Advertisement

Clinical Orthopaedics and Related Research®

, Volume 472, Issue 9, pp 2859–2866 | Cite as

What Factors Influence Applicants’ Rankings of Orthopaedic Surgery Residency Programs in the National Resident Matching Program?

  • William P. HuntingtonEmail author
  • Nikkole Haines
  • Joshua C. Patt
Basic Research

Abstract

Background

In accordance with the American Academy of Orthopaedic Surgeons’ strategic goal of enriching our field by building a more diverse orthopaedic workforce, the specialty needs further information delineating the factors important to the applicant pool as a whole and more specifically to women and other underrepresented minority groups.

Questions/purposes

This study aims to identify (1) factors important to residency applicants selecting an orthopaedic residency program; (2) differences in factor importance for men, women, and minorities, and (3) the importance of different information sources used when making his or her rank list.

Methods

All 742 applicants who applied to the authors’ orthopaedic surgery residency program in the 2013 National Resident Matching Program were queried. The response rate was 28% (207 of 742). Respondents were asked to rank, on a 5-point Likert scale, 37 factors that may have affected their rank lists to differing degrees. Respondents also identified the importance of sources of information used to make their rank lists, factors that residency programs considered important when ranking applicants, and their level of agreement with various sex- and racial-specific statements regarding orthopaedic training.

Results

The most important factors affecting rank lists were perceived happiness/quality of life of current residents, resident camaraderie, and impression after an away rotation. Women weighed their personal interactions and a program’s proximity to family and friends more heavily when determining a rank list. Sixty-eight percent of women eliminated residency programs from their options based on perceived sex biases versus less than 1% of men. Applicants valued information obtained from away rotations at an institution and in talking with current residents most when determining his or her rank list.

Conclusions

Programs should consider interpersonal factors, like quality of life and resident camaraderie as factors in attracting applicants. They also should minimize perceived biases and emphasize interactions with current residents during the application process to meet their goals of attracting an exceptional and more diverse orthopaedic workforce.

Keywords

Residency Program Rank List Interpersonal Factor Current Resident Orthopaedic Resident 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

We thank Rachel Seymour PhD for contributions to the statistical analyses in this study.

References

  1. 1.
    American Academy of Orthopaedic Surgeons. Diversity in Orthopaedics. Available at: http://www3.aaos.org/About/diversity/index.cfm. Accessed April 26, 2013.
  2. 2.
    Bernstein AD, Jazrawi LM, Elbeshbeshy B, Della Valle CJ, Zuckerman JD. Orthopaedic resident-selection criteria. J Bone Joint Surg Am. 2002;84:2090–2096.PubMedGoogle Scholar
  3. 3.
    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.Google Scholar
  4. 4.
    Department of Research and Scientific Affairs, American Academy of Orthopaedic Surgeons. 1998–2011 Resident Diversity Survey Report. March 9, 2012. Available at: http://www3.aaos.org/about/diversity/pdfs/resident_trend.pdf. Accessed April 26, 2013.
  5. 5.
    DeSantis M, Marco CA. Emergency medicine residency selection: factors influencing candidate decisions. Acad Emerg Med. 2005;12:559–561.PubMedCrossRefGoogle Scholar
  6. 6.
    Egol KA, Collins J, Zuckerman JD. Success in orthopaedic training: resident selection and predictors of quality performance. J Am Acad Orthop Surg. 2011;19:72–80.PubMedGoogle Scholar
  7. 7.
    Evarts CM. Resident selection: a key to the future of orthopaedics. Clin Orthop Relat Res. 2006;449:39–43.PubMedGoogle Scholar
  8. 8.
    Flynn TC, Gerrity MS, Berkowitz LR. What do applicants look for when selecting internal medicine residency programs? A comparison of rating scale and open-ended responses. J Gen Intern Med. 1993;8:249–254.PubMedCrossRefGoogle Scholar
  9. 9.
    Lewis VO, Scherl SA, O’Connor MI. Women in orthopaedics: way behind the numbers curve. J Bone Joint Surg Am. 2012;94:e30.PubMedCrossRefGoogle Scholar
  10. 10.
    Pretorius ES, Hrung J. Factors that affect National Resident Matching Program rankings of medical students applying for radiology residency. Acad Radiol. 2002;9:75–81.PubMedCrossRefGoogle Scholar
  11. 11.
    Proucznik MA. Where are the women orthopaedists? AAOS Now. 2008;2. Available at: http://www.aaos.org/news/aaosnow/feb08/cover2.asp. Accessed May 1, 2014.
  12. 12.
    Sanfilippo JA, Sharkey PF, Parvizi J. Criteria used by medical students to rank orthopaedic surgery residency programs. Am J Orthop (Belle Mead NJ). 2006;35:512–514.PubMedGoogle Scholar
  13. 13.
    Spitzer AB, Gage MJ, Looze CA, Walsh M, Zuckerman JD, Egol KA. Factors associated with successful performance in an orthopaedic surgery residency. J Bone Joint Surg Am. 2009;91:2750–2755.PubMedCrossRefGoogle Scholar
  14. 14.
    Stefanidis D, Miles WS, Greene FL. Factors influencing residency choice of general surgery applicants: how important is the availability of a skills curriculum? J Surg Educ. 2009;66:325–329.PubMedCrossRefGoogle Scholar
  15. 15.
    The Match National Residency Matching Program: Results and data: 2013 main residency match. Available at: http://www.nrmp.org/wp-content/uploads/2013/08/resultsanddata2013.pdf. Accessed July 9, 2013.
  16. 16.
    Yarris MS, Delorio NM, Lowe RA. Factors applicants value when selecting an emergency medicine residency. West J Emerg Med. 2009;10:159–162.PubMedCentralPubMedGoogle Scholar

Copyright information

© The Association of Bone and Joint Surgeons® 2014

Authors and Affiliations

  • William P. Huntington
    • 1
    Email author
  • Nikkole Haines
    • 1
  • Joshua C. Patt
    • 1
  1. 1.Department of Orthopaedic SurgeryCarolinas Medical CenterCharlotteUSA

Personalised recommendations