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Matching in Orthopaedic Surgery.

Antonia F Chen1, Eric S Secrist, Brian P Scannell

  • 1From the Department of Orthopedics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (Dr. Chen), the Department of Orthopedic Surgery, Atrium Musculoskeletal Institute (Dr. Secrist, Dr. Patt), and the Department of Orthopedic Surgery, Atrium Musculoskeletal Institute/OrthoCarolina (Dr. Scannell), Charlotte, NC.

The Journal of the American Academy of Orthopaedic Surgeons
|October 1, 2019
PubMed
Summary
This summary is machine-generated.

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Orthopedic surgery residency applications are excessive, costing applicants thousands and straining programs. Factors like USMLE Step 1 scores and Alpha Omega Alpha status influence interview invitations.

Area of Science:

  • Medical Education
  • Surgical Residency Admissions
  • Graduate Medical Education

Background:

  • Orthopedic surgery residency applications are highly competitive, with 1,137 students applying for 727 positions in 2016.
  • The application process involves an average of 79 programs per student, totaling 89,846 applications, a rate significantly higher than other specialties.

Purpose of the Study:

  • To analyze the application trends and associated costs in orthopedic surgery residency.
  • To identify factors influencing interview invitations and the applicant-program fit.

Main Methods:

  • Retrospective analysis of 2016 orthopedic surgery residency application data.
  • Statistical evaluation of application numbers, away rotations, and factors predicting interview yield.

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Main Results:

  • An average of 83 applications and 2.4 away rotations were submitted per applicant, with 124 applications per available position.
  • USMLE Step 1 scores, research, and Alpha Omega Alpha (AOA) status predict interview invitations, with AOA having the strongest impact.
  • Applicants spent an average of $7,000 on interviews, with 72% borrowing money; 60-64% reported post-interview contact.

Conclusions:

  • The high volume of applications creates financial burdens for applicants and logistical challenges for programs.
  • Objective metrics like USMLE scores and AOA status are crucial for program screening and applicant success.
  • Addressing application volume and associated costs is necessary to improve the orthopedic surgery residency match process.