I'll share my thoughts from this 2015/2016 interview season.
I'll start off with some general advice. Try to determine what type of program you are looking for before you apply to narrow down your list, or at least narrow down where you will accept interviews. Also, if you know you are not going to accept an interview, let them know well in advance. It's unfair to the program and to your co-applicants to hold off on declining an interview you know you cannot go to or don't want to go to.
1) Think about location: Major city vs. college town vs. small town/rural area.
2) Geographically
3) Along those same lines, think about your family situation, or if you're single could you really see yourself moving to a small town, etc.
4) Program reputation should be an obvious choice. Use your attendings and previous residents that have gone through this process are probably your best resource
5) Think about your goals for your own career. Do you truly want to practice in an academic setting, or are you just saying that to get interviews? A large majority will go into private practice, and there are a lot of great programs out there with no research requirements, and great operative experience
6) Limit your interviews to 10. Do yourself a favor and your co-applicants a favor. More than 10 is too many.
This year there were 42 unmatched positions, and I realize this fluctuates year to year, but everyone I met along the way and talked to after the fact matched at their #1 choice this year. I wish I had only gone on 8/9 interviews. It's easy to be a tuesday morning quarterback, but my best advice would be to apply broadly, and really try to gather as much information as you can about the places you are accepted to interview, and plan for 10 interviews at the most.
Important things I was looking for in a fellowship:
1) Academic Center/University setting
2) Reputation/Attendings
3) Research opportunities
4) Exposure to cartilage restoration
5) Exposure to complex open shoulder
6) Location
7) Sports team coverage
My top tier (had tough time deciding among these as my 1, 2, and 3. Would have been extremely happy at any one of them). No particular order:
University of Michigan: Rotations are set up as 6 week blocks I believe for the 1st half of the year with each of the attendings (Bedi, Miller, Wojtys, Carpenter) . The 2nd half of the year the fellows get to make their own schedule, which they were definitely looking forward to when we interviewed. Asheesh Bedi is currently the #1 researcher in orthopedics in terms of impact factor over the past few years. He was an incredible guy, I felt smarter after spending 15 minutes with him. He was incredibly down to earth and would be an amazing mentor. Bruce Miller reminded me of my favorite uncle. Just super nice guy, definitely took the time to read my entire application and was genuinely interested in getting to know me during the interview. I had heard great things about him and the program and he certainly exceeded my expectations. The resources and research opportunities at UM are unparalleled. They could come up with money for any project you wanted to do. They have engineering labs, motion sensor labs, basically anything you could want they already have or could design for research. Ann Arbor is a great college town. There is a very nice, quaint downtown area with great restaurants and bars that are away from the undergraduate campus and attract an older, business professional crowd. Sports coverage was awesome. The fellows split the football season with Michigan and Eastern Michigan. You travel to all away games with whichever team you are covering. Both fellows traveled to the Michigan bowl game in Orlando for the week. They were on the sidelines and in the training rooms, evaluating players on their own at practice and at games. They were truly an integral part to the treatment team. They also covered the Men’s Ice hockey team home games and each covered one other sports team. I think one did soccer and one did gymnastics. The coverage was a great experience, and not too much and fellow-appropriate level. They also had opportunities to travel with Dr. Miller to Brazil to cover US Rugby and I think New Hampshire to cover US Ski team. Great operative and clinical experience. Tons of ancillary staff, PA’s, research assistants, etc. They have a great primary care sports med program, so by the time patients get to their clinic, about 80-90% of them are actually getting surgery. I realize that isn’t necessarily realistic for when we will be starting in practice, but I think a positive in fellowship to see real pathology at a high volume. Great scope experience in the shoulder, knee, and hip. I have heard from my attendings who frequently teaches AANA hip courses that Bedi is one of the best hip arthroscopists around, and he does everything hip, shoulder, and knee. Great exposure to anything in the shoulder. The sports guys are the shoulder service at Michigan, so that was great. Limited cartilage experience. I would place this up among the top 10 programs in the country.
