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Ezeh UC, Svirsky MA, April MM. Relationship Between National Residency Matching Program (NRMP) Rank Order and Otolaryngology Residency Performance. OTO Open 2024; 8:e127. [PMID: 38577239 PMCID: PMC10988237 DOI: 10.1002/oto2.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 03/01/2024] [Accepted: 03/16/2024] [Indexed: 04/06/2024] Open
Abstract
Objective The process of resident recruitment is costly, and our surgical residency program expends significant time on the resident selection process while balancing general duties and responsibilities. The aim of our study was to explore the relationship between otolaryngology-head and surgery (OHNS) residents' National Residency Matching Program (NRMP) rank-list position at our institution and their subsequent residency performance. Study Design Retrospective cohort study. Setting Single site institution. Methods We retrospectively reviewed 7 consecutive resident classes (2011-2017) at a single tertiary OHNS residency program. We reviewed each resident's absolute rank order in the NRMP matches. Measures of residency performance included overall faculty evaluation during postgraduate year 5 (PGY5), annual in-service examination scores (scaled score), and the number of manuscripts published in peer-reviewed journals. Correlations between NRMP rank order and subsequent residency performance were assessed using Spearman's rho correlation coefficients (ρ). Results Twenty-eight residents entered residency training between 2011 and 2017. The average rank position of the trainees during this study was 9.7 (range: 1-22). We found no significant correlation between rank order and faculty evaluation during PGY5 (ρ = 0.097, P = .625) or number of publications (ρ = -0.256, P = .189). Additionally, when assessing the association between rank order and annual Otolaryngology Training Examination-scaled scores, no statistically significant relationship was found between the 2 (P > .05). Conclusion Our results showed that there were no significant correlations between OHNS rank order and various measures of success in residency training, which aligns with existing literature. Further investigation of this relationship should be conducted to ensure the applicability of our findings.
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Affiliation(s)
- Uche C. Ezeh
- Division of Pediatric Otolaryngology, Department of Otolaryngology–Head and Neck SurgeryNew York University School of MedicineNew York CityNew YorkUSA
| | - Mario A. Svirsky
- Division of Pediatric Otolaryngology, Department of Otolaryngology–Head and Neck SurgeryNew York University School of MedicineNew York CityNew YorkUSA
- Department of Neuroscience and PhysiologyNew York University School of MedicineNew York CityNew YorkUSA
| | - Max M. April
- Division of Pediatric Otolaryngology, Department of Otolaryngology–Head and Neck SurgeryNew York University School of MedicineNew York CityNew YorkUSA
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Calhoun KH, Hokanson JA, Bailey BJ. Predictors of Residency Performance: A Follow-up Study. Otolaryngol Head Neck Surg 2018; 116:647-651. [DOI: 10.1016/s0194-5998(97)70242-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
In a 1990 study we investigated resident applicant characteristics associated with successful matching into otolaryngology. 1 Of the 175 applicants studied, 87 matched, for a 49.7% success rate. Successful matching was much more likely for applicants with a history of excellent academic achievement in medical school. Of the 88 applicants who did not match during the year that was originally studied, 30 matched to otolaryngology in subsequent years. Of the 58 who never matched in otolaryngology, there is no evidence of board certification for 30. Of the other 28, 12 are board certified in anesthesia; 3 in radiology; 2 each in family medicine, internal medicine, general surgery, psychiatry, and physical medicine, and rehabilitation; and 1 each in pathology, emergency medicine, and dermatology. Of the total of 117 who matched in otolaryngology, 109 began residency training, and 107 finished otolaryngology training. Program directors answered questionnaires about 100 of 107 of these residents, detailing aspects of residency performance. The only correlation found between a highly satisfactory residency performance and characteristics that could be evaluated at the time of interviewing for residency positions was with excellent academic performance in medical school.
