The following post is controversial--but i wanted to post it and see what others thought:
I think the shotgun approach to applying and interviewing is a terrible way to go and ultimately is what is making this process such a "crap-shoot"
i go to a top-ten med school with some big names in ortho--whom i got letters from, 240 on step 1, mostly high passes, one honors third year--i consider myself a middle of the road candidate
i spent some time researching programs on orthogate, and finding out where kids from my med school (with letters from the same attendings) applied, got interviews and matched--after doing this there were twenty programs i was really interested in (because of what i read, and from talking to people) and i thought i had a shot interviewing at based off of kids at my school with similar stats and letters-- keep in mind these are not all the most competitive places in the country, there is a good mix of competitive and lesser known places-- wisconsin, u of c, loyola, michigan, allegheny, grand rapids, emory, UW, summa, akron, cinicinatti, beaumont, MCO, ohio state, henry ford, iowa, case western, uic
because of advice i had recieved: "the process is such a crapshoot, you have to apply to at least sixty programs"--i ended up applying to thirty more--programs all over the country--big waste of money!
out of my first group i recieved 14 interview offers, out of my second shot-gun group I got 1!
note: i did not apply to harvard, hss, ucsf, rush, penn, and other places on this level...because either i wasnt that interested and/or i knew that i really didnt have a shot of matching at these places
what makes this process such a "crap-shoot" is that people with solid-great stats (240's high passes and honors, or 250's, mostly honors or, 250+ and AOA) apply 60+ programs--programs become inundated by applications and have no choice but to give out interviews based on name recognition because they dont have time to read through everybody's crap, if all of us did some research applied to a reasonable number of programs (30-40) then we would all be more likely to interview at the programs we are really interested in, and we would save a bunch of money
caveats to this--if you have a lower step 1 or lots of passes third year (putting you in the bottom half of your medical school class), you may need to apply to more places, but do not waste your money applying to super competitive places if you have not rotated there--harvard, hss, pitt, mayo, case western, rush, penn, ucsf, emory, utah, university of colorodo, san francisco orthopaedic program, miami etc. Instead apply and rotate at places who are more interested in hard working people than big-time stats(usc, king-drew, geisinger, henry ford, etc.)
also if there are a bunch of kids in your class applying for ortho (10 or more) then get together and dont all apply to the same places! regardless of how great of an applicant you are, most places do not want interview more than 5 candidates from the same school!-- in fact this number seemed more like 2-3.
if you dont got to a school with a home ortho program, or dont go to a place with big names, then rotate at rush, or harvard, or mayo, or hss, or ucsf, and get letters from big name people! use their letters to get your foot in the door at other places, but do not expect to match or even interview at these same places because each of these places gets a lot of rotators--
my point is-- i think if you do a little research(read about programs on this website, talk to residents at your home program, talk to the fourth year students who just finished applying) and are realistic it is not nescessary to apply to 60 plus programs--30-40 is very reasonable for solid applicants
i know this post is controversial--so I am looking forward to hearing responses...