Résumés
Abstract
Background: There has been an increasing number of Canadian medical graduates who have gone unmatched in the residency selection process. Medical students have been engaging in extracurricular activities outside the formal curriculum which may help to distinguish themselves from their peers in the selection process. To understand how competitiveness in residency selection shapes applicant demographic characteristics and behaviours, this study set out to explore the demographic characteristics and prevalence of reported extra-curricular activities by applicants to Canadian Otolaryngology – Head & Neck Surgery (OTL-HNS) residency across time.
Methods: A retrospective, descriptive study reviewed specific sections of the curriculum vitae (CV) of applicants to OTL-HNS programs in Canada. These sections were self-reported, and included research productivity, involvement in volunteer and leadership activities, membership in associations, and honours or awards granted. Data was quantified and analyzed descriptively.
Results: Between 2013 to 2017, a total of 267 applicants reported a median of 12.6 research publications, 9.6 volunteer activities, six leadership activities, six association memberships and 9.8 honours/awards. Applicants were younger over time, with proportions of applicants over 30 years old decreasing from 56% in 2013 to 9% in 2017.
Conclusion: Applicants to Canadian OTL-HNS residency programs are reporting consistently high numbers of extracurricular activities and were of increasingly younger ages. Medical students are investing significant time and energy to pursue these activities which are above and beyond the formal curriculum, possibly contributing to decreased diversity in applicants for competitive residencies, increasing the likelihood of misrepresentation in residency applications, and likely contributing to medical student burnout.
Résumé
Contexte : De plus en plus de diplômés en médecine canadiens demeurent non jumelés à l’issue du processus de sélection des résidents. Certains font des activités hors programme afin de se distinguer de leurs pairs dans le processus de sélection. Pour comprendre comment la compétition dans la sélection de résidents influence les caractéristiques démographiques et les comportements des candidats, cette étude visait à explorer l’évolution des caractéristiques démographiques et la prévalence d’activités hors programme déclarées par les candidats à la résidence en oto-rhino-laryngologie – chirurgie cervico-faciale (ORL-CCF) à travers le temps.
Méthodes : Dans le cadre d’une étude rétrospective et descriptive, nous avons parcouru des sections pertinentes du curriculum vitae (CV) des candidats aux programmes d'oto-rhino-laryngologie et chirurgie cervico-faciale au Canada. Ces sections étaient auto-déclarées et comprenaient les activités de recherche, la participation à des activités de bénévolat et de leadership, l'appartenance à des associations et les prix et distinctions obtenus. Les données ont été quantifiées et analysées de manière descriptive.
Résultats : Entre 2013 et 2017, un total de 267 candidats ont déclaré une médiane de 12,6 publications de recherche, 9,6 activités de bénévolat, 6 activités de leadership, 6 adhésions à des associations et 9,8 prix et distinctions. Au fil du temps, on observe que les candidats sont de plus en plus jeunes ; ainsi, la proportion de candidats âgés de 30 ans et plus a diminué de 56 % en 2013 à 9 % en 2017.
Conclusion : Les candidats aux programmes de résidence en ORL-CCF au Canada déclarent d’une année à l’autre un nombre élevé d'activités hors programme et sont de plus en plus jeunes. Les étudiants en médecine investissent beaucoup de temps et d'énergie dans ces activités qui vont au-delà du programme d'études officiel. Cela pourrait nuire à la diversité des candidats aux programmes de résidence fortement contingentés, augmenter la probabilité de fausses déclarations dans les demandes de résidence et probablement contribuer à l'épuisement professionnel des étudiants en médecine
Parties annexes
Bibliography
- Kay-Rivest E, Varma N, Scott GM, et al. Securing an OTL-HNS residency: how competitive is it? Comparing medical student perceptions to actual Canadian statistics. J Otolaryngol Head Neck Surg. 2017;46(1):16. https://doi.org/10.1186/s40463-017-0192-4
- Canadian Residency Matching System. R-1 match interactive data 2020. Available from: https://www.carms.ca/data-reports/r1-data-reports/r-1-match-interactive-data/. [Accessed on Sept 12, 2023].
- Hauser LJ, Gebhard GM, Blumhagen R, Carlson NE, Cabrera-Muffly C. Applicant characteristics associated with successful matching into otolaryngology. Laryngoscope. 2017;127(5):1052-7. https://doi.org/10.1002/lary.26236
- Program NRM. Results and Data: 2013 Main Residency Match®. Washington, DC; 2013. https://www.nrmp.org/wp-content/uploads/2013/08/resultsanddata2013.pdf [Accessed on DATE].
