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Application rates to surgical residency programs in Canada.

Todd Dow1, Connor McGuire2, Emma Crawley1

  • 1Faculty of Medicine, Dalhousie University, Nova Scotia, Canada.

Canadian Medical Education Journal
|August 18, 2020
PubMed
Summary

Medical student interest in surgery remains stable in applicant numbers but is declining in specific specialties like orthopedic and vascular surgery, not keeping pace with overall growth. This indicates a potential decrease in interest for certain surgical fields.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Applications

Background:

  • Previous reports indicated declining medical student interest in surgery.
  • Trends in surgical specialty interest require ongoing monitoring.

Purpose of the Study:

  • To determine if declining interest in surgery among medical students persists.
  • To analyze trends in surgical specialty interest by discipline and institution.

Main Methods:

  • Utilized data from the Canadian Resident Matching Service and Association of Faculties of Medicine of Canada (AFMC).
  • Evaluated metrics including overall application trends, applications by discipline, and school of graduation rankings.
  • Employed descriptive statistics and linear regression modeling.

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Main Results:

  • Surgical residency positions and applications remained stable from 2007-2017, while non-surgical positions and graduates increased.
  • Significant decreases in rankings and applicants were observed for orthopedic and vascular surgery.
  • Vascular surgery experienced a notable decline in first-choice rankings.
  • Total surgical program rankings increased at McGill University but remained unchanged at other Canadian institutions.

Conclusions:

  • While overall surgical applicant numbers are consistent, they lag behind the growth of Canadian medical graduates and non-surgical positions.
  • Analysis of rankings and applicant data indicates a potential decline in medical student interest in specific surgical disciplines.
  • Surgical specialty interest varies, with some disciplines showing a marked decrease.