Abstract
OBJECTIVE
To assess the perceptions and outcomes of the A preference signaling (PS) pilot implemented
by the Society of Academic Urology in the 2021-2022 Urology Match cycle.
METHODS
Five non-weighted signals were provided to each applicant, and signals were delivered
to programs by the American Urological Association to provide an applicant-centered
formal and equitable process to express genuine interest in residency programs. Applicant
and program perception and behavior was assessed through surveys. Signal distribution,
mean, range, and interview offer rates for overall, signaled, and non-signaled programs
were calculated.
RESULTS
In the 2021-2022 Urology Match cycle, 566 applicants completed signaling; 2829 total
signals were sent to programs with 97% applicant and 100% program participation. Each
program received a mean number of 19 signals (range of 1-62), and 25% of programs
received 49% of all signals. The overall interview-offer rate for the cohort was 12.5%
(6019 interviews held/47,989 applications received); the signaled interview rate was
51% (1443/2829), and the non-signaled interview rate was 10% (4576/45,160) with an
approximate 4-fold increase in rate of interview for signaled programs compared to
non-signaled programs. There was moderate to high levels of satisfaction from applicants
and programs on the overall process. 48% of programs incorporated PS into initial
application review.
CONCLUSION
Preference signaling was demonstrated to be feasible and successful in providing a
novel applicant-directed, formal, equitable, and credible structured process for applicants
to express genuine interest in programs. Additionally, programs were able to incorporate
PS into their interview selection and recruitment process.
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Article info
Publication history
Published online: September 14, 2022
Accepted:
August 30,
2022
Received:
May 31,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
