Relationship between Medical School Diversity and Participation in the US News and World Report Survey

2021 ◽  
Author(s):  
Chayan Chakraborti ◽  
Michael J. Woodson ◽  
Marc J. Kahn
Keyword(s):  
Medical School ◽  
School Diversity ◽  
The Us ◽  
World Report

scholarly journals Examining the Otolaryngology Match and Relationships Between Publications and Institutional Rankings

OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093249
Author(s):  
Evan M. Ryan ◽  
Katie R. Geelan-Hansen ◽  
Kari L. Nelson ◽  
Jayme R. Dowdall
Keyword(s):  
Medical School ◽  
National Institutes Of Health ◽  
Chi Square ◽  
High Ranking ◽  
Home Institution ◽  
Publication Number ◽  
School Research ◽  
World Report ◽  
Top 40 ◽  
Nih Funding

This study examines associations among publication number, National Institutes of Health (NIH) funding rank, medical school research rank, and otolaryngology department ranks of otolaryngology applicants during the 2018-2019 match cycle. Information regarding 2018-2019 otolaryngology applicants was collected from Otomatch.com and verified via department websites. Information was also collected regarding 2018 NIH funding rank and 2020 US News & World Report research rank of medical schools and otolaryngology departments. T tests and chi-square analyses were performed. Top 40 NIH funding rank, top 40 medical school research rank, and home institution department rank were separately associated with more publications and higher rates of matching into highly reputed otolaryngology departments (all P < .01). Furthermore, applicants who matched into ranked otolaryngology departments averaged significantly more publications ( P < .01). Prospective otolaryngology applicants should take into account NIH funding rank, medical school research rank, and otolaryngology department rank, as they are associated with matching into high-ranking institutions.

Which medical schools produce the most neurosurgery residents? An analysis of the 2014–2020 cohort

2021 ◽  
pp. 1-13
Author(s):  
Albert Antar ◽  
James Feghali ◽  
Elizabeth E. Wicks ◽  
Shahab Aldin Sattari ◽  
Sean Li ◽  
...  
Keyword(s):  
Medical School ◽  
Interest Group ◽  
Research Funding ◽  
Medical Schools ◽  
Absolute Number ◽  
School Characteristics ◽  
Medical Graduates ◽  
World Report ◽  
Nih Funding ◽  
Vanderbilt University

OBJECTIVE In this study, the authors sought to determine which US medical schools have produced the most neurosurgery residents and to evaluate potential associations between recruitment and medical school characteristics. METHODS Demographic and bibliometric characteristics were collected for 1572 residents in US-based and Accreditation Council for Graduate Medical Education (ACGME)–accredited neurosurgery programs over the 2014 to 2020 match period using publicly available websites. US medical school characteristics were collected, including class size, presence of a home neurosurgery program, number of clinical neurosurgery faculty, research funding, presence of a neurosurgery interest group, and a top 10 ranking via U.S. News & World Report or Doximity. Correlations and associations were then evaluated using Pearson’s correlation coefficient (PCC), independent-samples t-test, and univariable or stepwise multivariable linear regression, as appropriate. RESULTS Vanderbilt University produced the most neurosurgery residents as a percentage of medical graduates at 3.799%. Case Western Reserve University produced the greatest absolute number of neurosurgery residents (n = 40). The following factors were shown to be associated with a higher mean percentage of graduates entering neurosurgery: number of clinical neurosurgery faculty (PCC 0.509, p < 0.001), presence of a neurosurgery interest group (1.022% ± 0.737% vs 0.351% ± 0.327%, p < 0.001) or home neurosurgery program (1.169% ± 0.766% vs 0.428% ± 0.327%, p < 0.001), allopathic compared with osteopathic school (0.976% ± 0.719% vs 0.232% ± 0.272%, p < 0.001), U.S. News top 10 ranking for neurology and neurosurgery (1.923% ± 0.924% vs 0.757% ± 0.607%, p < 0.001), Doximity top 10 residency program ranking (1.715% ± 0.803% vs 0.814% ± 0.688%, p < 0.001), and amount of NIH funding (PCC 0.528, p < 0.001). CONCLUSIONS The results of this study have delineated which medical schools produced the most neurosurgery residents currently in training, and the most important independent factors predicting the percentage of graduates entering neurosurgery and the preresidency h-index.

