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A Transitional Year Residency Program Provides Innovative Solutions for Unmatched Medical Students.

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A transitional year (TY) residency program successfully supported unmatched medical students, enhancing their confidence and career readiness. This program offers a feasible and valuable solution for medical education and physician workforce development.

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Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Physician Workforce Development

Background:

  • The transition to residency is highly competitive, leaving many medical students without a position in their desired specialty.
  • A transitional year (TY) residency program was established to address the needs of unmatched medical students.
  • The program aims to support students who did not initially match into a residency position.

Purpose of the Study:

  • To provide an overview of the institutional transitional year (TY) residency program.
  • To analyze the program's value and impact over its first three years (2017-2020).
  • To evaluate resident and stakeholder perceptions of the program's effectiveness.

Main Methods:

  • The TY program is situated in an urban academic health center with a flexible curriculum.
  • Participatory action research and appreciative inquiry were used for program evaluation.
  • Perceptions were gathered from TY residents, program directors, and medical school education leaders.

Main Results:

  • Residents reported high satisfaction and benefits including increased confidence and clinical proficiency.
  • Stakeholders viewed the program as a valuable pipeline for increasing physicians in the state.
  • The program provided direction for students' career trajectories.

Conclusions:

  • Establishing a TY residency program for unmatched medical students is feasible and beneficial.
  • The program effectively meets residents' academic and career needs.
  • It serves as a sustainable institutional solution with advantages for various stakeholders.