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Affiliation(s)
- Karen H. Calhoun
- Otolaryngology, University of Texas Medical Branch, Galveston, Texas
| | - James A. Hokanson
- Otolaryngology, University of Texas Medical Branch, Galveston, Texas
| | - Byron J. Bailey
- Otolaryngology, University of Texas Medical Branch, Galveston, Texas
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Phillips JA, McLaughlin MM, Rose C, Gallagher JC, Gettig JP, Rhodes NJ. Student Characteristics Associated with Successful Matching to a PGY1 Residency Program. AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION 2016; 80:84. [PMID: 27402987 PMCID: PMC4937979 DOI: 10.5688/ajpe80584] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 06/29/2015] [Indexed: 05/11/2023]
Abstract
Objective. To identify predictors for postgraduate matching success. Methods. In April 2014, a survey was distributed to students at five schools of pharmacy in the United States assessing organizational involvement, research and work experience, postgraduation plans, match status, and demographics. Results. Five hundred seventy-seven students (82%) completed the survey. Applicants who matched had a higher median number of interview offers compared to those who did not match. Significantly more females than males applied for a residency program. Those who matched had a higher median pharmacy school grade point average (GPA) compared to those who did not. No differences were observed in the rates of matching when leadership positions, student organizational membership, or previous work experience were considered. Conclusion. For pharmacy students in this study, number of applications and interviews, pharmacy school GPA, and female gender were associated with a higher likelihood of matching.
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Affiliation(s)
- Jennifer Ann Phillips
- Midwestern University, Chicago College of Pharmacy, Department of Pharmacy Practice, Downers Grove, Illinois
- Advocate Lutheran General Hospital, Park Ridge, Illinois
| | - Milena M. McLaughlin
- Midwestern University, Chicago College of Pharmacy, Department of Pharmacy Practice, Downers Grove, Illinois
- Northwestern Memorial Hospital, Department of Pharmacy, Chicago, Illinois
| | - Christina Rose
- Temple University School of Pharmacy, Department of Pharmacy Practice, Philadelphia, Pennsylvania
| | - Jason C. Gallagher
- Temple University School of Pharmacy, Department of Pharmacy Practice, Philadelphia, Pennsylvania
| | - Jacob P. Gettig
- Midwestern University, Chicago College of Pharmacy, Department of Pharmacy Practice, Downers Grove, Illinois
| | - Nathaniel J. Rhodes
- Midwestern University, Chicago College of Pharmacy, Department of Pharmacy Practice, Downers Grove, Illinois
- Northwestern Memorial Hospital, Department of Pharmacy, Chicago, Illinois
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Schwan J, Abaza M, Cabrera‐Muffly C. How should unmatched otolaryngology applicants proceed? Laryngoscope 2015; 125:2291-4. [DOI: 10.1002/lary.25268] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 02/19/2015] [Accepted: 02/23/2015] [Indexed: 11/12/2022]
Affiliation(s)
| | - Mona Abaza
- Department of Otolaryngology–Head and Neck SurgeryUniversity of ColoradoAurora Colorado U.S.A
| | - Cristina Cabrera‐Muffly
- Department of Otolaryngology–Head and Neck SurgeryUniversity of ColoradoAurora Colorado U.S.A
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Kozin ED, Sethi RKV, Lehmann A, Remenschneider AK, Golub JS, Reyes SA, Emerick KS, Lee DJ, Gray ST. Analysis of an online match discussion board: improving the otolaryngology-head and neck surgery match. Otolaryngol Head Neck Surg 2015; 152:458-64. [PMID: 25550223 PMCID: PMC4465530 DOI: 10.1177/0194599814561187] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Accepted: 09/05/2014] [Indexed: 11/15/2022]
Abstract
OBJECTIVE "The Match" has become the accepted selection process for graduate medical education. Otomatch.com has provided an online forum for Otolaryngology-Head and Neck Surgery (OHNS) Match-related questions for over a decade. Herein, we aim to delineate the type of posts on Otomatch to better understand the perspective of medical students applying for OHNS residency. STUDY DESIGN Retrospective review of an OHNS Match-related online forum. SUBJECTS AND METHODS Subjects were contributors to an OHNS Match-related online forum. Posts on Otomatch between December 2001 and April 2014 were reviewed. The title of each thread and number of views were recorded for quantitative analysis. Each thread was organized into 1 of 6 major categories and 1 of 18 subcategories. National Resident Matching Program (NRMP) data were utilized for comparison. RESULTS We identified 1921 threads corresponding to over 2 million page views. Over 40% of threads were related to questions about specific programs, and 27% were discussions about interviews. Views, a surrogate measure for popularity, reflected different trends. The majority of individuals viewed posts on interviews (42%), program-specific questions (20%), and how to rank programs (11%). There was an increase in viewership tracked with a rise in applicant numbers based on NRMP data. CONCLUSION Our study provides an in-depth analysis of a popular discussion forum for medical students interested in the OHNS Match process. The most viewed posts are about interview dates and questions regarding specific programs. We provide suggestions to address unmet needs for medical students and potentially improve the Match process.
