Current State of Colorectal Surgery Training

Bailey, Matthew B.; Miller, Peter E.; Pawlak, Stephanie; Thomas, Michael; Beck, David E.; Vargas, H. David; Whitlow, Charles B.; Margolin, David A.

doi:10.1097/dcr.0000000000000525

Cited by 8 publications

(1 citation statement)

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“…1 A previous survey of CRS-match applicants and program directors highlighted discrepancies in perceived factors that drive successful match outcomes. 8 Program directors viewed a candidate's interview performance as the most important factor in driving competitiveness, whereas recent applicants in the CRS match viewed recommendations/telephone calls from a colleague as the most important factor in driving successful match outcomes. Applicants rank the desirability of CRS fellowship training based on faculty experience, balanced training, operative volume, operative complexity, and surgical autonomy.…”

Section: Discussionmentioning

confidence: 99%

Supply and Demand for Colon and Rectal Surgery Training in the United States

Silvestre,

Singh,

Weldeslase

et al. 2024

Diseases of the Colon &Amp; Rectum

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n the United States, residents in general surgery interested in colon and rectal surgery (CRS) apply for fellowship training as a chief resident. Successful outcomes in the CRS match are predicated on careful preparation of competitive applications during medical school and residency training. 1,2 The CRS match is increasingly competitive and requires applicants to apply broadly to maximize their number of fellowship program interviews. 3 Objective data on the relative performance of prospective applicants by medical training background (eg, US allopathic versus non-US allopathic graduate) can help applicants anticipate outcomes from the CRS match. Previous research has highlighted opportunities to promote diversity in surgery, especially for international medical graduates who may face systemic barriers to practicing in the United States, including biases against perceived performance during residency and autonomous practice. 4,5 Furthermore, CRS-match years before the COVID-19 outbreak required in-person interviews, which necessitated significant financial and time investments from applicants. Most general surgery residents applying for fellowship training invested more than $4000 to attend 8 to 12 in-person interviews. 6 Thus, participation in the CRS match requires judicious investments of time and resources, which includes protected administrative time from clinical responsibilities. The permanency of future virtual interviews for the CRS match remains unknown.We wished to elucidate recent CRS-match outcomes to help prospective applicants and fellowship faculty navigate the competitive process. We generated 3 hypotheses based on previous research 1-3 : 1) match rates have decreased over time, 2) higher match rates exist among US allopathic graduates relative to non-US allopathic graduates, and 3) applicants mostly match at their top-ranked fellowships. RETROSPECTIVE CROSS-SECTIONAL STUDY USING NATIONAL RESIDENT MATCHING PROGRAM DATAFunding/Support: None reported.

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Section: Discussionmentioning

confidence: 99%