How Should Unmatched Orthopaedic Surgery Applicants Proceed?
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Obtaining an orthopaedic surgery residency is competitive. Advisors must understand what factors may help unmatched candidates reapply successfully.
We determined (1) the attitude of leaders of orthopaedic surgery residency programs toward interviewing unmatched students; (2) whether a surgical internship or a research year is preferred in considering reapplicants; (3) the importance of United States Medical Licensing Examination (USMLE) scores, recommendations, and Alpha Omega Alpha (AOA) membership; and (4) whether academic and nonacademic programs evaluate reapplicants differently.
We sent an anonymous 19-question survey to 151 Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopaedic surgery residency programs in five waves, 1 week apart (December 5, 2009–January 5, 2010). Investigators were blinded to the respondents’ identities.
Ninety-one of the 151 programs (60%) responded. Sixty-eight of the 91 programs (75%) stated they rarely accept unmatched applicants. Sixty-eight programs (75%) agreed an unmatched applicant should do a surgery internship for 1 year. Of the 36 programs that recommended a research year, 32 were academic programs. Academic programs were more likely than nonacademic programs to view as important new recommendations (85% versus 67%), minimum scores of 220 on Step I (67% versus 49%) and Step II (64% versus 36%), and AOA membership (85% versus 67%).
By completing a surgical internship, unmatched students may increase their chances of matching. Students considering academic programs should ensure their academic record meets certain benchmarks and may consider a research year but risk limiting their acceptance to academic programs.
- American Medical Association. Program Selection Criteria. 2009. Available at: https://freida.ama-assn.org/Freida/user/viewProgramSearch.do. Accessed August 7, 2009.
- Bernstein AD, Jazrawi LM, Elbeshbeshy B, Della Valle CJ, Zuckerman JD. An analysis of orthopaedic residency selection criteria. Bull Hosp Jt Dis. 2002–2003;61:49–57.
- Black, KP, Abzug, JM, Chinchilli, VM (2006) Orthopaedic in-training examination scores: a correlation with USMLE results. J Bone Joint Surg Am. 88: pp. 671-676 CrossRef
- Crawford, CH, Nyland, J, Roberts, CS, Johnson, JR (2010) Relationship among United States Medical Licensing Step I, orthopedic in-training, subjective clinical performance evaluations, and American Board of Orthopedic Surgery examination scores: a 12-year review of an orthopedic surgery residency program. J Surg Educ. 67: pp. 71-78 CrossRef
- Dirschl, DR, Campion, ER, Gilliam, K (2006) Resident selection and predictors of performance: can we be evidence based?. Clin Orthop Relat Res. 449: pp. 44-49
- Dirschl, DR, Dahners, LE, Adams, GL, Crouch, JH, Wilson, FC (2002) Correlating selection criteria with subsequent performance as residents. Clin Orthop Relat Res. 399: pp. 265-271 CrossRef
- Dougherty, PJ, Walter, N, Schilling, P, Najibi, S, Herkowitz, H (2010) Do scores of the USMLE Step 1 and OITE correlate with the ABOS Part 1 certifying examination?: a multicenter study. Clin Orthop Relat Res. 468: pp. 2797-2802 CrossRef
- National Resident Matching Program. Results and data 2012 main residency matchSM. Washington, DC: National Resident Matching Program. Available at: http://www.nrmp.org/data/resultsanddata2012.pdf. Accessed May 24, 2012.
- Quintero, AJ, Segal, LS, King, TS, Black, KP (2009) The personal interview: assessing the potential for personality similarity to bias the selection of orthopaedic residents. Acad Med. 84: pp. 1364-1372 CrossRef
- Shah, A, Jacobs, DO, Martins, H, Harker, M, Menezes, A, McCready, M, Pietrobon, R (2006) DADOS-Survey: an open-source application for CHERRIES-compliant Web surveys. BMC Med Inform Decis Mak. 6: pp. 34 CrossRef
- How Should Unmatched Orthopaedic Surgery Applicants Proceed?
Clinical Orthopaedics and Related Research®
Volume 471, Issue 2 , pp 672-679
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