Hats off to serammik for posting. I had never intended to post my experience, but am compelled to now.
Mid-tier East coast school
Step I 256
Step II 245
Preclinical grades: 75% honors, rest HP and 1 pass.
Clinical grades: 3rd year all honors, 4th year all honors except 1 pass in
forensic pathology (who cares).
AOA+
Aways: Did two aways and got honors at each.
Research: 1 Ortho review article--published.
In 2003-4: Applied to 38, offered 18 interviews (Mayo, U Mich, Loyola, U Wisc, MCoW, Pitt, CWRU, U Minn, MCV, U Wash, UC Davis, UCLA, USC, UCLA Harbor, UCSD, Maricopa, U Nebraska) Went on 15. Ranked 14 (didn't rank UCLA).
...didn't match
Scrambled to Gen Surg prelim spot (some good posts on this site as to pros and cons of that versus research, etc).
Interviewed for 3 PGY2 spots during prelim year...didn't get any. One institution didn't offer its spots to anyone last I knew.
2004-5: Applied to 18 PGY1 spots, got 8 interviews (Mayo, U Wisc, MCoW, Loyola, UC Davis, OHSU, U Oklahoma, Pitt). Turned down UC Davis and Pitt (due mostly to internship scheduling problems...definite con of prelim year). Ranked 6.
...didn't match.
Happily scrambled to a top program in another specialty that I know I will be happy doing and with a great lifestyle and nice income. Hard to say if I feel bitter or not, mostly I'm just happy and relieved that it's over and I am moving on.
Some advice that I heard over and over throughout med school is "If you can see yourself doing anything else (besides surgery) and being happy, do it." It seems more true than ever to me at this point. Just the mere thought of a non-surgery lifestyle has done wonders for my outlook. Seems like a contradiction to some that I was very willing to match in ortho but talk like this. Fact is I would have been thrilled to match into ortho but inherent in that is certain tradeoffs one of which is a greater overall time commitment professionally. Perhaps among surgery specialties ortho is a relative 'lifestyle specialty,' but outside of that I don't think many would consider it that. Ortho is a great field and rivals any surgical field in terms of variety and 'cool cases.' But, after having done almost a year of general surgery I can also say it's pretty cool despite all of the denigration it receives on this site.
Why didn't I match? Not really sure. I've been down every road in terms of analyzing this one. Some will post that "you must be a tool" or freak or something. I guess that's for others to ultimately decide but as far as I'm concerned it doesn't stick. I remember in my pre match years of frequenting this site being judgemental of people who didn't match, or posted 'stupid' questions. Anyway, I think serammik makes many points I would second in terms of aways, numbers, etc. I am convinced that numbers are but a piece of the puzzle. 'Fit' (whatever that is) and connectedness (ie letters of rec and who they are from, what school you hail from, regionalism, etc) seem to be a large but unexpected (for many?) piece of the puzzle. Perhaps it's the 'glass ceiling' of ortho; ie no matter how good you are on paper and in the interview, if you don't have the complete package it doesn't matter. Maybe it's about the 'Kwan' Cuba Gooding shouts to Tom Cruise about in Jerry Maguire?
Please PM me if you want to know more or whatever. Those who didn't match and still can't see themselves doing anything else but ortho, best of luck to you. As you can see on this site it's obviously possible to match your second or even third time. To those who really like ortho but also can see themselves being happy elsewhere, be honest with yourself and think long and hard about your priorities in life. In the end, as someone astutely recently posted, it's just a job.
OF