The Cost and Burden of the Residency Match in Emergency Medicine.
The Cost and Burden of the Residency Match in Emergency Medicine.
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DOI：
10.5811/westjem.2016.10.31277
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发表时间：
2017-01
期刊：
影响因子：
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通讯作者：
Bush JS
中科院分区：
文献类型：
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作者：
Blackshaw AM;Watson SC;Bush JS
为了获得住院医师资格匹配，进入急诊医学（EM）的医学生必须完成轮换，提交大量冗长的申请，并前往多个项目进行面试。获得这个住院医师职位所产生的费用是沉重的负担，但几乎没有专门的数据来估计这一费用。我们试图通过对参加住院医师面试的学生进行调查来量化申请 EM 住院医师计划的医学生实际花费的费用。研究人员创建了一项包含 16 项的调查，询问与整个 EM 居留申请流程相关的时间和金钱成本。被选中参加我们机构 EM 住院医师职位面试的申请人被邀请在面试当天完成调查。总共 81 名可能的居住申请者中，有 66 名（答复率为 81%）完成了我们的调查。在 2015-16 周期参加我们的住院医师项目面试的“普通申请者”完成了 1.6 次外场轮换或“试镜”轮换，每次轮换的平均费用为 1,065 美元。这个“平均申请者”申请了 42.8 个项目，然后参加了 13.7 个面试。我们项目的面试费用平均为 342 美元，总共平均花费 8,312 美元用于获得 EM 住院医师资格。由于多种因素的影响，获得新兴市场居留权的成本可能会很高。通过了解推动这一趋势的因素，我们希望 EM 学术界能够探索有助于降低这些成本的途径。
To obtain a residency match, medical students entering emergency medicine (EM) must complete away rotations, submit a number of lengthy applications, and travel to multiple programs to interview. The expenses incurred acquiring this residency position are burdensome, but there is little specialty-specific data estimating it. We sought to quantify the actual cost spent by medical students applying to EM residency programs by surveying students as they attended a residency interview. Researchers created a 16-item survey, which asked about the time and monetary costs associated with the entire EM residency application process. Applicants chosen to interview for an EM residency position at our institution were invited to complete the survey during their interview day. In total, 66 out of a possible 81 residency applicants (an 81% response rate) completed our survey. The “average applicant” who interviewed at our residency program for the 2015–16 cycle completed 1.6 away, or “audition,” rotations, each costing an average of $1,065 to complete. This “average applicant” applied to 42.8 programs, and then attended 13.7 interviews. The cost of interviewing at our program averaged $342 and in total, an average of $8,312 would be spent in the pursuit of an EM residency. Due to multiple factors, the costs of securing an EM residency spot can be expensive. By understanding the components that are driving this trend, we hope that the academic EM community can explore avenues to help curtail these costs.