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Affiliation(s)
- Elliott D Kozin
- Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
| | - Rosh K V Sethi
- Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
| | - Ashton Lehmann
- Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
| | - Aaron K Remenschneider
- Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
| | - Justin S Golub
- Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
| | - Samuel A Reyes
- Department of Otolaryngology, University at Buffalo, Buffalo, New York, USA
| | - Kevin S Emerick
- Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
| | - Daniel J Lee
- Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
| | - Stacey T Gray
- Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA
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Bent JP, Colley PM, Zahtz GD, Smith RV, Parikh SR, Schiff B, Fried MP. Otolaryngology resident selection: do rank lists matter? Otolaryngol Head Neck Surg 2011; 144:537-41. [PMID: 21493231 DOI: 10.1177/0194599810396604] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To examine the relationship between National Residency Matching Program (NRMP) rank list position and future otolaryngology residency performance. STUDY DESIGN Cohort study. METHODS Eight consecutive residency classes (starting 2001-2008; 4 residents/y) were reviewed. Three hundred and thirty-three applicants (40.6 applicants/y) were interviewed, and 316 (94.9%) were ranked. Residents matching with our program were divided 3 different ways: into quarters, thirds, and halves, based on their rank order. Correlation coefficients were obtained to compare resident rank number and rank group (quarter, third, half) to faculty evaluation, coresident evaluation, and in-service score. Chi-square tests were conducted comparing rank group to chief resident selection and annual teaching award. RESULTS Resident NRMP rank number was not significantly correlated with faculty evaluation, coresident evaluation, or in-service exam score (-0.21 < r < 0.05; P > .28). There was also no significant correlation between resident quarter, third, or half rank group and faculty evaluation; coresident evaluation; or in-service exam score (-0.29 < r < 0.10; P > .13). Chi-square analysis found no relationship between resident rank group and chief resident (P > .35) or teaching award (P > .13) selection. CONCLUSIONS Applicant rank number and rank group did not correlate with performance of this otolaryngology residency cohort as assessed by faculty evaluation, coresident evaluation, in-service exam score, or selection for chief resident or the annual teaching award. Resident selection committees should consider reallocating manpower hours from creating rank order to recruiting applicants and selecting interview candidates.
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Affiliation(s)
- John P Bent
- Department of Otolaryngology-Head & Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467-2490, USA.
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Stohl HE, Hueppchen NA, Bienstock JL. Can medical school performance predict residency performance? Resident selection and predictors of successful performance in obstetrics and gynecology. J Grad Med Educ 2010; 2:322-6. [PMID: 21976076 PMCID: PMC2951767 DOI: 10.4300/jgme-d-09-00101.1] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2009] [Revised: 02/22/2010] [Accepted: 04/22/2010] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND During the evaluation process, Residency Admissions Committees typically gather data on objective and subjective measures of a medical student's performance through the Electronic Residency Application Service, including medical school grades, standardized test scores, research achievements, nonacademic accomplishments, letters of recommendation, the dean's letter, and personal statements. Using these data to identify which medical students are likely to become successful residents in an academic residency program in obstetrics and gynecology is difficult and to date, not well studied. OBJECTIVE To determine whether objective information in medical students' applications can help predict resident success. METHOD We performed a retrospective cohort study of all residents who matched into the Johns Hopkins University residency program in obstetrics and gynecology between 1994 and 2004 and entered the program through the National Resident Matching Program as a postgraduate year-1 resident. Residents were independently evaluated by faculty and ranked in 4 groups according to perceived level of success. Applications from residents in the highest and lowest group were abstracted. Groups were compared using the Fisher exact test and the Student t test. RESULTS Seventy-five residents met inclusion criteria and 29 residents were ranked in the highest and lowest quartiles (15 in highest, 14 in lowest). Univariate analysis identified no variables as consistent predictors of resident success. CONCLUSION In a program designed to train academic obstetrician-gynecologists, objective data from medical students' applications did not correlate with successful resident performance in our obstetrics-gynecology residency program. We need to continue our search for evaluation criteria that can accurately and reliably select the medical students that are best fit for our specialty.
