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The Orthopaedic Forum   |    
Orthopaedic Education—Are We Attracting the Best and the Brightest?*
Sanford E. Emery, MD, MBA1; James P. Waddell, MD, FRCSC2; Andrea E. Waddell, MD3; Michael McCaslin, CPA4; Kevin Black, MD5
1 Department of Orthopaedics, West Virginia University, P.O. Box 9196, Morgantown, WV 26506-9196. E-mail address: semery@hsc.wvu.edu
2 Division of Orthopaedic Surgery, St. Michael's Hospital, University of Toronto, Manulife Building, 2 Queen Street East, 10th Floor, Suite 1002a, Toronto, ON M5C 3G7, Canada
3 Department of Psychiatry, Wilson Centre, University of Toronto, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada
4 Somerset CPAs, P.O. Box 40368, Indianapolis, IN 46240-0368
5 Department of Orthopaedics, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033-0850
The Journal of Bone & Joint Surgery.  2009; 91:1253-1263  doi:10.2106/JBJS.H.01572
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Extract

As a discipline, orthopaedic surgery residency programs have been an attractive career option for graduating medical students. Historically, we have enjoyed a surplus of applicants for the open positions, a very high percentage of United States medical school graduates matching, and a nearly 100% fill rate for program spots in the match. In fact, in 2008, the fill rate of 93.1% with U.S. seniors is the highest of any residency training program with greater than 100 positions nationally. An observer might say that we clearly attract the best and the brightest students and have nothing to worry about for the future of orthopaedic surgery.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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    Sanford E. Emery, MD, MBA
    Posted on June 17, 2009
    Dr. Emery and colleagues respond to Dr. Rutherford
    West Virginia University, Morgantown, West Virginia

    We appreciate Dr. Rutherford's comment regarding women in orthopaedic surgery and are in full agreement. The latest ACGME data (2007-2008 academic year) show that women constitute only 12.4% of residents in orthopaedics; this is only slightly higher than neurosurgery which has the lowest prevalence of women of all major subspecialties-- 11.1%. The number of women entering our subspecialty is not changing rapidly either. In 2006-2007 only 11% of orthopaedic residents were women.

    Of interest, this topic will be the subject of a symposium at the American Orthopaedic Association annual meeting in 2010. Obviously, more tangible progress is needed in this area.

    Rob Rutherford, MD
    Posted on May 28, 2009
    The Best and Brightest
    FMS (University of Washington)

    To the Editor:

    I commend Dr. Emery and colleagues for the article "Orthopaedic Education--Are We Attracting the Best and Brightest?" (1). What I did not see in the symposium was reference to the fact that orthopedics has one of the lowest percentages of women of any specialty, whereas about half the graduates of US medical schools are women. Until this imbalance is addressed and corrected, are we attracting only half of the best and brightest?

    The author did not receive any outside funding or grants in support of his research for or preparation of this work. Neither he nor a member of his immediate family received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the author, or a member of his immediate family, is affiliated or associated.

    Reference

    1. Emery SE, Waddell JP, Waddell AE, McCaslin M, Black K. Orthopaedic education--are we attracting the best and the brightest? J Bone Joint Surg Am. 2009;91:1253-63.

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