How Does Lacking a Home Program Impact Otolaryngology Applicants?

Author:

Tu Leona J.1ORCID,Benjamin William J.2ORCID,Lenze Nicholas R.3,Mihalic Angela P.4,Kupfer Robbi A.3,Malekzadeh Sonya5ORCID

Affiliation:

1. Drexel University College of Medicine Philadelphia Pennsylvania USA

2. University of Michigan Medical School Ann Arbor Michigan USA

3. Department of Otolaryngology‐Head and Neck Surgery University of Michigan Medical School Ann Arbor Michigan USA

4. Department of Pediatrics University of Texas Southwestern Medical Center Dallas Texas USA

5. Department of Otolaryngology‐Head and Neck Surgery MedStar Georgetown University Hospital Washington DC USA

Abstract

ObjectivesTo compare otolaryngology interview and match outcomes between applicants with and without home residency programs.MethodsOtolaryngology applicants from US allopathic medical schools during the 2019–2023 cycles who responded to the Texas Seeking Transparency in Application to Residency (STAR) survey were identified. Students were stratified based upon whether their medical school had an affiliated otolaryngology residency program. The primary outcomes were number of interviews and match rate. Wilcoxon‐rank sum and χ2 testing was used to assess associations between home program status and interview and match outcomes.ResultsOf the 633 fourth‐year medical students applying to otolaryngology during the 2019–2023 application cycles, 89 had no home program (NHP) and 544 had a home program (HP). Applicants with NHP completed significantly more away rotations than applicants with a HP (2.2 vs. 1.5; p < 0.01). There was no difference in mean number of applications submitted between applicants with NHP and applicants with a HP. However, applicants with a HP received a significantly greater number of interviews (14.7 vs. 11.8; p < 0.01), attended more interviews (12.4 vs. 11.3; p = 0.02), attended a lower percentage of their offered interviews (84.4% vs. 95.8%), and had a higher match rate (81.8% vs. 70.8%; p = 0.02) than applicants with NHP. Applicants with NHP interviewed at (1.9 vs. 1.3; p < 0.01) and matched at (33.7% vs. 23.9%; p = 0.048) significantly more away rotation institutions than applicants with a HP.ConclusionApplicants with NHP received fewer interviews and had lower match rates. Away rotations may be especially important for applicants with NHP.Level of EvidenceNA Laryngoscope, 2024

Publisher

Wiley

Reference23 articles.

1. National Resident Matching Program.National Resident Matching Program Results and Data 2023 Main Residency Match®. Accessed July 29 2023.

2. AAMC ERAS Statistics. Accessed December 21 2023.

3. Residency Program Directors’ Views on Research Conducted During Medical School: A National Survey

4. The state of diversity based on race, ethnicity, and sex in otolaryngology in 2016

5. Trends in Race/Ethnicity Among Applicants and Matriculants to US Surgical Specialties, 2010-2018

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