Brigham and Women’s: I think this program is different than your traditional sports program, and you get exposure to a ton of cartilage, complex shoulder, hip/knee arthroplasty, and trauma. The rotations are set up as 2 month blocks with 3 different rotations: Cartilage with Gomoll and Minas, Shoulder with Higgins, and Sports/Hip with Martin/Matzkin. This has one of the best, if not the best cartilage experience in the country. You have Gomoll, who trained with Brian Cole and has become one of the biggest names in cartilage restoration, and Tom Minas who has been one of the biggest names in cartilage for a while now. We spent some time with Gomoll at the interview who was a super nice guy and brilliant. He gave one of the best talks at the Academy in Orlando on current advances in cartilage restoration. Both have several text books, and frequently have people from all over the world coming to watch them operate. With that said, the current fellow said he gets a great operative experience with both of them. Higgins is one of most well known shoulder surgeons in the country. His typical day was 6-8 arthroplasty cases, that were a mix of straight forward primaries with complex revisions or complex bone loss cases. Other operative day is scope cases, Massive cuff tears, complex instability cases, open laterjet. This is the type of fellowship where you will see everything and be comfortable handling any problem in the shoulder when you are done. With Martin you get a great hip scope experience. He seemed like a huge advocate for his fellows, and he was already giving us advice at our interview for our future job searches. As of now, I don’t think there was an official rotation with Matzkin, though the other attendings frequently travel and I got the impression that the current fellow had done a decent number of cases with her when the others were out of town. She is more traditional sports, and big in women’s health and women’s sports injuries. We spent some time with her at the dinner and she seemed like an awesome mentor, and was fun to be around. You take some trauma call, though get paid very well, sounded like the fellow would do some bread and butter trauma cases (femur/tibia nails, hip fractures, ankles) when he covered a few weekends, but during the week rarely had to go in. Obviously the affiliation with Harvard is huge. Each attending has a mini research team and there are tons of opportunities to complete a number of projects. They all have huge outcomes databases established. Boston is an awesome city if you can handle the cold and snow. Sports coverage was decent. Pro Soccer with Martin. Assigned to a High school football team. I would consider this among the top 10 programs in the country.
Steadman Hawkins Carolina: While they are not affiliated with a large university (loosely share space with Clemson), the Hawkins’ foundation has seemingly endless resources and there are endless possibilities for research here. Tokish was a great person to be around. He was knowledgable, down to earth, fun guy to be around, and you could tell he is the perfect person to take over for Hawkins at this fellowship. Hawk was still doing some clinic with the fellows, and he will be a presence in the fellowship for as long as he possibly can. The Hawkin’s foundation is a great group to become a part of, they truly are like a huge family and Hawkins, Tokish, and any of the attendings would do anything for their fellows. This had one of the best pure sports operative experiences. Doug Wyland does a decent amount of cartilage procedures and was a great guy (check out the video of him in the NCAA wrestling championship on youtube). A very complete shoulder, knee, and hip experience. The sports coverage is a little lacking, they cover high school football, and I think a small D3 college. I was impressed with Greenville, it is a very quaint, small town. They definitely cater to the family life at this program. I would consider this among the top 10 programs in the country.
Other programs people seemed to like on the trail, and would consider among the “top 10”:
- Vail & Rush have been considered the premier sports programs for as long as I can remember, and I don’t think that will change any time soon
- Stanford & UConn I think have been on the rise for the past few years I would consider them in a similar category with my top 3
- HSS based on reputation alone, though I don’t know much about the fellowship
- SCOI & Kerlan Jobe have traditionally been great fellowships in LA
- Carolinas – Heard great things about it, and they have built an awesome private-academic business model in Carolina, so would be awesome environment to work in.
