Graduates of Orthopaedic Residency Training Are Increasingly Subspecialized

Horst, Patrick; Choo, Kevin J.; Bharucha, Neil J.; Vail, Thomas P.

doi:10.2106/jbjs.n.00995

Cited by 130 publications

(70 citation statements)

References 14 publications

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“…Orthopaedic surgery subspecialty fellowship training has become increasingly popular over the last several years [ 1 ], with 90% of all physicians taking the American Board of Orthopaedic Surgery part II having completed at least 1 year of fellowship training [ 2 ]. Not surprisingly, job advertisements are increasingly targeting fellowship-trained orthopaedic surgeons over general orthopaedists [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Considered in Ranking Hip and Knee Arthroplasty Fellowship Applicants: A Survey of Program Directors

et al. 2020

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Background: Variables considered by hip and knee arthroplasty fellowship program directors (PDs) to select fellowship candidates are not well known. Methods: A web-based questionnaire containing 5 questions was developed and sent to all 92 adult reconstruction fellowship PDs via email. Three questions collected program information including the number of positions available, the number of candidates interviewed, and ranked annually. PDs were then given a list of 12 factors and asked to rank them in the order of importance. A weighted score for each factor was calculated using the following scale: 5 points each time a factor was ranked 1st, 4 points each time a factor was ranked 2nd, 3 points for each 3rd place rank, 2 points for each 4th place rank, and 1 point for each 5th place rank. PDs were also allowed to write in other factors they considered important when ranking fellowship candidates. Results: The overall response rate was 34.8% (32/92). Seventy-five percent of responding programs indicated that they interview between 21 and 40 applicants per year for their fellowship position(s). The interview was ranked as the most important variable in selecting applicants by 53.1% of responding PDs, followed by letters of recommendation (ranked first by 25% of PDs) and personal connections to the applicant and/or letter writer(s) (ranked first by 9% of PDs). A positive correlation was identified between the program size and an applicant's geographical ties to the city/town of the fellowship program (r s ¼ 0.472; P ¼ .006). Conclusions: According to hip and knee arthroplasty fellowship PDs, the interview, letters of recommendation, and personal connections to the applicant and/or letter writers are the most important factors considered in selecting arthroplasty fellowship candidates.

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Section: Introductionmentioning

confidence: 99%

Factors Considered in Ranking Hip and Knee Arthroplasty Fellowship Applicants: A Survey of Program Directors

et al. 2020

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“…James D. Wylie MD, MHS I n an era of increasing subspecialization, fellowship has become the capstone to our orthopaedic education and provides much of the skillset that surgeons rely on in their practice [2]. Job-listing sites increasingly advertise for physicians with fellowship training [3], and residents have heard the message loud and clear: More than 90% of orthopaedic residents performed at least one fellowship in 2013 [2], with some residency graduates even performing two [1]. Maximizing productivity and efficiency during fellowship is challenging, but doing so can jumpstart a career.…”

Section: Pearls: Getting the Most Out Of Your Fellowship Yearmentioning

confidence: 99%

Pearls: Getting the Most Out of Your Fellowship Year

Wylie

2019

Clin Orthop Relat Res

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“…Orthopaedic surgery is becoming increasingly specialized. Recent studies have demonstrated that approximately 90% of orthopaedic residents pursue fellowship training after graduation, 5 , 6 , 12 which is a substantial increase from 76% in 2003. 6 The development of orthopaedic subspecialty societies began in the 1970s and has increased significantly over the past several decades.…”

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confidence: 99%

“…Recent studies have demonstrated that approximately 90% of orthopaedic residents pursue fellowship training after graduation, 5 , 6 , 12 which is a substantial increase from 76% in 2003. 6 The development of orthopaedic subspecialty societies began in the 1970s and has increased significantly over the past several decades. There are many reasons proposed for the rise in specialization, including the desire to be responsible for a more manageable body of knowledge, to improve clinical expertise, and to pursue academic goals.…”

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confidence: 99%

Outcomes in the Orthopaedic Sports Medicine Fellowship Match, 2010-2017

Mulcahey

Hayes

Smith

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Sports medicine is one of the most competitive fellowships in orthopaedic surgery. Despite its popularity, fellowship applicants have limited understanding of the orthopaedic sports medicine fellowship match process.Purpose:To define key outcomes in the orthopaedic sports medicine fellowship match, including the overall match rate, number of programs filled, and number of applicants ranked by programs that filled between 2010 and 2017.Study Design:Cross-sectional study.Methods:This study utilized data regarding the orthopaedic sports medicine fellowship match collected by the American Orthopaedic Society for Sports Medicine (AOSSM) from 2010 through 2017. Applicant data included number of applicants, number of matched and unmatched applicants, and percentage of applicants matching into their top choices. Fellowship program data included number of programs participating in the match and number of applicants ranked by filled and unfilled programs.Results:Between 2010 and 2017, the mean number of orthopaedic sports medicine fellowship applicants was 244.8. On average, 92.0% of applicants matched into a fellowship program. The mean number of programs participating in the fellowship match was 92.9, with a mean of 219.9 accredited positions and 5.4 nonaccredited positions. Over the time period studied, a mean of 75.8% of programs matched all available positions. Programs that matched fully ranked 9.0 applicants per position, on average, compared with a mean of 6.5 applicants ranked per position among programs that did not fully match (P = .0016).Conclusion:From 2010 to 2017, the number of applicants, positions available, overall match rate, and number of programs participating in the orthopaedic sports medicine fellowship match have remained consistent. The mean number of applicants per position ranked by fully matched fellowship programs was 9.0 compared with a mean of 6.5 applicants per position ranked by programs that did not fully match. These data may be helpful as we look to the future of orthopaedic sports medicine fellowship positions and the match process. In addition, this study reveals characteristics that divide sports medicine fellowship programs that fully match from those that do not. Applicants and/or fellowship program directors may utilize this information to modify their approach to the match process going forward.

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Graduates of Orthopaedic Residency Training Are Increasingly Subspecialized

Cited by 130 publications

References 14 publications

Factors Considered in Ranking Hip and Knee Arthroplasty Fellowship Applicants: A Survey of Program Directors

Factors Considered in Ranking Hip and Knee Arthroplasty Fellowship Applicants: A Survey of Program Directors

Pearls: Getting the Most Out of Your Fellowship Year

Outcomes in the Orthopaedic Sports Medicine Fellowship Match, 2010-2017

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