WAMC: Ortho

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femur

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Hey everyone,

I’m an MS4 at a mid-tier MD program with multiple affiliated ortho residencies, and I’d really appreciate any honest feedback on my application as I head into Sub-I season and prepare for Step 2. I am concerned about my subpar clinical grades in the context of my application.

School/Academic Info:
US MD, mid-tier
Step 1: Pass
Step 2: Scheduled for early summer (currently scoring ~250s on practice exams, historically scored 99% percentile on standardized exams)
Honors in Surgery, no other honors. All passes
No AOA (very limited slots at my school, find out in senior year)
School doesn’t officially rank

Research:
10+ ortho-focused papers submitted (2 accepted: 1 in spine, 1 in OJSM), the others are with well-published PIs who have a track record of getting these papers in the journals we submitted into.
9 Global Health and Trauma papers (One in JBJS, Second Author)
Multiple national/international podium and poster presentations (AAKHS, regional orthopedic conferences as well, none at AAOS but submitted 24 podium/poster/eposters this year)
All in all will probably have 50+ "items" on ERAS, but might remove dilutionary material

Extracurriculars & Leadership:
Extensive global health and humanitarian work (from High school)
Helped build a national nonprofit from the ground up (now managing ~$8M in medical aid)
Participated in a surgical mission to an active war zone in early 2024
Serve as Research Director and Volunteer Coordinator for same medical NGO
Fluent in 2 languages, conversational in 3 more

Clinical Experience & Letters:
One home ortho rotation completed, secured "strong" LORs from both PD and APD, both of whom I completed 2 Manuscripts and multiple posters with
One strong ortho LOR from academic faculty and mentor (expecting more from Sub-Is), well published in the field but retired PD


Concerns:
No AOA and only 1 honors
No Step 2 score yet
Only 3 Sub-Is secured
13 applicants from my school who have much better clinical grades than I do, but comparable projected steps if not lower, and much lower research / extracurriculars
Coming from a program with ortho presence, but not a Top 20 powerhouse

Would love honest insight on and brutal feedback:
1. How competitive this app looks across academic vs mid-tier vs community programs
2. What I should be focusing on most between now and ERAS (Step 2? Aways? Research output?)
3. What do I need to do now to match

Really appreciate any input, feel free to drop a comment or DM. Thank You all.
 
Last edited:
Keys to matching for you... from most important to least important

1) performing well on sub-I's
2) selecting signals that align with your competitiveness, and historically places where your med school has matched ortho
3) LOR and having mentors who can call and vouch for you at programs that you receive interviews
4) score a 250 or above on step 2
 
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