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More Than One Path: Recent Cross-Application Trends Among Radiology Residency Applicants, 2020-2023.

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Cross-application is a common strategy for diagnostic (DR) and interventional radiology (IR) applicants, with over 40% applying to non-radiology fields. This highlights challenges in the residency match and the need for tailored applicant advising.

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Cross-specialty applicationmatch competitivenessmedical educationradiology residencysubspecialty radiology

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Area of Science:

  • Medical Education
  • Radiology Residency Applications
  • Graduate Medical Education

Background:

  • Cross-application, applying to both radiology and non-radiology specialties, is increasingly prevalent but understudied.
  • Understanding applicant motivations and patterns is crucial for effective residency program advising.

Purpose of the Study:

  • To quantify the prevalence of cross-application among diagnostic radiology (DR) and interventional radiology (IR) applicants.
  • To characterize the patterns and identify predictors of cross-application in radiology residency applications.

Main Methods:

  • Analysis of Electronic Residency Application Service (ERAS) data from 2020-2023 for DR and IR programs.
  • Definition of cross-applications as those submitted to DR/IR and at least one non-radiology specialty.
  • Comparison of applicant demographics and academic characteristics using chi-square and t-tests, with multivariable logistic regression for predictor identification.

Main Results:

  • 41.8% of 9,012 radiology applications were cross-applications.
  • Cross-application was most frequent in IR-only applicants (94.0%) and common among international medical graduates (IMGs), DOs, and older applicants (≥30 years).
  • Predictors included IR-only status, IMG, DO, age ≥30, and reapplication; AOA membership was protective.

Conclusions:

  • Cross-application is a frequent and pragmatic strategy for radiology applicants navigating a competitive match.
  • Advising should consider diverse applicant backgrounds and career goals.
  • Understanding cross-application patterns can inform advising practices and reduce misinterpretation of applicant intent.