Predictors of Matching in an Ophthalmology Residency Program
Predictors of Matching in an Ophthalmology Residency Program
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DOI：
10.1016/j.ophtha.2012.09.028
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发表时间：
2013-04-01
期刊：
影响因子：
13.7
通讯作者：
Naseri, Ayman
中科院分区：
文献类型：
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作者：
Loh, Allison R.;Joseph, Damien;Naseri, Ayman
目的：检查申请眼科住院医师实习计划的美国医学生的特征，并确定匹配的预测因素。设计：回顾性病例系列。参与者：2003 年至 2008 年申请眼科住院医师计划的总共 3435 名来自美国的医学生。方法：通过预测变量（包括美国医疗许可）对匹配和不匹配的申请者进行比较和分层 考试 (USMLE) 第 1 步分数、Alpha Omega Alpha (AOA) 状态、医学院声誉和医学院地理区域。使用费舍尔精确检验分析比例差异。使用逻辑回归来确定成功匹配的预测因素。主要结果指标：成功匹配眼科项目。结果：大多数申请者（72%，2486/3435）在眼科匹配。在多变量分析中，AOA 会员资格（优势比 [OR]，2.6，P < 0.0001）、USMLE 评分（OR，1.6；P < 0.0001）、在医学院拥有眼科住院医师资格（OR，1.4；P = 0.01）、排名前 25 的医学院（OR，1.4；P < 0.03）、排名前 10 的医学院（OR，1.6；P < 0.02）和对抗疗法程度（OR， 4.0； P < 0.0001）是统计上显着的匹配预测因子。大约 60% (1442/2486) 的申请者与他们的医学院位于同一地理区域。申请人更有可能匹配与其医学院位于同一地理区域的项目，而不是仅凭偶然预测（P < 0.0001）。在多变量分析中，较高的 USMLE 分数（OR，0.9；P < 0.0001）和排名前 10 的医学院（OR，0.7；P = 0.027）是与地理区域之外的医学院匹配的统计显着预测因素。结论：大多数申请眼科住院医师职位的申请人都成功匹配。定量指标的更高性能似乎赋予匹配优势。大多数申请人都匹配与医学院位于同一地理区域内的住院医师计划。财务披露：作者对本文讨论的任何材料没有专有或商业利益。眼科 2013；120:865-870 (C) 2013 美国眼科学会。
Purpose: To examine the characteristics of US medical students applying for ophthalmology residency and to determine the predictors of matching.Design: A retrospective case series.Participants: A total of 3435 medical students from the United States who applied to an ophthalmology residency program from 2003 to 2008 were included.Methods: Matched and unmatched applicants were compared and stratified by predictor variables, including United States Medical Licensing Examination (USMLE) Step 1 score, Alpha Omega Alpha (AOA) status, medical school reputation, and medical school geographic region. Differences in proportions were analyzed using the Fisher exact test. Logistic regression was used to determine the predictors of successful matching.Main Outcome Measures: Successful matching to an ophthalmology program.Results: The majority of applicants (72%, 2486/3435) matched in ophthalmology. In multivariate analysis, AOA membership (odds ratio [OR], 2.6, P < 0.0001), USMLE score (OR, 1.6; P < 0.0001), presence of an ophthalmology residency at medical school (OR, 1.4; P = 0.01), top 25 medical school (OR, 1.4; P < 0.03), top 10 medical school (OR, 1.6; P < 0.02), and allopathic degree (OR, 4.0; P < 0.0001) were statistically significant predictors of matching. Approximately 60% (1442/2486) of applicants matched to the same geographic region as their medical school. Applicants were more likely to match at a program in the same geographic region as their medical school than would be predicted by chance alone (P < 0.0001). In multivariate analysis, higher USMLE score (OR, 0.9; P < 0.0001) and top 10 medical school (OR, 0.7; P = 0.027) were statistically significant predictors of matching to outside the geographic region as one's medical school.Conclusions: The majority of applicants applying for an ophthalmology residency position match successfully. Higher performance on quantitative metrics seems to confer an advantage for matching. The majority of applicants match at a residency program within the same geographic region as one's medical school.Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article. Ophthalmology 2013;120:865-870 (C) 2013 by the American Academy of Ophthalmology.