Background and purpose: The selection of neuroradiology fellows who will start on July 1, 2005, marked the fourth year in which program directors in neuroradiology used the National Resident Matching Program (NRMP) as the selection modality. The aim of this study was to investigate fellowship candidates' views regarding the match process.
Methods: A Web survey was distributed electronically to all candidates applying for neuroradiology fellowship positions offered for the July 1, 2005, start date, with questions about the match. One hundred thirteen neuroradiology fellowship candidates responded to the survey, representing 73.9% of the surveyed fellowship pool. Candidates were also allowed to enter their comments regarding the match process via the Web survey.
Results: Of the 113 neuroradiology fellowship candidates responding, 75.7% felt that the NRMP system was fair, 86.0% were satisfied with the outcome, 88.8% had matched with one of their top three choices, 54.5% recommended continuing the neuroradiology fellowship match, and 15.5% stated that they experienced violations of the match rules. The main perceived advantages of the match from the candidates' perspectives were the ability to see many programs and explore multiple options, the perception of fairness, and the efficiency of using the match program. The main disadvantages were the cost of applications and traveling, the number of days required to interview, and the perception that the match program favors internal candidates.
Conclusion: The majority of fellowship candidates felt that the match system for selection is a fair process and were satisfied with the outcome. However, the perceived disadvantages produced tepid (54.5%) support for the continuation of the match. Program directors in neuroradiology and other radiologic subspecialties should consider the data provided in this article in deciding the future selection process.