The Gateway to Your Orthopaedic Career.
  Monday, 14 March 2005
  16 Replies
  12 Visits
0
Votes
Undo
In less than 5 hours, some of you all will recieve probably the worst
news of your life thus far. I know because it happened to me just 12
months ago. If, like me, all you can possibly see yourself doing is
orthopaedic surgery; being informed that you are 'free to scramble' is
earth shattering news.

I remember I was looking for housing in Seattle with an eye on San
Diego on the night before black monday. I was full of excitement and
anticipation of my career in orthopaedic surgery--until I received an
email that said 'congratulations you have matched to a one year
position'. This means that I fell to the bottom of my rank list,
number 15, a prelim in general surgery.

I had applied widely as advised due to my couples match status, some
>85 locations, I received 33 interviews and went on 16. I had rejected
many offers because later in the process I realized that I wanted an
academic program. That monday was full of regret for every offer that
I had declined. A bad day in a community ortho program is better than
a great day in the best general surgery prelim year...

From the moment I realized the implications of my not matching I went
through the entire grief process: denial, anger, denial, anger, denial,
anger. The expense of my application, away rotations, and interviews
exceeded $8K- I had taken an additional loan which I justified as an
investment in my future to cover the costs. But then I had nothing to
show for that investment.

Three of my class failed to match, all were excellent candidates
(including myself) 99%ile on step one, publications, honors etc...
One person decided to do research, two of the us did gen surg prelim
years. In my case I needed income and to defer my loans (not all
research years allow you to defer your loans; only 'qualified'
residency programs)

After much agony, I determined that I was going to continue pursuing
orthopaedics. The grief process reached 'acceptance' and I put my game
face on. Again I applied widely despite my wife being in pediatrics
where I was doing my prelim year. I contacted every program director
that I knew from my interview trail last year. I rewrote my go#$*mn
personal statement that I swore I would never do again. I did my ERAS
again and I got LOR's again (yes you have to do this, without the
benefit of away rotations and multiple letters in ortho). I found by
way of grapevine and a network of friends I had made on the interview
trail that there were 4 different pgy-2 ortho spots available beginning
7/05. I also applied to these.

It is worth mentioning that my personal ROL was different than that
posted on OSRR last year due to compromises made for couples match
status. To make a long story short, my personal number one choice was
one of the pgy-2 offers, I interviewed and was offered a position on
the same day. Incidentally it was also my first interview of the
season- which saved $$$.

The moral of my story is: Black Monday seems like the end of the world,
As in everything- it is what you make of it.

If you recieve tragic news as I did; reassess you goals. If like me,
you can only do orthopaedics.... my advice is put your game face on and
pursue your dreams with joy and fierceness.

peace.
21 years ago
·
#49717
0
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Undo
HI fellas,
I, too, got that same message one year ago today. It sucked, but I was glad to have ranked a prelim as a backup, which was a last-minute decision. At least I didn't have to really scramble for something on scramble day.

Anyhow, I had a long summer off last year, during which I got married, interviewed but didn't get the one spot open after the match, and did lots of thinking about what I was supposed to do with myself, as well as restoring a pickup truck. I was able to start a small research project over the summer as well, but it didn't really go anywhere.

I started my prelim year and have really enjoyed it. But, I still felt like ortho was for me, not GS. I had a month of anesthesia, too. That was very tempting to me as a path. I considered doing it last year too, but stayed with ortho. I could have applied to anesthesia and ortho this year, but didn't b/c I didn't want people talking at my current institution (the same place I went to med school). If I had known that I would have only gotten 2 interviews, I surely would have applied to gas. Still, though, I felt like the Lord was calling me to Orthopaedics.

But, things work out. I really felt like I was gonna end up at this institution, they had a tradition of taking a prelim or two in the past. But, when I went on my only other interview, I found that they had a pg2 position. I got it a few weeks later.

It is amazing how things work out. Just a few weeks ago I was sure that I would be scrambling into anesthesia in some random corner of the globe. But, now I get to be an orthopaedist, as I had planned in the beginning. I had faith that in the end I would get to do what I was truly meant to do.

Surely, some of you will get bad news in 2 hours. It sucks, but you will deal with it and you will find way to do what you are meant to do, whatever that is.

Some advice though, ask for an orthopaedic prelim year, so you get credit for all those GS scut-monkey months. Thanks, good luck,

Jason
21 years ago
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#49718
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Southpaw, I'm happy for you.

Good luck to everyone else today. I have posted my BLACK MONDAY experience previously and thought I should offer you Dr. Lackman's contact information today. If you find that you didn't match, you can call Dr. Lackman about his orthopaedic research position at his outpatient clinic office (215-829-5078) or page him (215-308-1009).

I was absolutely shocked when I didn't match, but once I found out it wasn't a mistake, I knew I had to get over it and find the best opportunity out there. Doing research for Dr. Lackman was the best thing that could have ever happened to me. I think this year has given me a great ortho oncology background as well as improving my overall ortho knowledge. It has also made me a much more sought after applicant. I would encourage anyone who doesn't match to give it serious consideration.

I survived BLACK MONDAY without too much denial and anger. I was too busy trying to put my life back on track. From the moment I started research with Dr. Lackman, there wasn't much time to worry about this years match. My time was spent pumping out publications and trying to earn a spot here. However, I could see myself feeling very angry if I had matched into a 1 year gen surg spot. Congratulations to Southpaw and others that will match today. To those who don't match, there are great opportunities out there--The one I found was at UPenn.

