METHODS: We collected data from the Journal of the American Medical Association Graduation Medical Education Reports. We extracted the data for 25 residency programs in the United States from 2005 to 2021 and conducted statistical analyses.
RESULTS: Men were most matched for orthopedics (84.7%, 95% confidence interval [CI] 84.2%-85.1%), and women for oncology (78.7%, 95% CI 78.2%-79.2%). The most matched program was orthopedics for the White subgroup (43.5%, 95% CI 43.2%-43.9%), radiology for the Black subgroup (20%, 95% CI 18.9%-20.9%), general surgery for the Hispanic subgroup (11%, 95% CI 10.7%-11.2%), and internal medicine for the Asian subgroup (35.3%, 95% CI 34.9%-35.6%).
CONCLUSIONS: Match rates for women were lower than those for men in all programs except psychiatry, pediatrics, obstetrics and gynecology, and dermatology. Match rates were significantly lower for Black, Hispanic, and Asian subgroups than the White subgroup in all programs except for internal medicine, with the Asian subgroup being higher. We observed a significant increase in both application and acceptance rates for women and racial and ethnic minorities over the past 40 years.
方法:我们从美国医学会毕业医学教育报告杂志收集数据。我们提取了2005年至2021年美国25个居住项目的数据,并进行了统计分析。
结果:男性在骨科方面最匹配(84.7%,95%置信区间[CI]84.2%-85.1%),和女性肿瘤(78.7%,95%CI78.2%-79.2%)。最匹配的项目是White亚组的骨科(43.5%,95%CI43.2%-43.9%),黑色亚组的放射学(20%,95%CI18.9%-20.9%),西班牙裔亚组的普外科手术(11%,95%CI10.7%-11.2%),和亚洲亚组的内科(35.3%,95%CI34.9%-35.6%)。
结论:在除精神病学以外的所有项目中,女性的匹配率都低于男性。儿科,妇产科,和皮肤病学。Black的匹配率明显较低,西班牙裔,在除内科外的所有项目中,亚洲亚组比白色亚组,亚洲亚组更高。在过去的40年中,我们观察到妇女以及种族和族裔少数群体的申请和接受率都有了显着提高。