CC BY-NC-ND 4.0 · Journal of Academic Ophthalmology 2022; 14(01): e7-e17
DOI: 10.1055/s-0041-1735152
Research Article

Characteristics of First-Year Residents in Top-Ranked United States Ophthalmology Residency Programs

John C. Lin
1   Program in Liberal Medical Education, Brown University, Providence, Rhode Island
2   Division of Ophthalmology, Alpert Medical School, Brown University, Providence, Rhode Island
,
Anagha Lokhande
2   Division of Ophthalmology, Alpert Medical School, Brown University, Providence, Rhode Island
,
Allison J. Chen
3   Shiley Eye Institute, University of California San Diego, La Jolla, California
,
Ingrid U. Scott
4   Departments of Ophthalmology and Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania
,
Paul B. Greenberg
2   Division of Ophthalmology, Alpert Medical School, Brown University, Providence, Rhode Island
5   Section of Ophthalmology, Providence VA Medical Center, Providence, Rhode Island
› Institutsangaben

Abstract

Objective The aim of the study is to investigate the characteristics of first-year residents associated with attending a top-ranked United States (U.S.) ophthalmology residency program over the past decade.

Methods First-year ophthalmology residents in 2009, 2013, 2016, and 2019 were identified from institutional websites, Doximity, LinkedIn and the Wayback Machine. Publications were obtained from Scopus and Google Scholar; research productivity was measured using the h-index, and medical school region based on U.S. Census Bureau designations. Medical school and ophthalmology training program rankings were based on U.S. News & World Report (U.S. News) rankings and National Institutes of Health (NIH) funding. One-way ANOVA, Wilcoxon rank sum, χ 2, and t-tests were used to analyze trends, and odds ratios (ORs) were calculated using logistic regression.

Results Data were obtained on 81% (1,496/1,850) of the residents; 43% were female; 5% were international medical graduates (IMGs); and 10% had other graduate degrees. Over the decade, the mean h-index increased (0.87–1.26; p <0.05) and the proportion of residents who attended a top 20 medical school decreased (28–18%; p <0.05). In a multivariate logistic regression model, characteristics associated with being a first-year resident in a top 20 program ranked by U.S. News were female gender [OR: 1.32, 95% CI: 1.02–1.72], having a Master's degree [OR: 2.28, 95% CI: 1.29–4.01] or PhD [OR: 2.23, 95% CI: 1.32–3.79], attending a top 20 [OR: 5.26, 95% CI: 3.66–7.55] or a top 40 medical school by NIH funding [OR: 2.45, 95% CI: 1.70–3.54], attending a medical school with a mean USMLE Step 2 score above 243 [OR: 1.64, 95% CI: 1.01–2.67] or located in the Northeast [OR: 2.00, 95% CI: 1.38–2.89] and having an h-index of one or more [OR: 1.92, 95% CI: 1.47–2.51]. Except for gender, these characteristics were also significantly associated with matching to a top 20 ophthalmology program by NIH funding.

Conclusion Female gender, graduate degrees, research productivity, and attending a medical school with high research productivity, high mean USMLE Step 2 score or in the Northeast were key characteristics of first-year residents in top-ranked U.S. ophthalmology residency programs.

Disclaimer

The views expressed here are those of the authors and do not necessarily reflect the position or policy of the U.S. Department of Veterans Affairs or the U.S. government.




