Key Points:
- We examined the impact of two application requirements, the program
specific paragraph (PSP) and the otolaryngology resident talent
assessment (ORTA) phone interview, on otolaryngology applicant numbers
and match rates. A secondary survey assessed applicant perceptions of
how these requirements affected the decision to apply to
otolaryngology for current otolaryngology residents vs. their medical
school classmates that considered but ultimately did not apply to
otolaryngology.
- During the PSP/ORTA period, the number of applicants to otolaryngology
declined by nearly 20% and match rate success improved significantly.
This was followed by a significant increase in applicants and decline
in match rates after the PSP was made optional and ORTA was moved to
post-match.
- The ORTA had a significantly stronger negative influence on the
otolaryngology candidates to apply, while the PSP had a similar
negative influence on both groups. Both specialty reputation and
program director advice had a significantly more negative influence on
the non-otolaryngology residents.
- Both the PSP and ORTA were added with good intent, however our survey
indicates that both requirements were perceived as negative influences
on the decision to apply into otolaryngology, which lead to decreases
in applicant numbers and consequent increases in match rate success.
- To find “best fit” residents and reduce hyperinflation in the
otolaryngology match, a combination of residency application/selection
process reform and pre-graduate otolaryngology exposure, mentorship,
and curriculum development is imperative.