You mean besides not enough spots for all the amazing applicants who want to do ortho?
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I got the, "bad luck, fell through the crack, you should have matched" speech mostly.
Was basically told there was nothing I could do to improve my application numerically. I needed to work on the politics of it all, ie. getting people who would be advocates to write letters and make phone calls, making connections, showing my commitment and interest, following up with programs after interviews, etc.
I basically got the feeling after getting some feedback that I missed matching at several programs by one or two spots, basically because everyone figured I was going to go some where else.