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有什么变化? 与整体外科相关的变量匹配

Ramy Khalil1, Mouhamad Shehabat1, Muhammad Karabala1

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

The Journal of surgical research
|August 2, 2024
PubMed
概括

一般外科住院的竞争力正在增加. 较高的董事会分数和研究经验提高了比赛成功率,而来自国际医学毕业生的竞争可能会降低美国比赛率.

关键词:
一般外科手术是一般的.匹配匹配匹配匹配匹配匹配匹配匹配匹配匹配匹配研究研究研究研究研究研究.居住地 居住地居住地所在地位置.在USMLE中获得得分.

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科学领域:

  • 医学教育 医学教育
  • 外科住院匹配的外科住院匹配
  • 研究生医学教育研究生医学教育

背景情况:

  • 尽管1994年至2014年期间申请人数增加,但通用外科 (GS) 住院职位的匹配率有所下降.
  • 了解影响GS实习生竞争力的因素对于医学学生和课程主任至关重要.

研究的目的:

  • 分析一般外科住院竞争力的趋势.
  • 确定地理分布和研究经验与成功的GS居住匹配之间的关联.

主要方法:

  • 对2013-2022年国家居民匹配计划数据的分析,包括申请人数,职位和匹配结果.
  • 评估美国医学执照考试 (USMLE) 的成绩和匹配申请人的研究经验.
  • 对匹配的美国老年人的医学院和普通外科住院计划 (GSRP) 之间的地理邻近性的评估.

主要成果:

  • 在28,690名申请人中,15242人 (53.12%) 成功获得了GS居住权.
  • 匹配的GS申请人表现出较高的USMLE分数,而不是那些匹配到紧急医疗和家庭医疗.
  • 美国医生 (MD) 匹配率在GS中低于神经外科,可能是由于非美国MD申请人的竞争.

结论:

  • 较高的董事会考试成绩和先前的研究参与与GS居住匹配的更高的成功率相关.
  • 国际医学毕业生的竞争可能是导致美国医学博士在整体外科申请人较低匹配率的一个因素.
  • 很大一部分学生与位于与医学院相同地理区域的GSRPs相匹配,超过一半的学生与区域相匹配.