If you are invited and confirm your attendance before the deadline, then you are confirmed for the interview. All applicants must be scheduled to graduate from an accredited U. The Program does not require any additional information nor will we accept any information outside of the ERAS requirements. For more information on ERAS please visit www. All applications received through ERAS will be considered for the five-year residency program.
Only one application is needed regardless of what program you apply to. An anonymous survey was sent to all applicants applying to the orthopedic surgery residency program at Loyola University. Questions were designed to define the number of applications submitted per respondent as well as the strength of their application.
Of surveys sent, Fourth-year medical students applying to the orthopedic surgery residency program at Loyola University. No other responses were found to be associated with an increased number of applications submitted. Less qualified candidates are not applying to significantly more programs than their more qualified counterparts. The increasing number of applications represents a financial strain on the applicant, given the costs required to apply to more programs, and a time burden on individual programs to screen increasing numbers of applicants.
In order to stabilize or reverse this alarming trend, orthopedic surgery residency programs should openly disclose admission criteria to prospective candidates, and medical schools should provide additional guidance for candidates in this process. Orthopedic surgery remains one of the most competitive residencies to match for students participating in the National Residency Matching Program NRMP 1 — 4. This dramatic increase in the number of applications submitted per applicant and the number of applications received by orthopedic residency programs has increased the financial burden and time management concerns on the applicants and programs alike.
Although there is currently no information on the financial and time burden of an increasing volume of applications, the time requirements and ability to appropriately and efficiently screen an enlarging pool of orthopedic surgery applicants have been a concern at Loyola University. Factors that determine a successful match in orthopedic surgery have been well studied and published by NRMP 7.
For example, successful match applicants in the match were offered an average of In addition, other studies have suggested that the implementation of the hour work restriction has led to an increase in applications 8 , 9. However, recently the effect of applicant publication volume on orthopedic residency match has been called into question. Campbell et al. In the study by Huntington et al. However, to our knowledge, there have been no investigations to determine the rationale for the number of applications submitted to orthopedic residency programs.
We hypothesized that lesser qualified applicants apply to more residency programs. Current investigation is designed to delineate which factors are associated with the number of applications submitted per applicant.
This study was reviewed by our institutional review board and classified as exempt. Three orthopedic surgery attending physicians, one statistician, and three orthopedic surgery resident physicians developed a question survey Table 1. The survey was sent via SurveyMonkey SurveyMonkey, Palo Alto, CA to all applicants of our institution's orthopedic surgery residency program with a cover letter that explained the purpose of the study, emphasizing the voluntary nature and anonymity of the study.
The survey was sent thrice over an 8-week period to the applicant pool in an attempt to maximize response rate. Completed surveys were compiled into a single database, and all analyses were conducted using SAS v9.
Continuous variables were made into categorical variables based on cut points of interest or quantiles to ensure adequate sample sizes in each category. One-way ANOVA and Independent t -tests were used to compare average number of residency applications for each variable collected. In cases of low cell counts or non-normality, non-parametric analyses Kruskal—Wallis tests and Wilcoxon Rank Sum tests were used.
Post-hoc tests, adjusted for multiple comparisons, were conducted on significant associations to determine specific associations between levels of categorical variables. Of the responders, Ages ranged from 24 to 33 years. The compiled results are shown in Table 2. This entire group of submitted an average of 80 applications per applicant to orthopedic residency programs. In addition, the number of away orthopedic surgery rotations completed was also associated with the number of applications submitted.
Applicants who completed more than two away rotations submitted significantly more applications per applicant As seen in Table 2 , no other factors queried for were significantly associated with the number of applications submitted per applicant.
However, the major theme centers around obtaining enough interviews to successfully match. Findings of this study are reflective of the Electronic Residency Application Service ERAS data demonstrating the increasing numbers of applications per applicant to orthopedic residency programs 6. As previously noted, there are both an increasing number of applicants to orthopedic residency programs and an increasing number of applications per applicant to orthopedic surgery residency programs.
The NRMP surveyed program directors of orthopedic residency programs in an effort to determine factors considered important to the programs 12 , In , orthopedic residency programs received an average of applications, invited 58 resident applicants for interviews, and ranked 45 candidates to fill four PGY-1 positions.
Using a five-point ranking, many other factors e. Another study compared the perspectives on resident selection criteria solicited from orthopedic program directors and orthopedic residency applicants. They found that program directors valued an applicant performing a rotation at their institution, USMLE 1 score, and rank in medical school to be most important.
In contrast, applicants felt the most important criteria to be a letter of recommendation from an orthopedic surgeon, USMLE 1 score, and rank in medical school Our results showed Results of this investigation refute our hypothesis that less qualified candidates based on objective measures apply to more programs than their more qualified counterparts.
We also investigated other factors that could potentially affect the number of applications submitted per applicant such as couples matching, sex, age, and region of origin, and there was no significant correlation between any of these factors and the number of applications submitted. It is not overly surprising that candidates who completed more than two away rotations in orthopedic surgery applied to a higher number of orthopedic surgery residency programs than those who completed fewer rotations.
The issue of applicants applying to multiple specialties in the same match year residency cross-specialty applications was not addressed in this study. Our department is aware of the crowd-sourced document which is shared each year among medical students to provide candid information about residency programs and the application process.
The Department of Orthopaedic Surgery at the University of North Carolina condemns this behavior and stands united in promoting a culture of inclusion and respect within our profession.
Cultural humility is not only about relating to patients and their families; it is about building a culturally rich working environment. The patient population we serve at UNC Hospitals is remarkably diverse and, as such, diversity in our residency, fellowship, nursing, faculty and staff enables us to better serve their needs.
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