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Applying to Integrated Thoracic Surgery Residency: A Survey-Based Cost Analysis
Griffin Stinson1, Omar M Sharaf1, Carlos A Valdes1
1Division of Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, Florida.
Annals of Thoracic Surgery Short Reports
|January 10, 2025
Summary
Integrated thoracic surgery residency (I6) applicants face significant application costs, with away rotations being the most expensive factor. Matched applicants demonstrate stronger research backgrounds and higher standardized test scores.
Area of Science:
- Medical Education
- Surgical Residency Admissions
- Thoracic Surgery
Background:
- Application costs for integrated thoracic surgery (I6) residency are not well-documented.
- Previous data exists for other competitive surgical subspecialties.
Purpose of the Study:
- To quantify the application costs for integrated thoracic surgery residency.
- To assess the value of away rotations and geographic connections in the I6 application process.
- To identify characteristics of successful I6 applicants.
Main Methods:
- Retrospective review of the Texas Seeking Transparency in Application to Residency survey database (2019-2022).
- Analysis of application costs, focusing on interviews and away rotations.
- Comparison of characteristics between matched and unmatched I6 applicants.
Main Results:
- Average total application costs ranged from $1554 to $9173.
- Away rotations became the largest cost contributor by 2022.
- Matched applicants had significantly more abstracts/presentations, research years, and higher USMLE Step 2 scores.
Conclusions:
- Integrated thoracic surgery residency has low match rates (31.7%).
- Away rotations represent a substantial financial burden for applicants.
- Academic and testing performance are key differentiators for matched I6 applicants.

