Orthopaedic Adult Reconstruction Fellowship Match Rates: How Do Degree and Sex Affect Match Success?

IF 3.4 2区 医学 Q1 ORTHOPEDICS Journal of Arthroplasty Pub Date : 2025-01-03 DOI:10.1016/j.arth.2024.12.030
Kenneth B Choy, Maximilian Ganz, Lisa K Cannada, Peter White, Scott Steinmann, Randy M Cohn, Michael A Mont, Adam Bitterman
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Abstract

Background: Discrepancies have previously been identified in terms of sex and medical degree throughout orthopaedic education. The purpose of this study was to evaluate trends in the degree type and sex of applicants to adult reconstruction fellowships.

Methods: The San Francisco (SF) match data from 2012 to 2023 was analyzed. Data regarding the number of applicants and match rates based on applicant degree and sex were evaluated. Pearson's correlation test was used to evaluate trends for the number of applicants and match rates.

Results: The number of applicants for both women (r = 0.64, P = 0.009) and men (r = 0.81, P = 0.0004) had a significant increase annually over the study period. Women applicants (r = 0.27, P = 0.19) did not have a significant change in match rate, while men candidates (r = 0.74, P = 0.002) experienced a significant increase over the study period. Although women applicants matched at a slightly higher rate than men applicants (87.6 versus 84.8%), this difference was not statistically significant (Odds Ratio (OR) = 1.14, Confidence Interval (CI) = 0.71 to 1.83, P = 0.64). Osteopathic applicants (r = 0.4, P = 0.09) did not experience a significant change in the number of applicants, while allopathic candidates (r = 0.8, P = 0.0006) did experience a significant increase. Both osteopathic candidates (r = 0.76, P = 0.001) and allopathic candidates (r = 0.62, P = 0.01) experienced a significant increase in match rate. From 2012 to 2023, allopathic applicants were more likely to match into an Adult Reconstruction fellowship than osteopathic applicants (OR = 2.47, CI = 1.86 to 3.26, P = 0.0001).

Conclusions: Men and women applicants match at equal rates for the Adult Reconstruction Fellowship. Osteopathic graduates, regardless of sex, are consistently ranked lower by Adult Reconstruction fellowship programs in the fellowship match process and are less likely to match than allopathic graduates.

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骨科成人重建奖学金匹配率:学位和性别如何影响匹配成功?
背景:在整个骨科教育中,性别和医学学位方面的差异已经被发现。本研究的目的是评估成人重建奖学金申请人的学位类型和性别的趋势。方法:对2012 ~ 2023年旧金山市(SF)比赛数据进行分析。根据申请人的学位和性别,评估了有关申请人人数和匹配率的数据。使用Pearson相关检验来评估申请人数和匹配率的趋势。结果:在研究期间,女性(r = 0.64, P = 0.009)和男性(r = 0.81, P = 0.0004)的申请人数每年都有显著增加。女性应聘者(r = 0.27, P = 0.19)的匹配率没有显著变化,而男性应聘者(r = 0.74, P = 0.002)的匹配率在研究期间显著增加。尽管女性求职者的匹配率略高于男性求职者(87.6比84.8%),但这种差异在统计学上并不显著(优势比(OR) = 1.14,置信区间(CI) = 0.71 ~ 1.83, P = 0.64)。整骨疗法患者(r = 0.4, P = 0.09)的申请人数没有显著变化,而对抗疗法患者(r = 0.8, P = 0.0006)的申请人数有显著增加。整骨疗法候选人(r = 0.76, P = 0.001)和对抗疗法候选人(r = 0.62, P = 0.01)的匹配率均显著增加。从2012年到2023年,对抗疗法申请人比整骨疗法申请人更有可能匹配成人重建奖学金(OR = 2.47, CI = 1.86至3.26,P = 0.0001)。结论:男性和女性申请者在成人重建奖学金匹配率相等。骨科毕业生,无论性别,在奖学金匹配过程中,在成人重建奖学金项目中一直排名较低,并且比对抗疗法毕业生更不可能匹配。
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来源期刊
Journal of Arthroplasty
Journal of Arthroplasty 医学-整形外科
CiteScore
7.00
自引率
20.00%
发文量
734
审稿时长
48 days
期刊介绍: The Journal of Arthroplasty brings together the clinical and scientific foundations for joint replacement. This peer-reviewed journal publishes original research and manuscripts of the highest quality from all areas relating to joint replacement or the treatment of its complications, including those dealing with clinical series and experience, prosthetic design, biomechanics, biomaterials, metallurgy, biologic response to arthroplasty materials in vivo and in vitro.
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