Changes in otolaryngology application requirements and match outcomes: Are we doing any better?

Abstract Objectives Otolaryngology‐specific requirements were piloted to minimize applicant and program burdens. We investigated the impact of introducing and then removing these requirements on Match outcomes. Methods 2014–2021 National Resident Matching Program® data were examined. The primary out...

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Main Authors: Emma De Ravin, Ariel S. Frost, Neal R. Godse, Amber D. Shaffer, Noel Jabbour, Barry M. Schaitkin, Jason Newman, Leila J. Mady
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:World Journal of Otorhinolaryngology-Head and Neck Surgery
Subjects:
Online Access:https://doi.org/10.1002/wjo2.79
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author Emma De Ravin
Ariel S. Frost
Neal R. Godse
Amber D. Shaffer
Noel Jabbour
Barry M. Schaitkin
Jason Newman
Leila J. Mady
author_facet Emma De Ravin
Ariel S. Frost
Neal R. Godse
Amber D. Shaffer
Noel Jabbour
Barry M. Schaitkin
Jason Newman
Leila J. Mady
author_sort Emma De Ravin
collection DOAJ
description Abstract Objectives Otolaryngology‐specific requirements were piloted to minimize applicant and program burdens. We investigated the impact of introducing and then removing these requirements on Match outcomes. Methods 2014–2021 National Resident Matching Program® data were examined. The primary outcome was the impact of Otolaryngology Resident Talent Assessment (ORTA; prematch 2017, postmatch 2019) and Program‐Specific Paragraph (PSP; implemented 2016, optional 2018) on applicant numbers and match rates. Secondary survey analysis assessed candidate perceptions of PSP/ORTA. Results Applicant numbers declined significantly during PSP/ORTA (18.9%; p = 0.001). With the optional PSP and postmatch ORTA, applicant numbers increased significantly (39.0%; p = 0.002). Examined individually, mandatory PSP was associated with a significant decline in applicants (p = 0.007), whereas postmatch ORTA was associated with significant increases in applicants (p = 0.010). ORTA and PSP negatively impacted the decision to apply to otolaryngology in 59.8% and 51.3% of applicants, respectively. Conversely, match rate success improved significantly from 74.8% to 91.2% during PSP/ORTA (p = 0.014), followed by a significant decline to 73.1% after PSP was made optional and ORTA moved to postmatch (p = 0.002). Conclusions ORTA and PSP correlated with decreased applicant numbers and increased match rate success. As programs seek ways to remove barriers to applying to otolaryngology, the potential consequences of an increasing pool of unmatched candidates must also be considered.
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spelling doaj.art-8e322bbff89b405287cf230c5fb3e2592023-06-27T14:52:59ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112589-10812023-06-019214415210.1002/wjo2.79Changes in otolaryngology application requirements and match outcomes: Are we doing any better?Emma De Ravin0Ariel S. Frost1Neal R. Godse2Amber D. Shaffer3Noel Jabbour4Barry M. Schaitkin5Jason Newman6Leila J. Mady7Department of Otorhinolaryngology—Head and Neck Surgery University of Pennsylvania Health System Philadelphia Pennsylvania USAHead and Neck Institute Cleveland Clinic Cleveland Ohio USAHead and Neck Institute Cleveland Clinic Cleveland Ohio USADivision of Pediatric Otolaryngology Children's Hospital of Pittsburgh of UPMC Pittsburgh Pennsylvania USADivision of Pediatric Otolaryngology Children's Hospital of Pittsburgh of UPMC Pittsburgh Pennsylvania USADepartment of Otolaryngology University of Pittsburgh Medical Center Pittsburgh Pennsylvania USADepartment of Otolaryngology – Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USADepartment of Otolaryngology – Head and Neck Surgery Thomas Jefferson University Philadelphia Pennsylvania USAAbstract Objectives Otolaryngology‐specific requirements were piloted to minimize applicant and program burdens. We investigated the impact of introducing and then removing these requirements on Match outcomes. Methods 2014–2021 National Resident Matching Program® data were examined. The primary outcome was the impact of Otolaryngology Resident Talent Assessment (ORTA; prematch 2017, postmatch 2019) and Program‐Specific Paragraph (PSP; implemented 2016, optional 2018) on applicant numbers and match rates. Secondary survey analysis assessed candidate perceptions of PSP/ORTA. Results Applicant numbers declined significantly during PSP/ORTA (18.9%; p = 0.001). With the optional PSP and postmatch ORTA, applicant numbers increased significantly (39.0%; p = 0.002). Examined individually, mandatory PSP was associated with a significant decline in applicants (p = 0.007), whereas postmatch ORTA was associated with significant increases in applicants (p = 0.010). ORTA and PSP negatively impacted the decision to apply to otolaryngology in 59.8% and 51.3% of applicants, respectively. Conversely, match rate success improved significantly from 74.8% to 91.2% during PSP/ORTA (p = 0.014), followed by a significant decline to 73.1% after PSP was made optional and ORTA moved to postmatch (p = 0.002). Conclusions ORTA and PSP correlated with decreased applicant numbers and increased match rate success. As programs seek ways to remove barriers to applying to otolaryngology, the potential consequences of an increasing pool of unmatched candidates must also be considered.https://doi.org/10.1002/wjo2.79academic successinternship and residencymedical studentsotolaryngologysurveys and questionnaires
spellingShingle Emma De Ravin
Ariel S. Frost
Neal R. Godse
Amber D. Shaffer
Noel Jabbour
Barry M. Schaitkin
Jason Newman
Leila J. Mady
Changes in otolaryngology application requirements and match outcomes: Are we doing any better?
World Journal of Otorhinolaryngology-Head and Neck Surgery
academic success
internship and residency
medical students
otolaryngology
surveys and questionnaires
title Changes in otolaryngology application requirements and match outcomes: Are we doing any better?
title_full Changes in otolaryngology application requirements and match outcomes: Are we doing any better?
title_fullStr Changes in otolaryngology application requirements and match outcomes: Are we doing any better?
title_full_unstemmed Changes in otolaryngology application requirements and match outcomes: Are we doing any better?
title_short Changes in otolaryngology application requirements and match outcomes: Are we doing any better?
title_sort changes in otolaryngology application requirements and match outcomes are we doing any better
topic academic success
internship and residency
medical students
otolaryngology
surveys and questionnaires
url https://doi.org/10.1002/wjo2.79
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