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Do audition electives impact match success?

Elizabeth Higgins1, Linnie Newman2, Katherine Halligan3

  • 1Department of Pediatrics and Internal Medicine, Albany Medical College, Albany, NY, USA; higgine@gmail.com.

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Summary

Audition electives, or "away" rotations, are common for competitive medical specialties. However, students who did not audition were equally or more successful in the match.

Keywords:
4th year studentsauditionelectivesmatch

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Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Surgical Specialties

Background:

  • Medical students undertake audition electives to enhance their competitiveness in the residency match.
  • These rotations, often referred to as 'away' rotations, are particularly prevalent in highly competitive specialties.

Purpose of the Study:

  • To evaluate the impact of audition electives on the overall success of medical students in the residency match.
  • To determine the value of audition electives in improving match outcomes for medical students.

Main Methods:

  • A survey was distributed to 1,335 fourth-year medical students across 10 medical schools in 2013.
  • The survey collected data on audition electives, rank order choices, and the costs associated with 'away' rotations.
  • Data collection occurred over a 2-month period immediately following the residency match process.

Main Results:

  • 100% of students aiming for otolaryngology, neurosurgery, plastic surgery, radiation oncology, and urology participated in audition electives.
  • A statistically significant difference was observed in the proportion of students taking auditions across specialties (p<0.001).
  • Students who auditioned matched in their top three choices 71% of the time, compared to 84% for non-auditioners (p<0.01).

Conclusions:

  • Students frequently engage in 'away' rotations as auditions to bolster their match prospects.
  • Audition electives are nearly universal for students pursuing certain competitive medical fields.
  • Contrary to expectations, students who did not participate in auditions demonstrated equal or greater success in the match.