What constitutes a just match?: A reply to Murphy

Cambridge Quarterly of Healthcare Ethics

Volumn 12, Issue 1, 2003, Pages 78-82

  Hester, D Micah ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

BIOMEDICINE; COMMUNITY; HEALING; HEALTH CENTER; HUMAN; MEDICAL EDUCATION; MEDICAL ETHICS; MEDICAL LITERATURE; MEDICAL STUDENT; REVIEW; RISK FACTOR; TEACHING;

EID: 0038637172     PISSN: 09631801     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0963180103121093     Document Type: Review

References (22)

1. Hester DM. Rethinking the residency matching process and questioning the value of competition in medicine. Academic Medicine 2001;76(4):345-7.
2. Murphy TF. Justice in residency placement: is the match system an offense to the values of medicine? Cambridge Quarterly of Healthcare Ethics, this issue, 66-77.
3. Though this may sound like an excuse, in the worse sense of that term, it is important to note that such commentaries in Academic Medicine are limited to 2,000 words and, as such, not everything that should have been said was said.
4. The positive side of competition (which I did not emphasize in my original commentary) was duly noted in: Elliot RL. Competition, justice, and the match. Academic Medicine 2001;76(11):1082-3.
5. See: Hester DM. Community as Healing. Lanham, Md.: Rowman & Littlefield, 2001.
6. See: Hester DM. In reply. Academic Medicine 2001;76(11):1083-4.
7. A discrepancy can be seen between large urban centers, on the one hand, and smaller cities and rural facilities, on the other. For example, whereas family-practice residencies for Emory and Morehouse (Atlanta, Ga.) have matched at 100% (38:38) from 2000 to 2002, residencies with Medical College of Georgia (Augusta, Ga./Waycross, Ga.), the Medical Center of Central Georgia (Macon, Ga.), and Memorial Health (Savannah, Ga.) associated with Mercer University matched at 51% (32:63) over the same period. Also, even within the same city, matching rates differ with community-based, inner-city hospitals doing worse than university-based medical centers. For example, in Nashville, Tennessee, Vanderbilt University's internal-medicine residency matched at 100% (98:98) from 2000 to 2002 whereas Meharry/Metro General only matched at 32% (9:28) for the same period. Admittedly, this survey of the match results is nonscientific, and there are difficulties in carving up these data in a consistent manner that does not beg important questions about what inferences are warranted. For the years 2000-2002, see: National Residency Matching Program. Results and Data. Washington, D.C.: NRMP; 2002.
8. See note 1, Hester 2001:346.
9. See note 2, Murphy, this issue.
10. See note 2, Murphy, this issue.
11. See note 2, Murphy, this issue.
12. This is a purposefully low estimate. See: http://www.physicianssearch.com/physician/salary2.html.
13. See note 2, Murphy, this issue.
14. See note 4, Elliot 2001.
15. Though it can be inferred from Murphy's article that "core values" is my term, it is not.
16. See note 5, Hester 2001.
17. See note 2, Murphy, this issue.
18. See note 2, Murphy, this issue.
19. See: Prieto D. Rates at which underrepresented minorities were not matched in the NRMP, 1984-1988. Academic Medicine 1989;64(7):418. Jordan WC. Success of minority applicants in the National Residency Matching Program. Journal of the National Medical Association 1986;78(8):737-9. Colquitt WL, Smith IP, Killian CD. Specialty selection and success in obtaining choice of residency training among 1987 U.S. medical graduates by race-ethnicity and gender. Academic Medicine 1992;67(10):660-71. Oriel KA, Madlon-Kay DJ, Govaker D, Mersy DJ. Gay and lesbian physicians in training: family practice program directors' attitudes and students' perceptions of bias. Family Medicine 1996;28(10):720-5.
20. See: Prieto D. Rates at which underrepresented minorities were not matched in the NRMP, 1984-1988. Academic Medicine 1989;64(7):418. Jordan WC. Success of minority applicants in the National Residency Matching Program. Journal of the National Medical Association 1986;78(8):737-9. Colquitt WL, Smith IP, Killian CD. Specialty selection and success in obtaining choice of residency training among 1987 U.S. medical graduates by race-ethnicity and gender. Academic Medicine 1992;67(10):660-71. Oriel KA, Madlon-Kay DJ, Govaker D, Mersy DJ. Gay and lesbian physicians in training: family practice program directors' attitudes and students' perceptions of bias. Family Medicine 1996;28(10):720-5.
21. See: Prieto D. Rates at which underrepresented minorities were not matched in the NRMP, 1984-1988. Academic Medicine 1989;64(7):418. Jordan WC. Success of minority applicants in the National Residency Matching Program. Journal of the National Medical Association 1986;78(8):737-9. Colquitt WL, Smith IP, Killian CD. Specialty selection and success in obtaining choice of residency training among 1987 U.S. medical graduates by race-ethnicity and gender. Academic Medicine 1992;67(10):660-71. Oriel KA, Madlon-Kay DJ, Govaker D, Mersy DJ. Gay and lesbian physicians in training: family practice program directors' attitudes and students' perceptions of bias. Family Medicine 1996;28(10):720-5.
22. See: Prieto D. Rates at which underrepresented minorities were not matched in the NRMP, 1984-1988. Academic Medicine 1989;64(7):418. Jordan WC. Success of minority applicants in the National Residency Matching Program. Journal of the National Medical Association 1986;78(8):737-9. Colquitt WL, Smith IP, Killian CD. Specialty selection and success in obtaining choice of residency training among 1987 U.S. medical graduates by race-ethnicity and gender. Academic Medicine 1992;67(10):660-71. Oriel KA, Madlon-Kay DJ, Govaker D, Mersy DJ. Gay and lesbian physicians in training: family practice program directors' attitudes and students' perceptions of bias. Family Medicine 1996;28(10):720-5.