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An Applicant's Residency Program Region May Influence Where They Complete Fellowship
Chad A Krueger1, Jonathan R Helms2, Anthony J Bell3
1Harrington Hospital, Southbridge, Massachusetts.
Journal of Surgical Orthopaedic Advances
|April 14, 2021
Summary
Orthopaedic surgery applicants are more likely to complete fellowship training in the same geographic region where they finished residency. Significant regional imbalances exist in fellowship positions, impacting training placement.
Area of Science:
- Orthopaedic Surgery
- Medical Education
- Healthcare Administration
Background:
- Geographic factors can influence medical residency and fellowship placement.
- Understanding regional disparities in fellowship positions is crucial for applicant guidance.
Purpose of the Study:
- To investigate the association between an applicant's residency region and their fellowship match location in orthopaedic subspecialties.
- To identify regional imbalances in fellowship training positions.
Main Methods:
- Utilized San Francisco Match (SF Match) data from 2014-2018 for orthopaedic subspecialties (excluding hand, shoulder, and elbow).
- Categorized residency programs into five geographic regions: Northeast (NE), Southeast (SE), Midwest (MW), Southwest (SW), and West (W).
- Analyzed the number of fellowship positions per applicant and match outcomes by region.
Main Results:
- Applicants were significantly more likely (p < 0.0001) to complete fellowship in their residency region.
- Significant regional differences (p < 0.05) in match outcomes were observed across subspecialties.
- The Midwest (MW) region had the fewest positions per applicant (0.62), while the West (W) region had the most (1.7).
Conclusions:
- A strong association exists between residency and fellowship geographic locations in orthopaedic surgery.
- Regional imbalances in fellowship positions are evident and may influence training pathways.
- These findings highlight the importance of geographic considerations in fellowship applications and program distribution.
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