The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index
Objective: To apply a normalized competitive index over a 20-year period to analyse applicant trends in orthopaedic surgery residency programs. Design: A retrospective analysis of orthopaedic surgery residency program data from the National Resident Matching Program (NRMP) Main Residency Match data...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
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| Series: | Surgery in Practice and Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262023000013 |
| _version_ | 1811155478360621056 |
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| author | Victor H. Martinez Jaime A. Quirarte Matthew D. Smith Steven D. Gibbons Ryan A. Rose |
| author_facet | Victor H. Martinez Jaime A. Quirarte Matthew D. Smith Steven D. Gibbons Ryan A. Rose |
| author_sort | Victor H. Martinez |
| collection | DOAJ |
| description | Objective: To apply a normalized competitive index over a 20-year period to analyse applicant trends in orthopaedic surgery residency programs. Design: A retrospective analysis of orthopaedic surgery residency program data from the National Resident Matching Program (NRMP) Main Residency Match data from 2003 to 2022 and NRMP Charting Outcomes data from 2007 to 2021 was performed. A competitive index (CI) was utilized by dividing the number of programs ranked per applicant, multiplied by available positions, and by the match rate for each year. Next, the index was normalized to a value of 1 to establish a normalized competitive index (NCI) by dividing the yearly CI by the average CI. Setting: National Resident Matching Program (NRMP) Main Residency Match data from 1992 to 2021 and NRMP Charting Outcomes data from 2007 to 2021. Participants: Orthopaedic surgery residency applicants. Results: The NCI was significantly different over time (R2= 0.95, p < 0.001) with an upward trending NCI slope. Total applicants have nearly doubled over the past two decades (2003, 830 vs. 2022, 1460; p<0.001). The match rate did not significantly change over the two decades (2003−2012 vs. 2013–2022; 70% vs. 70%; p = 0.76). However, in 2022, the match rate dropped to 59.5%. The 2022 applicant cycle had 14% more applicants, while positions increased by 0.8% compared to the year prior. The USMLE Step 1 and Step 2 scores of matched applicants increased over time (R2>0.83, p < 0.001). Research output quadrupled over the 2007–2021 period (3 vs. 14, p < 0.001). Conclusion: Despite match rates remaining constant over time, the NCI metric demonstrated the increasing competitiveness of orthopaedic surgery residency programs over twenty years. Match rates have inherent limitations as a singular metric and should only be used in conjunction with additional metrics. Establishing a more comprehensive index with applicant metrics provides insight into the growing competitiveness of orthopaedic programs and a more comprehensive outlook for future applicants. |
| first_indexed | 2024-04-10T04:34:49Z |
| format | Article |
| id | doaj.art-38e6fea442ac413f9c56f32c4eb4bfff |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-04-10T04:34:49Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-38e6fea442ac413f9c56f32c4eb4bfff2023-03-10T04:36:15ZengElsevierSurgery in Practice and Science2666-26202023-03-0112100155The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive IndexVictor H. Martinez0Jaime A. Quirarte1Matthew D. Smith2Steven D. Gibbons3Ryan A. Rose4University of the Incarnate Word, School of Osteopathic Medicine, San Antonio, TX, United States; Corresponding author at: University of the Incarnate Word, School of Osteopathic Medicine, 7615 Kennedy Hill Dr., San Antonio, TX 78235, United States.UT Health San Antonio, Long School of Medicine, San Antonio, TX, United StatesUT Health San Antonio, Long School of Medicine, San Antonio, TX, United StatesUT Health San Antonio, Long School of Medicine, San Antonio, TX, United States; UT Health San Antonio, Department of Orthopaedic Surgery, San Antonio, TX, United StatesUT Health San Antonio, Long School of Medicine, San Antonio, TX, United States; UT Health San Antonio, Department of Orthopaedic Surgery, San Antonio, TX, United StatesObjective: To apply a normalized competitive index over a 20-year period to analyse applicant trends in orthopaedic surgery residency programs. Design: A retrospective analysis of orthopaedic surgery residency program data from the National Resident Matching Program (NRMP) Main Residency Match data from 2003 to 2022 and NRMP Charting Outcomes data from 2007 to 2021 was performed. A competitive index (CI) was utilized by dividing the number of programs ranked per applicant, multiplied by available positions, and by the match rate for each year. Next, the index was normalized to a value of 1 to establish a normalized competitive index (NCI) by dividing the yearly CI by the average CI. Setting: National Resident Matching Program (NRMP) Main Residency Match data from 1992 to 2021 and NRMP Charting Outcomes data from 2007 to 2021. Participants: Orthopaedic surgery residency applicants. Results: The NCI was significantly different over time (R2= 0.95, p < 0.001) with an upward trending NCI slope. Total applicants have nearly doubled over the past two decades (2003, 830 vs. 2022, 1460; p<0.001). The match rate did not significantly change over the two decades (2003−2012 vs. 2013–2022; 70% vs. 70%; p = 0.76). However, in 2022, the match rate dropped to 59.5%. The 2022 applicant cycle had 14% more applicants, while positions increased by 0.8% compared to the year prior. The USMLE Step 1 and Step 2 scores of matched applicants increased over time (R2>0.83, p < 0.001). Research output quadrupled over the 2007–2021 period (3 vs. 14, p < 0.001). Conclusion: Despite match rates remaining constant over time, the NCI metric demonstrated the increasing competitiveness of orthopaedic surgery residency programs over twenty years. Match rates have inherent limitations as a singular metric and should only be used in conjunction with additional metrics. Establishing a more comprehensive index with applicant metrics provides insight into the growing competitiveness of orthopaedic programs and a more comprehensive outlook for future applicants.http://www.sciencedirect.com/science/article/pii/S2666262023000013Orthopaedic surgeryMatchCompetitivenessSurgical trainingApplicants |
| spellingShingle | Victor H. Martinez Jaime A. Quirarte Matthew D. Smith Steven D. Gibbons Ryan A. Rose The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index Surgery in Practice and Science Orthopaedic surgery Match Competitiveness Surgical training Applicants |
| title | The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index |
| title_full | The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index |
| title_fullStr | The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index |
| title_full_unstemmed | The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index |
| title_short | The Competitiveness of Orthopaedic Surgery Residency Programs: A Twenty-year Analysis Utilizing a Normalized Competitive Index |
| title_sort | competitiveness of orthopaedic surgery residency programs a twenty year analysis utilizing a normalized competitive index |
| topic | Orthopaedic surgery Match Competitiveness Surgical training Applicants |
| url | http://www.sciencedirect.com/science/article/pii/S2666262023000013 |
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