How much do away rotations affect physician residency placement?
American Medical Association
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Away rotations have long been viewed as a chance to audition for a particular residency program. New data calls the conventional wisdom into question.
By: Brendan Murphy
Away rotations—those in which a medical student does a clerkship rotation at an institution other than one affiliated with their medical school—have long been considered auditions for potential residency slots. A recently published study of ob-gyn programs, however, shows that the conventional wisdom that a successful away rotation can affect residency selection may, at the very least, depend on physician specialty.
One-quarter of ob-gyn residency program directors responding to an annual survey indicated that only 35% of students who completed an away rotation at their program were guaranteed an interview with that institution. Nearly 70% of the program directors said that less than 25% of their current residents completed an away rotation, says the study, published in the Journal of Surgical Education.
“Traditionally, medical students have viewed away rotations as a really important opportunity for a program to see me and interview me,” said one of the study’s authors, Maya Hammoud, MD, MBA , also associate chair of education and chief of the women’s health division at the University of Michigan Medical School .
“The expectation is that when I do an away rotation, the program is going to offer me an interview and it actually raises my chances of securing a spot at the program. That is not the case for ob-gyn.”
Aways in ob-gyn
Of surveyed program directors, 77% said their program offered away rotations. But only a minority of those program directors (26%) were involved in the selection process for which medical students participate in away rotations. The lack of program director involvement in that screening process likely explains the lower-than-expected correlation between away rotations and interview invitations and eventual residency spots.
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As a clerkship director on the medical school side of the equation, Dr. Hammoud has seen this dynamic at play.
“It's the clerkship director who's usually in charge of those rotations and that includes selecting the students,” Dr. Hammoud said. “As clerkship director, I don't necessarily discuss with the program director which students come, so it's not necessarily that there's no selection criteria, it's the program director might not know what that selection criteria is.”
How to approach aways
Learn how to approach away rotations by reading the full article here.
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Medical Director - Case Management/Utilization Management/Physician Advisor Group @ Stanford Health Care | Clinical Associate Professor of Medicine | MD, PhD, CHCQM-PHYADV | ABIM Board Certified
1 年As course director for an academic Internal Medicine acting internship, I collected feedback from visiting students’ supervisors and shared that with the our residency program. We had some very successful residents who matched after visiting electives. Also, the audition is bi-directional.
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