How does residency program reputation influence American shoulder and elbow surgeons fellowship match results?

Q4 Medicine
Alexander Jurayj BA, Taylor Timoteo DO, Julio Nerys-Figueroa BS, Johnny Kasto MD, Jared M. Mahylis MD, Stephanie J. Muh MD
{"title":"How does residency program reputation influence American shoulder and elbow surgeons fellowship match results?","authors":"Alexander Jurayj BA,&nbsp;Taylor Timoteo DO,&nbsp;Julio Nerys-Figueroa BS,&nbsp;Johnny Kasto MD,&nbsp;Jared M. Mahylis MD,&nbsp;Stephanie J. Muh MD","doi":"10.1016/j.xrrt.2024.09.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>There was a statistically significant difference with residency tier and average matched rank by fellowship program (<em>P</em> &lt; .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 (<em>P</em> &lt; .001). Tier 1 applicants were significantly more likely to be “ranked to match” compared to all remaining applicants (<em>P</em> &lt; .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 (<em>P</em> = .029, <em>P</em> = .023, <em>P</em> = .012). Tier 2 applicants were more likely to match at one of their top 2 programs compared to tier 4 and 5 applicants (<em>P</em> = .045, <em>P</em> = .023).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 53-59"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764077/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JSES reviews, reports, and techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666639124001275","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

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.
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
0.60
自引率
0.00%
发文量
0
审稿时长
6 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信