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Related Experiment Videos

Is match ethics an oxymoron?

K D Anderson1, D M Jacobs, A V Blue

  • 1Department of Surgery, Michigan State University, East Lansing 48824-1315, USA.

American Journal of Surgery
|April 29, 1999
PubMed
Summary
This summary is machine-generated.

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Medical students and programs are breaking rules about pre-match commitments, leading to unprofessional behavior during the graduate medical education match process.

Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Residency Match Process

Background:

  • Graduate medical education faces economic and structural changes.
  • Increased pressure on medical students and programs for effective matching.
  • The 1998 match process prompted a review of student experiences.

Purpose of the Study:

  • Document medical student experiences with the 1998 match.
  • Investigate student perceptions of the match process.
  • Identify ethical dilemmas faced by students during the match.

Main Methods:

  • Survey of 437 senior medical students from three institutions.
  • Questionnaires addressed interviewing, communication, commitments, and ethical issues.
  • Data analyzed using Student's t test, chi-square, and descriptive statistics.

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Main Results:

  • 314 (72%) students responded to the survey.
  • Programs expect post-interview communication (57% of students).
  • Students perceive programs make informal commitments (43%), lie (33%), and encourage unethical behavior (21%).

Conclusions:

  • The National Resident Matching Program's (NRMP) ruling against pre-match commitments is widely violated.
  • Both students and programs engage in breaking these rules.
  • This leads to unprofessional conduct and gamesmanship in the matching process.