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Baghdassarian A, Bailey JA, Caglar D, Eckerle M, Fang A, McVety K, Ngo T, Rose JA, Ganis Roskind C, Tavarez MM, Benedict FT, Nagler J, Melissa L. Langhan ML. Virtual Interviews and the Pediatric Emergency Medicine Match Geography: A National Survey. West J Emerg Med 2024; 25:186-190. [PMID: 38596916 PMCID: PMC11000550 DOI: 10.5811/westjem.18581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 02/10/2024] [Accepted: 02/21/2024] [Indexed: 04/11/2024] Open
Abstract
Introduction Virtual interviews (VI) are now a permanent part of pediatric emergency medicine (PEM) recruitment, especially given the cost and equity advantages. Yet inability to visit programs in person can impact decision-making, leading applicants to apply to more programs. Moreover, the cost advantages of VI may encourage applicants to apply to programs farther away than they might otherwise have been willing or able to travel. This could create unnecessary strain on programs. We conducted this study to determine whether PEM fellowship applicants would apply to a larger number of programs and in different geographic patterns with VI (2020 and 2021) as compared to in-person interviews (2018 and 2019). Methods We conducted an anonymous national survey of all PEM fellows comparing two cohorts: current fellows who interviewed inperson (applied in 2018/2019) and fellows who underwent VIs in 2020/2021 (current fellows and those recently matched in 2021). The study took place in March-April 2022. Questions focused on geographic considerations during interviews and the match. We used descriptive statistics, chi-square and t-tests for analysis. Results Overall response rate was 42% (231/550); 32% (n = 74) interviewed in person and 68% (n = 157) virtually. Fellows applied to a median of 4/6 geographic regions (interquartile range 2, 5). Most applied for fellowship both in the same region as residency (216, 93%) and outside (192, 83%). Only the Pacific region saw a statistically significant increase in applicants during VI (59.9% vs 43.2%, P = 0.02). There was no statistical difference in the number of programs applied to during in-person vs VI (mean difference (95% confidence interval 0.72, -2.8 - 4.2). A majority matched in their preferred state both during VI (60.4%) and in-person interviews (65.7%). The difference was not statistically significant (P = 0.45). Conclusion While more PEM fellowship applicants applied outside the geographic area where their residency was and to the Pacific region, there was no overall increase in the number of programs or geographic areas PEM applicants applied to during VI as compared to in-person interview seasons. As this was the first two years of VI, ongoing data collection will further identify trends and the impactof VI.
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Affiliation(s)
- Aline Baghdassarian
- Inova L.J. Murphy Children's Hospital, Department of Pediatrics, Falls Church, Virginia
- University of Virginia, School of Education, Charlottesville, Virginia
| | - Jessica A. Bailey
- Oregon Health & Science University, Department of Pediatrics and Emergency Medicine, Portland, Oregon
| | - Derya Caglar
- University of Washington, Department of Pediatrics, Seattle, Washington
- Seattle Children’s Hospital, Department of Pediatrics, Seattle, Washington
| | - Michelle Eckerle
- University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, Ohio
- Cincinnati Children’s Hospital, Department of Pediatrics, Cincinnati, Ohio
| | - Andrea Fang
- Stanford University School of Medicine, Department of Pediatric Emergency Medicine, Palo Alto, California
| | - Katherine McVety
- Children’s Hospital of Michigan, Department of Pediatrics, Detroit, Michigan
- Central Michigan University, School of Medicine, Department of Pediatrics, Detroit, Michigan
| | - Thuy Ngo
- Johns Hopkins University, School of Medicine, Department of Pediatrics, Baltimore, Maryland
| | - Jerri A. Rose
- Rainbow Babies & Children’s Hospital, Department of Pediatrics, Cleveland, Ohio
- Case Western Reserve University, School of Medicine, Department of Pediatrics, Cleveland, Ohio
| | - Cindy Ganis Roskind
- Columbia University Irving Medical Center, Pediatrics in Emergency Medicine, New York, New York
| | - Melissa M. Tavarez
- University of Pittsburgh, School of Medicine, Department of Pediatrics, Pittsburgh, Pennsylvania
| | - Frances Turcotte Benedict
- University of Missouri of Kansas City School of Medicine, Department of Pediatrics, Kansas City, Missouri
- University of Kansas Medical Center, Kansas City, Missouri
| | - Joshua Nagler
- Boston Children’s Hospital, Department of Pediatrics and Emergency Medicine, Boston, Massachusetts
- Harvard Medical School, Department of Pediatrics and Emergency Medicine, Boston, Massachusetts
