University of Pennsylvania Health System Program

Specialty:Orthopaedic surgery
ACGME Code:2604121023
NRMP Code:1628260C1, 1628260C0
Status:Continued Accreditation

Overview

The Orthopaedic Surgery Residency Program at the University of Pennsylvania is meticulously structured to develop well-rounded, adept surgeons equipped to provide exemplary musculoskeletal care, setting the stage for the next generation of leaders in orthopaedic surgery. Encompassing a rigorous five- or six-year curriculum, the program emphasizes graduated responsibility and autonomy across clinical, surgical, and operative environments in order to best prepare residents for fellowship training and clinical practice.

Program Structure

Locating the program in Philadelphia, residents experience diverse clinical rotations across multiple prestigious institutions including Pennsylvania Hospital, Penn Presbyterian Medical Center, Children’s Hospital of Philadelphia (CHOP), and the University of Pennsylvania Hospital. This structured environment fosters a comprehensive understanding of orthopaedics through exposure to various subspecialties, including trauma, adult reconstruction, pediatrics, spine, hand and upper extremity, oncology, sports medicine, and foot and ankle care. All rotations reside in Philadelphia, allowing for an immersive clinical experience.

Unique Six-Year Research Track

The program offers a unique six-year residency track designed for two residents, which includes a full year of non-ACGME accredited research following the completion of the second clinical year (PGY-2). This track is intended to cultivate future academic leaders within orthopaedics. Residents in this track enjoy protected research time and gain extensive experience with publishing multiple manuscripts, often contributing to 30 or more publications in high-impact medical journals. This has historically led to competitive fellowship placements and subsequent academic positions across top institutions in the nation.

Research Opportunities

Residents benefit from the resource-rich environment provided by the McKay Orthopaedic Research Laboratory, known for its robust research capabilities. Participants may engage in various scholarly activities, including grant writing, project design, and original research presentation and publication. Additionally, the department has consistently ranked among the top institutions nationally in terms of National Institutes of Health (NIH) funding within the orthopaedic field, underscoring its commitment to research and academic excellence. As a collective, the faculty supports an inclusive initiative, welcoming all residents including underrepresented minorities and women in orthopaedics.

Application Requirements and Competitiveness

The Penn Orthopaedic Surgery Residency Program is notably competitive, offering opportunities for candidates from all backgrounds, including DO and IMG applicants. The application process requires prospective residents to apply exclusively through the Electronic Residency Application System (ERAS). Required documents include USMLE Step 1 and Step 2 scores, three letters of recommendation (with one from a practicing orthopaedic surgeon), a personal statement, curriculum vitae, Dean's letter, and medical school transcripts. Importantly, applicants should not have failed a USMLE Step exam more than once, emphasizing the program's commitment to high academic standards.

The residency positions consist of six designated for a five-year clinical track, while two reside within the aforementioned research track. Interviews occur annually, typically in mid-January, as part of the National Resident Matching Program (NRMP) process.

Living in Philadelphia

Philadelphia serves as an exceptional backdrop for training, combining a rich historical narrative with vibrant neighborhoods, diverse cultures, and world-class dining options. The city is not only saturated with historical treasures, but it also boasts an active arts scene, professional sports franchises, and a reputation for walkability, catering to a wide array of recreational interests.

Visa Support

The program is equipped to provide visa sponsorship for eligible international scholars, facilitating opportunities for non-resident graduates to train in its esteemed institution. Generally, J-1 and H-1B visas are the most common types for residency participants, ensuring compliance with necessary legal parameters while pursuing their medical training in the U.S.

Resident Portal and Community

Current residents have access to a dedicated portal designed to create a collaborative environment where they can share resources and engage in continuous learning and development. The community is fostered through mentorship opportunities, social events, and professional enrichment activities aimed at creating a supportive network among peers and faculty.

This program advocates for an inclusive environment, aiming to provide equal opportunities for underrepresented minority students and females interested in pursuing orthopaedic surgery, backed by resourceful faculty and ongoing initiatives designed to enhance diversity and equity within the field.

