Nationwide study of publication misrepresentation in applicants to residency

Sater, Lara; Schwartz, Jacob; Coupland, Sarah; Young, Meredith; Nguyen, Lily H. P.

doi:10.1111/medu.12729

Cited by 17 publications

(16 citation statements)

References 43 publications

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“…Finally, falsification of self-reported research activity, termed publication misrepresentation, has been reported in several studies of both Canadian and US candidates applying to surgical and non-surgical residency programs. [39][40][41] The degree to which misrepresentation occurred in our sample could not be determined but has been reported to be as high as one quarter of applicants to a single surgical subspecialty. 40…”

Section: Limitationsmentioning

confidence: 92%

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Analysis of factors affecting Canadian medical students’ success in the residency match

et al. 2020

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Background: In North America, there is limited data to support deliberate application strategies for post-graduate residency training. There is significant interest in determining what factors play a role in Canadian medical graduate (CMG) matching to their first choice discipline and heightened concern about the number of students going unmatched altogether. Methods: We analyzed matching outcomes of CMGs based on seven years (2013-2019) of residency application data (n= 13,499) from the Canadian Residency Matching Service (CaRMS) database using descriptive and binary logistic regression modeling techniques. Results: The sample was 54% female, with 60% between the ages of 26 and 29, and 60% attended medical schools in Ontario. Applicants who received more rankings from residency programs were more likely (OR = 1.185, p < 0.001) to match. Higher research activities (OR = 0.985, p < 0.001) and number of applications submitted (OR = 0.920, p < 0.001) were associated with a reduced likelihood of matching. Number of volunteer activities and self-report publications did not significantly affect matching. Being male (OR = 0.799, p < 0.05) aged <25 (OR = 0.756, p < 0.05), and from Eastern (OR = 0.497, p < 0.01), or Western (OR = 0.450, p < 0.001) Canadian medical schools were predictors of remaining unmatched. Conclusions: This study identified several significant associations of demographic and application factors that affected matching outcomes. The results will help to better inform medical student application strategies and highlight possible biases in the selection process.

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Section: Limitationsmentioning

confidence: 92%

“… 39 – 41 The degree to which misrepresentation occurred in our sample could not be determined but has been reported to be as high as one quarter of applicants to a single surgical subspecialty. 40 …”

Section: Limitationsmentioning

confidence: 99%

Analysis of factors affecting Canadian medical students’ success in the residency match

et al. 2020

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“…The results were startling, revealing misrepresentation and sometimes complete fabrication of articles, with rates ranging from 5 to 45% [41][42][43]. It is of no surprise that commentary on these findings mentioned the competitiveness of these specialties as partial explanations for the transgressions, with similar findings from a Canadian study published in 2015 [44]. It is long overdue for UK specialty training applications to be analysed in a similar manner.…”

Section: The Relationship Between Research Misconduct and Medical Spementioning

confidence: 74%

Dishonesty and research misconduct within the medical profession

Rahman

Ankier²

2020

BMC Med Ethics

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While there has been much discussion of how the scientific establishment's culture can engender research misconduct and scientific irreproducibility, this has been discussed much less frequently with respect to the medical profession. Here the authors posit that a lack of self-criticism, an encouragement of novel scientific research generated by the recruitment policies of the UK Royal Training Colleges along with insufficient training in the sciences are core reasons as to why research misconduct and dishonesty prevail within the medical community. Furthermore, the UK General Medical Council's own data demonstrates a historic inattentiveness to the ease with which doctors can engage in research misconduct. Suggestions are made as to how these issues can be investigated and alternative incentives for career advancement are adumbrated.

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“…This expectation also appears to be motivating increasing numbers of students to take research years during medical school [ 12 ]. It is also likely underlying the significant rates of publication misrepresentation found in residency applications across various specialties [ 13 – 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…This may be inferred from the increasing numbers of medical students taking research years, with the most common reason being to ‘increase competitiveness for residency application’ [ 12 ]. In addition, significant rates of publication misrepresentation exist on applications across specialties [ 13 – 16 ], behaviour that has also caught the attention of the media [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Pre-residency publication and its association with paediatric residency match outcome—a retrospective analysis of a national database

et al. 2017

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IntroductionScholarly activity is considered valuable in the resident selection process by candidates and program directors alike, despite existing literature suggesting applicants with scholarly work do not perform better in the match. These studies, however, are limited in that they have only measured whether candidates have successfully matched or not. To try and reconcile the existing disconnect in the value of pre-residency scholarly activity, we sought to deepen the understanding by investigating whether pre-residency publication is associated with a higher rank-order list match achievement.MethodsAnonymized data were collected from the Canadian Residency Matching Service for individuals matched to paediatric programs from 2007–2012. The primary analysis was to identify whether documentation of ≥1 pre-residency publication was associated with achieving a first-choice match. Secondary analyses included evaluating for an association between multiple pre-residency publications, academic presentations or a graduate degree and match outcome.ResultsOf a total of 843 matched individuals, 406 (48.2%) listed ≥1 pre-residency publication and 494 (58.6%) matched to their first-choice program. The possession of ≥1 pre-residency publications was not associated with matching to a candidate’s first-choice program (odds ratio = 0.94 [95% confidence interval = 0.71–1.24], p = 0.66). Similarly, listing ≥2 publications, ≥3 publications, a graduate degree, or an academic presentation was not associated with achieving a first-choice match.ConclusionsThe results provide increased support for the notion that in aggregate, candidate scholarly activity does not influence match outcome. Accordingly, it is recommended that medical student research activities are fostered with the goal to improve their skills as scientists, and not simply to achieve a better residency match outcome.

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Nationwide study of publication misrepresentation in applicants to residency

Cited by 17 publications

References 43 publications

Analysis of factors affecting Canadian medical students’ success in the residency match

Analysis of factors affecting Canadian medical students’ success in the residency match

Dishonesty and research misconduct within the medical profession

Pre-residency publication and its association with paediatric residency match outcome—a retrospective analysis of a national database

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Nationwide study of publication misrepresentation in applicants to residency

Cited by 17 publications

References 43 publications

Analysis of factors affecting Canadian medical students’ success in the residency match

Analysis of factors affecting Canadian medical students’ success in the residency match

Dishonesty and research misconduct within the medical profession

Pre-residency publication and its association with paediatric residency match outcome—a&nbsp;retrospective analysis of a&nbsp;national database

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Pre-residency publication and its association with paediatric residency match outcome—a retrospective analysis of a national database