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6%. Overall, 1,380 or 19.6% of applicants (1380/7028) were asked for a commitment (verbal or otherwise) to rank a program Adriamycin highly. Of those who were asked for a commitment, 540 (39.1%) were asked by one program, 333 (24.1%) by two programs, 187 (13.6%) by three, and 112 (8.1%) by four. Specialty and Demographic Differences Among those respondents who indicated their specialty, orthopedics had the highest overall prevalence at 28.9% (372/474) followed by OBGYN (23.7%; 180/759), general surgery (21.7%; 190/876), internal medicine (18.3%; 601/3278), and finally, emergency medicine (15.4%; 141/916) (Table 1). Table 1 Specialty distribution of commitment questions (N=912). Women were more likely to be asked for a commitment. Almost 23% of women (732/3194; 22.9%) were asked for a commitment while only 18.2% of men (612/3358) were solicited. This difference was shown to be statistically significant with pPentamorphone either uncomfortable or very uncomfortable sharing this information (Table 2). Furthermore, applicants solicited for a commitment were less likely to rank the program. Among applicants approached for committal, 388 of 1,380 (28.1%) stated they were ��less likely�� to rank the program and 142 of 1,380 (10.3%) were ��much less likely�� to rank the program. Fewer than half the respondents said commitment solicitation had no effect on their decision to rank the program (46.9%; 647/1380) (Table 3). Table 2 Applicant comfort level of sharing information. Table 3 Applicant effect on ranking. Among those applicants asked for a commitment, OBGYN applicants felt the most uncomfortable �C 142 of 179 (79.3%) learn more respondents were either somewhat or very uncomfortable sharing this information. This was followed by orthopedics at 75.5% (102/135), emergency medicine 75% (105/140), internal medicine 74.5% (445/597), and surgery 70.7% (133/188) (Table 4). Table 4 Specialty choice by comfort level. When asked if questions of commitment affected their ultimate rank lists, emergency medicine residents stated it would affect them the most. Almost half of emergency medicine residents were less likely to rank a program based on this question (44.6%; 62/139). Lower percentages were given by applicants in OBGYN (42.5%; 76/179), internal medicine (39.4%; 234/594), orthopedics (33.6%; 45/134), and surgery (32.8%; 62/189) (Table 5). DISCUSSION Results of our national survey suggest that residency applicants routinely experience questions of residency commitment. Almost one in five respondents in the surveyed specialties reported facing a direct question asking for a commitment.
