Preference signaling in dermatology: the faculty’s perspective
摘要
Preference signaling tokens (PSTs) were introduced in 2021 to improve the U.S. dermatology residency application process. By the 2024–2025 cycle, a tiered system of 3 ‘gold’ and 25 ‘silver’ signals had been widely adopted. To better understand the evolving role of this signaling system, a national survey was conducted to capture faculty perspectives across dermatology residency programs. Using an anonymous real-time digital questionnaire, this study surveyed faculty at the 2024 Fall Association of Professors of Dermatology (APD) meeting. Among 350 attendees, 185 faculty members responded (52.9%). Overall, 98.3% of respondents supported the continued use of PSTs. Faculty favored the current allotment of 28 signals (62.6%) and a tiered system (78.5%). There was also strong support for allowing signals from away rotators (88.1%) and research fellows (79.2%), and home institution students (70.7%). These findings reflect a shift from earlier policies that discouraged signaling to familiar programs, potentially supporting equity for applicants from schools without dermatology departments. Overall, ongoing evaluation is important to ensure preference signaling continues to support a fair and efficient residency selection process.