Changes in otolaryngology application requirements and match outcomes:Are we doing any better?  

作　　者：Emma De Ravin Ariel S.Frost Neal R.Godse Amber D.Shaffer Noel Jabbour Barry M.Schaitkin Jason Newman Leila J.Mady 

机构地区：[1]Department of Otorhinolaryngology-Head and Neck Surgery,University of Pennsylvania Health System,Philadelphia,Pennsylvania,USA [2]Head and Neck Institute,Cleveland Clinic,Cleveland,Ohio,USA [3]Division of Pediatric Otolaryngology,Children's Hospital of Pittsburgh of UPMC,Pittsburgh,Pennsylvania,USA [4]Department of Otolaryngology,University of Pittsburgh Medical Center,Pittsburgh,Pennsylvania,USA [5]Department of Otolaryngology-Head and NeckSurgery,Medical Universityof South Carolina,Charleston,South Carolina,USA [6]MUSC Hollings Cancer Center,Charleston,SouthCarolina,USA [7]Department of Otolaryngology-Head and Neck Surgery,Thomas Jefferson University,Philadelphia,Pennsylvania,USA [8]Cancer Risk and Control Program of Excellence,Sidney Kimmel Cancer Center,Philadelphia,Pennsylvania,USA

出　　处：《World Journal of Otorhinolaryngology-Head and Neck Surgery》2023年第2期144-152,共9页世界耳鼻咽喉头颈外科杂志（英文）

摘　　要：Objectives:Otolaryngology-specific requirements were piloted to minimize applicant and program burdens.We investigated the impact of introducing and then removing these requirements on Match outcomes.Methods:2014-2021 National Resident Matching Program?data were examined.The primary outcome was the impact of Otolaryngology Resident Talent Assessment(ORTA;prematch 2017,postmatch 2019)and Program-Specific Paragraph(PSP;implemented 2016,optional 2018)on applicant numbers and match rates.Secondary survey analysis assessed candidate perceptions of PSP/ORTA.Results:Applicant numbers declined significantly during PSP/ORTA(18.9%;p=0.001).With the optional PSP and postmatch ORTA,applicant numbers increased significantly(39.0%;p=0.002).Examined individually,mandatory PSP was associated with a significant decline in applicants(p=0.007),whereas postmatch ORTA was associated with significant increases in applicants(p=0.010).ORTA and PSP negatively impacted the decision to apply to otolaryngology in 59.8%and 51.3%of applicants,respectively.Conversely,match rate success improved significantly from 74.8%to 91.2%during PSP/ORTA(p=0.014),followed by a significant decline to 73.1%after PSP was made optional and ORTA moved to postmatch(p=0.002).Conclusions:ORTA and PSP correlated with decreased applicant numbers and increased match rate success.As programs seek ways to remove barriers to applying to otolaryngology,the potential consequences of an increasing pool of unmatched candidates must also be considered.

关 键 词：academic success internship and residency medical students OTOLARYNGOLOGY surveys and questionnaires 

分 类 号：R192[医药卫生—卫生事业管理]