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Purpose <p>The alignment between general surgery (GS) applicants' perceptions of fit and residents' lived experiences during virtual interviews remains unclear. Previous data demonstrates that applicants struggle to assess program culture and fit in virtual settings. This study examines changes in perceived importance of fit factors after residency matriculation and explores the effects of resident demographics on fit assessment.</p> Methods <p>An anonymous, electronic survey was distributed to GS residents (2020–2023 application cycles) via the Association for Surgical Education listserv. Participants were asked to rate factors important for program fit both as applicants (time A) and as residents (time B), using an 18-item survey. Fischer exact tests compared responses across time, gender, and race.</p> Results <p>Of the 50 surveys analyzed, 28.0% (<i>n</i> = 14) self-identified as under-represented minorities in medicine (URM). Participants rated cost of living, family friendliness, the on-call structure, and facility quality as more important for fit at time B than at time A. Academic recognition was rated more important at time A. Female participants were more likely to prioritize gender diversity among faculty and residents, resident satisfaction, and residents getting along with each other than male participants (all <i>p</i> &lt; 0.05). Non-White participants rated family friendliness and the racial/ethnic diversity of the trainees as more important for fit then White participants (all <i>p</i> &lt; 0.05).</p> Conclusions <p>Fit factors shift after residency starts, with practical considerations outweighing academic recognition. Gender and race significantly influence perceptions of fit, with URM residents placing greater importance on diversity-related factors compared to non-URM residents.</p>

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Evolving perspectives on residency “fit”: a survey study of changes in surgery resident priorities

  • 期刊论文

  • 发表日期：

    2025年9月10日

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  • Ariana Naaseh,
  • Jorge G. Zárate Rodriguez,
  • Katharine E. Caldwell,
  • Steven Tohmasi,
  • Michael M. Awad

摘要

Purpose

The alignment between general surgery (GS) applicants' perceptions of fit and residents' lived experiences during virtual interviews remains unclear. Previous data demonstrates that applicants struggle to assess program culture and fit in virtual settings. This study examines changes in perceived importance of fit factors after residency matriculation and explores the effects of resident demographics on fit assessment.

Methods

An anonymous, electronic survey was distributed to GS residents (2020–2023 application cycles) via the Association for Surgical Education listserv. Participants were asked to rate factors important for program fit both as applicants (time A) and as residents (time B), using an 18-item survey. Fischer exact tests compared responses across time, gender, and race.

Results

Of the 50 surveys analyzed, 28.0% (n = 14) self-identified as under-represented minorities in medicine (URM). Participants rated cost of living, family friendliness, the on-call structure, and facility quality as more important for fit at time B than at time A. Academic recognition was rated more important at time A. Female participants were more likely to prioritize gender diversity among faculty and residents, resident satisfaction, and residents getting along with each other than male participants (all p < 0.05). Non-White participants rated family friendliness and the racial/ethnic diversity of the trainees as more important for fit then White participants (all p < 0.05).

Conclusions

Fit factors shift after residency starts, with practical considerations outweighing academic recognition. Gender and race significantly influence perceptions of fit, with URM residents placing greater importance on diversity-related factors compared to non-URM residents.