Rivero Steven, Ippolito Joseph, Martinez Maximilian, Beebe Kathleen, Benevenia Joseph, Berberian Wayne
J Grad Med Educ. 2016 Feb;8(1):91-5. doi: 10.4300/JGME-D-15-00176.1.
Orthopaedic surgery is one of the most competitive specialties, resulting in many applicants going unmatched. Many unmatched applicants pursue a preliminary internship or research fellowship, but whether these activities make them more successful in subsequent match cycles has not been studied.
To determine the effectiveness of activities during the intervening period on match success in a subsequent cycle.
After reviewing rank order lists for our program and National Resident Matching Program correspondence from 1994 to 2013, we identified 198 of 1216 ranked applicants (16.3%) who did not initially match. Of these, 57 applicants who matched through the Supplemental Offer and Acceptance Program did not reapply to orthopaedics or trained overseas.
Of 141 reapplicants, 56 matched into orthopaedic surgery, with 87.5% (P < .001) matching at a program in the same region where they had either completed their medical degree or postgraduate year, and 37.5% matching at their home institution (P < .001). Successful reapplicants after a research fellowship had a significantly higher number of publications than unsuccessful reapplicants (P < .05). There was no significant difference in success after research or internship (P = .80) and no significant difference in success rates for US versus international reapplicants (P = .43).
Success of reapplication into orthopaedic surgery may be less dependent on the route taken during the interim period, and more dependent on developing relationships with faculty at a local or regional institution.
骨科手术是竞争最为激烈的专业之一，导致许多申请者未能成功匹配。许多未成功匹配的申请者会寻求初步实习或研究奖学金，但这些活动是否能使他们在后续的匹配周期中更成功尚未得到研究。
确定干预期间的活动对后续周期匹配成功的有效性。
在查阅了我们项目1994年至2013年的排名顺序列表以及国家住院医师匹配项目的通信后，我们从1216名排名申请者中确定了198名（16.3%）最初未匹配的申请者。其中，57名通过补充录取计划匹配成功的申请者未重新申请骨科或在海外接受培训。
在141名重新申请者中，56名成功匹配到骨科手术，其中87.5%（P <.001）在他们获得医学学位或完成研究生学习的同一地区的项目中匹配成功，37.5%在他们的母校匹配成功（P <.001）。有研究奖学金经历的成功重新申请者发表的论文数量明显多于未成功的重新申请者（P <.05）。研究或实习后的成功率没有显著差异（P =.80），美国重新申请者与国际重新申请者的成功率也没有显著差异（P =.43）。
重新申请骨科手术的成功可能较少依赖于过渡期间所采取的途径，而更多地依赖于与当地或地区机构的教员建立关系。
