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on the average number of residency pro- gram applications in the various disci- plines. “And over the past several years, the average number of applications has gone up significantly, likely due to the increasingly competitive match” and the trouble students tend to have deter- mining which programs they are actu- ally competitive for, she said. That also means, however, “students often err on the side of applying to more and more programs, some of which would not typ- ically consider them based on screening criteria, such as USMLE Step 1 score.” Schools are hoping more direct- ed coaching can help students wade through the process. For starters, UT Southwestern de- veloped what Dr. Mihalic describes as “homegrown surveys” to track which of the school’s students received interviews in the various disciplines they applied for and to compare the information with national data. “We also provide multiyear data on
which programs our students have matched to based on Step 1 score and quartile rank. This information is criti- cal to support our students’ success and assist them in making wise decisions re- garding number and types of programs for which they should apply,” said Dr. Mihalic, associate professor of pediatrics. “Ideally, this data would be made avail- able on a state or national level.” Educators also agree it’s their job to better identify problem students early on who may not be ready to graduate ver- sus those who simply need better prepa- ration for the match. Schools can take a look at how their
own programs influence students’ inter- ests, too, says David P. Wright, MD, im- mediate past chair of TMA’s Council on Medical Education. At a time when pri- mary care specialists are in high demand, for example, schools could generate more interest in the field by giving stu- dents earlier hands-on training beyond hospital walls.
Missed opportunities
The longer medical students wait to match to a residency posi- tion, the lower their chances. Texas medical education leaders want to make sure those numbers don’t translate into missed opportunities in the form of physicians who don’t immediately end up in a workforce in need of more doctors.
Year(s) out of medical school MD match rate
1 year
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2 years 3 years
4+ years
76% 60% 55% 39%
Source: 2014 Association of American Medical Colleges Group on Student Affairs survey of National Resident Matching Pro- gram results
50 TEXAS MEDICINE September 2014
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