Private Payer–Negotiated Prices for Outpatient Otolaryngologic Surgery

2021 ◽  
pp. 019459982110493
Author(s):  
Annette A. Wang ◽  
Roy Xiao ◽  
Rosh K.V. Sethi ◽  
Vinay K. Rathi ◽  
George A. Scangas
Keyword(s):  
Cost Savings ◽  
Cross Sectional ◽  
Price Variation ◽  
Factors Affecting ◽  
Adjacent Tissue ◽  
Implant Placement ◽  
Price Range ◽  
The Us ◽  
World Report ◽  
Sectional Analysis

In January 2021, the Centers for Medicare & Medicaid Services began requiring hospitals to publish price transparency files listing all prices negotiated with payers. We performed a cross-sectional analysis of payer-negotiated prices for commonly performed outpatient otolaryngology surgery at all hospitals scored by the US News & World Report in otolaryngology. We compared prices among hospitals (across-center ratios) and among payers at the same hospital (within-center ratios). Price disclosure rates were low overall for otolaryngologic surgery (maximum, 26.7% for bronchoscopy). Across-center ratios ranged from 3.5 (adjacent tissue transfer/rearrangement <10 cm2; raw median price range, $1384-$7047) to 18.6 (cochlear implant placement; raw median price range, $2417-$60,255). Median within-center ratios ranged between 2.7 (intraoperative navigation) and 5.4 (total thyroidectomy). Although price variation may signal opportunities for cost savings, patients may have limited ability to comparison shop due to hospital nondisclosure. Further investigation is necessary to examine the factors affecting price variation for otolaryngologic procedures.

Understanding the US Medical School Requirements and Medical Students’ Attitudes about Radiology Rotations

2012 ◽  
Vol 19 (3) ◽  
pp. 369-373 ◽  
Author(s):  
Jeffrey D. Poot ◽  
Matthew S. Hartman ◽  
Richard H. Daffner
Keyword(s):  
Medical Students ◽  
Medical School ◽  
The Us ◽  
Students Attitudes

scholarly journals Rurality and Origin–Destination Trajectories of Medical School Application and Matriculation in the United States

2021 ◽  
Vol 10 (6) ◽  
pp. 417
Author(s):  
Lan Mu ◽  
Yusi Liu ◽  
Donglan Zhang ◽  
Yong Gao ◽  
Michelle Nuss ◽  
...  
Keyword(s):  
Medical School ◽  
Rural Areas ◽  
Urban Areas ◽  
The United States ◽  
Application Rate ◽  
School Students ◽  
Rural Counties ◽  
Physician Shortages ◽  
The Us ◽  
Using Data

Physician shortages are more pronounced in rural than in urban areas. The geography of medical school application and matriculation could provide insights into geographic differences in physician availability. Using data from the Association of American Medical Colleges (AAMC), we conducted geospatial analyses, and developed origin–destination (O–D) trajectories and conceptual graphs to understand the root cause of rural physician shortages. Geographic disparities exist at a significant level in medical school applications in the US. The total number of medical school applications increased by 38% from 2001 to 2015, but the number had decreased by 2% in completely rural counties. Most counties with no medical school applicants were in rural areas (88%). Rurality had a significant negative association with the application rate and explained 15.3% of the variation at the county level. The number of medical school applications in a county was disproportional to the population by rurality. Applicants from completely rural counties (2% of the US population) represented less than 1% of the total medical school applications. Our results can inform recruitment strategies for new medical school students, elucidate location decisions of new medical schools, provide recommendations to close the rural–urban gap in medical school applications, and reduce physician shortages in rural areas.

scholarly journals Considerations for Selecting Applicants to Rural Medicine Programs

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
David Bramm
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Access To Care ◽  
Rural Practice ◽  
Rural America ◽  
Rural Medicine ◽  
The Us ◽  
Rural Program ◽  
Selection Of

The selection of medical students destined for rural practice is important in order to help provide access to care for the 20% of the US population who live in rural America.  Knowing which medical school applicants will go into rural practice is an inexact science, although the objective predictive characteristics of future rural doctors are well known and evident in the literature.  The role of rural program directors is to identify which applicants will likely choose a FM residency, done primarily by identifying which rural predictive characteristics the applicants possess. Admissions committee members are not expected to determine the likely practice locations of rural applicants, and need only have the responsibility of determining which applicants should become physicians.

scholarly journals Predictors of an academic career among fellowship-trained open vascular and endovascular neurosurgeons

2020 ◽  
pp. 1-9 ◽  
Author(s):  
Adham M. Khalafallah ◽  
Adrian E. Jimenez ◽  
Justin M. Caplan ◽  
Cameron G. McDougall ◽  
Judy Huang ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Medical School ◽  
Residency Program ◽  
Academic Career ◽  
Bivariate Analysis ◽  
Career Trajectory ◽  
Online Data ◽  
Exact Test ◽  
World Report ◽  
Vascular Neurosurgery

