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What Changed? Variables Associated With the General Surgery Match.

Ramy Khalil¹, Mouhamad Shehabat¹, Muhammad Karabala¹

¹California Northstate University College of Medicine, Elk Grove, California.

The Journal of Surgical Research

|August 2, 2024

Summary

This summary is machine-generated.

General surgery residency competitiveness is increasing. Higher board scores and research experience improve match success, while competition from international medical graduates may lower US match rates.

Keywords:

General surgery Match Research Residency Residency location USMLE scores

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Area of Science:

Medical Education
Surgical Residency Matching
Graduate Medical Education

Background:

General surgery (GS) residency positions have seen decreased match rates despite rising applicant numbers between 1994 and 2014.
Understanding factors influencing GS residency competitiveness is crucial for medical students and program directors.

Purpose of the Study:

To analyze trends in general surgery residency competitiveness.
To determine the association between geographical distribution and research experience with successful GS residency matches.

Main Methods:

Analysis of National Resident Matching Program data from 2013-2022, including applicant numbers, positions, and match outcomes.
Evaluation of United States Medical Licensing Examination (USMLE) scores and research experiences of matched applicants.
Assessment of geographical proximity between medical schools and general surgery residency programs (GSRPs) for matched US seniors.

Main Results:

Out of 28,690 applicants, 15,242 (53.12%) successfully matched into a GS residency.
Matched GS applicants demonstrated higher USMLE scores compared to those matching into Emergency Medicine and Family Medicine.
US medical doctor (MD) match rates in GS were lower than in Neurosurgery, potentially due to competition from non-US MD applicants.

Conclusions:

Elevated board examination scores and prior research involvement correlate with higher success rates in GS residency matches.
Competition from international medical graduates may be a contributing factor to lower match rates for US MD applicants in general surgery.
A significant proportion of students matched into GSRPs located within the same geographical region as their medical schools, with over half matching regionally.