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Affiliation(s)
- Hindi E. Stohl
- Corresponding author: Hindi E. Stohl, MD, Johns Hopkins Medical Institutions, 600 North Wolfe Street, Phipps No. 279, Baltimore, MD 21287, 410.955.6710, e-mail:
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Daly KA, Levine SC, Adams GL. Predictors for Resident Success in Otolaryngology. J Am Coll Surg 2006; 202:649-54. [PMID: 16571437 DOI: 10.1016/j.jamcollsurg.2005.12.006] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2005] [Revised: 12/05/2005] [Accepted: 12/07/2005] [Indexed: 10/25/2022]
Abstract
BACKGROUND This study aimed to determine predictors for otolaryngology resident success using data available at the time candidates are interviewed (eg, medical school attended, letters of recommendation, test scores) and data that emerge during residency. STUDY DESIGN We performed a retrospective cohort study of 36 residents who entered our program between 1983 and 1993. RESULTS Seventy percent of Alpha Omega Alpha (AOA) members and 13% of nonmembers were in the highest tertile based on faculty ranking (p<0.01), and candidates with an exceptional trait were more likely than those without an exceptional trait to rank in the highest tertile (57% versus 10%, p<0.01). AOA membership was also related to current academic appointment (p=0.02). Significant correlations included United States Medical Licensing Examination (USMLE) I score, year 2 in-training score (0.48, p=0.03), and years 3 and 4 in-training score and faculty ranking (minus 0.39, minus 0.50, respectively, p<or=0.01). Having more than one peer-reviewed publication was associated with higher USMLE I scores and being favored for selection by >50% of the interviewers (p<0.05 for both). CONCLUSIONS In our program designed to train academic otolaryngologists, postresident success was strongly predicted by having an exceptional trait and AOA membership. Success during residency was predicted by interviewer's impression of the candidate and a USMLE I score>570. Knowledge of these factors at the time of the resident interview could increase the likelihood of selecting the most appropriate candidates for academic otolaryngology. Resident success is a complex outcome, and other unmeasured and unexamined characteristics can provide additional insight into choosing successful residents.
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Affiliation(s)
- Kathleen A Daly
- Department of Otolaryngology, University of Minnesota, Minneapolis, MN 55455, USA.
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Sklar DP, Tandberg D. The relationship between National Resident Match Program rank and perceived performance in an emergency medicine residency. Am J Emerg Med 1996; 14:170-2. [PMID: 8924140 DOI: 10.1016/s0735-6757(96)90126-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
A nonconcurrent prospective cohort study was conducted to evaluate if National Resident Matching Program (NRMP) rank developed using multivariate regression followed by consensus group activity is associated with perceived general performance during emergency medicine residency. All residents graduating from a university hospital-based residency program between 1990 to 1993 were ranked by university faculty, private attendings, charge nurses, and a clerk. Each evaluator was asked to order (from the strongest to the weakest) a deck of cards that contained only each graduate's name and picture. NRMP ranks were scaled to adjust for differences in each year's match list length. Evaluators were unaware of the graduates NRMP ranks. Agreement among raters was analyzed using Kendall's coefficient of concordance. Perceived ranks were compared with actual NRMP ranks using the Spearman correlation procedure. Twenty graduates were evaluated by eight different individuals, yielding 160 pairs of ranks. There was moderately strong agreement among evaluators about the relative strength of the 20 residents (W = 0.67, P < .001). The association of perceived rank with NRMP rank was much greater than that expected by chance (r(s) = .35, P < .0001). Applicants with better NRMP ranks were perceived as stronger residents, which supports the strategy of using formal statistical modelling followed by consensus group activity as a method of generating NRMP rank lists.
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Affiliation(s)
- D P Sklar
- Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque 87131-5246, USA
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Abstract
BACKGROUND It has become common for fourth-year medical students interested in surgical careers to leave their parent university to take extramural elective rotations in surgery at other institutions. These "audition extramurals," while of some educational value, are often repetitions of prior clerkships and may not broaden the student's educational horizons. Instead, they are intended to enhance a student's competitiveness in the match. While recent opinions and questionnaires have suggested that such extramural rotations are not valuable in general surgery, no study has formally evaluated the effect of extramural electives on the residency match. METHODS Over a 6-year period, the authors reviewed the outcome in 99 students who took extramural elective rotations in surgery. Of the 99 students, 28 were from the authors' institution who left to do extramural rotations elsewhere and 71 were outside students who came to the University of South Florida for an elective. While the elective rotation increased the probability of an interview, it did not alter ranking or probability of matching. RESULTS For general surgery students, the elective rotation may actually decrease competitiveness, while for specialty students, it appears necessary but not sufficient to improve match outcome. The elective might facilitate placement for students who did not match, but did not do so predictably. CONCLUSIONS The authors conclude that extramural elective rotations should be taken for educational value only and not as auditions for residency.
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Affiliation(s)
- P J Fabri
- Department of Surgery, University of South Florida, Tampa 33612
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