Because I literally had nothing to do today...
EDIT: Introduced the “Newport Factor!”
PURPOSE: To determine how difficult it is for a DO to match into a competitive urban area in psychiatry, as compared to other specialties.
HYPOTHESIS: the difficulty of matching psychiatry in competitive areas is comparable to that of specialties more traditionally thought to be competitive. Results are reported as # of DO applicants who matched that specialty in a competitive area, divided by total reported osteopathic matches in that specialty, (x100). This number is then compared to the % of residency programs of that specialty in major metro areas.
METHODS: All match lists in this first post of this thread were reviewed. “In a competitive city” was defined as: within 35 miles (as the crow flies) of the city center of a city listed in the top 10 metropolitan areas of the USA (approximating a 1 hr drive). This was measured with google maps scale tool. The cities are, as per wiki: NYC, LA, Chicago, Dallas/Ft Worth, Houston, DC, Miami, Philadelphia, Atlanta, Boston.
Specialties considered here were Psychiatry, Anesthesia, OB/GYN, Diagnostic Radiology, Orthopedic Surgery, and General Surgery. All residency programs found on match lists which could not be identified given poor naming (e.g. “university hospital,” “Mt Sinai” etc) were counted toward total matches but not toward “competitive metro area matches.” This was also done for military matches, including those that would have fallen within these metro areas. For total number of programs and their locations, AAMC lists of participating residency programs were reviewed.
Specialties are graded with a “Newport factor,” which is equivalent to (# of residency programs in a major metro area/# total number of programs) / ( # of DOs matching in a competitive urban area / total # of DOs in that specialty). It will make sense later.
A high Newport factor suggests significant regional bias. NF= 1 suggests no bias. NF
LIMITATIONS: Only match lists listed on the first page were used, many of which were highly incomplete and unverified. 35 miles is a relatively arbitrary benchmark and distances were measured using google maps. This does not take into account how many program PGY1 spots are actually located within competitive cities- it was assumed they would average out. No applicant data was used. It was assumed that no net geographic preference was present (I.e the ortho cohort as a whole didn’t tend to prefer big cities, the psych cohort as a whole did not prefer rural areas, etc). No statistical analysis was completed.
RESULTS
Psychiatry:
-13 matches in top 10 metro areas.
-125 total matches reported
-10.4% of psych matches fell within in a top-10 metro area.
-236 Psychiatry programs in USA
-72 programs are located in the top 10 cities
-30.5% of psychiatry programs are in top 10 US cities.
Anesthesia
-32 matches in a top 10 metro area
-136 total gas matches reported
-23.5% of gas matches were in a top 10 metro area.
-140 gas programs in USA
-48 gas programs in top 10 metro areas
-34.3% of gas programs are in top 10 areas
Diagnostic Radiology
-16 matches in a top 10 metro area
-49 DR matches reported
-32.6% of DR matches were in a top 10 metro area.
-180 total DR programs in USA
-59 DR programs in top 10 metro areas
-32.8% of DR programs are in top 10 metro areas
General Surgery
-20 matches in a top 10 metro area
-87 GS matches reported
-22.9% of GS matches were in a top 10 metro area.
-282 total GS programs
-87 GS programs in top 10 metro areas
-30.8% of GS programs are in top 10 metro areas
OB/GYN
-18 matches in a top 10 metro area
-99 OB/GYN matches reported
-18.2% of OB/GYN matches were in a top 10 metro area.
-263 OB/GYN programs in USA
-82 programs are located in a top 10 metro area
-31.1% of OB/GYN programs are in a top 10 metro area
Orthopedic Surgery
-14 matches in a top 10 metro area
-56 ortho matches reported
-25% of Ortho matches were in a top 10 metro area
-176 ortho programs in USA
-46 ortho programs in a top 10 metro area
-26.1% of ortho programs in a top 10 metro area
EM
-56 matches in a top 10 metro area
-221 total EM matches reported
-25.3% of EM matches were in a top 10 metro area
-250 total EM programs
-65 EM programs in top 10 areas
-26% of total EM programs in top 10 areas.
DISCUSSION
Despite the seeming ease at which DOs are matching psychiatry, these findings suggest that, moreso than any other specialty considered here, DOs are widely shut out from competitive urban areas for residency. Despite 30.5% of psychiatry residency programs being located in a major metro area, only 10.4% of DOs who matched psychiatry matched in one of these areas, a ratio of approximately 3:1, or a Newport Factor of 2.93.
OB/GYN showed the next-largest “urban bias,” with 18.2% osteopathic OB/GYN matches occurring in a major metro area, despite 31.1% of OB/GYN programs being located in such an area. This gives OB/GYN a Newport Factor of 1.71.
Anesthesia (Newport Factor 1.45) and GS (1.34) were intermediate.
EM (NF= 1.03), DR (1.00), and Ortho (1.04) were practically 1:1, suggesting a less regional nature to any bias.
FINDINGS SHOWN IN PRETTY IMAGE!
View attachment 302170