Geographic Trends in the Orthopedic Surgery Residency Match

Cox, Ryan M.; Sobel, Albert E.; Biercevicz, Alison M.; Eberson, Craig P.; Mulcahey, Mary K.

doi:10.4300/jgme-d-17-00633.1

Cited by 32 publications

(36 citation statements)

References 10 publications

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“…Evidence supporting most of these perceptions exists. Cox et al 13 found a strong association between the location applicants matched for residency and where the applicants previously lived or attended school. In addition, Schrock et al 14 found that a higher proportion of matched applicants come from top 40 NIH-funded schools.…”

Section: Discussionmentioning

confidence: 99%

Perspectives on the Orthopaedic Surgery Residency Application Process During the COVID-19 Pandemic

et al. 2021

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Introduction: The COVID-19 pandemic has led to the cancellation of away rotations and other experiences fundamental to orthopaedic surgery residency application. Limited information is available on the experiences of applicants and program directors (PDs) during the COVID-19 pandemic residency application cycle. This study aimed to evaluate the current perspectives of applicants and PDs regarding the orthopaedic surgery residency application process. Methods: This was a cross-sectional study using 2 independent but similar surveys that addressed multiple aspects of the application process during the COVID-19 pandemic, including perceived effect of virtual experiences. Between February and March 2021, the surveys were distributed to orthopaedic surgery applicants and orthopaedic residency PDs. Results: In total, 113 applicants (20.1%) and 29 PDs (19.6%) completed the survey. Applicants applied to 97.6 programs and received 13.3 interviews. They participated in 2.4 virtual away rotations. In total, 79.3% of programs reported offering some form of virtual opportunity, including virtual away rotations (24.0%), virtual happy hours (64.0%), and virtual conferences (64.0%). Programs offering virtual away rotations hosted 46.8 rotators and only invited back 54.5% for an interview. Applicants were most concerned about the lack of away rotations, the interview, and networking during this cycle, and 51% reported less confidence in matching. The most important factors for influencing applicant rank lists were perceived happiness of residents, resident camaraderie, and geographic location. However, residency program social events were not well replicated in a virtual setting. Discussion: The COVID-19 pandemic presented new challenges for applicants and PDs. Applicants had less clinical exposure and received less interview invites after virtual away rotations. Despite applying to more programs, applicants received fewer interviews than in previous years. The virtual experiences adopted in this cycle did not adequately replicate the social factors that applicants found most important when ranking a program. Even during the COVID-19 pandemic, PDs most highly valued away rotation performance, clinical rotation performance, and board examination scores when offering interviews.

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Section: Discussionmentioning

confidence: 99%

Perspectives on the Orthopaedic Surgery Residency Application Process During the COVID-19 Pandemic

et al. 2021

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“… 1 This geographic trend is also present for other surgical subspecialties. 2 , 3 Silvestre reasons that existing professional networks incentivize these regional trends. 1 Professional relationships likely play an influential role in the match process.…”

Section: Introductionmentioning

confidence: 99%

Home Field Advantage: Assessing the Geographic Trends of the Plastic Surgery Residency Match during the COVID-19 Pandemic

Asadourian

Murphy

Marano

et al. 2021

Journal of Surgical Education

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Objective In previous plastic surgery residency match cycles, in-person activities at other institutions, such as away rotations, have facilitated matches outside of an applicant's home program or region. The COVID-19 pandemic, however, limited these in-person opportunities. Therefore, we hypothesized that applicants of the 2021 cycle would be more likely to match into programs with which they have existing geographic connections when compared to previous years. Design Residency websites and social media accounts were searched for resident names and educational information for those matching in 2021 and 2015 to 2020. Outcomes included proportion of applicants matching at the program affiliated with their medical school (“home program”), or matching in the same state or United States Census Map region as their medical school or undergraduate institution. Subgroup analyses were stratified by program region, incoming resident class size, and Doximity residency reputation ranking. Setting Columbia University (New York). Participants For the 2015 to 2020 residency cycles, 963 residents were identified from 78 (95.1%) programs. For 2021, 159 incoming interns were identified from 70 (82.3%) programs. Results 2021 applicants matched into their home program at higher rates than 2015-2020 applicants (36.0% vs. 24.1%, p  = 0.019). This trend was similar regardless of program region or size. This increase was significant for programs ranked outside of the top 30 (41.5% vs. 26.4%, p = 0.032), but not for the top 30 programs (32.1% vs. 22.3%, p = 0.128). Excluding those who matched at their home program, 2015 to 2020 and 2021 applicants matched in the same state or region of their medical school or undergraduate institution at similar rates (p > 0.05 for all). Conclusions During the COVID-19 pandemic, plastic surgery residency programs matched more applicants from affiliated medical schools than in previous years. This may result from lack of in-person opportunities for applicants at other programs. Alternative relationship-building opportunities may facilitate broader geographic connections in the 2022 cycle.

