What Do Program and Geographic Preference Signals Signal? A Survey of Diagnostic Radiology and Integrated...

Area of Science:

• Medical Education
• Radiology Residency Applications
• Graduate Medical Education

Background:

• The Electronic Residency Application Service (ERAS) supplemental application introduced program and geographic preference signaling for the 2022-2023 Diagnostic/Interventional Radiology residency cycle.
• Understanding applicant perceptions of these new signaling features is crucial for optimizing the residency application process.

Purpose of the Study:

• To survey Diagnostic Radiology and Integrated Interventional Radiology applicants regarding their use and perceived impact of program and geographic preference signaling.
• To assess applicant sentiment towards the ERAS signaling system and its effect on interview invitations.

Main Methods:

• An anonymous survey was distributed to 282 applicants at two large academic institutions.
• The survey collected data on participation in program/geographic signaling and applicant perceptions of its influence on the application process.

Main Results:

• A 37.2% response rate (105/282) was achieved.
• Most applicants (36%) reported a positive sentiment (4 out of 5) towards program signaling.
• Applicants receiving more interviews from signaled programs reported significantly more positive sentiments (p=0.01).
• Geographic location was the primary factor (57%) influencing program signaling choices.

Conclusions:

• Applicant feedback indicates a positive perception of program and geographic signaling within the ERAS system.
• Preference signaling appears to enhance applicants' likelihood of securing interviews at desired residency programs.
• These findings suggest that signaling features may positively influence residency match outcomes.