To the Editor We read with interest the study by Christiansen et al1 that suggests that disclosure of an applicant’s most preferred vitreoretinal fellowship program was associated with that program’s ranking of the applicant. We do not believe that this phenomenon, which is called the disclosure effect, is ideal or fair either to applicants or training programs. There may be an unfair advantage for those applicants who do voice their preferences (as opposed to applicants who do not, either because they do not think to do so or are unsure if it is appropriate to do so). The disclosure effect also creates pressure on applicants to voice a prematch commitment. Ultimately, the lack of standardization across all applicants regarding disclosure of a preferred program has the potential to bias the matching process.
Greenberg PB, Scott IU, Chen AJ. Reducing the Disclosure Effect in the Vitreoretinal Fellowship Match. JAMA Ophthalmol. 2019;137(1):119–120. doi:10.1001/jamaophthalmol.2018.4990
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