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September 14, 2026Journal of the American Academy of Orthopaedic Surgeons

Trends in Research Gap Years Among Orthopaedic Residency Applicants

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Authors

ECEric J. CotterJDJack H. DrakeCNCollin N. Nguyen

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Overview

Retrospective review reveals a doubling of research gap years among orthopaedic residency applicants, indicating dedicated research enhances academic productivity and match outcomes.

Key Points

  • To assess the 10-year incidence of orthopaedic residency applicants completing a dedicated research gap year, compare applicant characteristics, and evaluate factors linked to match success.
  • Retrospective review of ERAS applications submitted to a single orthopaedic residency program across 10 application cycles (2014-2015 to 2023-2024).
  • Defined a research gap year (RGY) as a minimum of 9 months of dedicated research, excluding dual-degree programs (MPH, MBA, PhD).
  • Extracted applicant metrics including RGY timing, USMLE scores, Alpha Omega Alpha status, research items (publications, presentations, abstracts), and match results.
  • The percentage of applicants pursuing an RGY increased from 7.4% in 2014-2015 to 14.4% in 2023-2024, showing a significant positive correlation over time (r = 0.95; 95% CI, 0.80 to 0.99; P < 0.0001).
  • RGY applicants averaged 31.6 total CV research entries compared with 9.9 for non-RGY applicants (P < 0.0001), with 81.1% completing the gap year after their third year of medical school.
  • Among applicants completing an RGY, 71.0% matched into orthopaedic surgery, and 12.7% matched specifically at the institution where they completed their research year.

Cite This Study

Cotter et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2c70926e14a848b15b9https://doi.org/10.5435/jaaos-d-25-00942
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Is the Completion of a Research Gap Year or Summer Research Program Associated With Increased Odds of Matching Into Orthopaedic Residency? A Systematic Review2025
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  3. 3Research Tracks in Orthopedic Surgery: Analyzing Participation, Outcomes, and Academic Contribution2026
  4. 43. The Popularity and Productivity of Research Years among Matched Plastic and Reconstructive Surgery Residents from 2022-20252026
  5. 57. Should I Take a Research Year? An Analysis of Trends in Plastic Surgery Match Outcomes (2022-2025)2026