Interview congestion in the Ophthalmology Residency Match

An ophthalmology residency program surveyed all its applicants on their experience in the match:

Current Applicant Perceptions of the Ophthalmology Residency Match
Michael J. Venincasa, MD; Louis Z. Cai, MD; Steven J. Gedde, MD; Tara Uhler, MD; Jayanth Sridhar, MD

JAMA Ophthalmology May 2020 Volume 138, Number 5 

"Hundreds of individuals apply for ophthalmology residency positions each year using the Centralized Application Services (CAS), administered by San Francisco Residency and Fellowship Matching Services (SF Match). Although the match rate remains relatively stable at approximately 75%, the mean number of applications submitted has risen from 48 in 2008 to 75 in 2019.1,2 In 2010, highly qualified applicants were advised to apply to between 10 and 20 residency programs,3 but more recent studies suggested a target of 45 applications for these applicants and more than 80 for applicants with less competitive qualification.2 The application process represents a considerable financial burden for applicants; in 2018-2019, the CAS application alone cost $685 to apply to 45 programs, which increased to $1910 for 80 programs. These high costs are not unique to ophthalmology. In emergency medicine, the cost of securing a residency position was estimated at $8312 in 2016.4

These trends also come with increasing administrative burden for residency programs tasked with reviewing rising numbers of applications. As a result, many programs have increasingly emphasized quantifiable cognitive measures, such as clinical grades and the US Medical Licensing Examination (USMLE) board scores.3 The USMLE Step 1 scores and Alpha Omega Alpha Honors Medical Society membership are factors with statistically significant associations with matching into an ophthalmology residency.5

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"Respondents applied to a mean (SD) of 76.4 (23.5) ophthalmology residency programs, received 14.0 (9.0) invitations to interview (Figure 1), and attended 10.3 (4.4) interviews. 

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"When respondents received an interview invitation without the involvement of a wait-list, they most commonly reported receiving the invitation between 3 and 4 weeks prior to the interview date (n = 87 [47.8%]). When instead receiving their invitation from a wait-list (n = 92 [49.7%]), the most common lead time was 1 to 2 weeks prior to the interview date (n = 43 [46.2%]), with 20 (21.5%) invitations arriving less than 1 week prior

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"Many applicants struggled with scheduling conflicts with other residency programs, where interview dates overlapped or the desired date was filled at the time of invitation response. Certain dates were especially popular for residency programs, with 23 of 116 programs (19.8%) holding interviews on a single day during the 2018-2019 interview cycle.

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Note that the Ophtalmology residency match is run by SFMatch, not the larger NRMP, but the growing number of applications and interviews are common to both matching platforms.