Choy Kenneth B, Cannada Lisa K, Steinmann Scott, Cohn Randy M, Bitterman Adam
Department of Orthopaedic Surgery, Northwell Health, New Hyde Park, New York.
Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York.
JB JS Open Access. 2025 Apr 18;10(2). doi: 10.2106/JBJS.OA.24.00207. eCollection 2025 Apr-Jun.
Discrepancies have previously been identified in terms of gender and medical degree throughout orthopaedic education. The purpose of this study was to evaluate trends in the degree type and gender of applicants to orthopaedic trauma, sports medicine, adult reconstruction, foot and ankle, shoulder and elbow, and pediatric fellowships.
Official San Francisco match data from 2012 to 2023 were obtained. Data regarding the number of applicants, match rates, and rank list position based on applicant degree and gender were evaluated.
The match rate for female applicants increased from a low of 81% (45/56) in 2013 to a high of 99% (94/95) in 2021 (mean 90% ± 6%), with a significant increase over the study period ( = 0.59, p = 0.02). For male applicants, the match rate ranged from a low of 85% (416/488) in 2013 to a high of 96% (515/536) in 2021 (mean 90% ± 4%), with a significant increase ( = 0.91, p = 0.000007). The match rate for osteopathic applicants increased from 63% (46/73) in 2013 to 94% (84/89) in 2021 (mean 82% ± 8%). There was a statistically significant increase in the match rate of osteopathic applicants over the study period ( = 0.75, p = 0.002). The match rate for allopathic applicants ranged from a low of 86% (405/471) in 2013 to a high of 96% (522/542) in 2021 (mean 91% ± 3%). There was a statistically significant increase in the match rate of allopathic applicants over the study period ( = 0.72, p = 0.003).
Overall, male and female applicants match at equal rates for the orthopaedic fellowship. Osteopathic graduates are less likely to match than allopathic graduates.
此前在整个骨科教育过程中，已发现性别和医学学位方面存在差异。本研究的目的是评估申请骨科创伤、运动医学、成人重建、足踝、肩肘和儿科专科培训的申请人的学位类型和性别的趋势。
获取了2012年至2023年旧金山官方匹配数据。评估了基于申请人学位和性别的申请人数量、匹配率和排名列表位置的数据。
女性申请人的匹配率从2013年的低水平81%（45/56）升至2021年的高水平99%（94/95）（平均90%±6%），在研究期间有显著增加（=0.59，p=0.02）。男性申请人的匹配率从2013年的低水平85%（416/488）到2021年的高水平96%（515/536）（平均90%±4%），有显著增加（=0.91，p=0.000007）。整骨疗法申请人的匹配率从2013年的63%（46/73）增至2021年的94%（84/89）（平均82%±8%）。在研究期间，整骨疗法申请人的匹配率有统计学显著增加（=0.75，p=0.002）。对抗疗法申请人的匹配率从2013年的低水平86%（405/471）到2021年的高水平96%（522/542）（平均91%±3%）。在研究期间，对抗疗法申请人的匹配率有统计学显著增加（=0.72，p=0.003）。
总体而言，男性和女性申请人在骨科专科培训中的匹配率相同。整骨疗法毕业生比对抗疗法毕业生匹配的可能性更小。