Thanks and good luck,
Jesse Torbert
21 years ago
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#49719
0
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Hey guys,

I just got the phrase "Congratulations, you matched into a one year program!" burned into my retinas an hour ago, and it's great to see some guys with some forward-thinking words of encouragement. I knew long before I got this email that I'd be going for an ortho career no matter what, so it's time to get down and dirty.

I kind of had the same thinking as Jason that I'd rather end up in a great prelim year (NU) than scrambling into a so-so one. Hopefully things'll work out. Any more advise would be great. Thanks again.

Jason, what do you mean by "ask for an ortho prelim year"?
21 years ago
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#49720
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I distinctly remember driving to the gym in a daze. I busted out some heavy reps to shed some angst. I remember [OSRR handle] WOLVERINE was in the gym, it helps to have someone to talk to. I feel your pain...

p.s. I couldn't choose anything about my prelim year except for one month of elective which is obviously going to be ortho and early- but not too early so you can get the hang of being an intern; september worked out great for me.
21 years ago
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#49721
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harvsorrow,
sorry to hear about that.

look at what the ortho residency accredidation body (i don't remember the name) requires for an ortho PGY-1 year and try to get your prelim year to match up. If you don't meet all the accredidation requirements, you won't be able to jump into a PGY-2 position next year.
21 years ago
·
#49722
0
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OUCH, matched NOwhere- nada
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i thought i had a strong app (?) 99th% boards, honors+, exxtracurrics++. i was told at interviews about being a strong applicant (don't believe crap from PDs)

At this point it's hard to figure out what to do- scramble into a G-Surg prelim? research year?

guess i have some work cut out for me tonight... keep up the good advice!
21 years ago
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#49723
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Serammik,

Keep the faith, my man (woman...want to be PC here). There are five spots out there. Good luck to all of you with the (let's not beat around the bush) crappy e-mail. There is still a chance. I would love to work with any of the people I met out there.
21 years ago
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#49724
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Rumor has it that there may not actually be 5 spots, but it may actually be 2 spots unfilled. I have heard that the 3 spots left out West are actually at Maricopa, which had it program closed this year so didn't fill any of its 3 positions. Not sure about this though. Good luck to everyone.
21 years ago
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#49725
0
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Undo
i'm really sorry for the people that didn't match. i know how it feels, as i did not match last year. i did a prelim year, worked my butt off, did lots of research, reapplied for ortho and got one of the few pgy-2 spots available this year. i recommend doing a prelim surgery year over a research year for several reasons. one, you might get a pgy-2 position, not loosing any time in training. two, if you don't match again, you have the option of doing a research year, and during that time you should legally be able to take call and work throughout that year (at least that's what i was told by various faculty).

it's very important that if you choose the prelim route, you need to make sure that you get an ortho rotation for letters of recommendation. if possible, try to set up the year to fulfill the pgy-1 ortho requirements, as mandated by the acgme. these are listed in the acgme website:



my GS program director was great and allowed me to set up this pgy-1 year to fulfill these acgme requirements making a transfer into a pgy-2 possible.

after you figure out which route to take (prelim vs research) my advice is to get started on improving your application NOW so this will not happen again. research is one way to boost your credidentials. get started on something now so you can talk about it by the time interviews roll around. also, it is imperative to make good contacts in the ortho community with staff that are well connected. i would not have gotten the pgy-2 spot if it weren't for the influential staff members that pulled strings for me. lastly, maintain your focus on what you want to do. i found it encouraging to talk to every ortho resident/staff that didn't match their 1st time around to find out what their strategy was. IF YOU TRUELY WANT TO BE AN ORTHOPAEDIC SURGEON, YOU CAN AND WILL BE IF YOU CONTINUE TO STRIVE FOR YOUR GOAL. i met 2 very well respected staff on my interviews that applied 3 times before getting a spot, and they encouraged me to never give up. i encourage you to do the same.

good luck. it will not be an easy year, but it will be worth it.
21 years ago
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#49726
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It is true about Maricopa - 3 of the 5 unfilled belong to them.

Good luck everyone!
21 years ago
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#49727
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Does anyone know which programs (besides Maricopa) had the unfilled spots?
21 years ago
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#49728
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I believe there is one spot open at the University of Virginia and one open spot at Manomoides in New York.
21 years ago
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#49729
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having scrambled TWICE before finally matching this week, I have to favor the research year- simply because it worked for me. Still, I have heard of some less that ideal programs for research in ortho. As such, when talking to your future mentors, i would specifically ask if previous research fellow / residents went on to successfully match somewhere vs at the institution research was performed vs not match.

You get a great opportunity to distinguish yourself within an ortho department (for better or for worse) doing the research. It may seem like putting all of your eggs in a basket, but at the same time, you almost need to greatly overcome whatever kept you out of residency in the first place (be it #'s, bad luck, etc) because many chairman / PD's will tell you that it is a bit of a stigma being a rejected applicant.

Again, Im not saying a prelim year is bad at all, i think there are dozens of ways to skin a cat. but i do think there are more subtle advantages to doing a research year, beyond getting papers and projects and stuff.

i feel your pains... pm me for more specifics
21 years ago
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#49730
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Wow, I'm surprised that UVA had an unfilled spot. Does anyone know if it was one of the 5 year or 6 year spots? I think this year they had 3 spots for 5 years and 3 spots for 6 years.
21 years ago
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#49731
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The only orthopaedic residency program that has an unmatched position is Maimonides.

The thing at UVa was just a 1 year research deal.
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