{"pk":13937,"title":"More Is More: Drivers of the Increase in Emergency Medicine Residency Applications","subtitle":null,"abstract":"Introduction: \nThe average number of applications per allopathic applicant to emergency medicine (EM) residency programs in the United States (US) has increased significantly since 2014. This increase in applications has caused a significant burden on both programs and applicants. Our goal in this study was to investigate the drivers of this application increase so as to inform strategies to mitigate the surge.\nMethods\n:\n A total of 532 of 1748 (30.4%) US allopathic seniors responded to the survey. Of these respondents, 47.3% felt they had applied to too many programs, 11.8% felt they had applied to too few, and 57.7% felt that their perception of their own competitiveness increased their number of applications. Application behavior of peers going into EM was identified as the largest external factor driving an increase in applications (61.1%), followed by US Medical Licensing Exam scores (46.9%) – the latter was most pronounced in applicants who self-perceived as “less competitive.” The most significant limiter of application numbers was the cost of using the Electronic Residency Application Service (34.3%).\nConclusion\n:\n A substantial group of EM applicants identified that they were over-applying to residencies. The largest driver of this process was individual applicant response to the behavior of their peers who were also going into EM. Understanding these motivations may help inform solutions to overapplication.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Residency"},{"word":"Emergency Medicine"},{"word":"application and interviews"}],"section":"Education Special Issue - Original Research (Limit 3500 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8rx1x5fz","frozenauthors":[{"first_name":"Robert","middle_name":"D.","last_name":"Huang","name_suffix":"","institution":"University of Michigan - Department of Emergency Medicine","department":"None"},{"first_name":"Lucienne","middle_name":"","last_name":"Lufty-Clayton","name_suffix":"","institution":"University of Massachusetts Medical School – Baystate Health, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Douglas","middle_name":"","last_name":"Franzen","name_suffix":"","institution":"University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Alexis","middle_name":"","last_name":"Pelletier-Bui","name_suffix":"","institution":"Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey","department":"None"},{"first_name":"David","middle_name":"C.","last_name":"Gordon","name_suffix":"","institution":"Duke University, Department of Emergency Medicine, Durham, North Carolina","department":"None"},{"first_name":"Zachary","middle_name":"","last_name":"Jarou","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan; St. Joseph Mercy Ann Arbor, Department of Emergency Medicine, Ypsilanti, Michigan","department":"None"},{"first_name":"Jim","middle_name":"","last_name":"Cranford","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Laura","middle_name":"R.","last_name":"Hopson","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"}],"date_submitted":"2020-05-14T22:29:13+05:30","date_accepted":"2020-05-14T22:29:13+05:30","date_published":"2020-12-10T13:30:00+05:30","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13937/galley/7242/download/"}]}