West Florida


Brandon Regional Hospital

Document Type


Publication Date



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