Factors influencing resident participation in the AAOS Political Action Committee.

Resident participation in the political action committee (PAC) is important for professional advocacy and for ensuring access to quality musculoskeletal care. The following questions were asked: Would faculty contribution-matching increase donation rates and amounts among orthopedic surgery residents at a single institution? What barriers do residents self-identify that prevent or delay PAC participation? How do residents perceive a faculty contribution-matching program? Residents at 1 institution were encouraged to participate in the PAC before and after the introduction of a faculty contribution-matching program. In addition, telephone follow-up was performed and resident perceptions were assessed regarding the program and barriers to participation. Rates of participation, amounts donated, and perceptions are reported. Resident participation in the PAC increased from 10% to 95% following the introduction of a faculty contribution-matching program. The second group of residents contributed 67 cents for every dollar given by the first group. Significant barriers identified included time constraints and an inability to access the PAC Web portal. Ninety-four percent of the initial nonresponders said that they made joining the PAC a priority after learning about the faculty contribution-matching program. They specifically cite giving greater attention to an issue that the faculty value. Four months after the initial e-mail, 100% of residents had contributed. Residents believe that professional activism is important but ascribe it a lower priority than other professional duties. Residency programs might facilitate resident involvement in the PAC by instituting faculty contribution-matching and by assisting junior residents with their American Association of Orthopaedic Surgeons login information.