Schrock John B, Kraeutler Matthew J, Dayton Michael R, McCarty Eric C
1Department of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado.
J Bone Joint Surg Am. 2017 Jan 4;99(1):e1. doi: 10.2106/JBJS.16.00293.
The Association of American Medical Colleges publishes residency match data and reports through the National Resident Matching Program (NRMP) every year. The purpose of this study was to analyze trends in orthopaedic surgery residency matching data and characteristics of successful applicants to counsel medical students with regard to their chances of matching.
The annual reports of the NRMP were searched annually from 2006 to 2014 to determine the number of orthopaedic surgery residency positions available, the number of applicants, and the match rate among applicants. Comparisons were performed between matched applicants and unmatched applicants with regard to the number of contiguous ranks and distinct specialties, United States Medical Licensing Examination (USMLE) scores, number of research experiences and research products (abstracts, presentations, posters, publications), and proportion of Alpha Omega Alpha (AOA) Honor Medical Society members and students at a top-40, National Institutes of Health (NIH)-funded medical school.
The number of orthopaedic surgery positions available and number of applicants increased at a mean rate of 9 positions and 65 applicants per year (p = 0.11). The mean number of contiguous ranks for U.S. senior medical students was 11.5 for those who matched and 5.5 for those who did not match (p < 0.0001). The USMLE scores for applicants who matched were significantly greater than for those who did not match in each category: Step-1 scores for U.S. seniors (p < 0.001) and independent applicants (p = 0.039), and Step-2 scores for U.S. seniors (p < 0.01) and independent applicants (p = 0.026). The mean number of research products was significantly greater for matched U.S. seniors compared with unmatched U.S. seniors (p = 0.035). A significantly higher proportion of matched U.S. seniors compared with unmatched U.S. seniors were AOA members and students at a top-40, NIH-funded medical school (both p < 0.0001).
Successful applicants in the Match for orthopaedic surgery residency have higher USMLE Step-1 and 2 scores, number of research experiences and research products, and contiguous ranks. A higher proportion of successful applicants are AOA members and students at a top-40, NIH-funded medical school.
美国医学院协会每年通过国家住院医师匹配计划（NRMP）发布住院医师匹配数据和报告。本研究的目的是分析骨科手术住院医师匹配数据的趋势以及成功申请者的特征，以便为医学生提供关于其匹配机会的建议。
检索2006年至2014年NRMP的年度报告，以确定可提供的骨科手术住院医师职位数量、申请者数量以及申请者的匹配率。对匹配申请者和未匹配申请者在连续排名数量、不同专业、美国医学执照考试（USMLE）成绩、研究经历和研究成果数量（摘要、报告、海报、出版物）以及美国医学生协会（AOA）荣誉医学协会成员和就读于排名前40的国立卫生研究院（NIH）资助医学院的学生比例方面进行比较。
可提供的骨科手术职位数量和申请者数量平均每年分别增加9个职位和65名申请者（p = 0.11）。美国高年级医学生中，匹配者的平均连续排名数量为11.5，未匹配者为5.5（p < 0.0001）。在每个类别中，匹配申请者的USMLE成绩显著高于未匹配申请者：美国高年级学生的第一步成绩（p < 0.001）和独立申请者的第一步成绩（p = 0.039），以及美国高年级学生的第二步成绩（p < 0.01）和独立申请者的第二步成绩（p = 0.026）。与未匹配的美国高年级学生相比，匹配的美国高年级学生的平均研究成果数量显著更多（p = 0.035）。与未匹配的美国高年级学生相比，匹配的美国高年级学生中AOA成员以及就读于排名前40的NIH资助医学院的学生比例显著更高（两者p < 0.0001）。
成功匹配骨科手术住院医师的申请者具有更高的USMLE第一步和第二步成绩、更多的研究经历和研究成果以及连续排名。成功申请者中AOA成员以及就读于排名前40的NIH资助医学院的学生比例更高。
