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Letters of recommendation have been identified as one of the most important factors in ranking applicants for fellowship training. With 90% of orthopaedic surgery graduates pursuing fellowship training after residency, the quality of letters of recommendation plays a critical role in determining the likelihood of an applicant matching into their desired program. There have been no previous investigations into what specific quality/performance metrics orthopaedic residency faculty use to deem applicants as ‘unqualified’ for fellowship training and how this affects these applicants’ letters of recommendation.

The purpose of this study is to:

1.) Identify and rank quality/performance metrics that may deem an applicant ‘unqualified’ for fellowship training. 

2.) Gauge how these quality/performance metrics would affect orthopaedic faculty’s willingness to write an applicant a letter of recommendation.

3.) Evaluate how orthopaedic faculty would respond to requests for letters of recommendation from applicants who are deemed ‘unqualified’ for orthopaedic fellowship training.

Audience:  OTA Active members​.