That's a good question MDortho. I'm in the same boat as you. I've been wondering what in the world is wrong with my app. I've only received 1 interview out of 65 apps so far. The programs I rotated at haven't given out interviews yet. I have the average board score for those that match, ortho research, publication, poster presentation, great letters of rec (I've seen 3/5 even though I've waived the right), even won an orthopaedic award for my performance on the rotation and faculty recommendation. I honored half of pre-clinical and half of 3rd year. Honored all of 4th year including 2 ortho sub-I's, ortho research, and ICU months, all on ERAS transcript by deadline. I had two academic ortho docs review my personal statement, nothing obviously weird to them. I thought I was a great candidate.
Only weird thing on my app is my RACE also. With all that's going on in the world, it won't surprise me if that's the case. I've certainly experienced racist comments while in the OR, but you can't say anything as a med-student trying to get into Ortho, you don't want to ruin your chances. I've been denied by 12 places, what in the world is going on????
"Racism" is a strong word, but "average" candidates like myself are a dime a dozen. Would PD's choose a caucasian over me? Maybe, I'm not sure. I don't think they are racist, that's a strong word, but rather "biased." Who knows, I'm going nuts trying to figure out why I'm not getting interviews and race is at the top of my list for the reasons why.