The Summer Match: A qualitative study exploring a two-stage residency match option
The Summer Match: A qualitative study exploring a two-stage residency match option
复制标题
DOI：
10.1002/aet2.10616
复制
发表时间：
2021-07-01
影响因子：
1.8
通讯作者：
Gisondi, Michael A.
中科院分区：
文献类型：
--
作者：
Dacre, Michael;Hopson, Laura R.;Gisondi, Michael A.
背景资料：医学生提交的住院医师申请数量每年都在增加，导致住院医师项目和申请人的工作和成本增加，特别是在急诊医学方面。我们提出了一个解决这个问题的方案：一个可选的，两阶段的比赛与“夏季比赛”阶段，申请人可以提前提交有限数量的申请。这将类似于大学录取的早期决定过程。本研究的目标是探讨利益相关者的意见，夏季比赛的可行性，并确定理想的物流参数，以操作此proposal.Methods：我们使用探索性的定性方法，建构主义范式，以发展一个夏季比赛的潜在影响的理解。我们采访了34个关键的利益相关者在美国居住申请过程中通过有目的的抽样确定，包括教育管理人员（项目主任，指定的机构官员，医学院院长）和学员（学生，居民）。我们编码和主题分析访谈数据，在两个阶段使用归纳approach.Results：我们确定了六个主题，从参与者的访谈，广泛反映了居住申请过程中的问题，价值和公平。这些主题包括破坏现状，物流问题，匹配策略，差异化利益，意外后果和投资回报。大多数研究参与者支持夏季比赛的概念，医学生和居民最赞成。我们开发了一个理论上的夏季比赛protocol based on these findings.Conclusions：夏季比赛可能会减少增加居住申请和相关费用的负担。试点测试是必要的，以证实这一假设，并确定拟议的夏季比赛协议的影响。在实施过程中必须仔细考虑意外后果。
Background: The number of residency applications submitted by medical students rises annually, resulting in increased work and costs for residency programs and applicants, particularly in emergency medicine. We propose a solution to this problem: an optional, two-stage Match with a "summer match" stage, in which applicants can submit a limited number of applications early. This would be conducted similarly to the early decision process for college admissions. The study objectives were to explore stakeholder opinions on the feasibility of a summer match and to identify the ideal logistic parameters to operationalize this proposal.Methods: We used exploratory qualitative methodology following a constructivist paradigm to develop an understanding of the potential impact of a summer match. We interviewed 34 key stakeholders in the U.S. residency application process identified through purposive sampling including educational administrators (program directors, designated institutional officials, medical school deans) and trainees (students, residents). We coded and thematically analyzed interview data in two stages using an inductive approach.Results: We identified six themes from the participant interviews that broadly reflected issues of the residency application process, value, and equity. These themes included disrupting the status quo, logistic concerns, match strategy, differential benefits, unintended consequences, and return on investment. Most study participants supported the summer match concept, with medical students and residents most in favor. We developed a theoretical summer match protocol based on these findings.Conclusions: A summer match may reduce the burdens of increasing residency applications and associated costs. Pilot testing is necessary to confirm this hypothesis and determine the impact of the proposed summer match protocol. Unintended consequences must be considered carefully during implementation.