Canadian Medical Education Journal <p>Welcome to the Canadian Medical Education Journal (CMEJ) that publishes scientific and scholarly work in medical education.</p> Canadian Medical Education Journal en-US Canadian Medical Education Journal 1923-1202 <p>Submission of an original manuscript to the Canadian Medical Education Journal will be taken to mean that it represents original work not previously published, that it is not being considered elsewhere for publication. If accepted for publication, it will be published online and it will not be published elsewhere in the same form, for commercial purposes, in any language, without the consent of the publisher.<br /><br />Authors who publish in the Canadian Medical Education Journal agree to release their articles under the Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 Canada Licence. This licence allows anyone to copy and distribute the article for non-commercial purposes provided that appropriate attribution is given. For details of the rights an author grants users of their work, please see the <a title="Creative Commons license summary" href="" target="_blank"><span style="color: #aa0000;">licence summary</span></a> and the <a title="Creative Commons full license" href="" target="_blank"><span style="color: #aa0000;">full licence</span></a>.</p> High dives and parallel plans: relationships between medical student elective strategies and residency match outcomes <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> Carol Ann Courneya Winson Y. Cheung Janette McMillan Copyright (c) 2019 Carol Ann Courneya, Winson Y. Cheung, Janette McMillan 2019-08-04 2019-08-04