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{
    "pk": 17105,
    "title": "Deciphering a Changing Match Environment in Emergency Medicine and Identifying Residency Program Needs",
    "subtitle": null,
    "abstract": "Introduction: The Match in emergency medicine (EM) is historically competitive for applicants; however, the 2022 residency Match had a large number of unfilled positions. We sought to characterize the impact of and response to the Match on programs and determine programs’ needs for successful recruitment strategies.\nMethods: We conducted a web-based survey of EM residency program leadership during March–April 2022. Program characteristics were generated from publicly available data, and descriptive statistics were generated. We analyzed free-text responses thematically.\nResults: There were 133/277 (48%) categorical EM residency programs that responded. Of those, 53.8% (70/130) reported a negative impression of their Match results; 17.7% (23/130) positive; and the remainder neutral (28.5%; 37/130). Three- and four-year programs did not differ in their risk of unfilled status. Hybrid programs had a higher likelihood of going unfilled (odds ratio [OR] 4.52, confidence interval [CI] 1.7- 12.04) vs community (OR 1.62, CI 0.68-3.86) or university programs (0.16, 0.0-0.49). Unfilled programs were geographically concentrated. The quality of applicants was perceived the same as previous years and did not differ between filled and unfilled programs. Respondents worried the expansion of EM residency positions and perceptions of the EM job market were major factors influencing the Match. They expressed interest in introducing changes to the interview process, including caps on applications and interviews, as well as a need for more structural support for programs and the specialty.\nConclusion: This survey identifies impacts of the changed match environment on a broad range of programs and identifies specific needs. Future work should be directed toward a deeper understanding of the factors contributing to changes in the specialty and the development of evidence-based interventions.",
    "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": "match"
        }
    ],
    "section": "Education Special Issue - Original Research (Limit 3500 words)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2nh6569g",
    "frozenauthors": [
        {
            "first_name": "Tiffany",
            "middle_name": "",
            "last_name": "Murano",
            "name_suffix": "",
            "institution": "Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Moshe",
            "middle_name": "",
            "last_name": "Weizberg",
            "name_suffix": "",
            "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York",
            "department": "None"
        },
        {
            "first_name": "Boyd",
            "middle_name": "",
            "last_name": "Burns",
            "name_suffix": "",
            "institution": "University of Oklahoma School of Community Medicine, Department of Emergency Medicine, Tulsa, Oklahoma",
            "department": "None"
        },
        {
            "first_name": "Laura",
            "middle_name": "R.",
            "last_name": "Hopson",
            "name_suffix": "",
            "institution": "University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2022-07-15T12:05:41-07:00",
    "date_accepted": "2022-07-15T12:05:41-07:00",
    "date_published": "2023-01-16T12:37:09-08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17105/galley/8645/download/"
        }
    ]
}