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Is the quality of surgical residency applicants deteriorating?
Background: Among directors of general surgery residencies, there is a concern that the quality of medical students applying to surgical residencies is declining. Methods: Quality of surgical applicants was assessed by several methods including subjective opinions determined by survey and by objecti...
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| Published in: | The American journal of surgery 2001, Vol.181 (1), p.44-49 |
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| container_end_page | 49 |
| container_issue | 1 |
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| container_title | The American journal of surgery |
| container_volume | 181 |
| creator | Cofer, Joseph B Biderman, Michael D Lewis, Patricia L Potts, John R Laws, Henry L O’Leary, J.Patrick Richardson, J.David |
| description | Background: Among directors of general surgery residencies, there is a concern that the quality of medical students applying to surgical residencies is declining.
Methods: Quality of surgical applicants was assessed by several methods including subjective opinions determined by survey and by objective data including student United States Medical Licensing Examination (USMLE) scores of matched candidates. The number of applicants interviewed, total interviews granted, proportion of Alpha Omega Alpha (AOA) students, and the rank order of the candidates matched was obtained by survey. The survey included data on postgraduate year 1 (PGY-1) residents from July 1996 to July 1999. Three mailings were made to 226 US surgical residency programs.
Results: Data were obtained from 90 programs. Surgery program directors disagreed with a survey statement that overall quality of applicants had declined (
P |
| doi_str_mv | 10.1016/S0002-9610(00)00530-4 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_76977276</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002961000005304</els_id><sourcerecordid>76977276</sourcerecordid><originalsourceid>FETCH-LOGICAL-c417t-99b9f6bd72c8adfd24341ff353d80d2b426d2fe5c541c274ef537a54b2ab6dcb3</originalsourceid><addsrcrecordid>eNqFkEtLxDAQgIMouj5-glIQRA_VPJv24iLiCxY8qOeQJhONdNs1aYX992bdZRUvwsAwwzcPPoQOCT4nmBQXTxhjmlcFwacYn2EsGM75BhqRUlY5KUu2iUZrZAftxvieSkI420Y7hFBeEilG6PIhZv0bZB-Dbnw_zzqXxSG8eqObLED0Flozz_Rs1qRW28fMQg_Bd0H3vn0d76Mtp5sIB6u8h15ub56v7_PJ493D9dUkN5zIPq-qunJFbSU1pbbOUs44cY4JZktsac1pYakDYQQnhkoOTjCpBa-prgtraraHTpZ7Z6H7GCD2auqjgabRLXRDVLKopKSySODxH_C9G0KbflO05JILki4nSiwpE7oYAzg1C36qw1wRrBZ61bdetXCn8CKSXsXT3NFq-1BPwf5MrXz-Oq9jUuiCbo2Pa67iTFQsUeMlBUnZp4egovFJNFgfwPTKdv6fR74A6yOVeQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2847451341</pqid></control><display><type>article</type><title>Is the quality of surgical residency applicants deteriorating?</title><source>ScienceDirect Freedom Collection</source><creator>Cofer, Joseph B ; Biderman, Michael D ; Lewis, Patricia L ; Potts, John R ; Laws, Henry L ; O’Leary, J.Patrick ; Richardson, J.David</creator><creatorcontrib>Cofer, Joseph B ; Biderman, Michael D ; Lewis, Patricia L ; Potts, John R ; Laws, Henry L ; O’Leary, J.Patrick ; Richardson, J.David</creatorcontrib><description>Background: Among directors of general surgery residencies, there is a concern that the quality of medical students applying to surgical residencies is declining.
Methods: Quality of surgical applicants was assessed by several methods including subjective opinions determined by survey and by objective data including student United States Medical Licensing Examination (USMLE) scores of matched candidates. The number of applicants interviewed, total interviews granted, proportion of Alpha Omega Alpha (AOA) students, and the rank order of the candidates matched was obtained by survey. The survey included data on postgraduate year 1 (PGY-1) residents from July 1996 to July 1999. Three mailings were made to 226 US surgical residency programs.
Results: Data were obtained from 90 programs. Surgery program directors disagreed with a survey statement that overall quality of applicants had declined (
P <0.01), but agreed with a statement that activities of medical schools to enroll graduating students into primary care had hurt recruitment (
P <0.001). Objective data revealed no change in mean USMLE part I scores of PGY-1 residents over the 4 years (
P = 0.265, power = 0.81). There was no change in proportion of matched residents who were AOA over time. The mean score of all new PGY-1 residents, the rank of the first matched resident, the rank of the last ranked resident, and proportion of AOA students was higher in programs with five or more categorical spots when compared with programs of at most four (
P <0.001). Across all programs, there was a trend to go lower on the rank list to fill categorical positions over time (
P <0.001).
