Establishing Procedural Confidence in Emergency Medicine: The Role of a Dedicated Intern Procedure Lab
Year: 2025
Type: article
Abstract: We found no statistically significant correlation between procedure counts and competency score except for central venous access which had the highest procedure count (figure 1 and 2).Our findings affirm the benefit of utilizing simulation to identify procedure incompetency especially in the least-performed procedures. How Single Accreditation Has Changed the Composition of Residency ProgramsZina Bwabi, Hannah Blakely Background: Since the Match® was established, allopathic (MD), osteopathic (DO), and international medical graduate (IMG) students have utilized it for residency placements.DOs applied primarily through the American Osteopathic Association while MDs applied through Accreditation Council for Graduate Medical Education.The transition to a single accreditation system in 2020 led to a shift in the percentage of MDs, DOs, U.S. IMGs, and non-U.S.IMGs in residency programs.Objective: This study evaluates how the move to single accreditation for DO graduates has changed the residency makeup in multiple specialties over 2014 to 2024.Methods: Match® results were gathered from the National Resident Matching Program® database to evaluate the differences between emergency medicine (EM), family medicine, internal medicine (IM), general surgery, and orthopedic surgery.The differences in percentage of matched senior MDs, DOs, U.S. IMGs, and non-U.S.IMGs in each year were evaluated.Analysis was performed via ANOVA and chi-squared to test for significance of a p-value of < 0.05.A linear trend was used to establish the rate of available resident program positions in relation to the number of applicants per cycle.Results: Between 2014 and 2024, there has been a significant increase in DO senior graduates and decrease in MD senior graduates in residency programs since the transition to single accreditation.The biggest increase is seen in EM as the number of DOs rose from 9.99% to 36.22% and number of MDs fell from 78.33% to 44.45%.Non-U.S. IMGs percentage increased significantly for EM, family medicine, and IM.Linear trendlines in applicants per year grew at a larger rate than available resident positions.Discussion: The transition to single accreditation allowed DO recipients more opportunity to match into their desired
Authors: Cosimo Laterza, Benjamin Gilbert
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $500
OpenAlex ID: W4411338263