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This is an enhanced PDF from The Journal of Bone and Joint Surgery The PDF of the article you requested follows this cover page AOA Symposium Current State of Fellowship Hiring Is a Universal Match Necessary Is It Possible Christopher D Harner Anil S Ranawat Muriel Niederle Alvin E Roth Peter J Stern Shepard R Hurwitz William N Levine G Paul DeRosa and Serena S Hu J Bone Joint Surg Am 2008 90 1375 1384 doi 10 2106 JBJS G 01582 This information is current as of June 2 2008 Reprints and Permissions Click here to order reprints or request permission to use material from this article or locate the article citation on jbjs org and click on the Reprints and Permissions link Publisher Information The Journal of Bone and Joint Surgery 20 Pickering Street Needham MA 02492 3157 www jbjs org 1375 C OPYRIGHT 2008 BY T HE J OURNAL OF B ONE AND J OINT S URGERY I NCORPORATED the Orthopaedic forum AOA Symposium Current State of Fellowship Hiring Is a Universal Match Necessary Is It Possible By Christopher D Harner MD Anil S Ranawat MD Muriel Niederle PhD Alvin E Roth PhD Peter J Stern MD Shepard R Hurwitz MD William N Levine MD G Paul DeRosa MD and Serena S Hu MD Currently approximately 90 of the 620 graduating orthopaedic residents in the United States are planning on entering a postgraduate fellowship Since January 2005 two of the largest fellowship match programs sports medicine and spine This report is based on a symposium presented at the Annual Meeting of the American Orthopaedic Association on June 13 2007 in Asheville North Carolina surgery were dissolved by the National Resident Matching Program NRMP because of a gradual decline in participation leaving approximately 70 of applicants in a nonmatching decentralized system This leaves hand shoulder and elbow surgery and foot and ankle as the only three orthopaedic subspecialties that remain in some type of match program creating an extremely complicated hiring environment for all resi dents This paper focuses on the current



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