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DOI: 10.1055/s-0041-1723849
The Impact of Away Rotations on the Ophthalmology Residency Match
Funding None.Abstract
Background The ophthalmology residency match is highly competitive, and fourth-year medical students frequently complete away rotations at other institutions hoping to increase their chances of matching.
Objective The study aimed to determine the impact of away rotations on the ophthalmology residency selection process and to provide recommendations to faculty for counseling fourth-year medical students as they prepare for the ophthalmology match.
Methods A survey was sent in June 2020 to program directors (PDs), medical student educators (MSEs), and residents at 119 accredited ophthalmology residency programs via the Association of University Professors of Ophthalmology e-mail listserv. The 43 PDs and 38 MSEs who responded were asked questions about their views regarding away rotations and visiting students during the residency selection process. The 83 resident respondents were asked about their interview and match success after completing away rotations. Categorical variables were analyzed by Chi-square test.
Results The majority of PDs and MSEs typically recommend that fourth-year medical students complete away rotations (p = 0.022 and p = 0.194, respectively). The majority believe that an away rotation will increase the chance of the applicant matching with the host institution (p = 0.004 and p = 0.001, respectively). The vast majority of PDs were more likely to offer an interview to a visiting student compared with another equally qualified applicant (p < 0.001). However, only one-third of PDs were typically more likely to rank an away rotator higher on their rank list (p = 0.047). Two-thirds of residents completed at least one away rotation in medical school (mean = 1.7 rotations). The majority received interview invitations from at least some of their host institutions (p < 0.001). Approximately one-fifth ultimately matched at a host residency program (p < 0.001).
Conclusion The majority of ophthalmology PDs and MSEs surveyed recommend that fourth-year medical students complete away rotations and believe that these rotations will increase the chance of the applicant matching at a host institution. The PDs are more likely to offer an interview to a visiting student compared with another equally qualified applicant. For some programs, visiting students may also receive special consideration by being ranked higher on a program's rank list and being more likely to match.
Publication History
Received: 12 August 2020
Accepted: 18 November 2020
Article published online:
26 February 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Valley B, Camp C, Grawe B. Non-cognitive factors predicting success in orthopedic surgery residency. Orthop Rev (Pavia) 2018; 10 (03) 7559
- 2 Spitzer AB, Gage MJ, Looze CA, Walsh M, Zuckerman JD, Egol KA. Factors associated with successful performance in an orthopaedic surgery residency. J Bone Joint Surg Am 2009; 91 (11) 2750-2755
- 3 Bell RM, Fann SA, Morrison JE, Lisk JR. Determining personal talents and behavioral styles of applicants to surgical training: a new look at an old problem, part II. J Surg Educ 2012; 69 (01) 23-29
- 4 Merlo LJ, Matveevskii AS. Personality testing may improve resident selection in anesthesiology programs. Med Teach 2009; 31 (12) e551-e554
- 5 Phillips D, Egol KA, Maculatis MC. et al. Personality factors associated with resident performance: results from 12 Accreditation Council for Graduate Medical Education accredited orthopaedic surgery programs. J Surg Educ 2018; 75 (01) 122-131
- 6 Nallasamy S, Uhler T, Nallasamy N, Tapino PJ, Volpe NJ. Ophthalmology resident selection: current trends in selection criteria and improving the process. Ophthalmology 2010; 117 (05) 1041-1047
- 7 Benson NM, Stickle TR, Raszka Jr WV. Going “fourth” from medical school: fourth-year medical students' perspectives on the fourth year of medical school. Acad Med 2015; 90 (10) 1386-1393
- 8 Winterton M, Ahn J, Bernstein J. The prevalence and cost of medical student visiting rotations. BMC Med Educ 2016; 16 (01) 291
