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Does "Hoarding" Impact Interview Distribution Among Orthopaedic Surgery Residency Applicants? A Modeling Study Based

Catherine E Hutchison1, Jason I Reminick2, Ephy R Love2

  • 1Department of Orthopaedics & Rehabilitation, Oregon Health & Science University, Portland, OR, USA.

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Interview hoarding in orthopaedic surgery residency is common, but this study found it does not significantly alter interview distribution. Concerns about a "match crisis" due to hoarding appear unfounded, as applicant numbers exceed available positions.

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Area of Science:

  • Medical Education
  • Surgical Specialties
  • Residency Admissions

Background:

  • "Interview hoarding" describes concentrated interview offers among top orthopaedic surgery residency applicants.
  • Concerns exist that this could lead to a "match crisis" with unfilled positions.
  • No prior studies have analyzed interview offer distribution in orthopaedics.

Purpose of the Study:

  • To examine the distribution of orthopaedic surgery residency interview invitations.
  • To model the impact of an interview cap on this distribution.
  • To assess the effect of reducing the applicant pool size on interview distribution.

Main Methods:

  • Retrospective analysis of interview invitations via the Thalamus platform (2020-2022).
  • Data included 1565 applicants and 53 programs in 2021-2022.
  • Simulated interview caps and applicant pool reductions to assess distribution changes.

Main Results:

  • Applicants received a mean of 1.7-1.8 invitations; distribution shape remained unchanged.
  • 39% of applicants received no invitations; <1% received 10+.
  • Simulated caps and applicant reductions showed minimal redistribution of interviews (2-3%).

Conclusions:

  • Orthopaedic surgery residency interview invitations are unevenly distributed.
  • Interview hoarding does not appear to cause a significant shift in distribution or a "match crisis".
  • The applicant pool size consistently exceeds available residency positions.