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The Student You Know: Orthopedic Surgery Home Program Match Rates and Geographic Relationships Before and After

Anthony J Nestler¹, Benjamin M Feibel¹, Austin M Beason¹

¹Southern Illinois University, Springfield, Illinois.

Journal of Surgical Education

|November 26, 2022

Summary

The COVID-19 pandemic increased orthopedic surgery residency program preference for home-state applicants, with a significant rise in students matching within their medical school

Keywords:

COVID-19 away rotations home program in-state orthopedic surgery residency match

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Area of Science:

Orthopedic Surgery
Medical Education
Public Health

Background:

The COVID-19 pandemic led to the cancellation of in-person residency interviews and away rotations.
This significantly impacted the medical residency application process for the graduating class of 2021.
Understanding the effects on geographic matching is crucial for future application cycles.

Purpose of the Study:

To analyze geographic relationships in orthopedic surgery residency matches.
To investigate the impact of COVID-19 on these geographic relationships.
To compare orthopedic residency home program match rates before and after the pandemic.

Main Methods:

Data on orthopedic residents and their medical schools were collected from residency websites and social media.
The study included 134 allopathic and nonmilitary orthopedic residency programs, analyzing 3253 residents.
Proportions of home program matches and same-state/region matches were calculated and compared pre- and during the pandemic.

Main Results:

The percentage of orthopedic residency slots filled by home program students increased from 21.8% (2017-2020) to 28.2% (2021).
Matches with medical students from the same state significantly increased from 34.7% to 39.3% during the pandemic.
Matching rates with applicants from the same region remained largely consistent (63.6% during pandemic vs. 63.3% pre-pandemic).

Conclusions:

Orthopedic residency programs demonstrated an increased preference for home program applicants during the COVID-19 pandemic.
This trend persisted despite the shift to virtual interviews and rotations.
The findings suggest a nationwide hesitation towards virtual interview processes by both programs and applicants.