Digging into Debt: The Financial Burden Associated with the Otolaryngology Match
Digging into Debt: The Financial Burden Associated with the Otolaryngology Match
复制标题
DOI：
10.1177/0194599816686538
复制
发表时间：
2017-06-01
影响因子：
3.4
通讯作者：
Chen, Eunice Y.
中科院分区：
文献类型：
--
作者：
Polacco, Marc A.;Lally, Jack;Chen, Eunice Y.
目的量化耳鼻咽喉科报名者在选配过程中的费用，确定费用来源，强调减轻选配过程经济负担的潜在方法。研究设计横断面。研究设置在线调查。研究对象和方法在2016年申请周期内，通过电子邮件向申请参加达特茅斯-希区柯克医学中心和MedStar乔治敦大学医院耳鼻咽喉科住院医师项目的人发送一份电子调查问卷。关于人口统计和比赛经历的问题是多项选择，而关于费用的问题是开放的答案。结果370名调查对象中，28%的人完成了问卷调查。客场旋转的平均成本为2500美元(95%可信区间为2224-2776美元)。加上申请费和面试费用，申请2016年耳鼻咽喉科比赛的平均总成本为6400美元(95%CI，5710-7090美元)，总金额在1200美元至2万美元之间。28%的学生尽管寻求额外的资金来源，但没有足够的资金用于申请和面试。结论2016年，耳鼻咽喉科申请者在轮换、申请和面试上的平均花费为8900美元(95%CI，7935-9865美元)。一半的申请者获得了额外的资金来支付这笔费用，而28%的申请者仍然没有足够的资金。降低成本的方法可能包括对申请数量设定上限，举行视频会议面试，将面试区域化，以及调整面试时间表。
Objective To quantify the cost incurred during the match process for otolaryngology applicants, determine sources of expenditures, and highlight potential methods to alleviate financial burden of the match process.Study Design Cross-sectional.Study Setting Online survey.Subjects and Methods An electronic survey was sent via email to those who applied to the otolaryngology residency programs at Dartmouth-Hitchcock Medical Center and MedStar Georgetown University Hospital during the 2016 application cycle. Questions regarding demographics and experiences with the match were multiple choice, and questions regarding cost were open answer. Data were downloaded and analyzed on Excel and Minitab software.Results Twenty-eight percent of the total 370 applicants completed the survey. The mean cost of away rotations was $2500 (95% confidence interval [CI], $2224-$2776). With application fees and the cost of interviewing, the mean total cost of applying for the 2016 otolaryngology match was $6400 (95% CI, $5710-$7090), with a total range of $1200 to $20,000. Twenty-eight percent of students did not have sufficient funds for applying and interviewing despite seeking out additional monetary resources.Conclusion In 2016, otolaryngology applicants spent a mean of $8900 (95% CI, $7935-$9865) on away rotations, applications, and interviewing. Half of the applicants obtained additional funding to cover this cost, while 28% still did not have sufficient funding. Methods of decreasing cost may include instituting a cap on application number, videoconferencing interviews, regionalizing interviews, and adjusting the interview timeline.