Contemporary Assessment of Match Violations within Urology: an Opportunity for Ethical Leadership
Purpose of Review
The primary aim of this review is to: (1) adequately define Match violations, (2) thoroughly examine the nature and scope of Match violations in the American Urologic Association (AUA) Urology Match, and (3) propose and recommend policy guidelines, including consequences for applicants and programs, as it pertains to Match violations. These recommendations are intended to affect change at the level of the AUA and Society of Academic Urology (SAU) that more effectively mitigates future violations, intentional or not.
There is a paucity of specific guidelines published by the AUA on what constitutes a Match violation. Furthermore, in contrast to the National Resident Matching Program (NRMP), the AUA is surprisingly lenient in their existing guidelines. The Match violations most frequently reported were programs asking applicants illegal and restricted questions as well as inappropriate post-interview communication between applicants and programs.
Review of current Match policies and violations suggest several areas for improvement, particularly regarding the specificity of AUA guidelines to define Match violations, the asking of illegal interview questions, and post-interview communication. The obligation to uphold a fair and equitable Match is an ethical imperative for the urologic community.
KeywordsUrology Match AUA match NRMP Match violations
Compliance with Ethical Standards
Conflict of Interest
Alejandra Balen and Jennifer Fantasia each declare no potential conflicts of interest.
Simone Thavaseelan was asked to Chair a Society of Urology (SAU) Task Force on Match Violations in order to understand the issue and provide recommendations for policy to the SAU. This was an unpaid voluntary appointment and resulted in presentation to the membership 2/19 and 5/19.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
- 1.NRMP: About NRMP [Internet]. Washington DC: National Resident Matching Program; c2002-2019 [cited 2019 June 22]. Available from: http://www.nrmp.org/about-nrmp/.
- 2.AUA: Urology and specialty matches [Internet]. Linthicum, MD: American Urological Association; c2019 [cited 2019 June 22]. Available from: http://www.auanet.org/education/auauniversity/residents/residency/urology-and-specialty-matches.
- 3.NRMP: Communication code of conduct [Internet]. Washington, DC: National Resident Matching Program; c2002–2019 [cited 2019 June 22]. Available from: http://www.nrmp.org/communication-code-of-conduct/.
- 5.Keeter MK, Singal A, Demzik A, Roston A, Shah N, Kielb S. Gender based differences in discriminatory questions asked of urology applicants during residency interviews. Urol Practice. 2019(6):58–63. https://doi.org/10.1016/j.urpr.2018.02.002.
- 8.SAU: Resident match process P and guidelines. [Internet]. Schaumburg, IL: Society of Academic Urology; c2002–2019 [cited 2019 June 22]. Available from: https://sauweb.org/resources/resident-match-process.aspx/.