The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation
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...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-06-01
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| Series: | JBJS Open Access |
| Online Access: | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.24.00002 |
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| author | Mark S. Katsma, DO, MC, USN Jett B. Murray, BS George C. Balazs, MD, MC, USN Mark R. Speicher, PhD, MA Aaron A. Olsen, DO, MC, USN |
| author_facet | Mark S. Katsma, DO, MC, USN Jett B. Murray, BS George C. Balazs, MD, MC, USN Mark R. Speicher, PhD, MA Aaron A. Olsen, DO, MC, USN |
| author_sort | Mark S. Katsma, DO, MC, USN |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ddbec053e7144082bcfdcdad492fe6fe |
| institution | Kabale University |
| issn | 2472-7245 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | JBJS Open Access |
| spelling | doaj-art-ddbec053e7144082bcfdcdad492fe6fe2025-08-20T03:53:31ZengWolters KluwerJBJS Open Access2472-72452025-06-0110210.2106/JBJS.OA.24.00002JBJSOA2400002The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single AccreditationMark S. Katsma, DO, MC, USN0Jett B. Murray, BS1George C. Balazs, MD, MC, USN2Mark R. Speicher, PhD, MA3Aaron A. Olsen, DO, MC, USN41 Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, California2 Idaho College of Osteopathic Medicine, Meridian, Idaho3 Department of Orthopaedic Surgery, Bone and Joint Sports Medicine Institute, Naval Medical Center Portsmouth, Portsmouth, Virginia4 American Association of Colleges of Osteopathic Medicine, Bethesda, Maryland3 Department of Orthopaedic Surgery, Bone and Joint Sports Medicine Institute, Naval Medical Center Portsmouth, Portsmouth, VirginiaBackground:. 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.http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.24.00002 |
| spellingShingle | Mark S. Katsma, DO, MC, USN Jett B. Murray, BS George C. Balazs, MD, MC, USN Mark R. Speicher, PhD, MA Aaron A. Olsen, DO, MC, USN The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation JBJS Open Access |
| title | The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation |
| title_full | The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation |
| title_fullStr | The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation |
| title_full_unstemmed | The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation |
| title_short | The Real Match Rate? US DO Students Match Into Orthopaedic Surgery at Significantly Lower Rates than US MD Students Despite Single Accreditation |
| title_sort | real match rate us do students match into orthopaedic surgery at significantly lower rates than us md students despite single accreditation |
| url | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.24.00002 |
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