Perspectives of Stakeholders About an Early Result Acceptance Program to Complement the Residency Match in Obstetrics and Gynecology.
Perspectives of Stakeholders About an Early Result Acceptance Program to Complement the Residency Match in Obstetrics and Gynecology.
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DOI：
10.1001/jamanetworkopen.2021.24158
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发表时间：
2021-10-01
影响因子：
13.8
通讯作者：
Hammoud MM
中科院分区：
文献类型：
--
作者：
Winkel AF;Morgan HK;Akingbola O;Santos-Parker K;Nelson E;Banks E;Katz NT;Bienstock JL;Marzano D;Hammoud MM
妇产科的主要利益相关者对早期结果接受计划感兴趣吗？这样一个计划的可能结果是什么？这项对879名申请人、143名项目主任、94名见习主任和51名学生事务主任的调查研究显示，人们广泛支持提前接受结果的项目，受访者表示支持允许3名提前申请，并提供25%至50%的第一年住院医生职位。根据调查答复，早期结果接受计划可将正常周期的申请数量减少26 280至52 560份申请。这项研究的结果表明，广泛支持妇产科的早期结果接受计划，这可以提供机会，以改善申请人和项目负责人的申请经验。这项调查研究探讨了利益相关者在妇产科的潜在的早期决策过程中，以补充目前的居住匹配过程的观点。居住申请过程是有缺陷的，昂贵的，分散了对居住的准备。需要进行颠覆性的变革，以改善目前甄选程序的低效率。确定妇产科（OBGYN）利益相关者对早期结果接受计划（ERAP）的兴趣，并估计其在未来应用周期中的结果。二零二一年三月对持份者的调查质疑美国各地对ERAP的兴趣。受访者包括妇产科住院医师申请人，美国医学院学生事务组协会成员，妇产科实习主任和住院医师项目主任。于二零二一年三月至四月进行统计分析。受访者完成了由美国医学院协会（妇产科申请人和学生事务组成员），妇产科教授协会（实习主任）和妇产科住院医师教育理事会（项目主任）通过电子邮件发送的调查。申请人和项目主任表示他们有兴趣参加ERAP，实习主任和学生事务小组的成员表示他们有可能使用5分Likert量表推荐ERAP。受访者包括879（34.0%）的2579名申请人妇产科，143（50.3%）的284住院医师计划主任，94（41.8%）的225见习主任，51（32.9%）的155名学生事务主任。大多数受访者报告说，他们有可能或极有可能参加ERAP，其中包括622名申请人（70.7%）和87名项目主任（60.8%）。对ERAP的兴趣与申请人报告的委员会分数、医学院类型、种族、提交的申请数量或完成的面试数量无关。在项目主管中，那些在大学项目中的人更有可能参与。利益相关者支持将ERAP的申请限制在3个，以填补25%至50%的居住岗位。使用这些数据估计ERAP的结果表明，在正常的匹配周期中可以少提交26280至52560份申请。妇产科应用程序的利益攸关方对ERAP的概念表示广泛支持。大多数申请人和项目表示他们将参加，这对申请过程可能产生重大的积极影响。对执行工作进行认真的试点测试和研究，对于避免使已经运转不良的应用程序更加恶化至关重要。
Are key stakeholders in obstetrics and gynecology interested in an early result acceptance program, and what are possible outcomes of such a program? This survey study of 879 applicants, 143 program directors, 94 clerkship directors, and 51 student affairs deans revealed broad support for an early result acceptance program, with respondents indicating support for allowing 3 early applications and offering 25% to 50% of first-year resident positions. Based on survey responses, an early result acceptance program could reduce the number of applications in the regular cycle by 26 280 to 52 560 applications. The findings of this study suggest broad support for an early result acceptance program in obstetrics and gynecology, which could provide the opportunity to improve the application experience for applicants and program directors. This survey study examines perspectives among stakeholders in obstetrics and gynecology regarding the potential for an early decision process to complement the current residency match process. The residency application process is flawed, costly, and distracts from the preparation for residency. Disruptive change is needed to improve the inefficiencies in current selection processes. To determine interest in an early result acceptance program (ERAP) among stakeholders in obstetrics and gynecology (OBGYN), and to estimate its outcome in future application cycles. Surveys of stakeholders in March 2021 queried interest in ERAP across the US. Respondents included OBGYN residency applicants, members of the Association of American Medical Colleges Group on Student Affairs, OBGYN clerkship directors, and residency program directors. Statistical analysis was performed from March to April 2021. Respondents completed surveys sent by email from the Association of American Medical Colleges (to OBGYN applicants and members of the Group on Student Affairs), the Association of Professors of Gynecology and Obstetrics (to clerkship directors), and the Council on Resident Education in Obstetrics and Gynecology (to program directors). Applicants and program directors indicated their interest in participating in ERAP, and clerkship directors and members of the Group on Student Affairs indicated their likelihood of recommending ERAP using a 5-point Likert scale. Respondents included 879 (34.0%) of 2579 applicants to OBGYN, 143 (50.3%) of 284 residency program directors, 94 (41.8%) of 225 clerkship directors, and 51 (32.9%) of 155 student affairs deans. The majority of respondents reported being either somewhat or extremely likely to participate in ERAP, including 622 applicants (70.7%) and 87 program directors (60.8%). Interest in ERAP was independent of an applicant’s reported board scores, medical school type, race, number of applications submitted, or number of interviews completed. Among program directors, those at university programs were more likely to participate. Stakeholders supported a limit of 3 applications for ERAP, to fill 25% to 50% of residency positions. Estimating the outcome of ERAP using these data suggests 26 280 to 52 560 fewer applications could be submitted in the regular match cycle. Stakeholders in the OBGYN application process expressed broad support for the concept of ERAP. The majority of applicants and programs indicated that they would participate, with potentially substantial positive impact on the application process. Careful pilot testing and research regarding implementation are essential to avoid worsening an already dysfunctional application process.
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影响因子：
7.4
作者：
Benson, Nicole M.;Stickle, Timothy R.;Raszka, William V., Jr.
通讯作者：
Raszka, William V., Jr.
影响因子：
1.8
作者：
Dacre, Michael;Hopson, Laura R.;Gisondi, Michael A.
通讯作者：
Gisondi, Michael A.
影响因子：
7.4
作者：
Ray, Chris;Bishop, Steven E.;Dow, Alan W.
通讯作者：
Dow, Alan W.
影响因子：
7.4
作者：
Gruppuso, Philip A.;Adashi, Eli Y.
通讯作者：
Adashi, Eli Y.
DOI：
10.5811/westjem.2016.10.31277
发表时间：
2017-01
期刊：
The western journal of emergency medicine
影响因子：
--
作者：
Blackshaw AM;Watson SC;Bush JS
通讯作者：
Bush JS