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Related Experiment Videos

Mixed Signals: General Surgery Residency Applicant Attitudes Toward Preference Signaling.

Nicole M Santucci1, John M Woodward2, Maya L Hunt3

  • 1Department of Surgery, Washington University in St Louis, St Louis, Missouri.

Journal of Surgical Education
|July 8, 2026
PubMed
Summary
This summary is machine-generated.

General surgery residency applicants use preference signals strategically, prioritizing program culture and location. Despite perceiving signals as more beneficial to programs, most applicants desire the continuation of this system and seek greater transparency.

Keywords:
General surgery trainingMedical student advisingPreference signalingResident recruitment

Related Experiment Videos

Area of Science:

  • Medical Education
  • Surgical Residency Admissions
  • Applicant Signaling Behavior

Background:

  • Limited data exists on general surgery (GS) applicant experiences with preference signaling.
  • Understanding how GS applicants utilize the current 15-signal system is crucial.

Purpose of the Study:

  • To describe how GS applicants allocate preference signals.
  • To assess the applicant-perceived impact of signaling in residency applications.

Main Methods:

  • An anonymous, voluntary electronic survey was distributed to all US general surgery residency applicants for the 2024-2025 cycle.
  • Descriptive analysis was performed on responses from 249 applicants.

Main Results:

  • Program culture and location were key factors in signal allocation; applicants used a median of 5 target, 5 reach, and 2 safety signals.
  • 68% of matched applicants matched at a signaled program, though applicants perceived signals as more beneficial to programs than to themselves.
  • 83% of applicants supported continuing the signaling system, highlighting a significant need for program transparency regarding signal usage.

Conclusions:

  • General surgery applicants strategically use preference signals, balancing competitiveness and personal preferences.
  • Despite a perceived asymmetry in benefits, the majority of applicants favor the continuation of the signaling system.
  • Enhanced program transparency regarding the utilization of preference signals is highly desired by applicants.