Publikationsverlauf

Eingereicht: 15. März 2021

Angenommen: 21. Juli 2021

Artikel online veröffentlicht:
30. Januar 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Yousuf SJ, Jones LS. Ophthalmology residency match outcomes for 2011. Ophthalmology 2012; 119 (03) 642-646
  • 2 San Francisco Match. Ophthalmology Residency Match Summary Report 2020. 2020
  • 3 Yousuf SJ, Kwagyan J, Jones LS. Applicants' choice of an ophthalmology residency program. Ophthalmology 2013; 120 (02) 423-427
  • 4 Cruz FM, Wang J, Joseph SS, Miller NR. Subject and academic setting of pre-residency publications as potential predictors of post-residency academic productivity in a cohort of ophthalmology residents. J Acad Ophthalmol 2018; 10 (01) e16-e22
  • 5 Bargoud AR, Thangamathesvaran L, Patel VR, Henseler R, Kass W, Khouri AS. Quantifying the impact of research on matching into ophthalmology residency. J Acad Ophthalmol 2018; 10 (01) 7
  • 6 Driver TH, Loh AR, Joseph D, Keenan JD, Naseri A. Predictors of matching in ophthalmology residency for international medical graduates. Ophthalmology 2014; 121 (04) 974-975.e2
  • 7 Siatkowski RM, Mian SI, Culican SM. et al; Association of University Professors of Ophthalmology. Probability of success in the ophthalmology residency match: three-year outcomes analysis of San Francisco Matching Program Data. J Acad Ophthalmol 2018; 10 (01) e150-e157
  • 8 Loh AR, Joseph D, Keenan JD, Lietman TM, Naseri A. Predictors of matching in an ophthalmology residency program. Ophthalmology 2013; 120 (04) 865-870
  • 9 Dehon E, Cruse MH, Dawson B, Jackson-Williams L. Mentoring during medical school and match outcome among emergency medicine residents. West J Emerg Med 2015; 16 (06) 927-930
  • 10 The Internet Archive. Wayback Machine: The Internet Archive. Accessed April 23, 2020 at: https://archive.org/
  • 11 Doximity. Doximity. 2020 . Accessed April 23, 2020 at: https://www.doximity.com/
  • 12 LinkedIn. LinkedIn 2020. Accessed April 23, 2020 at: https://www.linkedin.com/
  • 13 Wadhwa H, Shah SS, Shan J. et al. The neurosurgery applicant's “arms race”: analysis of medical student publication in the Neurosurgery Residency Match. J Neurosurg 2019; (e-pub ahead of print) DOI: 10.3171/2019.8.JNS191256.
  • 14 Hirsch JE. An index to quantify an individual's scientific research output. Proc Natl Acad Sci U S A 2005; 102 (46) 16569-16572
  • 15 U.S. News & World Report. Best Medical Schools: Research: US News and World Report. 2020 . Available at: https://www.usnews.com/best-graduate-schools/top-medical-schools/research-rankings
  • 16 Pershing S, Co JPT, Katznelson L. The new USMLE step 1 paradigm: an opportunity to cultivate diversity of excellence. Acad Med 2020; 95 (09) 1325-1328
  • 17 U.S. Census Bureau. Cartographer Census Regions and Divisions of the United States: U.S. Census Bureau. 2020
  • 18 Morse R, Vega-Rodriguez J, Castonguay A, Brooks E. Methodology: 2021 Best Medical Schools Rankings New York. NY: U.S. News & World Report; 2020. Available at: https://www.usnews.com/education/best-graduate-schools/articles/medical-schools-methodology
  • 19 Svider PF, Lopez SA, Husain Q, Bhagat N, Eloy JA, Langer PD. The association between scholarly impact and National Institutes of Health funding in ophthalmology. Ophthalmology 2014; 121 (01) 423-428
  • 20 Yang J, Vannier MW, Wang F. et al. A bibliometric analysis of academic publication and NIH funding. J Informetrics 2013; 7 (02) 318-324
  • 21 StataCorp.. Stata Statistical Software: Release 16. College Station. TX: StataCorp, LLC; 2019
  • 22 Abraham JT, Nguyen AV, Weber RA. Integrated plastic surgery residency applicant trends and comparison with other surgical specialties. Ann Plast Surg 2018; 80 (02) 164-170
  • 23 DePasse JM, Palumbo MA, Eberson CP, Daniels AH. Academic characteristics of orthopaedic surgery residency applicants from 2007 to 2014. J Bone Joint Surg Am 2016; 98 (09) 788-795
  • 24 Bowe SN, Schmalbach CE, Laury AM. The state of the otolaryngology match: a review of applicant trends, “impossible” qualifications, and implications. Otolaryngol Head Neck Surg 2017; 156 (06) 985-990
  • 25 Thiessen CR, Venable GT, Ridenhour NC, Kerr NC. Publication productivity for academic ophthalmologists and academic ophthalmology departments in the united states: an analytical report. J Clin Acad Ophthalmol 2016; 8 (01) e19-e29
  • 26 Schrock JB, Kraeutler MJ, Dayton MR, McCarty EC. A comparison of matched and unmatched orthopaedic surgery residency applicants from 2006 to 2014: data from the National Resident Matching Program. J Bone Joint Surg Am 2017; 99 (01) e1
