The above post are excellant. For every applicant, you will find a different top five programs.
Me, I had a wife and kids, so we drew a 500 mile radius around our current location and I interviewed within that area so as to stay close to family support. I then decided on less academic programs which would put the majority of the US News top programs low on my list. My top five programs would include smaller programs such as Greenville, SC and Jackson, MS.
The short of the story is the top five programs are the top five you match to your interest: location, academic, etc.
Helpful hints:
1. If you know you want to go into academics, you need to look at academic, research orientated programs.
2. If you think you might want to go into general ortho, you need to find a well rounded program (which believe it or not is hard to find).
3. If you think you would like to sub-specialize, finding a program that is strong in the area of your interest would be beneficial.
- I'm going into spine but my program is weak in spine. However, I didn't have a CLUE that I was going into spine while hunting for programs or I might be in another program
4. Look at the fellow-ships that the residents from that program are getting. If you see a programs former residents with fellowships from HSS or Harvard, that program must be doing something right.
5. While interviewing, look to see if the residents are happy because that will be you in a few years.
6. Always ask about possible faculty changes. Some programs can fall apart if they loss two or three faculty.
7. Do as many externships as possible. The chances are, you will end up where you rotate.
8. Something that applies currently is to MAKE sure the program is complying with ACGME hour regulations. This is new and MANY programs are covering up there overages on hours. This will point to serious consequences in the future, i.e. loss of accredidation.
9. Interview at least 10 places ( if you get that many interviews). This is one time in your life to not to skip out. If anything, the interviewee parties are usually worthwhile.
10. If you have a spouse/significant other, involve them HEAVILY. An unhappy spouse during a five year residency spells disaster.
11. Ask questions, ask questions. You will not know if you don't ask. Most programs will not advertise weaknesses but usually will not cover them up if enquired about.
Of course, the above is if you are blessed enough to be chosing programs. Many times, it can turn into "I hope someone, ANYONE will take me."
Good luck!