The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation.

IF 2.3 Q2 ORTHOPEDICS
JBJS Open Access Pub Date : 2025-04-25 eCollection Date: 2025-04-01 DOI:10.2106/JBJS.OA.24.00002
Mark S Katsma, Jett B Murray, George C Balazs, Mark R Speicher, Aaron A Olsen
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引用次数: 0

Abstract

Background: Orthopaedic surgery remains one of the most competitive residency matches for both senior allopathic (MD) and senior osteopathic (DO) medical students. Despite the completion of a transition to single accreditation of residency programs accredited by the American Osteopathic Association and the Accreditation Council for Graduate Medical Education in 2020, little is known about the subsequent impact of this new environment for DO and MD orthopaedic applicants. The purpose of this study was to evaluate the differences between MD and DO match rates using both Electronic Residency Application Service (ERAS) and National Residency Matching Program (NRMP) data.

Methods: ERAS applicant data from 2020 to 2023 specific to orthopaedic surgery were obtained from the Association of American Medical Colleges. NRMP data were queried for the same years. Both NRMP (unadjusted) and ERAS (adjusted) match rates were calculated and compared for each year and cumulatively. In addition, the proportion of ERAS applicants that failed to rank orthopaedic surgery in the NRMP was calculated and compared between senior MD and senior DO applicant groups.

Results: From 2020 to 2023, the unadjusted match rate dropped for MDs (79% vs 73%, p = 0.002) and DOs (63% vs 50%, p = 0.009). Adjusted match rates over this time were not different for MDs (59% vs 57%, p = 0.22) or DOs (39% vs 37%, p = 0.67). Overall, the unadjusted and adjusted match rate for DO applicants was lower than MD across all years (p < 0.05). For every year except 2023 (p = 0.15), a larger proportion of US DO senior students with ERAS applications did not submit a final NRMP rank list for orthopaedics (p < 0.05).

Conclusions: Aspiring DO orthopaedic surgeons have lower match rates and higher rates of abandoning plans to apply for orthopaedic surgery between ERAS application and NRMP compared with their US MD peers despite single accreditation. Active identification of bias, orthopaedic mentorship, and focused advising may help prepare qualified applicants for competitive specialty matches.

Level of evidence: Level III. See Instructions for Authors for a complete description of levels of evidence.

真正的匹配率?尽管有单一认证,美国DO学生进入骨科的比例明显低于美国MD学生。
背景:骨科手术仍然是高年级对抗疗法(MD)和高年级骨科(DO)医学院学生最具竞争力的住院医师匹配之一。尽管在2020年完成了由美国骨科协会和研究生医学教育认证委员会认证的住院医师项目的单一认证过渡,但对于这种新环境对DO和MD骨科申请人的后续影响知之甚少。本研究的目的是利用电子居留申请服务(ERAS)和国家居留匹配计划(NRMP)数据来评估MD和DO匹配率之间的差异。方法:从美国医学院协会(Association of American Medical Colleges)获得2020年至2023年骨科外科ERAS申请数据。对同年的NRMP数据进行了查询。计算并比较每年和累计的NRMP(未调整)和ERAS(调整)匹配率。此外,计算并比较了高级MD和高级DO申请组中未能在NRMP中排名骨科手术的ERAS申请人的比例。结果:从2020年到2023年,MDs (79% vs 73%, p = 0.002)和DOs (63% vs 50%, p = 0.009)的未调整匹配率下降。在这段时间内,MDs (59% vs 57%, p = 0.22)和DOs (39% vs 37%, p = 0.67)的调整匹配率没有差异。总体而言,DO申请人的未调整和调整匹配率在所有年份均低于MD (p < 0.05)。除2023年(p = 0.15)外,每年有ERAS申请的US DO高年级学生未提交最终骨科NRMP排名表的比例都较大(p < 0.05)。结论:与美国MD同行相比,有抱负的DO骨科医生在ERAS申请和NRMP之间的匹配率较低,放弃计划申请骨科手术的比例较高,尽管有单一认证。积极识别偏见,骨科指导,并集中建议可能有助于准备合格的申请人竞争专业匹配。证据等级:三级。有关证据水平的完整描述,请参见作者说明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JBJS Open Access
JBJS Open Access Medicine-Surgery
CiteScore
5.00
自引率
0.00%
发文量
77
审稿时长
6 weeks
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