So I read this state-of-the-match report with interest...
Orthopedic Surgery Fellowships: The Effects of Interviewing and How Residents Establish a Rank List
Matthew C. Niesen, MD; Jeffrey Wong, MD; Edward Ebramzadeh, PhD; Sophia Sangiorgio, PhD; Nelson Fong SooHoo, MD; James V. Luck, MD; Jeffrey Eckardt, MD
March 2015 - Volume 38 · Issue 3: 175-179
"Prior to the establishment of the Orthopaedic Fellowship Match in 2008, orthopedic residents had to decide where to complete fellowship training in an environment without a formal match system. Annual meetings were “free-for-alls” with both programs and residents anxious to make a deal. If interviews occurred, they were uncoordinated and happened earlier and earlier in the process as programs competed for top candidates and residents tried to secure positions at the best programs. Often, both sides involved in the process had to make a decision without knowing what alternatives might exist or arise in the future. Residents frequently were uncertain whether they would receive additional offers and were pressured to commit to a fellowship, while fellowship programs had high interview cancellation rates because residents had already taken other positions. This system may have caused residents and fellowship programs to settle for a less than ideal “match.” A 2008 American Orthopaedic Association symposium indicated that more than half of all residents surveyed accepted their first fellowship offer. The same survey showed that 78% of residents favored a transition to a centralized match.