factors influencing residency program selection by medical students pursuing obstetrics and gynecology 2017 meredith j. alston学术.pdf

该【factors influencing residency program selection by medical students pursuing obstetrics and gynecology 2017 meredith j. alston学术 】是由【探春文档】上传分享，文档一共【4】页，该文档可以免费在线阅读，需要了解更多关于【factors influencing residency program selection by medical students pursuing obstetrics and gynecology 2017 meredith j. alston学术 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。BRIEFREPORTFactorsIn?,,,MD,,MSRussellFothergill,MDAlyssaStephenson-Famy,MDAmy(Meg)Autry,MDABSTRACTBackgroundLittleisknownaboutthefactorsthatinfluencemedicalstudentselectionofobstetricsandgynecology(ob-gyn)-yearmedicalstudentspursuingob-,anonymous,19-questionsurveyofresidencyselectionfactorswasdistributedtoallfourth-yearmedicalstudentsinterviewingat1of5academicob-gyndepartmentsforaresidencypositionduringthe2013–(notimportant,somewhatimportant,important)ofvariousresidencyselectionfactors,includingoperativeexperience,exposuretosubspecialties,curricularexperience,accesstofellowships,andadministrativeaspectsofresidency,,262(81%)‘‘important’’bynearlyallrespondents(98%,258of262,and97%,253of262,respectively).Factorsthatwereconsidered‘‘notimportant’’byasignificantgroupofrespondentsincludedmaternity/paternityleavepolicies(22%,58of259);opportunityforinternationalrotations/electives(20%,51of259);exposuretoqualityandsafetyinitiatives(13%,34of259);andtraininginabortion(13%,34of262).ConclusionsFourth-yearmedicalstudentsidentifiedsurgicaltrainingasthemostimportantfactorinselectinganob-gynresidency,-,%oftheactivephysicianTheNationalResidentMatchingProgram(NRMP)workforce,%ofpracticingob-gynphysicians,performsanannualsurveyofapplicantstoassesstheirand86%,2Thischanges,webelieveitwouldbehelpfulforob-gynsurveyprovidesinformationonnationaltrendsandprogramdirectorstounderstandthefactorscurrent-,andleast,importanttofourth-yearpublishes?ndingsforapplicantstoobstetricsandmedicalstudentsselectingresidencytrainingpro-gynecology(ob-gyn)residencyprograms,,specialty-speci?-applicantstoob-gynprograms,,2Asgeographiclocationisnotafactorthatprogramscanmodifytoimproverecruit-ment,wesoughttoidentifyotherfactorsapplicantsmayMethods?-gyn,includ-fourth-yearmedicalstudentsinterviewingattheUniver-ingtheincorporationofrobotictraining,decreasedsityofColorado(Colorado),theUniversityofWash-opensurgicaltraining,andincreasednonsurgicalington,Seattle(UW),theUniversityofCalifornia,SantreatmentoptionsforconditionspreviouslytreatedFrancisco(UCSF),LoyolaUniversityChicago(Loyola),?cantchangeandTexasA&MUniversity(TexasA&M)foranob-gynresidencypositionduringthe2013–2014interviewDOI:http://dx./-D-16-,February2017123BRIEFREPORTFIGUREImportanceofSelectionFactorsinObstetricsandGynecologyResidencySelectionNote:Percentageofstudentsindicatingthat19surveyquestionsregardingfactorsinvolvedinobstetricsandgynecologyresidencyselectionwere‘‘notimportant,’’‘‘somewhatimportant,’’or‘‘important.’’programsprovidingresidencytraininginarangeofResultsgeographiclocationsandofferingdifferentresidencysizesAtotalof418applicantsinterviewedatthe5andfellowshiptrainingopportunities(TABLE).Thesurveyassessedfactorsthatmayin?-matchingresponsesapplicants’selectionofanob-gynresidencyprogram,andinterviewlistsbetweensites,therewere262askingrespondentstorate19selectionfactorsasresponsesfrom322uniquepotentialrespondents‘‘important,’’‘‘somewhatimportant,’’or‘‘notimpor-(262of322,81%;TABLE),as70interviewedat2tant’’(FIGURE).(withtheconsensusoftheotherauthors),andrespondentshadsomelevelofitemnonresponse,suchwasadministeredduringthe2012–&MtoOverall,surgicaltrainingandtraininginlaparo-‘‘important’’bynearlyallannualNRMPsurvey,1,2publishedapplicantsur-respondents(98%[258of262]and97%[253of262],veys,5,6andtraining/exposuretoob-gynproceduresrespectively;FIGURE).Thiswasfollowed(withdecreas-)byhigh-riskobstetricstraining(84%,);maternal-fetalmedicineexposure(82%,Thesurveywasdistributedinananonymous,volun-215of261);gynecologicaloncologyexposure(77%,tarypaperformbytheresidencycoordinatoronthe201of261);fellowshipplacementrates(75%,197ofdayoftheinterview,orasananonymouselectronic261);familyplanningexposure(71%,185of261);surveyusingCatalystsoftware(AdvancedMicrosimulationcurriculum(61%,157of259);reproduc-DevicesInc,Sunnyvale,CA)followingtheinterviewtiveendocrinologyexposure(59%,154of260);(UWonly).Applicantswereinstructedtorespondonlyfacultyreputation(57%,147of258);dutyhourspliance(57%,147of259);fellowshipopportuni-(56%,147of261);urogynecologyexposureThepercentagesofparticipantsindicatingeach(56%,147of262);abortiontraining(55%,145ofresponseonthe3-levelLikert-typescalearereported262);residentresearch(47%,123of259);interna-(43%,111of259);Thestudywasreviewedandconsideredexemptbyroboticsurgerytraining(37%,98of262);qualityandtheInstitutionalReviewBoardsateachparticipatingsafetyinitiatives(36%,93of259);andmaternity/(30%,77of259).124JournalofGraduateMedicalEducation,February2017BRIEFREPORTTABLEInstitutionCharacteristicsandSurveyResponseRateResidentInternationalFellowshipsApplicantsInstitutionPositions,SurveyRespondentsElectiveOfferedInterviewedYearUniversityofColorado9YesMFM,REI,GYNONC,FP12282UniversityofCalifornia,9YesMFM,REI,GYNONC,FP,8050SanFranciscoID,Women’sHealthUniversityofWashington,7YesMFM,GYNONC,FP8349SeattleLoyolaUniversityChicago4NoFPMRS9363TexasA&MUniversity4NoFPMRS4018Totalapplicants?418;totalrespondents?262Abbreviations:MFM,maternal-fetalmedicine;REI,reproductiveendocrinologyandinfertility;GYNONC,gynecologiconcology;FP,familyplanning;ID,reproductiveinfectiousdisease;FPMRS,,7pediatrics,8andrespondentsas‘‘notimportant’’includedmaternity/generalsurgery9,10reportedheterogeneityandlackpaternityleavepolicies(22%,58of259);opportunityofawarenessofparentalleavepoliciesacrossforinternationalrotation/elective(20%,51of259);specialties,butdidnotevaluatehowthesepoliciesexposuretoqualityandsafetyinitiatives(13%,);andtraininginabortion(13%,34of262).Researchershaveattemptedtoassesstherelativeweightof‘‘lifestyle’’,bothoverallandlaparo-lifestylefactorsinselectingageneralsurgeryresiden-scopically,tobethemost‘‘important’’-yearmedicalstudentsinselectinganob-gynthatsurgicalcasevolumewassimilarlyidenti?edasresidencyprograminthe2013–2014cohort,followedanimportantfactorinin?uencinggeneralsurgerybytraininginhigh---thatmotivatemedicalstudentsastheyselectresidencycalaspectsoftheob-gynresidencycurriculum,-atureofnotedas‘‘important’’by56%ofrespondentsinourparticipatingprograms,whichreducethegeneral-study,andinternationalrotations/,whilethesurveyis‘‘important’’by43%,1,2theadded2015NRMPsurveyresults,whichshowedthat60%specialty-speci?cquestionsdonothaveestablishedand35%ofUSmedicalschoolseniorspursuingob-gynvalidityevidence,,‘‘important’’toourabilitytodeterminewhethertheimportanceof55%,itwas‘‘notimportant’’to13%oftheparentalleavepolicydifferedbysexorifinterna-,?liations,andfamilyplanningtraining/aggregateinsteadofbyinstitution,?eldofob-gyn,,givenweresurprisedto?ndthataformalmaternity/themanyfactorsthatcancontributetoresidencypaternityleavepolicywasnothighlyimportanttoselection,asingleinstrumentisunlikelytocaptureapplicants,andwasratedas‘‘notimportant’’byallin?%.ThisissomewhatcongruentwiththedataOur?ndingsindicatethatoverallsurgicaltrainingfromthe2015NRMPsurvey,inwhich23%ofUSandlaparoscopicsurgicaltrainingarehighlyprioritizedseniorsapplyingtoob-gynprogramsindicatedbymedicalstudentsseekingtraininginob--reditationCouncilforJournalofGraduateMedicalEducation,February2017125BRIEFREPORTGraduateMedicalEducation’semphasisonminimumresidencyprogramapplicants:aninternationalcaselognumbersforob-gyn,;69(2):167–,parenthood,andfamilyleave3andthedecreaseinvaginal/-?ndingsinresident2003;41(4):568–,curriculumdevelopment,,Feldman-WinterL,-;31(3):434–?,HameedSM,-gynalsomayconsiderqualitativeapproaches(suchamongresidentsenrolledingeneralsurgery:aasfocusgroups);206(4):605–,TackettJJ,LongoWE,:resultsofthe?rstConclusionnationwidesurveyofgeneralsurgeryresidencyMedicalstudentsinterviewingforob-‘‘important’’in2016;222(6):1090–,,PetrozeRT,SchirmerBD,-riskobstetricstraining,maternal-fetalmedicine,residencymarketresearch-whatareapplicantslookinggynecologiconcologyexposure,andfellowshipplace-for?;70(2):232–,vacation/sick/parentalleavewasfelttobe‘‘notimportant’’,MD,isAssistantProfessor,AssociateViceReferencesChairofEducation,andResidencyProgramDirector,DepartmentofObstetricsandGynecology,