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Original Article| Volume 5, ISSUE 2, e411-e414, April 2023

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The Top 10 Orthopaedic Sports Medicine Fellowship Programs in the United States Frequently Select Fellowship Applicants From the Same Residency Programs

Open AccessPublished:February 18, 2023DOI:https://doi.org/10.1016/j.asmr.2023.01.008
The Top 10 Orthopaedic Sports Medicine Fellowship Programs in the United States Frequently Select Fellowship Applicants From the Same Residency Programs
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      Purpose

      To determine which residency programs the fellows of the top 10 orthopaedic sports medicine fellowship programs attended and whether residents are selected from the same residency programs multiple years.

      Methods

      The residency programs of current and former fellows at each of the top 10 orthopaedic sports medicine fellowship programs (based on a recent study) over the last 5 to 10 years was determined by searching program websites and/or contacting program coordinators/directors. For each program, we determined the number of occurrences of at least 3 to 5 fellows from the same residency program. We also calculated a “pipelining ratio,” defined as the ratio of the total number of fellows at the program over the duration of the study to the number of different residency programs represented within the fellowship program during that same time period.

      Results

      Data were obtained from 7 of the top 10 fellowship programs. Of the remaining 3 programs, 1 declined to provide the information and 2 did not respond. Pipelining was found to be highly prevalent at one program, with a pipelining ratio of 1.9. Two different residency programs had at least 5 residents match at this fellowship program over the past 10 years. Four additional programs demonstrated evidence of pipelining with ratios of 1.4-1.5. Two programs exhibited minimal pipelining (ratio of 1.1). One program was found to take 2 residents from the same program in the same year on 3 different occasions.

      Conclusions

      Most of the top orthopaedic sports medicine fellowship programs have matched fellows from the same orthopaedic surgery residency programs in multiple years.

      Clinical Relevance

      It is important to understand how fellows are selected for sports medicine fellowship programs and to recognize the potential for inequitable bias in the selection process.
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      Article info

      Publication history

      Published online: February 18, 2023
      Accepted: January 5, 2023
      Received: September 16, 2022

      Footnotes

      The authors report the following potential conflicts of interest or sources of funding: M.K.M. reports paid consultant; paid presenter or speaker, Arthrex; board or committee member, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine, Ruth Jackson Orthopaedic Society, and The Forum; and editorial or governing board, American Journal of Sports Medicine Electronic Media, Arthroscopy, and Ortho Info. Full ICMJE author disclosure forms are available for this article online, as supplementary material.

      Identification

      DOI: https://doi.org/10.1016/j.asmr.2023.01.008

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      © 2023 Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.

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