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Wang KR, Shah YB, Simhal RK, Quinn A, Denisenko A, Mann E, Clark J, Raikin J, Lallas CD. The Impact of COVID-19 on the Urology Residency Match and Geographic Proximity of Applicants. Urology 2023; 176:21-27. [PMID: 36963668 PMCID: PMC10033143 DOI: 10.1016/j.urology.2023.01.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 01/10/2023] [Accepted: 01/11/2023] [Indexed: 03/24/2023]
Abstract
OBJECTIVE To determine the impacts of COVID-19 pandemic-related changes and program-specific characteristics on the geographic diversity of the 2021 and 2022 urology match classes. METHODS We gathered publicly available information to compare match outcomes in 2021 and 2022 to the previous 5 application cycles (2016-2020). Variables included residency program class size, program and resident AUA section, and program and resident medical school. Univariate comparisons were made with Fisher's t-tests. Odds ratios were calculated following multivariable analysis. RESULTS Comparing the previous 5 application cycles to the 2 pandemic years individually and together showed no significant changes in home or in-section matches. However, when comparisons were stratified by small (1-2 residents) vs large (3+ residents) programs, a significant increase in at-home and in-section matches was observed for small programs in 2021. Large programs did not experience significant changes in match patterns. Multivariate analysis showed that small programs had significantly lower odds of matching applicants from home institutions and within AUA sections. Additionally, certain AUA sections demonstrated significantly increased likelihood of accepting in-section applicants. CONCLUSION The changes from in-person to virtual application cycles during the pandemic particularly affected small residency programs in 2021. With easing restrictions and logistical improvements in the 2022 cycle, locoregional match rates partially shifted back to prepandemic patterns, though not completely. Although the pandemic did not affect geographic diversity in urology as much as in other surgical subspecialties, these findings and further study should be considered to optimize upcoming cycles.
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Affiliation(s)
- Kerith R Wang
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Yash B Shah
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Rishabh K Simhal
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Andrea Quinn
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Andrew Denisenko
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Erica Mann
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Jessica Clark
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Jared Raikin
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA; Department of Urology, Thomas Jefferson University, Philadelphia, PA
| | - Costas D Lallas
- Department of Urology, Thomas Jefferson University, Philadelphia, PA; Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA.
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Beinhoff P, Attlassy N, Carlson C. No Geographic Distribution Change Among Residency Applicants in the Neurology Match During COVID-19. Cureus 2023; 15:e34898. [PMID: 36925969 PMCID: PMC10013976 DOI: 10.7759/cureus.34898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2023] [Indexed: 03/18/2023] Open
Abstract
Objectives The COVID-19 pandemic posed a novel challenge for the 2020-2021 Match cycle resulting in a virtual interview season. The advent of virtual interviews raised concerns for both programs and medical students. The possibility of an impact on the application strategies for medical students resulting in students being more likely to remain in the region or state of their medical school was considered. We investigated whether there was a change in the geographic distribution of residency applicants for the class of 2025 (matched in 2021) as compared to the previous three application cycles (classes of 2022-2024) across all 168 neurology residency programs within the United States. Methods Publicly available data from neurology program websites were compiled to record the location of resident medical schools and matched programs for the residency classes of 2022-2025. Missing or ambiguous information was cross-referenced to social media, (e.g. LinkedIn and Twitter). Statistical analyses were conducted utilizing SPSS 26 (IBM SPSS 26 Statistics for Windows, Armonk, NY). Results Across all four classes, regional retention (students matching in the same region) was 70.2% for the Northeast, 59.6% for the Midwest, 52.9% for the South, and 59.4% for the West. No significant change between the residency class of 2025 and the previous three classes was present. Discussion No significant change to the geographic trends for candidates was seen with the virtual interview process for the 2020-2021 neurology Match. As has been seen in other fields, a strong regional preference, with the majority of residents matching to programs in the same regions as their medical school, was seen for neurology.