Conclusions: There is a perception that medical school policies act to discourage recruitment of quality medical students into general surgery programs, and surgery programs are going deeper into their rank lists to fill categorical positions. However, the average USMLE part I score of applicants to surgical residencies and proportion of AOA applicants has not decreased.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(00)00530-4</identifier><identifier>PMID: 11248175</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Alpha Omega Alpha ; Biological and medical sciences ; Data Collection ; Educational Measurement ; Foreign residents ; General Surgery - education ; Health participants ; Humans ; Hypotheses ; Internship and Residency - standards ; Interviews ; Medical education ; Medical residencies ; Medical schools ; Medical sciences ; Medical students ; Polls & surveys ; Primary care ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality ; Recruitment ; Regression analysis ; Schools ; Students ; Students, Medical ; Surgery ; Surgical education ; Surgical residents ; Surveys ; Trends ; United States ; United States Medical Licensing Examination scores ; Variance analysis ; Workforce</subject><ispartof>The American journal of surgery, 2001, Vol.181 (1), p.44-49</ispartof><rights>2001 Elsevier Science Inc.</rights><rights>2001 INIST-CNRS</rights><rights>2001. Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-99b9f6bd72c8adfd24341ff353d80d2b426d2fe5c541c274ef537a54b2ab6dcb3</citedby><cites>FETCH-LOGICAL-c417t-99b9f6bd72c8adfd24341ff353d80d2b426d2fe5c541c274ef537a54b2ab6dcb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27899,27900,27901</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=943593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11248175$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cofer, Joseph B</creatorcontrib><creatorcontrib>Biderman, Michael D</creatorcontrib><creatorcontrib>Lewis, Patricia L</creatorcontrib><creatorcontrib>Potts, John R</creatorcontrib><creatorcontrib>Laws, Henry L</creatorcontrib><creatorcontrib>O’Leary, J.Patrick</creatorcontrib><creatorcontrib>Richardson, J.David</creatorcontrib><title>Is the quality of surgical residency applicants deteriorating?</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Background: Among directors of general surgery residencies, there is a concern that the quality of medical students applying to surgical residencies is declining.
Methods: Quality of surgical applicants was assessed by several methods including subjective opinions determined by survey and by objective data including student United States Medical Licensing Examination (USMLE) scores of matched candidates. The number of applicants interviewed, total interviews granted, proportion of Alpha Omega Alpha (AOA) students, and the rank order of the candidates matched was obtained by survey. The survey included data on postgraduate year 1 (PGY-1) residents from July 1996 to July 1999. Three mailings were made to 226 US surgical residency programs.
Results: Data were obtained from 90 programs. Surgery program directors disagreed with a survey statement that overall quality of applicants had declined (
P <0.01), but agreed with a statement that activities of medical schools to enroll graduating students into primary care had hurt recruitment (
P <0.001). Objective data revealed no change in mean USMLE part I scores of PGY-1 residents over the 4 years (
P = 0.265, power = 0.81). There was no change in proportion of matched residents who were AOA over time. The mean score of all new PGY-1 residents, the rank of the first matched resident, the rank of the last ranked resident, and proportion of AOA students was higher in programs with five or more categorical spots when compared with programs of at most four (
P <0.001). Across all programs, there was a trend to go lower on the rank list to fill categorical positions over time (
P <0.001).
Conclusions: There is a perception that medical school policies act to discourage recruitment of quality medical students into general surgery programs, and surgery programs are going deeper into their rank lists to fill categorical positions. However, the average USMLE part I score of applicants to surgical residencies and proportion of AOA applicants has not decreased.</description><subject>Alpha Omega Alpha</subject><subject>Biological and medical sciences</subject><subject>Data Collection</subject><subject>Educational Measurement</subject><subject>Foreign residents</subject><subject>General Surgery - education</subject><subject>Health participants</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Internship and Residency - standards</subject><subject>Interviews</subject><subject>Medical education</subject><subject>Medical residencies</subject><subject>Medical schools</subject><subject>Medical sciences</subject><subject>Medical students</subject><subject>Polls & surveys</subject><subject>Primary care</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality</subject><subject>Recruitment</subject><subject>Regression analysis</subject><subject>Schools</subject><subject>Students</subject><subject>Students, Medical</subject><subject>Surgery</subject><subject>Surgical education</subject><subject>Surgical residents</subject><subject>Surveys</subject><subject>Trends</subject><subject>United States</subject><subject>United States Medical Licensing Examination scores</subject><subject>Variance analysis</subject><subject>Workforce</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqFkEtLxDAQgIMouj5-glIQRA_VPJv24iLiCxY8qOeQJhONdNs1aYX992bdZRUvwsAwwzcPPoQOCT4nmBQXTxhjmlcFwacYn2EsGM75BhqRUlY5KUu2iUZrZAftxvieSkI420Y7hFBeEilG6PIhZv0bZB-Dbnw_zzqXxSG8eqObLED0Flozz_Rs1qRW28fMQg_Bd0H3vn0d76Mtp5sIB6u8h15ub56v7_PJ493D9dUkN5zIPq-qunJFbSU1pbbOUs44cY4JZktsac1pYakDYQQnhkoOTjCpBa-prgtraraHTpZ7Z6H7GCD2auqjgabRLXRDVLKopKSySODxH_C9G0KbflO05JILki4nSiwpE7oYAzg1C36qw1wRrBZ61bdetXCn8CKSXsXT3NFq-1BPwf5MrXz-Oq9jUuiCbo2Pa67iTFQsUeMlBUnZp4egovFJNFgfwPTKdv6fR74A6yOVeQ</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Cofer, Joseph B</creator><creator>Biderman, Michael D</creator><creator>Lewis, Patricia L</creator><creator>Potts, John R</creator><creator>Laws, Henry L</creator><creator>O’Leary, J.Patrick</creator><creator>Richardson, J.David</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2001</creationdate><title>Is the quality of surgical residency applicants deteriorating?