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Preference Signals and Interview Invitations: Insight Into Recent Updates to the Oto-HNS Residency Application

Radhika Duggal1, Kyra Osborne2, Alan Kominsky2

  • 1Cleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.

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|October 24, 2024
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Summary

Increasing preference signals in the Otolaryngology-Head and Neck Surgery (Oto-HNS) match reduced application volume. Signaling significantly influenced interview decisions, with most interviews granted to signaled applicants.

Keywords:
medical schoolotolaryngologyresearchresidency applicationresidents

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Area of Science:

  • Medical Education
  • Surgical Residency Matching
  • Otolaryngology-Head and Neck Surgery

Background:

  • The Otolaryngology-Head and Neck Surgery (Oto-HNS) residency match increased preference signals from 7 to 25 for the 2024 cycle.
  • This change aimed to decrease overall application volume and streamline the matching process.

Purpose of the Study:

  • To evaluate the impact of increased preference signals on application volume and interview patterns in the Oto-HNS residency match.
  • To understand the role of preference signals in program directors' interview selection decisions.

Main Methods:

  • A cross-sectional survey was distributed to US Oto-HNS residency program directors in January 2024.
  • Data from 44 program directors were analyzed using R Version 4.3.1.

Main Results:

  • Programs received a median of 295 applications in 2024, a decrease from 400 in 2023.
  • 40% of applicants signaled programs, and 37% of interviews were offered to signaled applicants, with 91% of program directors reporting signaling's importance in interview decisions.
  • Nearly all interviews (median 100%) were for applicants who had signaled the program.

Conclusions:

  • Preference signals are crucial in residency interview selection for Oto-HNS programs.
  • The increased number of preference signals successfully reduced application volume per program.
  • Applying to more programs than available signals may lead to diminishing returns for medical students.