The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index

Martinez, Victor H.; Quirarte, Jaime A.; Smith, Matthew D.; Gibbons, Steven D.; Rose, Ryan A.

doi:10.1016/j.sipas.2023.100155

Cited by 9 publications

(8 citation statements)

References 19 publications

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“…The normalized competitive index was first used as a metric in a study assessing surgical fellowship competitiveness and subsequently studied for other surgical specialties. 14–17 However, our study is the first to evaluate obstetrics and gynecology residency data using the particular normalized competitive index equations validated by the methods protocol developed by Treffalls et al Even though the previous studies used normalized competitive index equations that differed from ours, similar conclusions were made based on match data, applicant metrics, and the normalized competitive index. 14–17 Hence, using the normalized competitive index to determine competitiveness may be a more accurate approach instead of the match rate, alone, as validated across various studies and specialties.…”

Section: Discussionmentioning

confidence: 62%

“…When determining the competitive index and normalized competitive index equations, we selected our equations based on a review of peer-reviewed publications and a recent preprint methods protocol developed by Treffalls et al (https://doi.org/10.21203/rs.3.pex-2030/v1). 14–17 The Treffalls et al protocol examined various equations to determine which equations correlated most appropriately with the data metrics gathered and most accurately demonstrated competitiveness:Equation 1. Competitive index=number of positions/match rateEquation 2.…”

Section: Methodsmentioning

confidence: 99%

“…21203/rs.3.pex-2030/v1). [14][15][16][17] To assess longitudinal trends in competitiveness, linear regressions were performed on the normalized competitive index and match rates from 2003 to 2022. Linear regressions were also performed on the applicant and program characteristics from 2003 to 2022 and applicant metrics from 2007 to 2021.…”

Section: Methodsmentioning

confidence: 99%

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Competitiveness of Obstetrics and Gynecology Residency Programs and Applicants

Michelotti

Stansbury

Treffalls

et al. 2023

Obstetrics &Amp; Gynecology

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OBJECTIVE: To assess the change in competitiveness of obstetrics and gynecology programs over 20 years using a normalized competitive index. METHODS: Obstetrics and gynecology match data were obtained from the National Resident Matching Program (NRMP) for 2003–2022. Applicant metrics (United States Medical Licensing Examination scores, score percentiles, research output and experiences, and work and volunteer experiences) were obtained from the NRMP and the Association of American Medical Colleges (2007–2021). The competitive index was calculated using the number of positions available divided by match rate each year between 2003 and 2022. The normalized competitive index was calculated by dividing the yearly competitive index by the average competitive index over 20 years. Data were analyzed using univariate analysis and linear regressions. RESULTS: When comparing the two decades (2003–2012 vs 2013–2022), applicants (1,539±242 vs 1,902±144; P<.001), positions (1,173±31 vs 1,345±98; P<.001), and number of programs ranked per applicant (13±1.4 vs 15±0.6; P<.001) have increased. While the match rate did not significantly change from 2003 to 2022 (75.5%±9.9% vs 70.5%±1.6%; P=.14), the normalized competitive index increased (R2=0.92, P<.001), indicating increased competitiveness. Applicant metrics increased over time, including research output (2.4±0.8 vs 5.0±0.7; P=.002) and work experiences (2.9±0.2 vs 3.6±0.1; P=.002; R2=0.98, P<.001). CONCLUSION: Despite an increase in obstetrics and gynecology applicants and applicant metrics, match rates remain unchanged. However, the competitiveness of programs has significantly increased, as demonstrated by the normalized competitive index, applicants per position, and applicant metrics. The normalized competitive index is a useful metric for applicants to determine program or applicant competitiveness, especially when used alongside applicant metrics.

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Section: Discussionmentioning

confidence: 62%

Section: Methodsmentioning

confidence: 99%

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Competitiveness of Obstetrics and Gynecology Residency Programs and Applicants

Michelotti

Stansbury

Treffalls

et al. 2023

Obstetrics &Amp; Gynecology

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“…Orthopaedic surgery consistently has more applicants applying for residency training than available residency spots. Between 2013 and 2022, the percentage match rate for orthopaedic surgery was 80% for allopathic (MD) medical applicants and 70% for all medical graduates [1]. The transition of the United States Medical Licensing Examination (USMLE) Step 1 to pass/fail rather than numerical scores give students one less opportunity to objectively stratify themselves in the already competitive orthopaedic surgery residency match.…”

