Reimagining the Path of an Unmatched Orthopaedic Residency Application: A Survey of Program Directors

• Published in: JB & JS open access 2023-08, Vol.8 (3)
• Main Authors: Bryant, Stewart A., Jardaly, Achraf H., Ponce, Brent A., Guthrie, S. Trent, Slone, Harris, Bruce, Jeremy R.
• Format: Article
• Language: English
• Subjects: AOA Critical Issues in Education
• ISSN: 2472-7245; 2472-7245
• DOI: 10.2106/JBJS.OA.22.00044

BackgroundFew evidence-based suggestions are available to help applicants and mentors improve reapplication outcomes. We sought to provide program directors' (PDs) perspectives on actionable steps to improve reapplicants' chances for a match. MethodsThe PDs were asked to rank positions unmatched applicants can pursue, steps these applicants can take for the next application cycle, and reasons why reapplicants do not match. ResultsResponses from 66 of 123 PDs were received (53.6% response rate). Obtaining new recommendation letters and rotating with orthopaedics were the highest 20 ranked steps unmatched applicants can take. No curriculum vitae (CV) improvement, poor interview, and poor letters of recommendation were the most important reasons hindering applicants from matching when reapplying. ConclusionsSteps reapplicants could prioritize include obtaining new recommendation letters, rotating in orthopaedics, and producing new research items. CV strengthening and improving interview skills address the 2 main reasons why unmatched applicants failed in subsequent attempts. Level of EvidenceLevel IV.