- Program NRM. Charting outcomes in the match: characteristics of applicants who matched to their preferred specialty in the 2014 main residency match. Washington, DC 2014;5th. Available from: https://www.nrmp.org/wp-content/uploads/2014/09/Charting-Outcomes-2014-Final.pdf. [Accessed on Sept 12, 2023].
- Bowe SN, Laury AM, Gray ST. Associations between Otolaryngology applicant characteristics and future performance in residency or practice: a systematic review. Otolaryngol. Head Neck Surg. 2017;156(6):1011-7. https://doi.org/10.1177/0194599817698430
- Kaplan AB, Riedy KN, Grundfast KM. Increasing competitiveness for an otolaryngology residency. Otolaryngol. Head Neck Surg. 2015;153(5):699-701. https://doi.org/10.1177/0194599815593734
- The Canadian Residency Matching Service 2020. Available from: https://www.carms.ca/. [Accessed on Sept 12, 2023].
- Sater L, Schwartz JS, Coupland S, Young M, Nguyen LH. Nationwide study of publication misrepresentation in applicants to residency. Med Educ. 2015;49(6):601-11. https://doi.org/10.1111/medu.12729
- Ryan EM, Geelan-Hansen KR, Nelson KL, Dowdall JR. Examining the otolaryngology match and relationships between publications and institutional rankings. OTO Open. 2020;4(2):2473974X20932497. https://doi.org/10.1177/2473974X20932497
- Thangamathesvaran L, M. Patel N, Siddiqui SH, et al. The otolaryngology match: a bibliometric analysis of 222 first-year residents. Laryngoscope. 2019;129(7):1561-6. https://doi.org/10.1002/lary.27460
- Abraham JT, Nguyen AV, Weber RA. Integrated plastic surgery residency applicant trends and comparison with other surgical specialties. Ann Plast Surg. 2018;80(2):164-70. https://doi.org/10.1097/SAP.0000000000001199
- Wadhwa H, Shah SS, Shan J, et al. The neurosurgery applicant's "arms race": analysis of medical student publication in the Neurosurgery Residency Match. J Neurosurg. 2019:1-9.
- Bowe SN, Schmalbach CE, Laury AM. The state of the otolaryngology match: a review of applicant trends, "impossible" qualifications, and implications. Otolaryngol. Head Neck Surg. 2017;156(6):985-90. https://doi.org/10.1177/0194599817695804
- AFMC. Canadian medical education statistics 2019 Section F. Available from http://www.afmc.ca/sites/default/files/pdf/CMES/CMES2019-SectionF_EN.pdf. [Accessed on Sept 12, 2023].
- Siemens DR, Punnen S, Wong J, Kanji N. A survey on the attitudes towards research in medical school. BMC Med Educ. 2010;10:4. https://doi.org/10.1186/1472-6920-10-4
- Clark M, Shah S, Kolla L, Marshall S, Bryson S, Nair B. Post-CaRMS match survey for fourth year medical students. Can Med Educ J. 2020;11(3):e101-e10. https://doi.org/10.36834/cmej.69330
- Ezekor M, Pona A, Cline A, Huang WW, Feldman SR. An increasing trend in the number of publications and research projects among dermatology residency applicants. J Am Acad Dermatol. 2020;83(1):214-6. https://doi.org/10.1016/j.jaad.2019.09.021
- Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242-5. https://doi.org/10.1111/tct.12014
- Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50(1):132-49. https://doi.org/10.1111/medu.12927
- Results and data: 2018 Main Residency Match® 2018. Available from: https://www.nrmp.org/wp-content/uploads/2021/07/Main-Match-Result-and-Data-2018.pdf [Accessed on Sept 12, 2023].
- Program NRM. Results and data: 2017 main residency match® Washington, DC2017. Available from: https://www.nrmp.org/wp-content/uploads/2021/07/Main-Match-Results-and-Data-2017.pdf [Accessed on Sept 12, 2023].
- Bhalla V, Sykes KJ, Kraft SM, Chiu AG. Commentary on Bowe et al, "the state of the otolaryngology match: a review of applicant trends, 'impossible' qualifications, and implications". Otolaryngol Head Neck Surg. 2018;158(2):217-8. https://doi.org/10.1177/0194599817737277
- Pathipati AS, Taleghani N. Research in medical school: a survey evaluating why medical students take research years. Cureus. 2016;8(8):e741. https://doi.org/10.7759/cureus.741
- Nikkar-Esfahani A, Jamjoom AA, Fitzgerald JE. Extracurricular participation in research and audit by medical students: opportunities, obstacles, motivation and outcomes. Med Teach. 2012;34(5):e317-24. https://doi.org/10.3109/0142159X.2012.670324
- Chang CWD. Match 2017: Blindsided or Fumbled? Otolaryngol Head Neck Surg. 2018;158(4):594-7. https://doi.org/10.1177/0194599817751890