- 9 Griffith M, DeMasi SC, McGrath AJ, Love JN, Moll J, Santen SA. Time to reevaluate the away rotation: improving return on investment for students and schools. Acad Med 2019; 94 (04) 496-500
- 10 Andrews MA, Paolino ND, DeZee KJ, Hemann B. Perspective of the graduating medical student: the ideal curriculum for the fourth year of undergraduate medical education. Mil Med 2016; 181 (11) e1455-e1463
- 11 Higgins E, Newman L, Halligan K, Miller M, Schwab S, Kosowicz L. Do audition electives impact match success?. Med Educ Online 2016; 21: 31325
- 12 O'Donnell SW, Drolet BC, Brower JP, LaPorte D, Eberson CP. Orthopaedic surgery residency: perspectives of applicants and program directors on medical student away rotations. J Am Acad Orthop Surg 2017; 25 (01) 61-68
- 13 Drolet BC, Brower JP, Lifchez SD, Janis JE, Liu PY. Away rotations and matching in integrated plastic surgery residency: applicant and program director perspectives. Plast Reconstr Surg 2016; 137 (04) 1337-1343
- 14 Loh AR, Joseph D, Keenan JD, Lietman TM, Naseri A. Predictors of matching in an ophthalmology residency program. Ophthalmology 2013; 120 (04) 865-870
- 15 Lufty-Clayton L, Morrissey T, Pelletier-Bui A. et al. The emergency medicine applying guide. Council of Emergency Medicine Residency Directors. 2018 . Accessed July 23, 2020 at: https://www.cordem.org/globalassets/files/committees/student-advising/2018-applying-guide-cord-cdem-emra-rsa.docx.pdf
- 16 Mueller PS, McConahey LL, Orvidas LJ. et al. Visiting medical student elective and clerkship programs: a survey of US and Puerto Rico allopathic medical schools. BMC Med Educ 2010; 10: 41
- 17 Lee AG, Golnik KC, Oetting TA. et al. Re-engineering the resident applicant selection process in ophthalmology: a literature review and recommendations for improvement. Surv Ophthalmol 2008; 53 (02) 164-176
- 18 Venincasa MJ, Cai LZ, Gedde SJ, Uhler T, Sridhar J. Current applicant perceptions of the ophthalmology residency match. JAMA Ophthalmol 2020; 138 (05) 460-466
- 19 The Coalition for Physician Accountability's Work Group on Medical Students in the Class of 2021 Moving Across Institutions for Post Graduate Training. Final report and recommendations for medical education institutions of LCME-accredited, U.S. osteopathic, and non-U.S. medical school applicants. 2020 . Accessed July 23, 2020 at: https://acgme.org/Portals/0/PDFs/ReportMovingAcrossInstitutions.pdf
- 20 Quillen DA, Siatkowski RM, Feldon S. of the Association of University Professors of Ophthalmology. COVID-19 and the ophthalmology match. Ophthalmology 2020; S0161–6420(20)30641–2
- 21 Grubbs Jr JR, Mian SI. Advising students interested in ophthalmology: a summary of the evidence. Ophthalmology 2016; 123 (07) 1406-1410
-
22
Association of University Professors of Ophthalmology,
SF Match.
2020 Ophthalmology residency match summary report. Accessed October 28, 2020 at: https://sfmatch.org/PDFFilesDisplay/Ophthalmology_Residency_Stats_2020.pdf
-
23
Association of University Professors of Ophthalmology,
SF Match.
2019 Ophthalmology residency match summary report. Accessed October 28, 2020 at: https://sfmatch.org/PDFFilesDisplay/Ophthalmology_Residency_Stats_2019.pdf
-
24
Association of American Medical Colleges.
Visiting student learning opportunities. Accessed July 23, 2020 at: https://www.aamc.org/students/medstudents/vsas
-
25
Johns Hopkins School of Medicine.
Visiting medical students: application process. Accessed July 23, 2020 at: https://www.hopkinsmedicine.org/som/VisMedStd
-
26
University of Arkansas for Medical Sciences.
Virtual visiting student rotation program. Accessed July 23, 2020 at: https://ortho.uams.edu/medical-students/visiting-medical-student-rotation
-
27
NYU Langone Health Department of Ophthalmology.
Visiting medical students: summer 2020 virtual education series for applying medical students. Accessed July 23, 2020 at: https://med.nyu.edu/ophthalmology/education/medical-student-training/visiting-medical-students
-
28
The New York Eye and Ear Infirmary of Mount Sinai.
A virtual open house series for ophthalmology residency applicants. Accessed 2020 at: https://www.nyee.edu/education/ophthalmology-residency