What affects medical students’ applications to five-year FRCPC emergency medicine programs?
Purpose: To compare the impact of institutional and epidemiologic factors on differences in application trends of Canadian medical graduates (CMGs) from different medical schools to FRCPC emergency medicine (EM) residency programs.
Methods: This was a retrospective cohort study. Data from 2013-2018 were obtained from the Canadian Resident Matching Service (CaRMS) database and standardized questionnaires sent to Canadian medical schools.
Results: CaRMS data were available for all schools and survey data was available for 76% schools. Five schools yielded significantly higher rates of applications to FRCPC-EM programs (8.8-13.1%, p<0.05), and 5 schools had significantly lower rates compared to the national mean (2.9-5.1%, p<0.05). Increased exposure to EM (a core rotation and/or elective rotation in EM in the third year of medical school at home-school) yielded 28-55% higher application rates (p<0.001). The presence of an FRCPC-EM residency program at the applicant's home school, and a home school program with 5 or more CMG residency positions at a CMG’s increased the application rates by 39 and 17%, respectively (p<0.05).
Conclusion: These data demonstrate a significant difference in application rates of CMGs graduating from Canadian medical schools and certain factors may affect application rates. This information could be used by medical schools to modify curricula, increase exposure to EM, and contribute towards addressing the forecasted national shortage of EM physicians.
- The Canadian Residency Matching Service. R-1 match interactive data – CaRMS [Internet]. Ottawa: The Canadian Residency Matching Service; 2019 [cited 2021 Jan 21]. Available from: https://www.carms.ca/datareports/r1-data-reports/r-1-match-interactive-data/
- Scott I, Gowans M, Wright B, Brenneis F. Stability of medical student career interest: a prospective study. Acad Med. 2012 Sep 1;87(9):1260-7.
- Abu-Laban RB, Scott IM, Gowans MC. Relationship between Canadian medical school student career interest in emergency medicine and postgraduate training disposition. Can Med Educ J. 2017 Jun;8(3):e4.
- Canadian Association of Emergency Physicians. The Collaborative Working Group on the Future of Emergency Medicine in Canada Final Report [Internet]. Ottawa: Canadian Association of Emergency Physicians; 2016 [cited 2019 Jan 21]. Available from: https://caep.ca/advocacy/collaborative-working-group-final-report/
- Steiner, I. P. (2003). Emergency medicine practice and training in Canada. CMAJ, 168(12), 1549-1550.
- Scott IM, Abu-Laban RB, Gowans MC, Wright BJ, Brenneis FR. Emergency medicine as a career choice: a descriptive study of Canadian medical students. Can J Emerg Med. 2009 May;11(3):196-206.
- Greene, May. Applying to plastic surgery residency: factors associated with medical student career choice. Plast Reconstr Surg. 2008 Mar;121(3):1049-54
- Kim S, Farrokhyar F, Braga LH. Survey on the perception of urology as a specialty by medical students. Cuaj-Can Urol Assoc. 2016 Sep;10(9-10):349.
- Kay-Rivest E, Varma N, Scott GM, Manoukian JJ, Desrosiers M, Vaccani JP, Nguyen LH. Securing an OTL-HNS residency: how competitive is it? Comparing medical student perceptions to actual Canadian statistics. J Otolaryngol-Head N. 2017 Dec 1;46(1):16.
- Burkhardt J, DesJardins S, Gruppen L. Diversity in Emergency Medicine: Are We Supporting a Career Interest in Emergency Medicine for Everyone?. Ann Emerg Med. 2019 Dec 1;74(6):742-50.
Download data is not yet available.