Page 2 - Kansas Journal of Medicine, Volume 10 Issue 3
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KANSAS JOURNAL of M E D I C I N E                                     Conclusions. Students reported investing significant time and
                                                                          money in interviewing. After controlling for other variables, pri-
                     Student Expenses in                                  mary care was associated with significantly lowered expens-
                   Residency Interviewing                                 es. Regional campus location was associated with fewer inter-
                                                                          views and less time interviewing. Gender had no significant
               Anne Walling, MB, ChB1, Kari Nilsen, Ph.D.1,               impact on any aspect studied. KS J Med 2017;10(3):50-54.
                Paul Callaway, M.D.2, Jill Grothusen, MS41,
              Cole Gillenwater, M.D.3, Samantha King, MS41,               INTRODUCTION
                                                                          	 The National Resident Matching Program (NRMP) increas-
                             Gregory Unruh, M.D.4                         ingly is challenging for participants and disruptive of the senior
                    University of Kansas Medical Center                   year of medical education.1-4 In 2016, 18,187 students of U.S. al-
                                                                          lopathic medical schools were among 35,476 active applicants
                         1School of Medicine-Wichita,                     for 27,860 Post Graduate Year (PGY) 1 positions.5 In 2015, the
            Department of Family and Community Medicine                   average successful U.S. allopathic student reported applying to
                                                                          30 programs, receiving 16 interview invitations, and complet-
                         2School of Medicine-Wichita,                     ing 12 interviews (Figure 1).6 The U.S. seniors who did not match
                   Office of Graduate Medical Education                   submitted an average of 54 applications, received six invita-
                                                                          tions, and completed six interviews. Individual students sub-
                         3School of Medicine-Wichita,                     mitted an average of 1 - 67 applications depending on specialty.
                      Wesley Family Medicine Program                      	 Interviewing costs for U.S. students have not been reported
                      4School of Medicine-Kansas City,                    extensively. Surveys have included graduates of one state,7 se-
                   Office of Graduate Medical Education                   lected institutions,2 a regional campus,8 and applicants to spe-
                                                                          cific specialties.9-14 The two largest studies had response rates of
    ABSTRACT                                                              20% and 47% respectively.2,7 Low response rates potentially in-
    Introduction. The student costs of residency interviewing are         crease the selection bias of surveying specific groups. Total stu-
    of increasing concern but limited current information is avail-       dent costs ranged from under $100 to over $20,000 depending
    able. Updated, more detailed information would assist students        on the types of student and scope of costs studied. Several stud-
    and residency programs in decisions about residency selection.        ies have reported lower costs for primary care applicants but oth-
    The study objective was to measure the expenses and time spent        er variables influencing cost and time have not been identified.2,8
    in residency interviewing by the 2016 graduating class of the Uni-
    versity of Kansas School of Medicine and assess the impact of
    gender, regional campus location, and primary care application.

    Methods. All 195 students who participated in the 2016 National
    Residency Matching Program (NRMP) received a 33 item ques-
    tionnaire addressing interviewing activity, expenses incurred, time
    invested and related factors. Main measures were self-reported esti-
    mates of expenses and time spent interviewing. Descriptive analyses
    were applied to participant characteristics and responses. Multivar-
    iate analysis of variance (MANOVA) and chi-square tests compared
    students by gender, campus (main/regional), and primary care/
    other specialties. Analyses of variance (ANOVA) on the dependent
    variables provided follow-up tests on significant MANOVA results.

    Results. A total of 163 students (84%) completed the survey. The      Figure 1. Average number of applications, invitations, and completed inter-
    average student reported 38 (1 - 124) applications, 16 (1 - 54) in-   views by gender, campus type, and primary care application. Note: National
    vitations, 11 (1 - 28) completed interviews, and spent $3,500         data are 2015 NRMP report; study data are 2016.
    ($20 - $12,000) and 26 (1 - 90) days interviewing. No significant
    differences were found by gender. After MANOVA and ANO-               	 This study examined the financial and time costs for resi-
    VA analyses, non-primary care applicants reported signifi-            dency interviewing of a large class of students and the influ-
    cantly more applications, interviews, and expenditures, but           ence of cost and time in interviewing decisions. The prima-
    less program financial support. Regional campus students re-          ry objective was to generate information to assist in advising
    ported significantly fewer invitations, interviews, and days          students, inform residency programs, and contribute to cur-
    interviewing, but equivalent costs when controlled for pri-           ricular planning for the final year. We also were interested in
    mary care application. Cost was a limiting factor in accept-          identifying any differences between male and female students’
    ing interviews for 63% and time for 53% of study respondents.         experiences and any influence of regional campus location.

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