Resident assist position: New paradigm for the unmatched

Urology residencies are historically competitive in the United States. In 2022, the match rate dropped to 65.6%, the lowest since 2014. Unmatched applicants wishing to reapply have traditionally chosen between a research year or preliminary position in general surgery. It is unclear which choice more often yields a subsequent match. Recognising the unmatched applicant's dilemma and our need for additional staff support, our department enhanced previously reported non-clinical roles to develop the “Resident Team Assistant” (RTA) position. The programme aimed to provide re-applicants an experience with the benefits of a clinical year in urology and a research year to strengthen their resumes for the subsequent application cycle. The hosting institution also had an opportunity to familiarise itself with the RTA better than a standard applicant, which can lead to strong interest in recruiting the applicant and/or strong advocacy for them as they reapply.