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Deciphering a Changing Match Environment in Emergency Medicine and Identifying Residency Program Needs.

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The 2022 emergency medicine (EM) Match saw many unfilled positions. This survey reveals program impacts and needs for better recruitment strategies in EM residency programs.

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Area of Science:

  • Medical Education
  • Residency Matching
  • Emergency Medicine

Background:

  • The 2022 emergency medicine (EM) residency Match experienced an unprecedented number of unfilled positions.
  • Historically competitive, the Match's outcome prompted an investigation into its effects on programs.

Purpose of the Study:

  • To characterize the impact of the 2022 Match on EM residency programs.
  • To identify program needs for successful recruitment strategies in response to Match outcomes.

Main Methods:

  • A web-based survey was administered to EM residency program leadership in March-April 2022.
  • Program data were sourced from public records, and responses were analyzed using descriptive and thematic statistics.

Main Results:

  • Nearly half of responding programs (48%) reported negative Match outcomes, with 53.8% expressing dissatisfaction.
  • Hybrid programs faced a significantly higher risk of unfilled positions (OR 4.52) compared to university or community programs.
  • Applicant quality was perceived as consistent with previous years; geographical concentration of unfilled programs was noted.
  • Program leaders cited residency expansion and job market perceptions as key factors, advocating for interview process changes and structural support.

Conclusions:

  • The 2022 Match significantly impacted EM residency programs, highlighting specific needs for recruitment.
  • Further research is recommended to understand specialty changes and develop evidence-based interventions for EM residency recruitment.