The Student You Know: Orthopedic Surgery Home Program Match Rates and Geographic Relationships Before and After COVID-19

Nestler, Anthony J.; Feibel, Benjamin M.; Beason, Austin M.; Besserman, Kathryn; Mounce, Samuel D.; Bailey, J. R.; Delfino, Kristin; Allan, Donald G.

doi:10.1016/j.jsurg.2022.10.011

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…Prospective residents with a home orthopaedic residency program may have an advantage in the match. Although the reasons underlying this benefit are multifactorial, orthopaedic surgery residents frequently match from home medical schools, as evidenced by the recent 2021 NRMP application cycle, in which orthopaedic surgery residency programs matched up to 31.6% of incoming residents from home medical schools 2 , 3 . The existing literature has also posited that medical school ranking or reputation may play a role in the recruitment of orthopaedic surgery residents—notably, orthopaedic residency programs that are ranked higher according to the Doximity medical networking platform match a greater number of residents from higher-ranked, predominantly allopathic medical schools as delineated by US News and World Report 4 .…”

Section: Introductionmentioning

confidence: 99%

Diversity in Orthopaedic Surgery Residencies Based on Allopathic Medical School Affiliation

et al. 2023

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Introduction: Orthopaedic surgery is one of the most competitive and least diverse specialties in medicine. Affiliation of an orthopaedics with an allopathic medical school impacts research opportunities and early exposure to clinical orthopaedics. The purpose of this study is to examine the potential effect allopathic medical school affiliation has on orthopaedic surgery resident demographics and academic characteristics. Methods: All 202 Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopaedics programs were divided into 2 groups: Group 1 consisted of residency programs without an affiliated allopathic medical school, and Group 2 consisted of programs with an affiliated allopathic medical school. Affiliations were determined by cross-referencing the ACGME residency program list with the medical school list published by Association of American Medical Colleges (AAMC). Program and resident characteristics were then compiled using AAMC’s Residency Explorer including region, program setting, number of residents, and osteopathic recognition. Resident characteristics included race, gender, experiences (work, volunteer, and research), peer-reviewed publications, and US Medical Licensing Examination Step 1 scores. Results: Of the 202 ACGME-accredited orthopaedics residencies, Group 1 had 61 (30.2%) programs, and Group 2 had 141 (69.8%) programs. Group 2 had larger programs (4.9 vs. 3.2 resident positions/year; p < 0.001) and 1.7 times the number of residency applicants (655.8 vs. 385.5; p < 0.001). Most Group 2 residents were allopathic medical school graduates, 95.5%, compared with 41.6% in Group 1. Group 1 had 57.0% osteopathic medical school graduates, compared with 2.9% in Group 2. There were 6.1% more White residents in Group 1 residencies (p = 0.025), and Group 2 residencies consisted of 3.5% more Black residents in relation to Group 1 (p = 0.03). Academic performance metrics were comparable between the 2 groups (p > 0.05). Conclusion: This study demonstrated that candidates who successfully match into an orthopaedic surgery residency program achieve high academic performance, regardless of whether the program was affiliated with an allopathic medical school. Differences may be influenced by increased representation of minority faculty, greater demand for allopathic residents, or stronger emphasis on promotion of diversity in those residency programs. Availability of Data and Material: Available on reasonable request. Level of Evidence: Level III . See Instructions for Authors for a complete description of levels of evidence.

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Section: Introductionmentioning

confidence: 99%