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<p>The dermatology residency match has undergone significant changes since the introduction of preference signaling by the Electronic Residency Application Service (ERAS) in 2021. Initially, applicants could select three program signals and three geographic preferences; in 2023, this shifted to a tiered system with 3 gold and 25 silver signals. Using the Texas Seeking Transparency in Application to Residency (STAR) database, we assessed the relationship between program signals, geographic preferences, and geographic connections with interview and match outcomes across three eras: pre-signaling (2017–2020), early signaling (2021–2022), and tiered signaling (2023–2024). The Texas STAR is a voluntary, self-reported survey completed by applicants from 155 U.S. medical schools. A total of 895 dermatology applicants were identified, contributing 5347 geographic connections, 4686 geographic preferences, 764 program signals, 361 gold signals, and 2483 silver signals. Univariate and mixed-effects logistic regression models were used to evaluate predictors of interview offers and match outcomes. Geographic connection was consistently associated with interview offers and match success across all eras (all <i>p</i> &lt; 0.001). In the tiered signaling era, gold signals demonstrated the strongest association with interview offers (OR 14.07) and remained independently associated with match outcomes (OR 6.08). Silver signals were independently associated with interview offers (OR 2.53) but were not associated with match outcomes (OR 0.96). In multivariate models, the strongest predictors of receiving an interview were gold signals and program-level signaling, whereas the strongest predictor of matching was geographic connections. These findings suggest that in the tiered signaling era, gold signaling appears to drive interview acquisition, whereas geographic connection remains the more influential factor for ultimate match success.</p>

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Effect of tiered signaling and geographic preferences in dermatology match outcomes: era-specific analysis of the Texas STAR database

  • 期刊论文

  • 发表日期：

    2026年5月27日

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  • Caroline Zhu,
  • Alejandra Nitsch,
  • Kaveh Nezafati,
  • Travis Vandergriff,
  • Song Zhang,
  • Yixin Tang,
  • Angela Mihalic,
  • Cristina Thomas

摘要

The dermatology residency match has undergone significant changes since the introduction of preference signaling by the Electronic Residency Application Service (ERAS) in 2021. Initially, applicants could select three program signals and three geographic preferences; in 2023, this shifted to a tiered system with 3 gold and 25 silver signals. Using the Texas Seeking Transparency in Application to Residency (STAR) database, we assessed the relationship between program signals, geographic preferences, and geographic connections with interview and match outcomes across three eras: pre-signaling (2017–2020), early signaling (2021–2022), and tiered signaling (2023–2024). The Texas STAR is a voluntary, self-reported survey completed by applicants from 155 U.S. medical schools. A total of 895 dermatology applicants were identified, contributing 5347 geographic connections, 4686 geographic preferences, 764 program signals, 361 gold signals, and 2483 silver signals. Univariate and mixed-effects logistic regression models were used to evaluate predictors of interview offers and match outcomes. Geographic connection was consistently associated with interview offers and match success across all eras (all p < 0.001). In the tiered signaling era, gold signals demonstrated the strongest association with interview offers (OR 14.07) and remained independently associated with match outcomes (OR 6.08). Silver signals were independently associated with interview offers (OR 2.53) but were not associated with match outcomes (OR 0.96). In multivariate models, the strongest predictors of receiving an interview were gold signals and program-level signaling, whereas the strongest predictor of matching was geographic connections. These findings suggest that in the tiered signaling era, gold signaling appears to drive interview acquisition, whereas geographic connection remains the more influential factor for ultimate match success.