{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T19:59:04Z","timestamp":1771271944474,"version":"3.50.1"},"reference-count":21,"publisher":"Walter de Gruyter GmbH","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Context:<\/jats:bold>Medical students must consider many overt variables when entering the National Resident Matching Program. However, changes with the single graduate medical education accreditation system have caused a gap in knowledge about more subtle considerations, including what, if any, influence the presence of osteopathic physician (ie, DO) and international medical graduate (IMG) house officers has on allopathic students\u2019 residency program preferences. Program directors and selection committee members may assume students\u2019 implicit bias without substantiating evidence.<\/jats:p><jats:p><jats:bold>Objective:<\/jats:bold>To reexamine which program characteristics affect US-trained allopathic medical students\u2019 residency selection, and to determine whether the presence of DO and IMG house officers affects the program choices of allopathic medical students.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold>Fourth-year medical students from 4 allopathic medical schools completed an online survey. The Pearson \u03c7<jats:sup>2<\/jats:sup>statistic was used to compare demographic and program-specific traits that influence ranking decisions and to determine whether school type (private vs public), valuing a residency program\u2019s prestige, or interest in a competitive specialty dictated results. Qualitative data were analyzed using the Pandit variation of the Glaser and Strauss constant comparison.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold>Surveys were completed by 323 of 577 students (56%). Students from private vs public institutions were more likely to value a program\u2019s prestige (160 [93%] vs 99 [72%];<jats:italic>P<\/jats:italic>&lt;.001) and research opportunities (114 [66%] vs 57 [42%];<jats:italic>P<\/jats:italic>&lt;.001), and they were less likely to consider their prospects of being accepted (98 [57%] vs 111 [81%];<jats:italic>P<\/jats:italic>&lt;.001). A total of 33 (10%) and 52 (16%) students reported that the presence of DO or IMG trainees, respectively, would influence their final residency selection, and these percentages were largely unchanged among students interested in programs\u2019 prestige or in entering a competitive specialty. Open-ended comments were generally optimistic about diversification of the physician workforce, and 4 of the 709 student comments expressed cynicism or hostility to the presence of DOs or IMGs.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold>Both overt and subtle variables influence students\u2019 perceptions of residency programs in the United States, but the presence of DO and IMG house officers seems relevant to a small percentage of them.<\/jats:p>","DOI":"10.7556\/jaoa.2016.046","type":"journal-article","created":{"date-parts":[[2016,3,28]],"date-time":"2016-03-28T13:30:12Z","timestamp":1459171812000},"page":"214-226","source":"Crossref","is-referenced-by-count":5,"title":["Program Characteristics Influencing Allopathic Students\u2019 Residency Selection"],"prefix":"10.1515","volume":"116","author":[{"given":"Michael D.","family":"Stillman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen Hughes","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig H.","family":"Ziegler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Upadhyay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlene K.","family":"Mitchell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2016,4,1]]},"reference":[{"issue":"3","key":"2021041509590337197_j_jaoa.2016.046_ref_001_w2aab3b7c24b1b6b1ab2b2b1Aa","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/00000441-198105000-00001","article-title":"Hospital postgraduate training: factors affecting prospective interns' ranking of a municipal hospital program in internal medicine.","volume":"281","author":"Decker","year":"1981","journal-title":"Am J Med Sci."},{"issue":"1","key":"2021041509590337197_j_jaoa.2016.046_ref_002_w2aab3b7c24b1b6b1ab2b2b2Aa","first-page":"111","article-title":"A survey of students who chose family practice residencies.","volume":"6","author":"Eagleson","year":"1978","journal-title":"J Fam Pract."},{"issue":"7","key":"2021041509590337197_j_jaoa.2016.046_ref_003_w2aab3b7c24b1b6b1ab2b2b3Aa","first-page":"527","article-title":"Factors influencing program selection among family practice residents.","volume":"58","author":"DiTomasso","year":"1983","journal-title":"J Med Educ."},{"issue":"10","key":"2021041509590337197_j_jaoa.2016.046_ref_004_w2aab3b7c24b1b6b1ab2b2b4Aa","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1176\/ajp.141.10.1240","article-title":"The 1982 first-year resident in psychiatry.","volume":"141","author":"Weismman","year":"1984","journal-title":"Am J Psychiatry."},{"issue":"4","key":"2021041509590337197_j_jaoa.2016.046_ref_005_w2aab3b7c24b1b6b1ab2b2b5Aa","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1176\/ajp.144.4.501","article-title":"Applicants' choice of a residency training program.","volume":"144","author":"Sledge","year":"1987","journal-title":"Am J Psychiatry."},{"issue":"10","key":"2021041509590337197_j_jaoa.2016.046_ref_006_w2aab3b7c24b1b6b1ab2b2b6Aa","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1097\/00001888-199010000-00009","article-title":"Factors important to students in selecting a residency program.","volume":"65","author":"Robbins","year":"1990","journal-title":"Acad Med."},{"issue":"5","key":"2021041509590337197_j_jaoa.2016.046_ref_007_w2aab3b7c24b1b6b1ab2b2b7Aa","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1097\/00001888-200405000-00010","article-title":"The influence of quality-of-life, academic, and workplace factors on residency program selection.","volume":"79","author":"Nuthalapaty","year":"2004","journal-title":"Acad Med."},{"issue":"9","key":"2021041509590337197_j_jaoa.2016.046_ref_008_w2aab3b7c24b1b6b1ab2b2b8Aa","first-page":"1264","article-title":"Factors affecting medical students' selection of an internal medicine residency program","volume":"97","author":"Aagaard","year":"2005","journal-title":"J Natl Med Assoc."},{"key":"2021041509590337197_j_jaoa.2016.046_ref_009_w2aab3b7c24b1b6b1ab2b2b9Aa","doi-asserted-by":"crossref","unstructured":"SholtisB. Some med school grads fail to get residency.Pittsburgh Post-Gazette. May 26, 2014. http:\/\/www.post-gazette.com\/news\/health\/2014\/05\/26\/Some-med-school-grads-fail-to-get-residency\/stories\/201405260083. Accessed March 9, 2016.","DOI":"10.12968\/prps.2016.190.26"},{"key":"2021041509590337197_j_jaoa.2016.046_ref_010_w2aab3b7c24b1b6b1ab2b2c10Aa","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/1472-6920-11-30","article-title":"Johns Hopkins University School of Medicine. Associations between quality indicators of internal medicine residency training programs","volume":"11","author":"Sisson","year":"2011","journal-title":"BMC Med Educ."},{"issue":"2","key":"2021041509590337197_j_jaoa.2016.046_ref_011_w2aab3b7c24b1b6b1ab2b2c11Aa","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/S0149-7944(01)00644-4","article-title":"The unkindest cut of all: are international medical school graduates subjected to discrimination by general surgery residency programs?","volume":"59","author":"Moore","year":"2002","journal-title":"Curr Surg."},{"issue":"4","key":"2021041509590337197_j_jaoa.2016.046_ref_012_w2aab3b7c24b1b6b1ab2b2c12Aa","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1097\/00001888-199604000-00017","article-title":"Are international medical graduates a factor in residency program selection? a survey of fourth-year medical students.","volume":"71","author":"Riley","year":"1996","journal-title":"Acad Med."},{"key":"2021041509590337197_j_jaoa.2016.046_ref_013_w2aab3b7c24b1b6b1ab2b2c13Aa","unstructured":"Allopathic and osteopathic medical communities commit to a single graduate medical education accreditation system [news release]. Chicago, IL: American Osteopathic Association; February 26, 2014. http:\/\/www.osteopathic.org\/inside-aoa\/news-and-publications\/media-center\/2014-news-releases\/Pages\/2-26-allopathic-and-osteopathic-medical-communities-commit-to-single-graduate-medical-education-accreditation-system.aspx. Accessed March 10, 2016."},{"issue":"2","key":"2021041509590337197_j_jaoa.2016.046_ref_014_w2aab3b7c24b1b6b1ab2b2c14Aa","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1377\/hlthaff.25.2.469","article-title":"The international medical graduate pipeline: recent trends in certification and residency training","volume":"25","author":"Boulet","year":"2006","journal-title":"Health Aff (Millwood)."},{"issue":"4","key":"2021041509590337197_j_jaoa.2016.046_ref_015_w2aab3b7c24b1b6b1ab2b2c15Aa","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/ACM.0b013e318285199d","article-title":"U.S. graduate medical education and physician specialty choice","volume":"88","author":"Jolly","year":"2013","journal-title":"Acad Med."},{"key":"2021041509590337197_j_jaoa.2016.046_ref_016_w2aab3b7c24b1b6b1ab2b2c16Aa","volume-title":"Internet, Mail, and Mixed-Mode Surveys: The Tailored Design Method.","author":"Dillman","year":"2009"},{"issue":"3","key":"2021041509590337197_j_jaoa.2016.046_ref_017_w2aab3b7c24b1b6b1ab2b2c17Aa","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s40670-014-0055-9","article-title":"Perceptions of skills, experience, and attitudes on the conduct of research: a view across the continuum of medical learners in Kentucky's three medical schools [published online June 7, 2014]","volume":"24","author":"Miller","year":"2014","journal-title":"Med Sci Educ."},{"key":"2021041509590337197_j_jaoa.2016.046_ref_018_w2aab3b7c24b1b6b1ab2b2c18Aa","unstructured":"National Resident Matching Program. Charting Outcomes in the Match: Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2014 Main Residency Match. 5th ed. Washington, DC: National Residency Match Program; 2014. http:\/\/www.nrmp.org\/wp-content\/uploads\/2014\/09\/Charting-Outcomes-2014-Final.pdf. Accessed February 24, 2016."},{"key":"2021041509590337197_j_jaoa.2016.046_ref_019_w2aab3b7c24b1b6b1ab2b2c19Aa","doi-asserted-by":"crossref","unstructured":"PanditNR. The creation of theory: a recent application of the grounded theory method. 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