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A 12-Year Analysis of Demand and Supply for Hand Surgery Training in the United States.
Silvestre, Jason; Chang, Benjamin; Levin, L Scott; Daly, Charles A; Daley, Dane N.
Afiliación
  • Silvestre J; Medical University of South Carolina Charleston, SC.
  • Chang B; Perelman School of Medicine at the University of Pennsylvania Philadelphia, PA.
  • Levin LS; Perelman School of Medicine at the University of Pennsylvania Philadelphia, PA.
  • Daly CA; Medical University of South Carolina Charleston, SC.
  • Daley DN; Medical University of South Carolina Charleston, SC.
Plast Reconstr Surg ; 2024 Sep 16.
Article en En | MEDLINE | ID: mdl-39287931
ABSTRACT

INTRODUCTION:

The consistent recruitment of quality applicants is critical to the integrity of the US surgical workforce. This study assesses the demand and supply for hand surgery training in the US.

METHODS:

This was a cross-sectional analysis of US hand surgery fellowship applicants from 2012 to 2023. Data were obtained from the National Resident Matching Program. Primary outcomes were annual number of hand surgery fellowship applicants, training positions, training programs, and unfilled training positions. Temporal trends were assessed with linear regression.

RESULTS:

The annual number of hand surgery programs (73 to 93, 27.4% increase, P<0.001) and training positions (150 to 193, 28.7% increase, P<0.001) increased over the study period while the annual number of applicants remained unchanged (199 to 198, P=0.431). The applicant-to-training position ratio decreased over the study period (1.3 to 1.0, P=0.001). The overall match rate increased (73.4% to 95.5%, P<0.001) along with the mean number of submitted ranks per applicant (8.2 to 14.9, P<0.001). The distribution of US allopathic graduates, (91.9%), US osteopathic graduates (4.6%) and international medical graduates (3.5%) was similar over the study period. The rate of applicants matching at their first-choice fellowship increased over the study period (28.1% to 38.4%, P=0.003) while the rate of unmatched applicants decreased (26.6% to 4.5%, P<0.001).

CONCLUSION:

There was consistent growth in the number of hand surgery programs and training positions without a commensurate increase in the number of interested applicants. Increased recruitment efforts are necessary to ensure adequate demand for available training positions in hand surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Plast Reconstr Surg Año: 2024 Tipo del documento: Article País de afiliación: Seychelles Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Plast Reconstr Surg Año: 2024 Tipo del documento: Article País de afiliación: Seychelles Pais de publicación: Estados Unidos