OBJECTIVEAlthough previous studies have explored factors that predict an academic career among neurosurgery residents in general, such predictors have yet to be determined within specific neurosurgical subspecialties. The authors report on predictors they identified as correlating with academic placement among fellowship-trained vascular neurosurgeons.METHODSA database was created that included all physicians who graduated from ACGME (Accreditation Council for Graduate Medical Education)–accredited neurosurgery residency programs between 1960 and 2018 using publicly available online data. Neurosurgeons who completed either open vascular or endovascular fellowships were identified. Subsequent employment of vascular or endovascular neurosurgeons in academic centers was determined. A position was considered academic if the hospital of employment was affiliated with a neurosurgery residency program; all other positions were considered non-academic. Bivariate analyses were conducted using Fisher’s exact test or the Mann-Whitney U-test, and multivariate analysis was performed using a logistic regression model.RESULTSA total of 83 open vascular neurosurgeons and 115 endovascular neurosurgeons were identified. In both cohorts, the majority of neurosurgeons were employed in academic positions after training. In bivariate analysis, only 2 factors were significantly associated with a career in academic neurosurgery for open vascular neurosurgeons: 1) an h-index of ≥ 2 during residency (OR 3.71, p = 0.016), and 2) attending a top 10 residency program based on U.S. News and World Report rankings (OR 4.35, p = 0.030). In bivariate analysis, among endovascular neurosurgeons, having an h-index of ≥ 2 during residency (OR 4.35, p = 0.0085) and attending a residency program affiliated with a top 10 U.S. News and World Report medical school (OR 2.97, p = 0.029) were significantly associated with an academic career. In multivariate analysis, for both open vascular and endovascular neurosurgeons, an h-index of ≥ 2 during residency was independently predictive of an academic career. Attending a residency program affiliated with a top 10 U.S. News and World Report medical school independently predicted an academic career among endovascular neurosurgeons only.CONCLUSIONSThe authors report that an h-index of ≥ 2 during residency predicts pursuit of an academic career among vascular and endovascular neurosurgeons. Additionally, attendance of a residency program affiliated with a top research medical school independently predicts an academic career trajectory among endovascular neurosurgeons. This result may be useful to identify and mentor residents interested in academic vascular neurosurgery.

Abstract TMP61: Outcomes After Ischemic Stroke Among “America’s Best Hospitals”

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Judith H Lichtman ◽  
Erica Leifheit-Limson ◽  
Yun Wang ◽  
Larry B Goldstein
Keyword(s):  
Ischemic Stroke ◽  
Mixed Model ◽  
National Average ◽  
Considerable Variability ◽  
Readmission Rates ◽  
The Us ◽  
World Report ◽  
Ranking Order ◽  
Hospital Profiling ◽  
Hospital Compare

Background: The ranking of “America’s Best Hospitals” by the US News & World Report is a popular hospital-profiling system, but it is not known whether the 50 top hospitals for Neurology and Neurosurgery have lower 30-day risk-standardized mortality (RSMR) and readmission rates (RSRRs) after stroke compared with other hospitals, or whether outcomes are comparable among these 50 top hospitals. Methods: The 50 top hospitals for adult Neurology and Neurosurgery were identified from the 2015-16 US News & World Report rankings. CMS Hospital Compare provided RSMRs and RSRRs within 30 days of ischemic stroke for hospitals with ≥25 stroke cases/year. We fit a mixed model to assess differences in RSMRs and RSRRs between top-ranked vs other hospitals, adjusted for hospital characteristics and weighted by hospital volume. Among the 50 top-ranked hospitals, we explored whether ranking order was associated with outcomes. Results: Among 2718 hospitals, the 50 top-ranked vs other hospitals had lower mean 30-day mortality (RSMR 14.8% vs 15.3%, p<.01) but higher readmission (RSRR 14.5% vs 13.4%, p<.01). These patterns persisted in adjusted analyses; top hospitals had lower mortality by 0.98% (95% CI -1.36%, -0.60%) and higher readmission by 0.66% (0.41%, 0.92%). Among top hospitals, there was considerable variability in risk-standardized outcomes, ranging from 9.5-19.3% for mortality and 10.8-17.5% for readmission. RSMRs were lower than the national average for 14% of top hospitals while RSRRs were lower for only 2% and higher for 14% (figure). Hospital rank was not significantly associated with either mortality (RSMR 0.04% increase with each rank, 95% CI 0.0%, 0.08%) or readmission (RSRR -0.01%; 95% CI -0.04%, 0.02%) among the 50 top-ranked hospitals. Conclusions: Admission to a top-ranked hospital for Neurology or Neurosurgery was associated with lower 30-day risk-standardized mortality but higher readmission. There was considerable heterogeneity among the top 50 hospitals.

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