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Making the match and breaking it: values, perceptions, and obstacles of trainees applying into physician-scientist

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|October 12, 2023
PubMed
Summary

Physician-scientist trainees prioritize community and mentorship. The National Research Matching Program (NRMP) application process causes stress, with some programs violating NRMP policies regarding post-interview communication.

Keywords:
Academic MedicineGraduate Medical EducationPhysician-Scientist TrainingThe Match

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Area of Science:

  • Medical Education
  • Physician-Scientist Training
  • Residency Matching

Background:

  • The physician-scientist workforce is crucial but faces attrition due to non-academic career paths.
  • The National Research Matching Program (NRMP) has assumptions that may not align with applicant needs.
  • Barriers in the residency matching process impact the retention of physician-scientist trainees.

Purpose of the Study:

  • To survey physician-scientist trainees about their experiences with the 2021-2022 NRMP application cycle.
  • To identify key priorities and stressors for applicants to physician-scientist training programs (PSTPs).
  • To assess adherence to NRMP policies during the post-interview communication phase.

Main Methods:

  • Survey-based feedback from 27 physician-scientist training program applicants across 17 U.S. institutions.
  • Analysis of applicant priorities, stress levels, and experiences with NRMP policies.
  • Focus on the 2021-2022 application cycle for research-oriented residency programs.

Main Results:

  • 93% of applicants identified "scientific community" as the most important program feature.
  • Female applicants placed higher value on personal and family support infrastructure.
  • 18/27 respondents found "waiting for interviews" most stressful; ~50% encountered NRMP policy violations.
  • 93% were contacted post-interview, with 1/3 feeling pressured regarding ranking preferences.

Conclusions:

  • Key applicant priorities include fostering trainee community and structured mentoring.
  • Inconsistencies in post-interview communication among programs present an opportunity for improvement.
  • Enhanced support is needed for applicants to evaluate programs based on clinical, scientific, and academic interests while adhering to NRMP policies.