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“…To the authors' knowledge, this is the first study to report the program-provided career and personal interests of orthopaedic surgery residents. Our analyses provide a four-year update of orthopaedic surgery resident geographic distribution trends compared with the lone previous study 11 ; however, this study also includes data of both allopathic and osteopathic orthopaedic surgery programs, as well as a more precise determination of mean geographical distance traveled by each resident from university and medical school to residency.…”

Section: Discussionmentioning

confidence: 99%

“…Existing orthopaedic surgery residency programs were identified on the Electronic Residency Application Service (ERAS) website, a methodology adapted from previous studies of similar focus. 8 , 11 Orthopaedic residency program websites were identified through ERAS listings and search engine queries through Google. If an ERAS listing did not include a direct link to a program's website, a Google search was performed by the authors (N.S.…”

Section: Methodsmentioning

confidence: 99%

“… 8 , 9 Ophthalmology applicants have a 60% probability of matching in the same geographic region. 10 Using data from the 2015 to 2016 academic year, Cox et al 11 were the first to discuss orthopaedic resident geography trends and reported that 47% of medical students remained in the same geographic region for their orthopaedic residency program. The National Resident Matching Program (NRMP) Match data from 2018 demonstrated that 63% of all residency applicants matched in their home geographic region.…”

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confidence: 99%

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The Geographic Movement Patterns and Career and Personal Interests of Orthopaedic Surgery Residents in the United States

Sherman

Sorenson²,

Khwaja³

et al. 2021

JAAOS Glob Res Rev

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Background: Orthopaedic surgery continues to be a highly desired residency specialty for graduating medical students in the United States. The geographic preferences and trajectories of orthopaedic surgery applicants are not well understood. Objective: The primary objective of this study was to determine the geographic movement patterns of orthopaedic residents from university through residency. A secondary objective was to trend the career and personal interests of orthopaedic residents. Methods: One hundred eighty-seven orthopaedic surgery programs and 3672 residents were identified through the Electronic Residency Application Service website and Google searches and included for study. Program provided information, including the residents' medical school, undergraduate institution, career interests, and personal interests was then gathered. All data were recorded between the dates of March 25, 2020, and April 2, 2020. Results: A minority of orthopaedic residents (46.2%; n = 1,569/3,398) were training in the same geographic region of their medical school; however, analysis revealed a statistically significant strength of association for home region over a different US census bureau region (χ 2 = 127.4, df = 8, Cramer's V = 0.2, P < 0.001). The average distance between orthopaedic residents' medical school and residency program was 666 miles. Male residents were more interested in arthroplasty, spine, and sports, whereas female residents were more interested in hand and pediatrics. The residents leading interests were in arthroplasty (24.4%), sports (21.7%), and trauma (21.3%). Conclusion: Orthopaedic surgery residents are more likely to train in a geographical region that is different from their medical school or undergraduate institution. The reported career interests of male and female orthopaedic residents showed significant differences, but personal interests seem to be similar between genders.

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Geographic Trends in the Orthopedic Surgery Residency Match

Abstract: There is an association among hometown, undergraduate institution, and medical school for the training program location in which orthopedic surgery residents match, with variability in locations matched at state and census division levels.

Cited by 32 publications

References 10 publications

Perspectives on the Orthopaedic Surgery Residency Application Process During the COVID-19 Pandemic

Perspectives on the Orthopaedic Surgery Residency Application Process During the COVID-19 Pandemic

Home Field Advantage: Assessing the Geographic Trends of the Plastic Surgery Residency Match during the COVID-19 Pandemic

The Geographic Movement Patterns and Career and Personal Interests of Orthopaedic Surgery Residents in the United States

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