Other programs I really liked, and would have been happy to match at:
Northwestern: This program was the one that I did not know what to expect, though definitely impressed me the most at my interview. It’s a newer program, and I think will be among the top 10 programs in the near future. Being the only fellow is huge at this program. When Terry is in town, you spend a lot of time with him, and he was awesome guy to be around. According to the fellow, a great surgeon to learn from, very busy hip arthroscopy and sports practice. Also some shoulder and knee sports work. He travels a lot with the Blackhawks. Outside of working with Terry, the fellowship can basically be whatever you want it to be. You can spend time with Guido Marra and Saltzman who are big name shoulder guys, and you would get one of the best open shoulder experiences in the country working with them. We unfortunately did not get to meet Dr. Gryzlo at the interview, though the fellow said he’s a great guy and great shoulder/elbow/knee experience with him. The current fellow spent a decent amount of time with the Foot and ankle guys cause she will be doing that in practice. So it truly is tailored to what you want to make it. The sports team coverage was in my opinion the best in the country. Northwestern football training camp coverage so you get to know the players. Cover all the home games and had opportunity to cover some away games if you want to. Blackhawks coverage with Terry is as much as you want it to be. The current fellow had been to some of training camp and every home game. She was in the locker room, behind the bench, getting hands-on experience with the blackhawks players… awesome. If you’re interested in covering an NHL team in your career, this would be the fellowship to gain exposure to that and make connections to actually make that happen. Cubs coverage with Gryzlo is as much as you want. Current fellow was spending a week at training camp and planning to cover some games in the spring. US Soccer coverage with Terry, fellow was going to Canary islands for 10 days to cover a few games with the team. Gordon Nuber covers the Bears and is part of Northwestern, but he mainly works with the residents. It seemed like you could get to some of the Bears games if you wanted to, though the current fellow did not. The facilities at Northwestern were incredible. Brand new clinic space and surgicenter in the middle of downtown Chicago. Great area of Chicago to live in. Chicago is the best city in the country in the summers in my opinion. If you can get through the winter it is totally worth it. Affiliation with Northwestern university brings access to a number of research opportunities, and seemed like they had endless research money to work with. Also, the premier rehab facility in the country to coordinate projects with. I was fortunate to interview at a handful of programs I really liked, and this place could have easily been in my top 3. The difference for me was a little lacking with cartilage experience, and maybe a little heavy with hip arthroscopy.
University of Kentucky: I had heard great things about this program from previous residents interviewing, and they certainly met those expectations. Darren Johnson was an awesome guy and seemed like a huge advocate for his fellows and great mentor. He had an energy that would certainly be a great person to emulate in your career. It’s not surprising that he does more ACL’s than anyone in the country. Christian Latterman I also really enjoyed talking with. He was a fellow at Rush with Gomoll and also seemed brilliant and has become a huge name in cartilage restoration and especially patellofemoral work. He has a huge research database established and seemed like a great resource for getting your name out there. Same with Johnson with his ACL database. Scott Mair is mostly shoulder and was a super nice guy, and again had a great shoulder research database to put together some decent projects. Mary Ireland is well known throughout the sports world. I feel like her name pops up in my email every few weeks as a faculty member for some online webinar or vumedi event. She was down to earth, and seemed like a great mentor as well. They also brought on a younger hip scope guy who was not there for our interview, though it seems like they will be integrating him more into the fellowship in the near future. There was also a newer open shoulder guy that the fellows just started working with and I think will become a nice addition to the fellowship. The sports coverage was decent. The fellows get assigned for football to either U Kentucky, Eastern Kentucky, or some other smaller college. The fellow assigned to U Kentucky seemed to be getting a great experience. He would swing by practice a couple days a week, and was an integral part of the treatment team. The only limitations to me were a little heavy with knee, though they are making changes/additions to add to the shoulder experience and hip scope experience. Lexington I’ve heard is a great town, though did not get to spend any time there outside of the interview.
Jefferson/Rothman: Ciccotti was a great guy, super nice, definitely a huge advocate for his fellows, very well liked and respected among the sports community. I think this is the most pure sports of the programs that I considered among my top half. You work with 10+ different attendings around the city, and the fellows seemed to really enjoy the different experiences. Great professional sports coverage. Fellows split up the Eagles home games, Phillies spring training and game coverage, 76ers and Flyers coverage I’m not sure how much the fellows get involved. Great research opportunities with Rothman institute. Lots of ancillary research support and databases that have been in place forever. Very limited shoulder arthroplasty experience, as the shoulder/elbow service covers all of those. Fellows seemed spread out around the city a little bit more than I expected, which could be perceived as good or bad. Get to see different surgicenters, work with different guys using different techniques, etc. Overall, great traditional sports program with great research opportunities and faculty in a nice major city.
