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Finding Them a Spot: A Successful Preliminary Match Curriculum.

Arthur Rawlings1, Jennifer Doty1, Amanda Frevert1

  • 1University of Missouri, Columbia, Missouri.

Journal of Surgical Education
|October 20, 2018
PubMed
Summary

A new intervention significantly improved matching success for preliminary surgical residents who did not initially match. All residents in the intervention group secured desired positions, highlighting the importance of targeted support for non-designated preliminary residents (N-DPRs).

Keywords:
CurriculumInterpersonal and Communication SkillsMATCHPreliminaryProfessionalismResidentSOAPSystems-Based Practice

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Area of Science:

  • Medical Education
  • Surgical Residency Matching
  • Graduate Medical Education

Background:

  • Nondesignated preliminary residents (N-DPRs) in General Surgery face significant challenges in the residency match process.
  • Failure to match requires N-DPRs to quickly re-enter the match with limited time for application improvement.
  • Residency programs have a responsibility to support N-DPRs in achieving successful career paths.

Purpose of the Study:

  • To evaluate the effectiveness of a focused intervention aimed at improving the match success rate for N-DPRs.
  • To assess the impact of a structured support program on N-DPRs' ability to secure desired residency positions.

Main Methods:

  • A single-institution study compared N-DPR match results over 8 years, divided into a 4-year control group (Group 1) and a 4-year intervention group (Group 2).
  • The intervention involved an 8-step process including targeted meetings, personal statement revision, mock interviews, and strategic planning sessions.
  • Data collected included initial specialty choice, specialty obtained post-N-DPR year, and career changes.

Main Results:

  • The intervention group (Group 2) achieved a 100% success rate in obtaining desired positions, compared to 81% in the control group (Group 1).
  • This improvement was statistically significant (p=0.027), with a number needed to treat of 5.38.
  • No significant difference was observed in the proportion of N-DPRs maintaining their original specialty choice between the two groups (44% vs 50%).

Conclusions:

  • Implementing a structured N-DPR curriculum significantly enhances the likelihood of N-DPRs securing desired residency positions.
  • A substantial portion of N-DPRs successfully match into specialties different from their initial application, suggesting a need for career path guidance.
  • Residency programs should proactively assist N-DPRs in navigating alternative career pathways within medicine.