March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
International Medical Graduates and the Ophthalmology Residency Match
Author Affiliations & Notes
  • Allison R. Loh
    Univ of California, San Francisco, San Francisco, California
  • Damien Joseph
    San Francisco Match, San Francisco, California
  • Jeremy D. Keenan
    F I Proctor Foundation, Univ of California-San Francisco, San Francisco, California
  • Thomas M. Lietman
    F I Proctor Foundation, Univ of California - San Franscisco, San Francisco, California
  • Ayman Naseri
    Univ of California, San Francisco, San Francisco, California
  • Footnotes
    Commercial Relationships  Allison R. Loh, None; Damien Joseph, San Francisco Match (E); Jeremy D. Keenan, None; Thomas M. Lietman, None; Ayman Naseri, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 1401. doi:
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    • Get Citation

      Allison R. Loh, Damien Joseph, Jeremy D. Keenan, Thomas M. Lietman, Ayman Naseri; International Medical Graduates and the Ophthalmology Residency Match. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1401.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

Residency selection is an important process for residents and residency program directors. Little data exists on what predicts successful matching in a residency program. The purpose of this study is to examine the characteristics of international medical students applying for ophthalmology residency and evaluate predictors of successful matching.

 
Methods:
 

We conducted a retrospective cohort study of international medical students who applied to an ophthalmology residency program from 2003-2008 through the SFMATCH program. We assessed for predictors of matching to an ophthalmology program including USMLE score and number of applications. The primary outcome was successful matching to a US ophthalmology residency training program.

 
Results:
 

There were 1101 ophthalmology residency applicants who graduated from a medical school outside of the United States. From 2003-2008, 170 of 1101 applicants matched (15%) (Table 1). The countries with the highest number of applicants were India (259), Caribbean (115), China (60), Iran (58), and Egypt (43). In a univariate analysis using number of applications as a predictor, each 10-unit increase in the number of applications submitted was associated with an nearly 3-fold increase in odds of matching (OR=2.9, P<.0001). The average USMLE Step 1 score of applicants who matched was 221 and the average USMLE Step 1 score of applicants who did not match was 213 (p<.0001). In a univariate analysis using USMLE Step 1 score as a predictor of matching, each 10-unit increase in USMLE Step 1 score was associated with an 18% increase in odds of matching. Figure 1 plots the USMLE score and the probability of matching

 
Conclusions:
 

Applicants from international medical schools represent a varied and important part of the applicant pool to U.S. ophthalmology residency training programs. Higher USMLE step 1 score and increased number of applications are associated with an increase in odds of matching.  

 
Keywords: clinical (human) or epidemiologic studies: health care delivery/economics/manpower • training/teaching cataract surgery 
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