{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:07:19Z","timestamp":1790626039112,"version":"4.1.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"ARMORR"},{"DOI":"10.13039\/100007188","name":"Uniformed Services University of the Health Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007188","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000005","name":"US Department of Defense","doi-asserted-by":"publisher","award":["# HU00011920011"],"award-info":[{"award-number":["# HU00011920011"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Training programs seek to match fellows who will perform well during training. The National Resident Matching Program (NRMP) allows programs to choose the most capable trainees, with higher-ranked applicants expected to perform better. Pain medicine is one of the most popular non\u2013internal medicine fellowships in the United States, and the existence of multiple specialty pathways for entry makes candidate selection challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study is to correlate fellow rank order and match number with academic performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Match information and fellow performance from 4 highly ranked multispecialty pain programs were obtained, with performance evaluated on the basis of the 6 final Accreditation Council for Graduate Medical Education (ACGME) core competencies. The primary analysis correlated each fellow\u2019s relative rank-list position with relative subsequent ACGME performance within the same institution and fellowship cohort using cohort-relative percentile ranks, Spearman correlation, stratified permutation testing, and stratified bootstrap confidence intervals. Sensitivity and exploratory analyses used absolute\/converted match-number fixed-effects regression, Kendall Tau-B, sex stratification, and domain-specific correlations with false discovery rate adjustment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The primary analysis included 93 fellows across 20 institution\/cohort strata. Rank-list standing was not significantly associated with ACGME performance (Spearman r\u2009=\u20090.06; 95% CI \u22120.19 to 0.32; P\u2009=\u2009.63), and sensitivity, sex-stratified, and domain-specific analyses were also nonsignificant. When stratified according to top-, middle- and bottom-ranked applicants, all domains were significant, with bottom-ranked fellows faring worse than other groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pain medicine rank lists correlate poorly with fellowship performance, though a weak association was noted wherein bottom-ranked applicants performed worse. This suggests that the metrics used to rank pain medicine applicants, those used to measure performance, or both require modification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pm\/pnag117","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:49:30Z","timestamp":1788353370000},"source":"Crossref","is-referenced-by-count":0,"title":["Does the National Resident Matching Program rank list predict Accreditation Council for Graduate Medical Education trainee performance among multispecialty pain medicine fellows? A multicenter study"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5928-2127","authenticated-orcid":false,"given":"Steven P","family":"Cohen","sequence":"first","affiliation":[{"name":"Departments of Physical Medicine & Rehabilitation and Anesthesiology, Walter Reed National Military Medical Center, Uniformed Services University of the Health Sciences , Bethesda, MD,","place":["United States"]},{"name":"Departments of Anesthesiology, Neurology, Physical Medicine & Rehabilitation, Psychiatry and Neurological Surgery, Northwestern University Feinberg School of Medicine , Chicago, IL,","place":["United States"]},{"name":"Department of Anesthesiology, Jesse Brown Veterans Administration Hospital , Chicago, IL,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oludare O","family":"Olatoye","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Mayo Clinic Alix School of Medicine , Rochester, MN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9545-4112","authenticated-orcid":false,"given":"Peter","family":"Schumaker","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Anesthesiology, Northwestern University Feinberg School of Medicine , Chicago, IL,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9937-3226","authenticated-orcid":false,"given":"Dalia","family":"Elmofty","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Chicago Pritzker School of Medicine , Chicago, IL,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heejung","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Northwestern University Feinberg School of Medicine , Chicago, IL,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8756-1796","authenticated-orcid":false,"given":"Bhavana","family":"Yalamuru","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Virginia School of Medicine , Charlottesville, VA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0407-806X","authenticated-orcid":false,"given":"Lynn R","family":"Kohan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Virginia School of Medicine , Charlottesville, VA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"2026092815534363500_pnag117-B1","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1016\/j.jpain.2015.05.002","article-title":"Estimates of pain prevalence and severity in adults: United States, 2012","volume":"16","author":"Nahin","year":"2015","journal-title":"J Pain"},{"key":"2026092815534363500_pnag117-B2","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1001\/jama.2013.13805","article-title":"The state of US health, 1990\u20132010: burden of diseases, injuries, and risk factors","volume":"310","author":"US Burden of Disease Collaborators","year":"2013","journal-title":"JAMA"},{"key":"2026092815534363500_pnag117-B3","author":"National Resident Matching Program","year":"2025"},{"key":"2026092815534363500_pnag117-B4","author":"National Resident Matching Program"},{"key":"2026092815534363500_pnag117-B5","doi-asserted-by":"publisher","first-page":"1572","DOI":"10.1001\/jama.2025.14728","article-title":"Graduate medical education, 2024\u20132025","volume":"334","author":"Andrews","year":"2025","journal-title":"JAMA"},{"key":"2026092815534363500_pnag117-B6","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1002\/aet2.10411","article-title":"Which applicant factors predict success in emergency medicine training programs? 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