Utility of Onsite Interviews in the Pediatric Surgery Match

Purpose: The value of onsite interviews for the pediatric surgery match remains undefined despite substantial cost to applicants. This study assesses the impact of onsite interviews on the rank order lists submitted to the match by pediatric surgery residency training program directors (PDs). Methods: PDs were asked prospectively to evaluate pediatric surgery residency candidates based solely on their ERAS application and generate a “pre-interview rank list.” Interviews were then held based on the usual practice of each program. PDs then submitted de-identified pre-interview and final rank lists. The impact of the interview process upon rank list movement of candidates was assessed. Results: Of 44 programs, 16 (36%) provided data for analysis. Onsite interviews resulted in candidates moving a mean of 5.2 ± 1.2 rank positions, whereas candidates ranked in the first 5 positions moved an average of 4 ± 2 places, 81% of the initial top-ranked candidates moved out of this position, and 36% of top 10 candidates moved out of the top 10. Conclusions: Onsite interviews are high-stakes events which substantially affect the final rank order list in the pediatric surgery match. Programs should take these data into account when determining the number of interview invitations.