The Gateway to Your Orthopaedic Career.
  Monday, 15 March 2010
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Hey all,
If you didn't match.. Believe me, I know, it sucks.. but hold your head up high. Trust me, it will be okay.

It really has nothing to do with your character or your credentials (well, for the most part, unless you're a total jerk). It has to do with the luck of the draw. Just think about the interviews you got this year.. it seemed random, didn't it? Well, the same thing goes for getting a match.. it has a lot of randomness for you.

I was a reapplicant that 'fell through the cracks'..I had high board scores, all honors, research, etc. etc. Things just don't work out. You have to roll with the punches..

But guess what, this year I matched. I did a research year.. and that worked for me.

Your choices are to scramble into the 3 ortho spots this year, go for a research year, do a year of gen surg, or scramble into another specialty.

The choice is up to you. For me, I only wanted to do ortho. Period. Each choice has it's advantages, but I'll go through the top two for you.

1. Research Year -
POSITIVE: If you want to better your CV you can do this, plus gain contacts in the industry. This will help.
You don't have to suffer through a year of gen surgery (which is tough to keep your head up high with that much stress.)
You have mroe time to travel to do interviews, second looks, etc.
NEGATIVE:
You don't continue to do clinical things.
Depending on your medical school, you might not be able to do an away rotation in your year out. You'll have to check with your school. My school wanted me to pay for a whole year of tuition, so I didn't rotate anywhere.
People might think you're loosing your clinical edge. You may think that as well. for me, I know that I pick up things quickly, so it's not a problem.

2. Surgery Year - Best bet is try to do a year at a place that has an ortho program 1, and 2. a place where the two departments talk.. which is difficult to figure out.
Positive:
You get to stay in the clinical. You can proove yourself clinically to the gen surg department.
If you manage to rotate through the ACGME required services, you can try for a PGY-2 spot in the following year.
You get paid to work
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You might be able to do ortho rotations at that program
Negative:
It's stressful, and tough to do research to boost your CV
It's difficult to get interviews scheduled with your intern year.
If your gen surg department doesn't have a relationship with an ortho program, it won't help as much.

Whatever you decide.. you have to get a champion. Someone who likes you and is willing to goto bat for you. Without that, regardless if you're a reapplicant or a regular applicant.. it's definitely a steeper uphill battle.

Good luck! And if you need anyone to talk to for advice, let me know, I'm willing to return the favor that someone did for me last year.. it definitely made me feel better, which is truthfully what you need right now!
16 years ago
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#66624
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First time posting here but figured it would help somebody out.

I didn't match last year. Not sure why...it just didnt happen.

Ilizarovian is right about the two ways to go. Not to jack the thread but maybe for those that didn't match previously and matched this year we can share our input into how it was successful.

First off this is probably going to feel like the end of the world to you. It's not. Grab a stiff drink and be prepared to beg, borrow and steal tomorrow to put yourself in a situation to succeed next time.

Second, if you are having doubts about your career goal you better assess that right now. If you want ortho, go full speed. Be prepared no matter how you go about it - research vs prelim - to work your ass off for the next year. It starts tomorrow.

This was my formula for the year:

I already had a good bit of research that was in the works to get published. I made sure I touched base with everyone in my home department to let them know that I wouldn't be a ghost from that point on. I think showing the commitment that you will still be involved is key.

I submitted a few of my projects to be presented (two went at the AAOS last week).

As for prelim vs research I chose a prelim year. I didn't care how many sleepless nights I had but I was going to still do research and get a head start clinically.

As for scrambling you are likely a better candidate than others who are trying to scramble that didn't match from gen surg and other subspecialties. That will give you some leverage. The three things to look for are: 1. ortho program THAT YOU CAN ROTATE AT EARLY during your prelim year; 2. guaranteed time off for any interviews you have to go on; 3. (this is ideal) go to a prelim program that has an ortho program that you like that hasn't had the opportunity to work with you - this really helped me in the sense that in the one month I worked for them I was able to blow away rotating med students. I had more experience and the ability to use the computer system. I looked like a rock star.

For my prelim year I stayed in touch with the orthopaedic surgeons that I knew and made sure they knew that my commitment never waned. In addition, I was very vocal without being annoying about my intention with the gen surg department. They really went to bat for me and every interview I went on there were numerous remarks about the letter of recommendation I got from the gen surg program director.

The rest is up to you. Kick ass. Stay focused. Lastly....really take a second and have a stiff drink and realize that this happens to great candidates every year and next year you will get another crack.

Also....throughout the year pgy-2 spots open up (4 this year). Make sure to keep your ear to the ground and have friends do the same for you.

If anyone wants, please contact me and I will be happy to talk a little more.

Good Luck

J
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