The Impact of the COVID-19 Pandemic on Orthopaedic Surgery Residency Applicants During the 2021 Residency Match Cycle in the United States

Danford, Nicholas C.; Crutchfield, Connor R.; Aiyer, Amiethab; Jobin, Charles M.; Levine, William N.; Lynch, T. Sean

doi:10.5435/jaaosglobal-d-20-00103

Cited by 13 publications

(24 citation statements)

References 21 publications

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“…During the past decade, the number of programs to which each US orthopaedic surgery residency applicant has applied has nearly doubled [9,25]. In 2020, the coronavirus 2019 (COVID-19) pandemic added an unforeseen complication to the orthopaedic residency match [1,7]. Although much of the application process remained unchanged, including the importance of board examination scores (this is scheduled to change in January 2022, when the United States Medical Licensing Examination [USMLE] Step 1 will convert to pass-fail scoring), clinical grades, and letters of recommendation, away rotation and in-person interview performance were not available during 2021 [5,8,18,21,25,31,33,34,37].…”

Section: Introductionmentioning

confidence: 99%

How Did Coronavirus-19 Impact the Expenses for Medical Students Applying to an Orthopaedic Surgery Residency in 2020 to 2021?

Gordon

Conway

Sheth

et al. 2021

Clin Orthop Relat Res

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Background Orthopaedic surgery is one of the most competitive specialties for residency applicants. For the 2021 residency match, the coronavirus-19 pandemic introduced complexity for programs and applicants because away rotations were limited and in-person interviews were cancelled. This may have changed the landscape in terms of expenses for candidates in important ways, but this topic has been insufficiently studied. Questions/purposes Given that in 2021, students did not attend away rotations and all interviews were held virtually, we asked (1) What were the financial savings associated with this change? (2) Was medical school geographic region associated with differences in expenses when applying to residency? Methods A retrospective, cross-sectional analysis of the 2020 and 2021 Texas Seeking Transparency in Application to Residency Dashboard database was performed. The data were derived from an online survey of a nationwide pool of applicants from 87% (123 of 141) of US allopathic medical schools upon conclusion of the match. The response percentage was 29% (521 of 1794). We believe this nationwide dataset represents the largest and most current data for this applicant group. Responses from applicants applying to orthopaedic surgery residency in the year before the COVID-19 pandemic application changes (2020) and during COVID-19 (2021) were queried and compared. After the orthopaedic surgery match, the database was evaluated for individual (application costs, away rotation expenses, and interview expenses) and total expenses for medical school seniors applying to orthopaedic surgery residency. Applicant characteristics were compared between application cycles. The 2020 to 2021 Texas Seeking Transparency in Application to Residency Dashboard database had 521 responses (n = 263 in 2020 and n = 258 in 2021) from applicants applying to orthopaedic surgery residency. Demographic and applicant characteristics were comparable between application cycles. Median expenses are reported with percentile distributions and geographic comparisons. A Mann-Whitney U test or Kruskal-Wallis H test was used to determine whether there were statistically significant differences in expenses between years and between medical school regions at a p value threshold of < 0.05.Each author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. Ethical approval for this study was waived by the institutional review board from Maimonides Medical Center,

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Section: Introductionmentioning

confidence: 99%

How Did Coronavirus-19 Impact the Expenses for Medical Students Applying to an Orthopaedic Surgery Residency in 2020 to 2021?

Gordon

Conway

Sheth

et al. 2021

Clin Orthop Relat Res

Self Cite

View full text Add to dashboard Cite

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“…A total of four studies [ 3 , 10 , 49 , 54 ] conducted in the United States of America (n = 3) and Canada (n = 1) focused on the application process ( Table 3 ). There were three perspective/narrative studies [ 3 , 49 , 54 ] that discussed the impact of COVID-19 on the application process and offered potential strategies.…”

Section: Resultsmentioning

confidence: 99%

“…There were significantly more African American students (16.9%) to report ‘unlikely’ to apply than non-Hispanic American students (8.8%) ( p < 0.001). A total of 88.9% of students also stated that they had ‘much less’ or ‘slightly less’ chances to participate in full training of surgery to get appropriate choices for future application [ 10 ].…”

Section: Resultsmentioning

confidence: 99%

Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature

Hsu

Huang

et al. 2022

JCM

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This study aimed to systematically review the literature on the impact of the coronavirus disease (COVID-19) pandemic on the orthopedics field by focusing on multiple aspects, including orthopedic training and application, performance, work loading, change of practice, research work, and other psychological factors. Published articles were searched using the PubMed database. Articles were selected in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of 58 studies published between 1 January 2020 and 1 October 2021, 57 peer-reviewed original articles were included. Nearly 90% of students experienced an impact of the pandemic on application. The impact on training stemmed from redeployment rates of 20.9–23.1%. The rate of emergency or outpatient visits decreased from 18% to 58.6%. The rates of all surgeries or emergency surgeries decreased by 15.6–49.4%, while the rates of elective surgeries decreased by 43.5–100%. The rate of work loading ranged from 33% to 66%. Approximately 50–100% of surgeons had a change of practice. A total of 40.5% of orthopedic surgeons experienced mild psychological pressure. Approximately 64% had stopped research participant recruitment. Most of the included studies were conducted in Europe, followed by Asia and North America. It is suggested orthopedic surgeons prepare more sufficient, flexible, and reservable staffing measures, proper preventive strategies and surgical scheduling algorithms, and set up dedicated venues and equipment for routine telemedicine with staff training for virtual teaching or consultations in case of future impacts on orthopedics.

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“…Students identified as black/African American stated that they were "unlikely" to apply (16.9% compared with 8.8% of non-Hispanic whites, P < 0.001). The students stated that they had "slightly fewer" or "much less" opportunities to fully engage in orthopedic surgery training to make professional application choices (88.9% of students) [9].…”

Section: Impact On Applicationmentioning

confidence: 99%

Perspective Chapter: Impact of the COVID-19 Pandemic on the Field of Orthopedics

Hsu¹,

Ch²,

Huang³

2023

Psychosocial, Educational, and Economic Impacts of COVID-19

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During the COVID-19 pandemic, countries all over the world suffered from different kinds of service disruption or reduction in the field of orthopedics with or without lockdowns. The consequences include no restriction, partial disruption, overburden of medical services and complete shutdown of clinical practices. This chapter systematically reviews the current published literature on the global impact of COVID-19 on the field of orthopedics through multiple aspects, including educational impact, service volume impact, workload impact, personal practice change, psychological impact, and impact on orthopedic research. The rates of all surgeries and elective surgeries decreased by 15.6%–49.4% and 43.5–100%, respectively. The overall impact was attributable to the staff redeployment in response to the pandemic. Therefore, it is important to maintain a flexible allocation of manpower and more sufficient and reservable staffing measures in case of emergency staff shortages. Orthopedic surgeons are suggested to prepare proper preventive strategies and set up special equipment and places for regular telemedicine for virtual consultations or virtual teaching. It can be expected that the integration of the different experiences of global countries from the impact of COVID-19 may help us to face possible similar impacts in the future.

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The Impact of the COVID-19 Pandemic on Orthopaedic Surgery Residency Applicants During the 2021 Residency Match Cycle in the United States

Cited by 13 publications

References 21 publications

How Did Coronavirus-19 Impact the Expenses for Medical Students Applying to an Orthopaedic Surgery Residency in 2020 to 2021?

How Did Coronavirus-19 Impact the Expenses for Medical Students Applying to an Orthopaedic Surgery Residency in 2020 to 2021?

Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature

Perspective Chapter: Impact of the COVID-19 Pandemic on the Field of Orthopedics

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