I think I did a decent job of selecting programs to interview at and I liked them all for the most part. These are the other programs that I interviewed at, and I would’ve been happy to match at, though for either personal reasons or small reasons were at the bottom half of my list. In no particular order:
Steadman Hawkins – Denver: This program was a great traditional sports experience. Lots of bread and butter shoulder and knee arthroscopy. Great hip arthroscopy experience with Genuario. All of the attendings seemed like a great group to be around, similar to the group in Greenville, I felt like they were a big family. Definitely family-friendly program. Denver is an awesome city, and they certainly catered to the Denver lifestyle (finish early on Friday so you can get up into the mountians to ski for the weekends). The research opportunities were there, though did not seem like a big part of the fellowship. Limited cartilage experience. Decent shoulder arthroplasty and open shoulder experience. Great sports coverage and the fellows definitely got hands-on experience with the Broncos and Rockies. Sideline coverage for the Broncos, and got to go to combine, which I thought was a pretty cool unique experience. Rockies training camp and game coverage. Overall, great group of attendings, family-friendly, traditional sports case load.
UT Houston/Baylor: UT Houston and Baylor are a combined fellowship. Dr. Lowe was a great guy, great energy to be around, tons of ACL’s and revision ACL’s with him. Harner was just transitioning in when we interviewed so should be a nice addition when he gets going. They also brought in a stem cell research lab that is collaborating with Vail research institute could lead to some huge advancements in the near future. All of the attendings we met seemed great. Fullick is a pretty busy open shoulder arthroplasty/revision arthroplasty guy that is becoming a bigger part of the fellowship. We didn’t get to meet Adickes, though heard he is an awesome guy. Decent research opportunities, though historically not a big part of the fellowship, I think that will change with Harner coming in and the fellows will have more opportunities for research. Probably the most sports coverage of any program, though it’s also split with Methodist program. Great professional coverage: Texans, Rockets, Astros. Also cover University of Houston Football and Basketball. Also, each fellow assigned to a high school football team. They were just coming off football season when we interviewed so it seemed like they were doing a lot, but lots of fellows to split up the coverage with. They are definitely building a premier sports fellowship in Houston and are up and coming. I didn’t see myself moving to Houston, that’s why this fell down my list, though the program itself had nearly everything I was looking for, except lacking cartilage compared to some of the others.
San Diego Sports Medicine: This was one program that I had a tough time getting a good read on during my interview. The fellows seemed a little spread out with different private practice groups around San Diego. Decent bread and butter sports experience and decent open shoulder arthroplasty experience. You have the opportunity to work with Bugbee for cartilage restoration cases, but the current fellows didn’t seem to have any interest in doing that so couldn’t tell us much about it. I know pay shouldn’t be a consideration, but they pay $45K to live in San Diego, which seemed a little unreasonable. Sports coverage was assigned a high school football team. They also had some loose affiliation with the Chargers, though obviously that may change in the near future. Overall, get to live in San Diego, decent shoulder arthoplasty experience and traditional sports.
Andrew’s Gulf Breeze: Being affiliated with Andrew’s is huge and for as long as he is around this will be considered a premier fellowship and he knows people all over the country and can help you get a job pretty much any where. As it stands now, he is still fairly busy, a majority of his practice is just professional athletes at this point, though the current fellows seemed to get a very good hands-on operative experience with him. The other attendings all seemed like great guys as well. Sports coverage depended on who’s rotation you were on. Auburn football with Andrew’s seemed like a great experience to travel on the private plane and be on the side lines. The other fellows covered high school football, and some were fairly long drives. So the coverage can be good or bad. Gulf Breeze would be a nice beach town to spend a year in for sure. Tons of research opportunities through the Andrew’s foundation. Overall, great traditional sports experience and decent open shoulder arthroplasty experience with a couple of the attendings.
Ohio State: Very well rounded program. Kaeding is great guy, very well known and well liked in the sports community. Flanigan does a decent amount of cartilage work and is working to make that a bigger part of his practice. Julie Bishop does pretty much anything in the shoulder and seemed like a great mentor. They are opening a brand new sports med facility next fall which will hold the clinics and out-patient surgicenter, which should be awesome. Great research opportunities and ancillary support through university. Access to engineering labs, sports performance labs, etc. Sports coverage is obviously heavily involved with OSU football. Also cover men’s hockey and basketball. Seemed like a decent amount of fellow-appropriate sports coverage and they were very much a part of the treatment team. Overall, I think this is a well rounded, up and coming program and will continue to improve, especially with the new facility opening this year.