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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
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.
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.
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