 to 2023. The proportion of international medical graduates (IMG) (88.9% [n = 4468] vs 76.5% [n = 1906]; B = −0.90, <em>P</em> < .001) parallel applying decreased while the proportion of MD applicants (17.3% [n = 370] vs 22.1% [n = 485]; B = 0.56, <em>P</em> = .03) parallel applying increased between 2009 and 2023. During that period, the proportion of DO (32.9% [n = 116] vs 34.0% [n = 291]; B = −0.06, <em>P</em> = .21) applicants parallel applying did not significantly increase. Internal medicine (66.9%) and family medicine (60.7%) were the most common specialty combinations for parallel applicants in 2023. Between 2009 and 2023, the mean applications increased for single-specialty (25.3 vs 51.0; <em>P</em> < .001) and parallel applicants (119.7 vs 146.3; <em>P</em> < .001). IMG (127.1 vs 164.6; <em>P <</em> .001), DO (43.5 vs 119.8; <em>P <</em> .001) and MD (53.4 vs 90.0; <em>P <</em> .001) parallel applicants all experienced significant increases in the mean number of applications submitted.</div></div><div><h3>Conclusions</h3><div>Although fewer applicants are applying to Pediatrics, around 50% of Pediatrics applicants parallel applied with the proportion of parallel applicants decreasing among IMG applicants and increasing among medical doctor applicants. Medical schools, residency programs, and application systems should revisit residency advising and application limits to reduce the strain of parallel application on applicants and residency programs.</div></div>\",\"PeriodicalId\":54774,\"journal\":{\"name\":\"Journal of Pediatrics\",\"volume\":\"286 \",\"pages\":\"Article 114777\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-08-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S002234762500318X\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S002234762500318X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Trends in Parallel Applications to Pediatrics Residency in the United States Between 2009-2023
Objective
We analyzed the trends in application to Pediatrics residency with concurrent application to one or more other specialties (parallel applications) between 2009 and 2023.
Study design
A retrospective analysis of custom Association of American Medical Colleges Electronic Residency Application Service data of applicants to Pediatrics residency between 2009 and 2023 was conducted. Descriptive statistics and linear regressions were used to identify trends of the percent parallel applying as well as the mean number of specialties and applications submitted. We used descriptive statistics to characterize common specialty combinations with Pediatrics.
Results
The present analysis examined data representing 81 138 unique Pediatrics applicants. The proportion of Pediatrics parallel applicants (65.9% vs 48.4%, P < .001) and the mean number of specialties applied to (4.1 to 3.9, P < .001) declined from 2009 to 2023. The proportion of international medical graduates (IMG) (88.9% [n = 4468] vs 76.5% [n = 1906]; B = −0.90, P < .001) parallel applying decreased while the proportion of MD applicants (17.3% [n = 370] vs 22.1% [n = 485]; B = 0.56, P = .03) parallel applying increased between 2009 and 2023. During that period, the proportion of DO (32.9% [n = 116] vs 34.0% [n = 291]; B = −0.06, P = .21) applicants parallel applying did not significantly increase. Internal medicine (66.9%) and family medicine (60.7%) were the most common specialty combinations for parallel applicants in 2023. Between 2009 and 2023, the mean applications increased for single-specialty (25.3 vs 51.0; P < .001) and parallel applicants (119.7 vs 146.3; P < .001). IMG (127.1 vs 164.6; P < .001), DO (43.5 vs 119.8; P < .001) and MD (53.4 vs 90.0; P < .001) parallel applicants all experienced significant increases in the mean number of applications submitted.
Conclusions
Although fewer applicants are applying to Pediatrics, around 50% of Pediatrics applicants parallel applied with the proportion of parallel applicants decreasing among IMG applicants and increasing among medical doctor applicants. Medical schools, residency programs, and application systems should revisit residency advising and application limits to reduce the strain of parallel application on applicants and residency programs.
期刊介绍:
The Journal of Pediatrics is an international peer-reviewed journal that advances pediatric research and serves as a practical guide for pediatricians who manage health and diagnose and treat disorders in infants, children, and adolescents. The Journal publishes original work based on standards of excellence and expert review. The Journal seeks to publish high quality original articles that are immediately applicable to practice (basic science, translational research, evidence-based medicine), brief clinical and laboratory case reports, medical progress, expert commentary, grand rounds, insightful editorials, “classic” physical examinations, and novel insights into clinical and academic pediatric medicine related to every aspect of child health. Published monthly since 1932, The Journal of Pediatrics continues to promote the latest developments in pediatric medicine, child health, policy, and advocacy.
Topics covered in The Journal of Pediatrics include, but are not limited to:
General Pediatrics
Pediatric Subspecialties
Adolescent Medicine
Allergy and Immunology
Cardiology
Critical Care Medicine
Developmental-Behavioral Medicine
Endocrinology
Gastroenterology
Hematology-Oncology
Infectious Diseases
Neonatal-Perinatal Medicine
Nephrology
Neurology
Emergency Medicine
Pulmonology
Rheumatology
Genetics
Ethics
Health Service Research
Pediatric Hospitalist Medicine.