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Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation0
Full accreditation2
Continued24
Warning1
Probationary Accreditation0
Withdrawal0

Program

Program Size

8, 8, 8, 8, 8 (5 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 9, 2026)

Composition [2]

MD · 98%
U.S. IMG · 3%

Training

Fellowship Rate:100% [2]

Faculty-to-Residents Ratio:1.3X [1]

Residents Career Path [2]

Fellowship · 100%

Quality of Life

First Year Paid Sick Leave: 5 days [1]

First Year Paid Vacation: 20 days [1]

First Year Salary: $74,124 [1]

First Year Maximum Consecutive Hours on Duty: 24 hours [1]

First Year Average Weekly Hours: 80 hours [1]

Admission

USMLE Step 2 Score: 249–275 [2]

Visa Sponsorship:-- [2]

YOG Cutoff:--

Race / Ethnicity

Gender

Incoming Schools

13%

Perelman School of Medicine at the University of Pennsylvania

8%

Albany Medical College

5%

Spencer Fox Eccles School of Medicine at the University of Utah

5%

Case Western Reserve University School of Medicine

* Multiple schools share the same admissions rate.

Rotation Duration by Site

No rotation duration data available.

Benchmarks

Match & stats

2026 Residency Applicant & Interview Insights

Signals

Number of Applicants
Number of Applicants Interviewed

Hometown State

Number of Applicants
Number of Applicants Interviewed

Medical School State

Number of Applicants
Number of Applicants Interviewed

Step 1 Fail

Number of Applicants
Number of Applicants Interviewed

Step 2 Fail

Number of Applicants
Number of Applicants Interviewed

Applicant Type

Number of Applicants
Number of Applicants Interviewed

Note: The AIR (Applicant Interview Rate) is calculated as the percentage of applicants in each category who were offered interviews. A higher AIR suggests stronger alignment with program preferences, indicating a greater likelihood of the program favoring applicants in this category.

USMLE STEP 2 CK Score [2]

COMLEX Level 2 Score [2]

No data available for COMLEX Level 2 Score

No data available for COMLEX
Level 2 Score

Match History [4]

Track ID:  1628260C0
2020
6 of 6
2021
6 of 6
2022
6 of 6
2023
6 of 6
2024
6 of 6
2025
6 of 6
2026
6 of 6
Track ID:  1628260C1
2020
2 of 2
2021
2 of 2
2022
2 of 2
2023
2 of 2
2024
2 of 2
2025
2 of 2
2026
2 of 2
Filled Position
Unfilled Position

Roster

Publications

15 Publications (5 yr)

Peer-reviewed output from faculty and residents, last 5 years

Foot & ankle orthopaedics2026

Primary Tibiotalocalcaneal Nailing vs Open Reduction and Internal Fixation for Fragility Ankle Fractures in Older Adults: A Markov Model.

Andrew Bouras,1Akin A Adio,2Rahul Kumar,3Rohan Phadke,4
Pharmacoepidemiology and drug safety2026

Development and Validation of Case-Finding Algorithms to Identify Periprosthetic Joint Infections After Total Hip Arthroplasty in Veterans Health Administration Data.

Jessica C O'Neil,1Yixuan Pei,2Craig Newcomb,3Randi Silibovsky,1

Location

Philadelphia, PA [5]

Population
1,603,797
Median income
$60,302Below
Education
35.7%Above
Employment
60.2%Above
Health
7.1%Above
Age
35On par
  • Above the national average
  • Below the national average
  • Similar to the national average

Housing — Rental prices [6]

Rental prices

Crime — All violent offences [7]

Rate per 100,000 residents

Living in Philadelphia, PA:

Philadelphia, PA is a vibrant city with a rich historical background and a diverse cultural scene. Here are some aspects to consider when living in Philadelphia for your medical residency program:

Crime Rate and Safety

Philadelphia has some high-crime neighborhoods, so it's essential to be aware of your surroundings. However, the city has been improving its safety measures in recent years.

Fun Activities

Philadelphia offers a wide range of activities, from visiting historical sites like Independence Hall to enjoying the arts and culture in museums and theaters.

Climate

Philadelphia experiences all four seasons, with hot summers and cold winters. Be prepared for snowfall during the winter months.

Races and Population

Philadelphia is a diverse city with a mix of racial and ethnic groups, making it a welcoming and inclusive place to live.

Education

Philadelphia is home to several universities and colleges, offering opportunities for continued education and research.

Cost of Living

The cost of living in Philadelphia is moderate compared to other major cities on the East Coast. Housing costs vary depending on the neighborhood.

Proximity to Other Cities

Philadelphia is within driving distance to cities like New York City (around 2 hours) and Washington, D.C. (around 2.5 hours), making it easy to explore other urban centers.

Pros

  • Rich history
  • diverse culture
  • strong healthcare institutions
  • vibrant arts scene.

Cons

  • Some neighborhoods have higher crime rates
  • winters can be cold and snowy.

FAQ

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References

1. Freida - https://freida.ama-assn.org/program/2604121023

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/f3cd6dd4-8a25-9311-5f1f-b9e8c047a747

3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search

4. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/

5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US4260000

6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/

7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr