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The Value of Scenic Detours: Away Rotations for MS4s
Purpose: To describe characteristics of participation in away
rotations of fourth-year medical students (MS4s) matching to OB/GYN
Background: Students applying to OB/GYN residencies may choose to
perform an away rotation at another institution. Little is known about what
motivates students to participate or to not participate.
Methods: MS4s enrolling in a post-match residency preparatory
curriculum in Spring 2022 were asked to complete a pre-curriculum survey, which
included questions about whether they participated in an away rotation, their
motivations for doing so, and costs or barriers to participation. Descriptive
statistics were used to summarize the data.
Results: 922 MS4s completed the survey. 466 (50.5%) reported
that they participated in an away rotation. 161/466 (34.5%) completed two or
more away rotations. 330/466 (70.8%) noted their primary reason to do an away
rotation was to indicate interest in a particular program or geographic
location. The cost of an away rotation averaged $1,842 (SD土$2,176). The most commonly cited reason to not
participate in an away rotation were that students did not feel it was
necessary for their application (202/456, 44.3%), followed by non-financial
obligations preventing participation (131/456, 28.7%).
Discussions: In a large survey of MS4s entering OB/GYN residencies,
50% participated in away rotations with a primary motivation to signal
geographic or program interest, and an average cost of $1,842. These findings
may assist leaders in understanding preference signaling as an equity
intervention in future application cycles, given the sizable number of students
who cannot participate in away rotations.
CREOG & APGO Annual Meeting, 2023, Student, Resident, Clerkship Director, Osteopathic Faculty, Residency Director, Medical Knowledge, GME, UME,