Navigation Links
Hospitals' communication during residency matching may put stress on OB-GYN doctors-in-training
Date:6/26/2012

Ann Arbor, Mich. Many hospitals offer residency programs for doctors in training, allowing them to complete the education needed to become practicing physicians. Hospitals find those residents using National Residency Matching Program (NRMP) rules, but a new study finds wide variation in the interpretation of those rules.

The NRMP rules are intended to minimize pressure on residency candidates, says lead author Diana S. Curran, M.D., F.A.C.O.G., residency program director for the U-M Department of Obstetrics and Gynecology. But her study, published in the Journal of Graduate Medical Education, found that the rules may instead be leading to stress for both OB-GYN residents and program directors.

The results suggest that programs may be communicating their match intentions, especially to favored candidates. Curran and her co-authors surveyed OB-GYN residency program directors across the United States in an online survey.

The majority of respondents (76.6%) reported that their programs initiated contact with residency candidates after interviewing them either all of the time (28.7%), most of the time (21.3%) or sometimes (26.6%). Only 23.4% reported never initiating post-interview contact with candidates.

Eighty-four percent of the program directors reported that candidates asked about their ranking status after the interview, with 1.1% reporting that they informed the candidate about his/her chance and 16.0% reporting that they provide a vague answer to candidate inquiries. Sixty-percent of programs informed inquiring candidates that their rank could not be revealed, however 51.5% also reported that highly desirable candidates might be contacted to inform them they were ranked to match.

"Our program here at the University of Michigan has a policy of minimal to no communication with candidates after their interview day to avoid any potential impropriety or placing undue pressure on candidates to state their intentions. We instituted a practice change to inform candidates on their interview day to not expect a call or e-mail from us, but the candidates' feedback suggested that perhaps other programs were communicating more frequently with candidates during the pre-rank period. This study seems to support that," says Curran, who also is assistant professor of OB-GYN at U-M.

Curran says U-M has minimal, if any, post-interview contact with candidates, which is the University's interpretation of NRMP rules.

"Our experience is that both candidates and faculty are not always sure what the rules permit," says Curran. "Many of the responding program directors believe that candidates and programs attempt to guess what the other is trying to communicate and that game playing is part of the routine. We asked program directors to comment during the survey, and they showed frustration with the post-interview, pre-Match process."

Curran and her co-authors say adherence to NRMP rules are crucial in the very stressful match process. OB-GYN residency programs are competing for a large pool of highly qualified candidates: in 2009 the number of match candidates exceeded the number of existing positions in the specialty by 611 residents.

"We hope this study spurs discussion between OB-GYN program directors, the NRMP, the Accreditation Council for Graduate Medical Education, and medical schools is to help restore trust in the original purpose of the NRMP: to protect candidates from inappropriate pressure," says Curran.


'/>"/>

Contact: Mary F. Masson
mfmasson@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. Ethics should drive health policy reform, especially with physician-owned specialty hospitals
2. Under pressure from Medicare, hospitals hold more seniors for observation
3. University Hospitals Case Medical Center experts present at ASCO Annual Meeting
4. Urban Hospitals May Act as Breeding Ground for MRSA
5. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
6. In Some Brain Bleeds, Patients Do Better at High-Volume Hospitals
7. Heart Attack Survival Varies Widely Among Hospitals, Study Finds
8. Higher-spending hospitals have fewer deaths for emergency patients
9. Version 2.0 of Award-Winning Proloquo2Go App for iPhone, iPad & iPod touch Speeds Up Communication, Adds New Voices and Customization Options
10. Study links teamwork, communication with quality of nursing home care
11. Listening in, researchers learn about end-of-life communication
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/19/2017)... ... January 19, 2017 , ... Fillers are known for ... people know that popular cosmetic fillers can enhance earlobes and rejuvenate ... director of the MilfordMD Cosmetic Dermatology Surgery & Laser Center, in Milford, Penn. ...
(Date:1/18/2017)... ... 2017 , ... Delaware farmer Rick Dickerson attended the 2017 Soybean Leadership ... farms about a thousand acres of soybeans, corn and wheat, and raises peas, sweet ... other vegetables for the fresh market. He also operates a roadside stand and raises ...
(Date:1/18/2017)... ... January 18, 2017 , ... Visually ... number one doctor-recommended OTC antiperspirant, Certain Dri. , Excessive sweating and hyperhidrosis are ... Dri created this infographic to explain the seven types of hyperhidrosis. This visual ...
(Date:1/18/2017)... ANN ARBOR, Mich. USA; SAN JOSE, Calif, USA; and SHANGHAI, ... ... (PRWEB) January 18, 2017 -- Global public ... pitcher to reduce arsenic V (pentavalent arsenic) to NSF/ANSI 53: ... Standard for drinking water treatment units. This certification verifies that ...
(Date:1/18/2017)... ... ... The V Foundation for Cancer Research, a top-rated cancer research charity, announced today ... compete in the Boston Marathon on April 17. From first-time participants to accomplished ... to join Team V and support the Foundation’s mission to declare victory over cancer. ...
Breaking Medicine News(10 mins):
(Date:1/18/2017)... URBANDALE, Iowa , Jan. 18, 2017 /PRNewswire/ ... announced that subsidiary Caretta Therapeutics plans, in the ... product. Venodol, a topical roll-on intended to provide ... to opioid and steroidal analgesics. It was developed ... Reid to commercialize products derived from snake ...
(Date:1/18/2017)... PUNE, India , January 18, 2017 According to ... Type and by Application: Global Opportunity Analysis and Industry Forecast, 2014 - 2022," ... expected to reach $1,127 million by 2022, growing at a CAGR of 8.26% ... share, in terms of revenue. Continue Reading ... ...
(Date:1/18/2017)... , Suiza, 18 de enero de 2017  Hoy, ... lanzaron Access Accelerated, una iniciativa global para avanzar el ... y atención en países de renta baja y baja-media ... alcanzado un punto de crisis, particularmente en países de ... 80 por ciento de las muertes relacionadas con NCD. ...
Breaking Medicine Technology: