Canadian Medical Education Journal 2019-08-04T15:50:42-06:00 Larisa Lotoski Open Journal Systems <p>Welcome to the Canadian Medical Education Journal (CMEJ) that publishes scientific and scholarly work in medical education.</p> High dives and parallel plans: relationships between medical student elective strategies and residency match outcomes 2019-08-04T15:50:42-06:00 Carol Ann Courneya Winson Y. Cheung Janette McMillan <p><strong>Background</strong>: Medical students are anxious about not getting a preferred residency position.&nbsp; We described elective patterns of two recent cohorts and examined associated match outcomes.</p> <p><strong>Methods</strong>: We conducted a retrospective review of the final-year electives of all students who participated in the residency match (first iteration) at one school for 2017 and 2018.&nbsp; We categorized elective patterns and associated them with aggregated match outcomes. We examined high-demand/low-supply (HDLS) disciplines separately.</p> <p><strong>Results</strong>: We described three elective patterns: High Dive, Parallel Plan(s), and No Clear Pattern. Many students had High Dive and Parallel Plans patterns; only a few showed No Clear Pattern. Match rates for High Dive and Parallel Plan patterns were high but many students matched to Family and Internal Medicine.&nbsp; When we separated out HDLS predominance, the match rate remained high but a significant number matched to disciplines in which they did not have a majority of electives. Most High Dive and Parallel Plan students who went unmatched did so with HDLS discipline electives.&nbsp;</p> <p><strong>Conclusion: </strong>Many students chose High Dive and Parallel Plan strategies to both high-capacity and HDLS disciplines. Match rates were high for both patterns but students also matched to non-primary disciplines.&nbsp; Back-up planning may reside in the entire application, and not just electives selection.</p> 2019-08-04T00:00:00-06:00 Copyright (c) 2019 Carol Ann Courneya, Winson Y. Cheung, Janette McMillan