Search for my Posts. I have writtened about the competitiveness of Orthopedics surgery..... just went throught the Ortho Match this year. I would also aggree with the above posts that grouped the sub-spec with their competitiveness. Definitely, Ortho, Plastics, Derm, ENT, Rad-Onc, and NeuroSurg are the most competitive ones. In the 2004 match, there was 150 US seniors that did not match in to Ortho surg, with about another 300-400 IMGs and Carribean, PR, medical school applicants not matching as well. Usually, each year, there is about 600 PGY-1 spots in Ortho, and about 1100-1200 total applicants (include all of the IMGs). In NeuroSurg, 2004, there was about 30 US seniors that did not match, with only 150 PGY-1 spots available. It is still competitive, but the shear number of people wanting to do Neuro Surg is dropping (Our school had none applying to neuro surg this year). But we had 11 apply to Ortho, and I know other schools like Georgetown have like 25-30 apply to Ortho each year. The number of Apps to has increased alot this year. My home school received about 650 apps for 5 spots, and that is the case for most schools in the country, 100-150 apps per 1 Ortho spot. Given that each applicant throws in about 40-50 apps, which means much harder to get an interview, and when I interviewed this past year, I saw pretty much the same people over and over again. I have heard a lot of stories of people with 240-250 step I, good EC, top 1/4 of class, research, and strong LOR, from a top 25 US med school, not matching this year. IN fact, it happened to one of my friends from my school.