I would start by talking to the program director and ortho chairman at your current program. people change all the time, it happens, no need to be afraid, worried, scared.....just talk to the ortho dept and they should offer help to lead u in the right direction. ur grades/scores are top notch, no worries but people will question ur decision, is it for real or just a fluke b/c if u change once they want to know that u won't change back to medicine in 6 months.......leaving a residency is a big loss to program and leaves holes in the schedule so programs in all fields look for stability/personality.