title: The hand surgery fellowship application process: expectations, logistics, and costs.
abstract: OBJECTIVE
  To investigate expectations, logistics, and costs relevant to the hand surgery fellowship application process. We sought to discover (1) what both applicants and program directors are seeking, (2) what both parties have to offer, (3) how both parties collect information about each other, and (4) the costs incurred in arranging each match.
  
  
  METHODS
  We conducted on-line surveys of hand surgery fellowship applicants for appointment in 2015 and of current fellowship program directors.
  
  
  RESULTS
  Sixty-two applicants and 41 program directors completed the survey. Results revealed applicants' demographic characteristics, qualifications, method of ranking hand fellowship programs, costs incurred (both monetary and opportunity) during the application process, ultimate match status, and suggestions for change. Results also revealed program directors' program demographics, rationale for offering interviews and favorably ranking applicants, application-related logistical details, costs incurred (both monetary and opportunity) during the application process, and suggestions for change.
  
  
  CONCLUSIONS
  Applicants for hand surgery fellowship training are primarily interested in a potential program's academic reputation, emphasis on orthopedic surgery, and location. The typical, successfully matched applicant was a 30-year-old male orthopedic resident with 3 publications to his credit. Applicants rely on peers and Web sites for information about fellowships. Fellowship directors are primarily seeking applicants recommended by other experienced surgeons and with positive personality traits. The typical fellowship director offers a single year of orthopedic-based fellowship training to 2 fellows per year and relies on a common application and in-person interviews to collect information about applicants. Applicants appear to be more concerned than directors about the current state of the match process. Applicants and directors alike incur heavy costs, in both dollars and opportunity, to arrange each match. A nuanced understanding of the match process suggests specific changes and may help reduce these costs.
  
  
  METHODS
  Economic and decision analysis V.
authors.affiliation: Department of Orthopedics, George Washington University School of Medicine and Health Sciences, Washington, DC; Philadelphia Hand Center, Philadelphia, PA. Electronic address: cliftongm@gmail.com.
authors.forename: Clifton
authors.initials: C
authors.lastname: Meals
authors.affiliation: Department of Orthopedics, George Washington University School of Medicine and Health Sciences, Washington, DC; Philadelphia Hand Center, Philadelphia, PA.
authors.forename: Meredith
authors.initials: M
authors.lastname: Osterman
mesh_terms: D000328:Adult; D005257:Fellowships and Scholarships / Q000458:organization & administration* / Q000706:statistics & numerical data; D006225:Hand / Q000601:surgery*; D006801:Humans; D007586:Job Application; D009985:Orthopedics / Q000193:education*; D010560:Personnel Selection
keywords: Application; fellowship; hand; match; surgery