Section: Introductionmentioning

confidence: 99%

Discrepancies in Publication Volume Per Matched-Applicant Between Sex, Geographic Regions and Program Affiliation in the 2023 Orthopaedic Surgery Residency Match

Farnham

2024

JOSR

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Objective: This study aims to examine potential gender-based publication disparities among 2023 orthopaedic surgery matched-applicants, investigate variations in research emphasis based on program affiliation and assess publication differences across different geographic regions. Methods: Orthopaedic surgery residency programs participating in the 2023 NRMP with a publicly available incoming resident class were identified using the NRMP database. Each resident was searched using PubMed and ORCID identifiers for publications. Each program was designated as “university-based”, “community-based”, “community-based/university affiliated” or “other” using the American Medical Association’s FRIEDA database. Results: In total, 763 residents were identified with a mean and median number of publications of 6.1 (SD=10.0) and 3.0 (IQR=1.0-7.0) respectively. There was no significant difference in the median number of publications between males (2.0) and females (3.0, p=0.2315). Those who matched to “community-based/university affiliated” (median=2.0) programs had a lower median number of publications than those who matched to “university-based” (median=3.0, p<0.0001) or “other” (median=6.0, p=0.0006). Geographically, applicants in the West-South Central region (median=1.0) had the lowest publication median compared to those in the New England (median=4.0, p=0.0010) or Pacific (median=4.0, p=0.0015) regions. Conclusion: There lies a perceived increase in significance of research publications for competitiveness in the orthopaedic surgery match. This largely follows the elimination of objective Step-1 scoring to help stratify potential applicants. Research remains an objective manner to stratify applicants; however, new data lacks on recent analysis of the 2023 match pool. There was not a significant difference in the number of publications between male vs female matched-applicants. The program category “other” and the New England and Pacific regions had the highest median number of publications. Keywords: Orthopaedics; Medical Residency; Graduate Medical Education; Medical School; Residency Match; Orthopaedic Education; Orthopaedic Residency

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“…O rthopaedic surgery is one of the most competitive specialties in medicine for which medical students apply to residency 1 . From 2013 to 2022, the number of orthopaedic surgery residency positions has steadily increased with an average of 762.4 positions and a total applicant match rate averaging 70.0% during that time 2 . In 2022, approximately 40% of allopathic (MD) applicants and 46% of osteopathic (DO) applicants did not successfully match 3 .…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Match Rates to Orthopaedic Surgery Residency Programs Between First-Time Versus Repeat Applicants

et al. 2023

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Introduction: Orthopaedic surgery has become one of the most competitive specialties to match into among medical students applying to residency. The purpose of this study was to compare match rates to orthopaedic surgery residency programs among first-time vs. repeat applicants. Methods: Data were obtained from the National Resident Matching Program from 2018 to 2022. For each year, the total number of applicants to orthopaedic surgery residency programs was obtained, as well as the number of applicants who successfully matched into orthopaedics. The match rate was compared between first-time vs repeat applicants. A subanalysis was performed on allopathic graduates (MDs) and osteopathic graduates (DOs)/international medical graduates (IMGs). In addition, the match rate for first-time applicants and reapplicants was compared between MD and DO/IMG applicants. Results: Overall, there was a significantly higher match rate among first-time applicants (89.8%) vs. repeat applicants (22.5%, p < 0.0001). When substratified by MD and DO/IMG applicants, first-time applicants still matched at a significantly higher rate than reapplicants within each group (p < 0.0001 for each). Among first-time applicants, MDs (93.1%) matched at a significantly higher rate than DOs/IMGs (68.6%, p < 0.0001). Among reapplicants, DOs/IMGs (25.3%) matched at a significantly higher rate than MDs (20.1%, p < 0.01). Conclusion: First-time applicants to orthopaedic surgery residency programs have a significantly higher rate of matching compared with reapplicants, irrespective of degree. In recent years, first-time MD applicants have matched at a significantly higher rate than first-time DO/IMG applicants.

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The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index

Cited by 9 publications

References 19 publications

Competitiveness of Obstetrics and Gynecology Residency Programs and Applicants

Competitiveness of Obstetrics and Gynecology Residency Programs and Applicants

Discrepancies in Publication Volume Per Matched-Applicant Between Sex, Geographic Regions and Program Affiliation in the 2023 Orthopaedic Surgery Residency Match

A Comparison of Match Rates to Orthopaedic Surgery Residency Programs Between First-Time Versus Repeat Applicants

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