Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type
Introduction:. Orthopaedic surgery is well recognized as one of the most competitive and least diverse medical specialties. Despite efforts toward improving diversity, studies have shown that gender and racial/ethnic disparities continue to persist in orthopaedic graduate medical education. Therefor...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-03-01
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| Series: | JBJS Open Access |
| Online Access: | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.22.00143 |
| _version_ | 1797859640248107008 |
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| author | Peter B. White, DO, MS Joshua R. Giordano, DO Matthiew Chen, BS Adam D. Bitterman, DO Julius K. Oni, MD Michael Zacchilli, MD Selina C. Poon, MD, MPH, MS, FAOA Randy M. Cohn, MD |
| author_facet | Peter B. White, DO, MS Joshua R. Giordano, DO Matthiew Chen, BS Adam D. Bitterman, DO Julius K. Oni, MD Michael Zacchilli, MD Selina C. Poon, MD, MPH, MS, FAOA Randy M. Cohn, MD |
| author_sort | Peter B. White, DO, MS |
| collection | DOAJ |
| description | Introduction:. Orthopaedic surgery is well recognized as one of the most competitive and least diverse medical specialties. Despite efforts toward improving diversity, studies have shown that gender and racial/ethnic disparities continue to persist in orthopaedic graduate medical education. Therefore, we sought to identify the match rates of traditionally under-represented groups within orthopaedic surgery—female candidates, racial and ethnic minorities under-represented in medicine (URiM), and osteopathic physicians—compared with their application rates.
Methods:. A retrospective review of the Electronic Residency Application Service (ERAS) application data from the 2017 to 2021 application cycles was performed, and the total number of applicants, sex, race/ethnicity, and degree type of all students applying for orthopaedic surgery were recorded. A separate database, the Orthopaedic Residency Information Network (ORIN), which is a database self-reported by residency programs to provide information to applicants, was also queried to identify the total number of residents, sex, race/ethnicity, and degree type of all current residents in June 2022, corresponding to those residents who matched in 2017 to 2021.
Results:. From the ERAS application data, a total of 7,903 applicants applied to orthopaedic surgery during the study period. A total of 1,448 applicants (18%) were female, 1,307 (18%) were URiM, and 1,022 (15%) were from an osteopathic medical school. Based on the ORIN database, 688 of 3,574 residents (19%) were female, 1,131 of 7,374 (19%) were URiM, and 1,022 of US medical school graduates (12%) had a DO degree. The application and match rates were not significantly different for female (p = 0.249) and URiM (0.187) applicants; however, there was a significant difference in the application and match rates (15% vs 12%; p = 0.035) for US medical graduates with a DO degree.
Conclusion:. In recent years, there has been a significant and necessary push to increase diversity in the field of orthopaedic surgery. From 2017 to 2021, match rates of female and URiM candidates are reflective of their application rates. Osteopathic applicants in orthopaedic surgery have a lower match rate than their allopathic counterparts.
Level of Evidence:. III |
| first_indexed | 2024-04-09T21:32:50Z |
| format | Article |
| id | doaj.art-ad025a0e26264b20b181c00a5addc0ed |
| institution | Directory Open Access Journal |
| issn | 2472-7245 |
| language | English |
| last_indexed | 2024-04-09T21:32:50Z |
| publishDate | 2023-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | JBJS Open Access |
| spelling | doaj.art-ad025a0e26264b20b181c00a5addc0ed2023-03-27T06:48:38ZengWolters KluwerJBJS Open Access2472-72452023-03-018110.2106/JBJS.OA.22.00143JBJSOA2200143Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree TypePeter B. White, DO, MS0Joshua R. Giordano, DO1Matthiew Chen, BS2Adam D. Bitterman, DO3Julius K. Oni, MD4Michael Zacchilli, MD5Selina C. Poon, MD, MPH, MS, FAOA6Randy M. Cohn, MD71 Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York1 Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York1 Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York1 Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York3 Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland1 Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York5 Shriners for Children Medical Center, Pasadena, California1 Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New YorkIntroduction:. Orthopaedic surgery is well recognized as one of the most competitive and least diverse medical specialties. Despite efforts toward improving diversity, studies have shown that gender and racial/ethnic disparities continue to persist in orthopaedic graduate medical education. Therefore, we sought to identify the match rates of traditionally under-represented groups within orthopaedic surgery—female candidates, racial and ethnic minorities under-represented in medicine (URiM), and osteopathic physicians—compared with their application rates. Methods:. A retrospective review of the Electronic Residency Application Service (ERAS) application data from the 2017 to 2021 application cycles was performed, and the total number of applicants, sex, race/ethnicity, and degree type of all students applying for orthopaedic surgery were recorded. A separate database, the Orthopaedic Residency Information Network (ORIN), which is a database self-reported by residency programs to provide information to applicants, was also queried to identify the total number of residents, sex, race/ethnicity, and degree type of all current residents in June 2022, corresponding to those residents who matched in 2017 to 2021. Results:. From the ERAS application data, a total of 7,903 applicants applied to orthopaedic surgery during the study period. A total of 1,448 applicants (18%) were female, 1,307 (18%) were URiM, and 1,022 (15%) were from an osteopathic medical school. Based on the ORIN database, 688 of 3,574 residents (19%) were female, 1,131 of 7,374 (19%) were URiM, and 1,022 of US medical school graduates (12%) had a DO degree. The application and match rates were not significantly different for female (p = 0.249) and URiM (0.187) applicants; however, there was a significant difference in the application and match rates (15% vs 12%; p = 0.035) for US medical graduates with a DO degree. Conclusion:. In recent years, there has been a significant and necessary push to increase diversity in the field of orthopaedic surgery. From 2017 to 2021, match rates of female and URiM candidates are reflective of their application rates. Osteopathic applicants in orthopaedic surgery have a lower match rate than their allopathic counterparts. Level of Evidence:. IIIhttp://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.22.00143 |
| spellingShingle | Peter B. White, DO, MS Joshua R. Giordano, DO Matthiew Chen, BS Adam D. Bitterman, DO Julius K. Oni, MD Michael Zacchilli, MD Selina C. Poon, MD, MPH, MS, FAOA Randy M. Cohn, MD Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type JBJS Open Access |
| title | Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type |
| title_full | Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type |
| title_fullStr | Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type |
| title_full_unstemmed | Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type |
| title_short | Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type |
| title_sort | residency match rates in orthopaedic surgery based on sex under represented in medicine status and degree type |
| url | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.22.00143 |
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