Current Applicant Perceptions of the Ophthalmology Residency Match | Medical Education and Training | JAMA Ophthalmology | JAMA Network
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    Original Investigation
    March 12, 2020

    Current Applicant Perceptions of the Ophthalmology Residency Match

    Author Affiliations
    • 1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
    • 2Wills Eye Hospital, Jefferson Medical College, Philadelphia, Pennsylvania
    JAMA Ophthalmol. 2020;138(5):460-466. doi:10.1001/jamaophthalmol.2020.0252
    Key Points

    Question  How do recent ophthalmology residency applicants view the application process, and what changes would they suggest?

    Findings  The results of this nonvalidated cross-sectional survey suggest that most applicants had difficulty selecting programs to apply to and desired both centralized scheduling of interviews and longer lead times between interview invitations and interview dates.

    Meaning  When determining the number and location of residency applications to complete, applicants may benefit from additional information from programs; the application process poses considerable financial and administrative burdens, and applicants believe that interview invitations and scheduling are areas of possible improvement.

    Abstract

    Importance  The ophthalmology residency application process is critical for applicants and residency programs, and knowledge about the preferences of applicants would assist both groups in improving the process.

    Objective  To evaluate the experiences and preferences of ophthalmology residency applicants.

    Design, Setting, and Participants  This cross-sectional, nonvalidated survey was conducted online. All applicants to the Bascom Palmer Eye Institute ophthalmology residency program during the 2018-2019 application cycle were invited to complete the survey. Data collection occurred from April 1, 2019, to April 30, 2019.

    Main Outcomes and Measures  Applicant demographics, application submissions, interview experiences, financial considerations, match results, and suggestions for improvement of the application process.

    Results  Responses were received from 185 applicants (36.4%), including 77 women (41.6%). A successful match into an ophthalmology residency was achieved by 172 respondents (93.0%). There was a mean (SD) US Medical Licensing Examination Step 1 score of 245.8 (13.3) points. Respondents applied to a mean (SD) of 76.4 (23.5) ophthalmology residency programs, received 14.0 (9.0) invitations to interview, and attended 10.3 (4.4) interviews. Choices regarding applications and interviews were based mostly on program reputation, location, and advisor recommendation. A usual lead time of at least 3 weeks between the invitation and interview was reported by 126 respondents (69.2%), which was reduced to 14 respondents (15.1%) when a wait-list was involved. The ophthalmology residency application process cost a mean (SD) of $5704 ($2831) per applicant. Respondents reported that they were most able to reduce costs through housing choices (hotel stays or similar arrangements) and least able to reduce costs by limiting the number of programs to which they applied or at which they interviewed.

    Conclusions and Relevance  The ophthalmology residency application process is complex and poses substantial challenges to applicants and residency programs. These findings suggest that many current applicants have difficulty selecting programs to apply to, and most respondents desired changes to the current system of interview invitations and scheduling.

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