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Affiliation(s)
- Paul Beinhoff
- Neurology, Medical College of Wisconsin, Milwaukee, USA
| | | | - Chad Carlson
- Neurology, Medical College of Wisconsin, Milwaukee, USA
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Plastic Surgery Match Trends in 2022. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2022; 10:e4562. [PMID: 36225842 PMCID: PMC9542559 DOI: 10.1097/gox.0000000000004562] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 08/11/2022] [Indexed: 11/29/2022]
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Akhter HM, Weis L, Huang C, Samson KK, McCarthy P, Hon H. Regional Trends for the 2021 COVID-19 Independent Plastic Surgery Match Cycle. Cureus 2022; 14:e29172. [PMID: 36258950 PMCID: PMC9572873 DOI: 10.7759/cureus.29172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2022] [Indexed: 11/05/2022] Open
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Kebede S, Marxen T, Om A, Bakayoko N, Losken A. COVID-19 and the Integrated Plastic Surgery Match: An Update on Match Trends by Applicant Location. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2022; 10:e4527. [PMID: 36172061 PMCID: PMC9512139 DOI: 10.1097/gox.0000000000004527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 07/18/2022] [Indexed: 11/26/2022]
Abstract
COVID-19 significantly impacted the residency match process. Away rotations and in-person interviews were canceled in 2021, resulting in a geographic shift in integrated plastic surgery match results. Although several of these limitations were lifted during the 2022 cycle, the resulting geographic outcomes have yet to be described. This study aims to determine whether the changes seen during the previous cycle persisted despite loosened restrictions. Methods Integrated plastic surgery match results and applicants' home institutions from the 2022 match cycle were determined using publicly available data. Geographic data from this cycle were then compared with pre-COVID-19 match cycles (2016-2020) and the COVID-19-affected 2021 match cycle. Results Eighty percent (n = 68) of US integrated plastic surgery programs were included in this study. In 2022, 18.42% of applicants matched at their home institution compared with 25.12% in 2021. There was no significant difference in home, state, or regional match rates between 2022 and the five cycles preceding the pandemic (2016-2020). Combining these data to reflect the non-COVID-19-affected cycles (2016-2020 and 2022) and comparing to the COVID-19-affected cycle (2021), a significant difference in rates of home matches (P = 0.0395) was identified. Conclusions A significant increase in home institution match rates was not noted during the 2022 cycle. This return to pre-COVID-19 rates is likely attributed to the loosening of restrictions and more opportunities for interaction between applicants and programs outside of their home institution.
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Affiliation(s)
- Sara Kebede
- From the Emory University School of Medicine, Division of Plastic and Reconstructive Surgery, Atlanta, Ga
| | - Troy Marxen
- From the Emory University School of Medicine, Division of Plastic and Reconstructive Surgery, Atlanta, Ga
| | - Anjali Om
- From the Emory University School of Medicine, Division of Plastic and Reconstructive Surgery, Atlanta, Ga
| | - Ngafla Bakayoko
- Morehouse School of Medicine, Department of Surgery, Atlanta, Ga. Atlanta, GA 30322
| | - Albert Losken
- From the Emory University School of Medicine, Division of Plastic and Reconstructive Surgery, Atlanta, Ga
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Whisonant CT, Shahriari SR, McDonald CD, Moya AN, Ederle A, Borah G. COVID-19 and the Otolaryngology Match: An Increase in Applicants Remaining Close to Home. Cureus 2022; 14:e23650. [PMID: 35505731 PMCID: PMC9053550 DOI: 10.7759/cureus.23650] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2022] [Indexed: 11/05/2022] Open
Abstract
Introduction: Otolaryngology residency remains one of the most competitive surgical subspecialties to apply for with a 63% match rate in 2021. This is a difficult and stressful process for applicants in any given year, and it was even further complicated by restrictions mandated by coronavirus disease 2019 (COVID-19) protections. Analyzing geographical trends in successfully matched applicants provides prospective applicants and programs with helpful information about how previous trends were affected by the pandemic as we look toward future match cycles. Methods: The medical schools of 1,587 successfully matched applicants from 2017-2021 were identified and compared to the 116 otolaryngology residency programs. Successful applicants’ medical school state and region were then compared to the location of their matched residency program state and region. From this, we evaluated the number of applicants matching at the residency program affiliated with their medical school or at a residency program within the same state or region as their home medical school. Results: A significant increase in the percentage of applicants matching at their home program and within their home state (p < 0.001) occurred in 2021 when compared to previous years. Applicants matching within their home region was not found to increase significantly (p = 0.43) in 2021 compared to previously. The regions with the greatest increase in the percentage of applicants matching to their home programs were the Northeast and Midwest (12% increase), while the Midwest had the largest increase in percentage of applicants matching within their home state (15%). Conclusion: The COVID-19 pandemic significantly affected the otolaryngology match in 2021 with applicants and programs alike choosing to stay closer to home with their residency match selections. Overall, regional location remains a major determinant of future residency location for otolaryngology applicants, and this did not change significantly during 2021, but applicants matched more frequently at their home medical school program. It is anticipated that the match process will be similar in 2022 given the ongoing pandemic, so the importance of home program and region will likely be emphasized again.
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