Monday, February 25, 2019

Congestion in resident and fellowship applications and interviews: Plastic Surgery

Medical graduates can enter plastic surgery through a residency immediately upon graduating.  As in many other specialties, there is lots of applying and interviewing before the residency or fellowship Match.  Here's a proposal to limit the number of applications:

Solving Congestion in the Plastic Surgery Match
Molina Burbano, Felipe, B.A.; Yao, Amy, B.S.; Burish, Nikki, M.D.; Ingargiola, Michael, M.D.; Freeman, Matthew, M.D.; Stock, Jeffrey, M.D.; Taub, Peter J., M.D.
Plastic and Reconstructive Surgery: February 2019 - Volume 143 - Issue 2 - p 634–639

"Summary: Plastic and reconstructive surgery is among the most competitive specialties in the residency match. Applicants seeking to maximize their chances of a successful match often submit numerous applications to the National Residency Matching Program. It is not uncommon for those applying to plastic and reconstructive surgery to apply to every program. The high application volume imparts significant time and financial burden for applicants and programs alike. Furthermore, it makes distinguishing between applicants with a genuine interest in a specific program and those who are merely hoping to improve their chances vastly more difficult. The authors sought to characterize trends in the match rate, as the number of integrated plastic and reconstructive surgery programs continues to increase. Furthermore, they reviewed the literature on game theory for possible solutions to residency application congestion. The authors propose the use of the game theory model to explain the observed results and show why an application limit is the most reasonable approach to address this issue.
...
"it is not uncommon for those applying to plastic and reconstructive surgery to apply to every program. In fact, of a total of 73 available training programs in the 2017 season, senior U.S. applicants applied to a median of 70 programs

"Such a high application volume imparts significant time and financial burden for all parties involved. Applicants spend an average of $6073 and up to $15,000 on applications and interview travel.3 Residency program directors, in turn, must review a greater number of applications and conduct additional interview dates. Furthermore, distinguishing between applicants with a genuine interest in a specific program, versus those who are merely hoping to improve their chances, has become vastly more difficult, with some preferred applicants possibly getting overlooked in the process.4

"Weissbart et al. observed the same trend in the urology match and other competitive specialties.
...
"Introducing an application limit would guide applicants to apply to programs based on fit (i.e., where they felt they were viable applicants). Similarly, the reduction in applications would allow programs to focus more carefully on reviewing all received applications. A more thoughtful application process, with increased focus on each individual, will likely produce “better” matches. Further research would need to be conducted on the correct application limit and the possibility that less competitive students could be left unmatched if not allowed to apply as widely.
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Plastic surgery was also attractive at Hogwarts, although not to Harry:

Harry Potter and the Resident Match | ZDoggMD.com

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