The Gateway to Your Orthopaedic Career.
  Friday, 06 May 2016
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Hi all,

I am new to this forum and really here for advice on whether or not I should pursue ortho. Let me just preface by saying that I've been a sports lover my entire life and my dream job when I was in college was to one day become a team physician for a major sports team. However, I never really acted on this dream because of various reasons and self-doubt that I can do it. Fast forward a few years....I just began my 3rd year of medical school at an institution most would consider as a top-tier medical school. I did not pursue ortho during my first two years. I realized almost all the ortho/plastics kids started research on like day 1 of medical school and knew that's what they wanted to do with their life. I started medical school with an open mind and really was interested in everything that I was learning. However, it wasn't until recent months that I started to really consider ortho and found that passion/dream that I've always had for ortho, but I did not want to make that leap until I get my step 1 score back before deciding where to proceed from there. In a way, I was hoping my step 1 score will tell me to "go for it!" before I commit down that path + take a year off to do ortho research. I was averaging 240+ on my mock nbmes leading up to the test, but unfortunately due to sub-optimal condition on test day (couldn't sleep the night before, test day anxiety, and just feeling physically sick and nauseated on one of the sets), I was not able to perform up to my standards and scored a 238. I know there is no excuse and I don't put any blame on anything other than myself. So, here I am with a less than desirable step 1 score and pondering whether I have still have a chance and whether I should pursue ortho.

In summary,

Gender: Male
Med School: Top 20, in the midwest
Preclinical Performance: Pass (school on P/F system preclinical)
Step 1: 238
Research Experiences:
--3 years of basic science research in undergrad ==> 1 pub as co-author in asthma research during undergrad
--Research in transplant surgery during M1/M2 years ==> Should get a pub or two
--ZERO ortho research

Clinical Rotations: Just started my first rotation of 3rd year. Our school is on H/HP/P/F for clinical years


I would really appreciate any advice/input on whether I should still give ortho a shot! Of course, if I go for it, I am going to go all out and do everything I in my power to make me as competitive as possible. I also want to mention that I was and still am considering getting a dual degree MD/MBA through my institution's program with our business school (top-tier business school), which we would do 1 year of MBA between 3rd and 4th year. However, if I decide to go for ortho, I might just forgo my plan of getting an MBA and focus on perhaps getting a fellowship in ortho research at my home institution. Unless I could juggle both getting and MBA + ortho research, which is probably not feasible.

If you think I should still go for it, what are things I should do to make myself as competitive as possible?

Thanks in advance for any advice!
10 years ago
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#58997
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I can't tell you whether or not to pursue orthopaedics. It is a multifactorial decision based on your goals and values inside and outside of medicine. However, if you decide to pursue orthopaedics, I would strong recommend that you take a research year. Your Step 1 is below average, your research is below average, and you haven't demonstrated any interest in the field up to this point. Attending a top-tier medical school itself is no longer enough to match into ortho given the current level of competitiveness.

During third year, you need to honor as many clerkships as possible, with surgery and medicine being the most important. I would also recommend setting up an orthopaedics elective or at least some shadowing so you know that you like the work before you make such a big life decision. Also I would recommend reaching out to your home ortho department and getting their input on your situation and possible opportunities moving forward.

I would advise against the MBA for now. Research would make a much bigger difference in your application, and will also foster connections in the field. That said, you could focus your research on outcomes, cost and quality if you are interested in health economics and policy. There are a number of Midwest programs with big research departments that publish this sort of stuff (Rush, Mayo, Cleveland Clinic).
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