The race that never slows: Otolaryngology - Head and Neck Surgery residency applicant parameters over time
DOI:
https://doi.org/10.36834/cmej.74129Abstract
Background: There has been an increasing number of Canadian medical graduates who have gone unmatched in the residency selection process. Medical students have been engaging in extracurricular activities outside the formal curriculum which may help to distinguish themselves from their peers in the selection process. To understand how competitiveness in residency selection shapes applicant demographic characteristics and behaviours, this study set out to explore the demographic characteristics and prevalence of reported extra-curricular activities by applicants to Canadian Otolaryngology – Head & Neck Surgery (OTL-HNS) residency across time.
Methods: A retrospective, descriptive study reviewed specific sections of the curriculum vitae (CV) of applicants to OTL-HNS programs in Canada. These sections were self-reported, and included research productivity, involvement in volunteer and leadership activities, membership in associations, and honours or awards granted. Data was quantified and analyzed descriptively.
Results: Between 2013 to 2017, a total of 267 applicants reported a median of 12.6 research publications, 9.6 volunteer activities, six leadership activities, six association memberships and 9.8 honours/awards. Applicants were younger over time, with proportions of applicants over 30 years old decreasing from 56% in 2013 to 9% in 2017.
Conclusion: Applicants to Canadian OTL-HNS residency programs are reporting consistently high numbers of extracurricular activities and were of increasingly younger ages. Medical students are investing significant time and energy to pursue these activities which are above and beyond the formal curriculum, possibly contributing to decreased diversity in applicants for competitive residencies, increasing the likelihood of misrepresentation in residency applications, and likely contributing to medical student burnout.
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References
Kay-Rivest E, Varma N, Scott GM, et al. Securing an OTL-HNS residency: how competitive is it? Comparing medical student perceptions to actual Canadian statistics. J Otolaryngol Head Neck Surg. 2017;46(1):16. https://doi.org/10.1186/s40463-017-0192-4 DOI: https://doi.org/10.1186/s40463-017-0192-4
Canadian Residency Matching System. R-1 match interactive data 2020. Available from: https://www.carms.ca/data-reports/r1-data-reports/r-1-match-interactive-data/. [Accessed on Sept 12, 2023].
Hauser LJ, Gebhard GM, Blumhagen R, Carlson NE, Cabrera-Muffly C. Applicant characteristics associated with successful matching into otolaryngology. Laryngoscope. 2017;127(5):1052-7. https://doi.org/10.1002/lary.26236 DOI: https://doi.org/10.1002/lary.26236
Program NRM. Results and Data: 2013 Main Residency Match®. Washington, DC; 2013. https://www.nrmp.org/wp-content/uploads/2013/08/resultsanddata2013.pdf [Accessed on DATE].
Program NRM. Charting outcomes in the match: characteristics of applicants who matched to their preferred specialty in the 2014 main residency match. Washington, DC 2014;5th. Available from: https://www.nrmp.org/wp-content/uploads/2014/09/Charting-Outcomes-2014-Final.pdf. [Accessed on Sept 12, 2023].
Bowe SN, Laury AM, Gray ST. Associations between Otolaryngology applicant characteristics and future performance in residency or practice: a systematic review. Otolaryngol. Head Neck Surg. 2017;156(6):1011-7. https://doi.org/10.1177/0194599817698430 DOI: https://doi.org/10.1177/0194599817698430
Kaplan AB, Riedy KN, Grundfast KM. Increasing competitiveness for an otolaryngology residency. Otolaryngol. Head Neck Surg. 2015;153(5):699-701. https://doi.org/10.1177/0194599815593734 DOI: https://doi.org/10.1177/0194599815593734
The Canadian Residency Matching Service 2020. Available from: https://www.carms.ca/. [Accessed on Sept 12, 2023].
