Impacts of COVID-19 on orthopaedic surgery residency / spine trainee application trends.
Impacts of COVID-19 on orthopaedic surgery residency / spine trainee application trends.
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DOI：
10.1016/j.xnsj.2021.100088
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发表时间：
2021-12
影响因子：
--
通讯作者：
Grauer JN
中科院分区：
文献类型：
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作者：
Gardezi M;Moore HG;Socci AR;Grauer JN
COVID-19 大流行对医学教育部门产生了广泛影响，包括董事会考试的取消和推迟、临床轮换和选修课的中断、轮换流程的改变以及改为虚拟面试。这些变化，加上申请人和项目的不确定性，可能会影响骨科等竞争性领域的 2021 年住院医生申请周期。考虑到脊柱学员和脊柱研究员的申请渠道，当前的研究旨在评估 2021 年周期中骨科手术住院医师计划申请与六年前相比的趋势偏差。经机构审查委员会批准后，电子住院医师申请系统 (ERAS) 对 2015 年至 2021 年申请周期内单一骨科手术住院医师计划的申请进行了评估，并分析了趋势。补充信息取自公开的 ERAS 统计数据。与现有趋势相比，ERAS 2021 周期的申请者数量更多，研究项目更多，USMLE Step 2 考试管理率更低。在分析的 4,965 份申请中，女性申请者、黑人和西班牙裔申请者、来自美国以外医学院的申请者、DO 申请者、培训中断的申请者或 USMLE 分数的趋势没有发现偏差。在 COVID-19 大流行期间，骨科手术申请者数量有所增加，申请者的研究项目也比往年更多。申请人群体的人口统计数据没有发现重大偏差。这被认为是对骨科住院医师实习申请流程/脊柱研究员申请流程完整性的保证，并且应该在未来几年继续观察。
The COVID-19 pandemic has had widespread impact across medical educational sectors, including cancellations and delays of board exams, interruptions in clinical rotations and electives, altered processes for away rotations, and conversion to virtual interviews. These changes, combined with applicant and program uncertainty, may affect the 2021 residency application cycle for competitive fields such as orthopaedic surgery. In consideration of spine trainees and the spine fellow application pipeline, the current study aims to evaluate for deviations in trends found in applications to an orthopaedic surgery residency program from the 2021 cycle compared to six years prior. After institutional review board approval, applications to a single orthopaedic surgery residency program from application cycles 2015 to 2021 were evaluated in the Electronic Residency Application System (ERAS) and analyzed for trends. Supplementary information was taken from publicly available ERAS statistics. Compared to existing trends, the ERAS 2021 cycle had a greater number of applicants, more research items, and lower rates of USMLE Step 2 test administration. Of the 4,965 applications analyzed, no deviations in trends were found in number of female applicants, Black and Hispanic applicants, applicants from medical schools outside the US, DO applicants, applicants with interruptions in their training, or USMLE scores. The orthopaedic surgery applicant pool increased amidst the COVID-19 pandemic and applicants had more research items than previous years. No significant deviations in the demographics of the applicant pool were noted. This is thought to be reassuring about the integrity of the orthopaedic residency application process / spine fellow application pipeline and should continue to be observed in the coming years.