  • 27 Jang S, Rosenberg SA, Hullett C, Bradley KA, Kimple RJ. Beyond 'charting outcomes' in the radiation oncology match: analysis of self-reported applicant data. Med Educ Online 2018; 23 (01) 1489691
  • 28 Nallasamy S, Uhler T, Nallasamy N, Tapino PJ, Volpe NJ. Ophthalmology resident selection: current trends in selection criteria and improving the process. Ophthalmology 2010; 117 (05) 1041-1047
  • 29 Valikodath NG, Fausett BV, Oren GA, Whitney K, Woodward MA, Mian SI. Impact of a dedicated research rotation during ophthalmology residency. J Acad Ophthalmol 2017; 9 (01) e1-e6
  • 30 Hark L, Haller JA, Murchison AP. et al. A clinical vision research training and mentoring program as a model for ophthalmology and other medical specialties: implementation and evaluation. J Acad Ophthalmol 2017; 09 (01) e13-e20
  • 31 Lin JC, Chen AJ, Scott IU, Greenberg PB. US news & world report ophthalmology hospital rankings and research productivity. J Acad Ophthalmol 2021; 13 (01) e45-e50
  • 32 Prasad V, Goldstein JA. US News and World Report cancer hospital rankings: do they reflect measures of research productivity?. PLoS One 2014; 9 (09) e107803
  • 33 Dotan G, Qureshi HM, Gaton DD. Chairs of United States Academic Ophthalmology Departments: a descriptive analysis and trends. Am J Ophthalmol 2018; 196: 26-33
  • 34 Kloosterboer A, Yannuzzi NA, Gedde SJ, Sridhar J. Residency Program Directors of United States Ophthalmology Programs: a descriptive analysis. Am J Ophthalmol 2020; 209: 71-76
  • 35 Harmouche E, Goyal N, Pinawin A, Nagarwala J, Bhat R. USMLE scores predict success in ABEM initial certification: a multicenter study. West J Emerg Med 2017; 18 (03) 544-549
  • 36 Spurlock Jr DR, Holden C, Hartranft T. Using United States Medical Licensing Examination(®) (USMLE) examination results to predict later in-training examination performance among general surgery residents. J Surg Educ 2010; 67 (06) 452-456
  • 37 National Resident Matching Program. Charting Outcomes in the Match. Characteristics of U.S. MD Seniors Who Matched to Their Preferred Specialty in the 2020 Main Residency Match. Washington, DC: NRMP; 2020
  • 38 Tamez HM, Tauscher R, Brown EN, Wayman L, Mawn LA. Rate of unverifiable publications among ophthalmology residency applicants invited to interview. JAMA Ophthalmol 2018; 136 (06) 630-635
  • 39 Gauer JL, Jackson JB. The association between United States Medical Licensing Examination scores and clinical performance in medical students. Adv Med Educ Pract 2019; 10: 209-216
  • 40 Ghaffari-Rafi A, Lee RE, Fang R, Miles JD. Multivariable analysis of factors associated with USMLE scores across U.S. medical schools. BMC Med Educ 2019; 19 (01) 154
  • 41 Specter S, Kahn MJ, Lazarus C. et al. Gold Humanism Honor Society Election and Academic Outcomes: a 10-institution study. Fam Med 2015; 47 (10) 770-775
  • 42 Hatton MP, Loewenstein J. Attrition from ophthalmology residency programs. Am J Ophthalmol 2004; 138 (05) 863-864
  • 43 Bastedo MN, Bowman NAUS. News & World Report College Rankings: modeling institutional effects on organizational reputation. Am J Educ 2010; 116 (02) 163-183
  • 44 Chakraborti C, Woodson MJ, Kahn MJ. Relationship between Medical School Diversity and participation in the US News and World Report Survey. J Natl Med Assoc 2021; 113 (03) 260-264
  • 45 Tsugawa Y, Blumenthal DM, Jha AK, Orav EJ, Jena AB. Association between physician US News & World Report medical school ranking and patient outcomes and costs of care: observational study. BMJ 2018; 362: k3640
  • 46 Tancredi DJ, Bertakis KD, Jerant A. Short-term stability and spread of the U.S. News & World Report primary care medical school rankings. Acad Med 2013; 88 (08) 1107-1115
  • 47 McGaghie WC. America's Best Medical Schools: a renewed critique of the U.S. news & world report rankings. Acad Med 2019; 94 (09) 1264-1266
  • 48 McGaghie WC, Thompson JA. America's best medical schools: a critique of the U.S. News & World Report rankings. Acad Med 2001; 76 (10) 985-992
  • 49 Morse R, Vega-Rodriguez J, Castonguay A, Brooks E. Methodology: 2021 Best Medical Schools Rankings 2020 Mar. 2021
  • 50 U.S. News Staff. FAQ: How and Why We Rank and Rate Hospitals: U.S. News & World Report. 2019 Jul. Accessed June 5, 2020 at: https://health.usnews.com/health-care/best-hospitals/articles/faq-how-and-why-we-rank-and-rate-hospitals