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General surgery program directors' perceptions of the match.

Anderson1, Jacobs

  • 1Department of Surgery, Michigan State University, East Lansing, Michigan, USA

Current Surgery
|November 7, 2000
PubMed
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General surgery program directors perceive unethical recruitment behaviors in the National Resident Matching Program (NRMP). Without accountability, gamesmanship in residency recruitment will persist, impacting applicant ranking and program director perceptions.

Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Recruitment

Background:

  • The National Resident Matching Program (NRMP) is a critical process for medical graduates entering residency.
  • Understanding program director (PD) expectations and experiences is vital for improving recruitment practices.

Purpose of the Study:

  • To ascertain general surgery program directors' expectations regarding resident recruitment behaviors.
  • To document PDs' experiences, perceptions, and ethical dilemmas encountered during the 1998 NRMP.

Main Methods:

  • A 30-item written questionnaire was distributed to 265 general surgery program directors.
  • The survey assessed PDs' views on student interviewing, communication with applicants, and overall match perceptions.

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Main Results:

  • 77.7% of PDs responded, with 44% finding no issue with students interviewing in multiple specialties, though 75% believed it negatively impacted rank order.
  • 46.6% of programs encouraged contact for ranking, but only 8.7% believed students' stated interest, and 76.6% felt affirmations had no effect on rank.
  • 36.5% of PDs perceived informal commitments, and 90.4% believed students sometimes lied, while 51.7% found the match process reasonable.

Conclusions:

  • The high stakes and lack of repercussions for unethical behavior in residency recruitment foster a culture of gamesmanship.
  • Addressing these ethical concerns is necessary to reform the residency recruitment process and ensure fairness.