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Recent trends in hand surgery fellowship applicants and programs.

Christopher P Bellaire1,2, Emily M Graham3, Lauren M Bracey4

  • 1Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount, Sinai, New York, NY, USA.

Surgery in Practice and Science
|January 23, 2025
PubMed
Summary

The number of hand surgery fellowship programs and positions increased from 2010 to 2023, but the applicant pool remained stable. This led to a decreased applicant-to-position ratio, suggesting a need for optimized fellowship application strategies.

Keywords:
ApplicantsHand fellowshipHand surgeryMatchMedical EducationPrograms

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Area of Science:

  • Medical Education
  • Surgical Training
  • Fellowship Matching

Background:

  • Hand surgery fellowship is a competitive subspecialty attracting orthopedic, plastic, and general surgery residents.
  • Significant reforms were implemented in 2010 by the American Academy of Orthopaedic Surgeons (AAOS) and the American Society of Plastic Surgeons (ASPS).

Purpose of the Study:

  • To analyze trends in hand fellowship applicants and programs from 2010 to 2023.
  • To evaluate the impact of 2010 reforms on the hand surgery fellowship match.

Main Methods:

  • Data on hand fellowship applicants and programs were obtained from the American Society for Surgery of the Hand (ASSH), National Resident Matching Program (NRMP), and Accreditation Council for Graduate Medical Education (ACGME).
  • Statistical analysis was performed to identify trends in program growth, applicant numbers, and applicant-to-position ratios.

Main Results:

  • The number of accredited hand surgery fellowship programs increased across all specialties (orthopedic, plastic, general surgery) by 27.6% to 50%.
  • Fellowship positions rose by 38.8%, while the number of applicants showed no significant change.
  • The applicant-to-position ratio decreased, but applicants ranked significantly more programs per applicant.

Conclusions:

  • Despite program and position growth, the applicant pool for hand surgery fellowships has not significantly increased.
  • The declining applicant-to-position ratio and increased program ranking suggest potential shifts in fellowship application strategies.
  • Further exploration of strategies to optimize fellowship rank lists is warranted, considering trends in surgical residency matching.