medical residency, resident selection
Medical Education | Surgery
Traditional interview selection has several weaknesses limited often to a number, often USMLE/COMLEX that programs use to "weed out" potential residents then look at those who meet the mark. There is no single factor that indicates a good resident, yet we seek to analyze selection criteria from 9 hospitals with general surgery residencies to figure out what selection criteria are present in certain hospitals selection and determine which factors predict acceptance for general surgery residency.
We looked at 9 hospitals and 411 ranked medical students for general surgery in the 2017-2018 cycle made up of US medical graduates (USMG), International Medical Graduates (IMG), and Foreign Medical Graduates (FMG). Factors included USMLE/COMLEX, age, gender, and birth location. We determined if applicants matched close to their home state. Finally USMLE & COMLEX scores were analyzed.
Residents in Kansas had the highest match with in state programs (20%), while Colorado had the lowest (3%). There was a weak association between states where applicants attended medical school and the facility they matched according to the Cramer-V correlation (0.2782). The acceptance rate (matching) into a specific state where an applicant was born was significant. The two-sample test of proportions yielded significant difference (p <0.05) between all groups. There was no statistical difference (p= 0.91) between IMG and FMG in terms of matching or not matching. There was a statistically significant difference (p <0.05) between candidate groups for USMLE 1 scores but no statistical significance was found for USMLE 2 (p= 0.81) and USMLE 3 (p= 0.23) in terms of matching. A statistically significant difference was found between USMG, IMGs and FMGs on the rank order (p<0.05) and further group analysis.
There is a weak association between matching in the state where applicants attended medical school. US graduates had a greater match rate compared to IMGs and FMGs. IMGs were not statistically different than FMGs for matching into specific states. Candidate groups had similar performance on USMLE 2 and 3 exams. Only IMGs performed better compared to US medical graduates and FMG. US medical graduates were ranked higher overall.
Publisher or Conference
Academic Surgical Congress 2020
Schertz P, Newman O, Misra S. Should We Interview This Medical Student for General Surgery? Presented at: Academic Surgical Congress; February 4-6, 2020; Orlando, FL.