Sater L, Schwartz JS, Coupland S, Young M, Nguyen LH. Nationwide study of publication misrepresentation in applicants to residency. Med Educ. 2015;49(6):601-11. https://doi.org/10.1111/medu.12729 DOI: https://doi.org/10.1111/medu.12729
Ryan EM, Geelan-Hansen KR, Nelson KL, Dowdall JR. Examining the otolaryngology match and relationships between publications and institutional rankings. OTO Open. 2020;4(2):2473974X20932497. https://doi.org/10.1177/2473974X20932497 DOI: https://doi.org/10.1177/2473974X20932497
Thangamathesvaran L, M. Patel N, Siddiqui SH, et al. The otolaryngology match: a bibliometric analysis of 222 first-year residents. Laryngoscope. 2019;129(7):1561-6. https://doi.org/10.1002/lary.27460 DOI: https://doi.org/10.1002/lary.27460
Abraham JT, Nguyen AV, Weber RA. Integrated plastic surgery residency applicant trends and comparison with other surgical specialties. Ann Plast Surg. 2018;80(2):164-70. https://doi.org/10.1097/SAP.0000000000001199 DOI: https://doi.org/10.1097/SAP.0000000000001199
Wadhwa H, Shah SS, Shan J, et al. The neurosurgery applicant's "arms race": analysis of medical student publication in the Neurosurgery Residency Match. J Neurosurg. 2019:1-9.
Bowe SN, Schmalbach CE, Laury AM. The state of the otolaryngology match: a review of applicant trends, "impossible" qualifications, and implications. Otolaryngol. Head Neck Surg. 2017;156(6):985-90. https://doi.org/10.1177/0194599817695804 DOI: https://doi.org/10.1177/0194599817695804
AFMC. Canadian medical education statistics 2019 Section F. Available from http://www.afmc.ca/sites/default/files/pdf/CMES/CMES2019-SectionF_EN.pdf. [Accessed on Sept 12, 2023].
Siemens DR, Punnen S, Wong J, Kanji N. A survey on the attitudes towards research in medical school. BMC Med Educ. 2010;10:4. https://doi.org/10.1186/1472-6920-10-4 DOI: https://doi.org/10.1186/1472-6920-10-4
Clark M, Shah S, Kolla L, Marshall S, Bryson S, Nair B. Post-CaRMS match survey for fourth year medical students. Can Med Educ J. 2020;11(3):e101-e10. https://doi.org/10.36834/cmej.69330 DOI: https://doi.org/10.36834/cmej.69330
Ezekor M, Pona A, Cline A, Huang WW, Feldman SR. An increasing trend in the number of publications and research projects among dermatology residency applicants. J Am Acad Dermatol. 2020;83(1):214-6. https://doi.org/10.1016/j.jaad.2019.09.021 DOI: https://doi.org/10.1016/j.jaad.2019.09.021
Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242-5. https://doi.org/10.1111/tct.12014 DOI: https://doi.org/10.1111/tct.12014
Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50(1):132-49. https://doi.org/10.1111/medu.12927 DOI: https://doi.org/10.1111/medu.12927
Results and data: 2018 Main Residency Match® 2018. Available from: https://www.nrmp.org/wp-content/uploads/2021/07/Main-Match-Result-and-Data-2018.pdf [Accessed on Sept 12, 2023].
Program NRM. Results and data: 2017 main residency match® Washington, DC2017. Available from: https://www.nrmp.org/wp-content/uploads/2021/07/Main-Match-Results-and-Data-2017.pdf [Accessed on Sept 12, 2023].
Bhalla V, Sykes KJ, Kraft SM, Chiu AG. Commentary on Bowe et al, "the state of the otolaryngology match: a review of applicant trends, 'impossible' qualifications, and implications". Otolaryngol Head Neck Surg. 2018;158(2):217-8. https://doi.org/10.1177/0194599817737277 DOI: https://doi.org/10.1177/0194599817737277
Pathipati AS, Taleghani N. Research in medical school: a survey evaluating why medical students take research years. Cureus. 2016;8(8):e741. https://doi.org/10.7759/cureus.741 DOI: https://doi.org/10.7759/cureus.741
Nikkar-Esfahani A, Jamjoom AA, Fitzgerald JE. Extracurricular participation in research and audit by medical students: opportunities, obstacles, motivation and outcomes. Med Teach. 2012;34(5):e317-24. https://doi.org/10.3109/0142159X.2012.670324 DOI: https://doi.org/10.3109/0142159X.2012.670324
Chang CWD. Match 2017: Blindsided or Fumbled? Otolaryngol Head Neck Surg. 2018;158(4):594-7. https://doi.org/10.1177/0194599817751890 DOI: https://doi.org/10.1177/0194599817751890
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Copyright (c) 2023 Kaylie Schachter, Ashley Tritt, Meredith Young, Jessica Hier, Emily Kay-Rivest, Gabriella Le Blanc, Lily HP Nguyen
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