Optimizing the residency application process: insights from neurological surgery during the pandemic virtual...

Area of Science:

• Neurosurgical education
• Medical residency applications
• Virtual interviewing technologies

Background:

• The COVID-19 pandemic necessitated a shift to virtual processes for the neurosurgery residency match cycle.
• This transition impacted both applicants and program leadership, requiring adaptation in recruitment and evaluation strategies.

Purpose of the Study:

• To describe the impact of the COVID-19 virtual match cycle on neurosurgery residency applications.
• To gather insights from applicants and program leadership to optimize future application cycles.
• To identify preferred models for interviews and educational experiences.

Main Methods:

• Anonymous surveys were distributed to neurosurgery program leaders, administrators (PAs), and 2020-2021 match applicants.
• Data collection was facilitated by the Society of Neurological Surgeons (SNS) in collaboration with relevant professional organizations.

Main Results:

• The virtual cycle saw an increase in Electronic Residency Application Service (ERAS) applications and interviews conducted.
• A significant portion of applicants applied to numerous programs and received a limited number of interviews.
• A hybrid interview model (in-person and virtual) was strongly preferred by all participant groups for future cycles.
• Program leaders found the standardized letter of recommendation template helpful, and most applicants matched within their top-ranked programs.

Conclusions:

• A national strategy is needed to optimize the neurosurgery application process, focusing on equity and cost reduction.
• Ensuring adequate applicant exposure and program evaluation opportunities is crucial for maintaining the training system.
• The findings support the adoption of a hybrid model for future residency application cycles to balance accessibility and thorough evaluation.