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Updated: Apr 30, 2026

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Navigating Failure to Match in Orthopaedic Surgery: A Guide for Mentors.

Benjamin Hershfeld1,2,3, John M Pirtle1,2,3, Brandon Klein4

  • 1Department of Orthopaedic Surgery, Northwell Health, New Hyde Park, New York.

JB & JS Open Access
|December 24, 2025
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Summary

This review offers guidance for mentors supporting medical students who did not match into orthopaedic surgery. It outlines strategies for a successful reapplication, focusing on research, clinical experience, and mentorship.

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Area of Science:

  • Medical Education
  • Surgical Residency Matching
  • Career Development in Medicine

Background:

  • Orthopaedic surgery is a highly competitive specialty within the National Residency Matching Program.
  • Many medical students fail to match into orthopaedic surgery annually.
  • There is a lack of structured guidance for mentors assisting these applicants.

Purpose of the Study:

  • To provide mentors with actionable strategies to support orthopaedic surgery reapplicants.
  • To guide applicants in strengthening their profiles for a successful match.
  • To assist in developing contingency plans, including alternative career paths.

Main Methods:

  • This is a review article.
  • It synthesizes existing literature and expert opinion on mentorship and residency applications.
  • Strategies focus on research, clinical experience, and faculty advocacy.

Main Results:

  • Structured interim years can enhance research productivity and clinical experience.
  • Strong faculty advocacy is crucial for reapplication success.
  • Early consideration of alternative specialties or careers is recommended.

Conclusions:

  • Mentorship is vital for navigating the complexities of the orthopaedic surgery match.
  • Resilience and strategic preparation can improve reapplicant outcomes.
  • Contingency planning increases the likelihood of a successful career in or related to orthopaedics.