</title><author>Cofer, Joseph B ; Biderman, Michael D ; Lewis, Patricia L ; Potts, John R ; Laws, Henry L ; O’Leary, J.Patrick ; Richardson, J.David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-99b9f6bd72c8adfd24341ff353d80d2b426d2fe5c541c274ef537a54b2ab6dcb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Alpha Omega Alpha</topic><topic>Biological and medical sciences</topic><topic>Data Collection</topic><topic>Educational Measurement</topic><topic>Foreign residents</topic><topic>General Surgery - education</topic><topic>Health participants</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Internship and Residency - standards</topic><topic>Interviews</topic><topic>Medical education</topic><topic>Medical residencies</topic><topic>Medical schools</topic><topic>Medical sciences</topic><topic>Medical students</topic><topic>Polls & surveys</topic><topic>Primary care</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality</topic><topic>Recruitment</topic><topic>Regression analysis</topic><topic>Schools</topic><topic>Students</topic><topic>Students, Medical</topic><topic>Surgery</topic><topic>Surgical education</topic><topic>Surgical residents</topic><topic>Surveys</topic><topic>Trends</topic><topic>United States</topic><topic>United States Medical Licensing Examination scores</topic><topic>Variance analysis</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cofer, Joseph B</creatorcontrib><creatorcontrib>Biderman, Michael D</creatorcontrib><creatorcontrib>Lewis, Patricia L</creatorcontrib><creatorcontrib>Potts, John R</creatorcontrib><creatorcontrib>Laws, Henry L</creatorcontrib><creatorcontrib>O’Leary, J.Patrick</creatorcontrib><creatorcontrib>Richardson, J.David</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cofer, Joseph B</au><au>Biderman, Michael D</au><au>Lewis, Patricia L</au><au>Potts, John R</au><au>Laws, Henry L</au><au>O’Leary, J.Patrick</au><au>Richardson, J.David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is the quality of surgical residency applicants deteriorating?</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2001</date><risdate>2001</risdate><volume>181</volume><issue>1</issue><spage>44</spage><epage>49</epage><pages>44-49</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Background: Among directors of general surgery residencies, there is a concern that the quality of medical students applying to surgical residencies is declining.
Methods: Quality of surgical applicants was assessed by several methods including subjective opinions determined by survey and by objective data including student United States Medical Licensing Examination (USMLE) scores of matched candidates. The number of applicants interviewed, total interviews granted, proportion of Alpha Omega Alpha (AOA) students, and the rank order of the candidates matched was obtained by survey. The survey included data on postgraduate year 1 (PGY-1) residents from July 1996 to July 1999. Three mailings were made to 226 US surgical residency programs.
Results: Data were obtained from 90 programs. Surgery program directors disagreed with a survey statement that overall quality of applicants had declined (
P <0.01), but agreed with a statement that activities of medical schools to enroll graduating students into primary care had hurt recruitment (
P <0.001). Objective data revealed no change in mean USMLE part I scores of PGY-1 residents over the 4 years (
P = 0.265, power = 0.81). There was no change in proportion of matched residents who were AOA over time. The mean score of all new PGY-1 residents, the rank of the first matched resident, the rank of the last ranked resident, and proportion of AOA students was higher in programs with five or more categorical spots when compared with programs of at most four (
P <0.001). Across all programs, there was a trend to go lower on the rank list to fill categorical positions over time (
P <0.001).
Conclusions: There is a perception that medical school policies act to discourage recruitment of quality medical students into general surgery programs, and surgery programs are going deeper into their rank lists to fill categorical positions. However, the average USMLE part I score of applicants to surgical residencies and proportion of AOA applicants has not decreased.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11248175</pmid><doi>10.1016/S0002-9610(00)00530-4</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | The American journal of surgery, 2001, Vol.181 (1), p.44-49 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | ScienceDirect Freedom Collection |
| subjects | Alpha Omega Alpha Biological and medical sciences Data Collection Educational Measurement Foreign residents General Surgery - education Health participants Humans Hypotheses Internship and Residency - standards Interviews Medical education Medical residencies Medical schools Medical sciences Medical students Polls & surveys Primary care Public health. Hygiene Public health. Hygiene-occupational medicine Quality Recruitment Regression analysis Schools Students Students, Medical Surgery Surgical education Surgical residents Surveys Trends United States United States Medical Licensing Examination scores Variance analysis Workforce |
| title | Is the quality of surgical residency applicants deteriorating? |
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