How does residency program reputation influence American shoulder and elbow surgeons fellowship match results?
Background: Postresidency training is becoming increasingly common among orthopedic surgeons, with shoulder and elbow surgery growing as a desired subspeciality. There is limited data evaluating how the reputation of an applicants’ orthopedic residency influences the outcome of the shoulder and elbo...
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Elsevier
2025-02-01
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| Series: | JSES Reviews, Reports, and Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639124001275 |
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| author | Alexander Jurayj, BA Taylor Timoteo, DO Julio Nerys-Figueroa, BS Johnny Kasto, MD Jared M. Mahylis, MD Stephanie J. Muh, MD |
| author_facet | Alexander Jurayj, BA Taylor Timoteo, DO Julio Nerys-Figueroa, BS Johnny Kasto, MD Jared M. Mahylis, MD Stephanie J. Muh, MD |
| author_sort | Alexander Jurayj, BA |
| collection | DOAJ |
| description | Background: Postresidency training is becoming increasingly common among orthopedic surgeons, with shoulder and elbow surgery growing as a desired subspeciality. There is limited data evaluating how the reputation of an applicants’ orthopedic residency influences the outcome of the shoulder and elbow fellowship match. The purpose of this study was to determine if applicants from residencies with better reputation have more favorable odds during the match process compared to applicants from residencies with a less prestigious reputation. Methods: Residency reputation was determined using the 2023 Doximity residency ranking. These residency programs were then divided into 5 tiers (with tier 1 being the highest ranked and tier 5 being the lowest). Fellowship match data was obtained via San Francisco match from 2016 to 2023. Unmatched applicants, international graduates, and applicants without residency information were excluded. Applicants from 2016 to 2017 were excluded due to incomplete match data. Statistical analysis included descriptive statistics, Chi-square, analysis of variance, and nonparametric analysis. Results: There was a statistically significant difference with residency tier and average matched rank by fellowship program (P < .001). Applicants from tiers 1, 2, and 3 were more likely to be ranked higher compared to applicants from tiers 4 and 5. Applicants from tier 1 programs sent fewer applications and received a greater proportion of interview offers compared to applicants from tiers 3, 4, and 5 (P < .001). Tier 1 applicants were significantly more likely to be “ranked to match” compared to all remaining applicants (P < .001). There was no significant difference associated with residency tier and match position on the applicant’s rank list. However, applicants from tier 1 programs were significantly more likely to match at their top 2 desired programs, compared to applicants from tiers 3, 4, and 5 (P = .029, P = .023, P = .012). Tier 2 applicants were more likely to match at one of their top 2 programs compared to tier 4 and 5 applicants (P = .045, P = .023). Conclusion: Applicants from higher tier residencies are more likely to be ranked higher by shoulder and elbow fellowship programs compared to applicants from lower-tier residencies. Tiers 1, 2, and 3 are ranked approximately equally, while tiers 4 and 5 are ranked significantly lower. There was no association noted between residency tier and applicant match rank; however, applicants from higher-tier residencies were far more likely to match at their top fellowship programs compared to applicants from lower-tier residencies. |
| format | Article |
| id | doaj-art-05744a36d09446058f1a0c3cc01d7aa0 |
| institution | Kabale University |
| issn | 2666-6391 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj-art-05744a36d09446058f1a0c3cc01d7aa02025-01-06T04:09:03ZengElsevierJSES Reviews, Reports, and Techniques2666-63912025-02-01515359How does residency program reputation influence American shoulder and elbow surgeons fellowship match results?Alexander Jurayj, BA0Taylor Timoteo, DO1Julio Nerys-Figueroa, BS2Johnny Kasto, MD3Jared M. Mahylis, MD4Stephanie J. Muh, MD5Department of Orthopaedic Surgery, Henry Ford Hospital, Henry Ford Health, Detroit, MI, USADepartment of Orthopaedic Surgery, Henry Ford Hospital, Henry Ford Health, Detroit, MI, USADepartment of Orthopaedic Surgery, Henry Ford Hospital, Henry Ford Health, Detroit, MI, USADepartment of Orthopaedic Surgery, Henry Ford Hospital, Henry Ford Health, Detroit, MI, USADepartment of Orthopaedic Surgery, Henry Ford Hospital, Henry Ford Health, Detroit, MI, USACorresponding author: Stephanie J. Muh, MD, Department of Orthopaedic Surgery, Henry Ford Hospital, Henry Ford Health, 2799 W. Grand Blvd CFP-6, Detroit, MI 48202, USA.; Department of Orthopaedic Surgery, Henry Ford Hospital, Henry Ford Health, Detroit, MI, USABackground: Postresidency training is becoming increasingly common among orthopedic surgeons, with shoulder and elbow surgery growing as a desired subspeciality. There is limited data evaluating how the reputation of an applicants’ orthopedic residency influences the outcome of the shoulder and elbow fellowship match. The purpose of this study was to determine if applicants from residencies with better reputation have more favorable odds during the match process compared to applicants from residencies with a less prestigious reputation. Methods: Residency reputation was determined using the 2023 Doximity residency ranking. These residency programs were then divided into 5 tiers (with tier 1 being the highest ranked and tier 5 being the lowest). Fellowship match data was obtained via San Francisco match from 2016 to 2023. Unmatched applicants, international graduates, and applicants without residency information were excluded. Applicants from 2016 to 2017 were excluded due to incomplete match data. Statistical analysis included descriptive statistics, Chi-square, analysis of variance, and nonparametric analysis. Results: There was a statistically significant difference with residency tier and average matched rank by fellowship program (P < .001). Applicants from tiers 1, 2, and 3 were more likely to be ranked higher compared to applicants from tiers 4 and 5. Applicants from tier 1 programs sent fewer applications and received a greater proportion of interview offers compared to applicants from tiers 3, 4, and 5 (P < .001). Tier 1 applicants were significantly more likely to be “ranked to match” compared to all remaining applicants (P < .001). There was no significant difference associated with residency tier and match position on the applicant’s rank list. However, applicants from tier 1 programs were significantly more likely to match at their top 2 desired programs, compared to applicants from tiers 3, 4, and 5 (P = .029, P = .023, P = .012). Tier 2 applicants were more likely to match at one of their top 2 programs compared to tier 4 and 5 applicants (P = .045, P = .023). Conclusion: Applicants from higher tier residencies are more likely to be ranked higher by shoulder and elbow fellowship programs compared to applicants from lower-tier residencies. Tiers 1, 2, and 3 are ranked approximately equally, while tiers 4 and 5 are ranked significantly lower. There was no association noted between residency tier and applicant match rank; however, applicants from higher-tier residencies were far more likely to match at their top fellowship programs compared to applicants from lower-tier residencies.http://www.sciencedirect.com/science/article/pii/S2666639124001275FellowshipMatchResidencyShoulderElbowReputation |
| spellingShingle | Alexander Jurayj, BA Taylor Timoteo, DO Julio Nerys-Figueroa, BS Johnny Kasto, MD Jared M. Mahylis, MD Stephanie J. Muh, MD How does residency program reputation influence American shoulder and elbow surgeons fellowship match results? JSES Reviews, Reports, and Techniques Fellowship Match Residency Shoulder Elbow Reputation |
| title | How does residency program reputation influence American shoulder and elbow surgeons fellowship match results? |
| title_full | How does residency program reputation influence American shoulder and elbow surgeons fellowship match results? |
| title_fullStr | How does residency program reputation influence American shoulder and elbow surgeons fellowship match results? |
| title_full_unstemmed | How does residency program reputation influence American shoulder and elbow surgeons fellowship match results? |
| title_short | How does residency program reputation influence American shoulder and elbow surgeons fellowship match results? |
| title_sort | how does residency program reputation influence american shoulder and elbow surgeons fellowship match results |
| topic | Fellowship Match Residency Shoulder Elbow Reputation |
| url | http://www.sciencedirect.com/science/article/pii/S2666639124001275 |
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