Would you like email updates of new search results? There you can check out the general surgery residency rankings for the year 2016 and 2017 as well. Doximity's published methodology9 for its ranking system states that, To account for self-votes,' raw votes were divided into alumni-votes and non-alumni votes. It's crunch time for fourth-year medical students to decide where they want to do their post-graduate . programs in a variety of specialties, and ABMS board-certified physicians can nominate programs for consideration as top residency programs. A multivariable linear regression model was used that included Doximity ranking as the outcome variable and residency program size as the predictor variable with adjustment for the aforementioned variables. Overall satisfaction with residency programs is high across all specialties, with a range in score of 4.41 to 4.86. During those five years, residents gain knowledge in critical care and develop surgery skills. Doximitys mission is to help doctors be more productive so they can provide better healthcare for their patients. Physicians who train for and dedicate themselves to community-based practice produce much less research, but the high-quality patient care they provide is just as valuable as the research produced by their academic colleagues. A 2018 survey with responses from 2152 applicants across 24 graduate medical education programs found that their reputation rankings were considered valuable or very valuable to 78% of respondents.7 Of those who responded, 79% reported that their application, interview invitation acceptance, or match rank order list decisions were influenced by Doximity reputation rankings.7 A survey of medical students applying for emergency medicine residency demonstrated that nearly a quarter of applicants make changes to their rank list based on Doximity rankings.8, Subjective reviews of residency programs are a driving factor of Doximity rank methodology,9 specifying that in addition to objective data (eg, alumni research output, board examination pass rate, and other measures), subjective information such as current resident and recent alumni satisfaction data and reputation data constitutes 2 of 3 major parts of Doximity ranking methodology. Previous studies on residency program reputation have employed objective outcomes such as patient outcomes, board pass rates for residents, and prevalence of alumni publications.11,12 Of note, Doximity does incorporate objective factors in its reputation calculation, but it is not clear how much statistical weight these factors are given compared to subjective, peer-nomination surveys. Founded in 2010, Doximity is the leading digital platform for medical professionals. Terms of Service Data extracted from Doximity included program rank, size, and age. certifications and practice settings. This is a move up of three spots over our No. So when someone tells me about a helpful tool or strategy for navigating the system, I pay attention. A total of 37 103 applicants participated in the Main Residency Match program in 2018. At the @medsc, One of the cool things at #dermatology conferences, Massachusetts General/Beth Israel/Brigham & Womens, McGaw Medical Center of Northwestern University, Beth Israel Deaconess Medical Center/ HarvardMedical School, University of Miami / Jackson Memorial Health System, Thomas Jefferson University / Wills Eye Hospital, Childrens Hospital / Boston Medical Center, Cincinnati Childrens Hospital / University of Cincinnati, New York Presbyterian Hospital (Columbia Campus), Mayo Clinic College of Medicine (Rochester), New York Presbyterian Hospital (Cornell Campus), Massachusetts General Hospital/Beth Israel Deaconess Medical Center/Brigham & Womens Hospital, Brigham & Womens Hospital/Massachusetts General Hospital/Harvard Medical School, Albert Einstein College of Medicine (Jacobi/Montefiore), Beth Israel Deaconess Medical Center/Harvard Medical School, Central Michigan University College of Medicine, San Antonio Uniformed Services Health Education Consortium, Washington University/B-JH/SLCH Consortium, Brigham & Womens Hospital/Massachusetts General Hospital, University of Pennsylvania/Scheie Eye Institute, Massachusetts General Hospital/Brigham & Womens Hospital/Harvard Medical School, NYU School of Medicine/Hospital for Joint Diseases, National Institutes of Health Clinical Center, Childrens Hospital/Boston Medical Center, Cincinnati Childrens Hospital Medical Center/University of Cincinnati College of Medicine, Spaulding Rehabilitation Hospital/Harvard Medical School, Temple University Hospital/Moss Rehabilitation, Brigham and Womens Hospital/Harvard Medical School, University of Texas Southwestern Medical School, Johns Hopkins University/University of Maryland, Case Western Reserve University/University Hospitals Case Medical Center, Massachusetts General Hospital/McLean Hospital, Brigham and Womens Hospital/Massachusetts General Hospital/Harvard Medical School, University of Texas M D Anderson Cancer Center, University of Chicago/University of Illinois College of Medicine at Chicago, Allegheny Genderal Hospital-Western Pennsylvania Hospital Medical Education Consortium (AGH). 2023 Jan 6;8(1):e22.00081. The release of general surgery residency program rankings by Doximity and U.S. News & World Report accentuates the need to define and establish measurable standards of program quality. Its officially fall here in Mississippi. Doximity Appoints Former U.S. For the second consecutive year, the Harvard Combined Program in Otolaryngology-Head and Neck Surgery (OHNS) was voted the top OHNS residency program in the nation by Residency Navigator from Doximity.. Doximity determined its 2021-2022 rankings from a survey of over 30,000 U.S. physicians. The University of WashingtonsDepartment of Surgery has trained hundreds of surgeons since 1947. 4 in radiation oncology; and No. MEDICAL SCHOOL DATA TUITION $58,900 (full-time) ENROLLMENT (FULL-TIME) 420 MCAT TOTAL SCORE. Thats why we wanted to give you a broader picturewhen it comes to the residency programs. Increasing a residency program size by 1 resident was associated with an improvement in Doximity rank of by 0.80 to 6.32 ranks, depending on specialty. #Eczema is one of the most common conditions we se. career goals, said Nate Gross, M.D., co-founder of Doximity. Our residents train at one of the country's largest public hospitals, a university tertiary care hospital, an NCI-designated cancer center, a managed-care community hospital, and a nationally . The residency lasts for 5-6 years. Doximity collects reputation data through annual surveys of current and graduated residents, who are asked to nominate up to 5 residency programs. News; Dort JM, Trickey AW, Kallies KJ, Joshi AR, Sidwell RA, Jarman BT. On the other hand, theyre a great source of information about resident satisfaction and overall reputation as perceived by MDs. Doximity members also wrote descriptive reviews of nearly 1,500 different residencies that graduating medical students can read as they construct their personal rankings for next month's all . First things first, how does Doximity rank residency programs? Save my name, email, and website in this browser for the next time I comment. In total, 3388 unique residency programs were represented across these 16 specialties. Since we were interested in controlling for other potential factors that might influence the reputation of a program, we also collected information on founding year of the program, National Institutes of Health (NIH) funding, and US News & World Report (USNWR) medical school rankings. Research output measures the collective h-index of program alumni. Surgical Residency Programs. So, we consulted theU. S. News, Research Gate, and Doximity. Its a fiveyear programand you can apply if your USMLE Step I score is at least 220. We hypothesized that a strong negative correlation exists between residency program size and ranking. Contact Doximity bases its rankings on three major criteria: 1. Using Patient Outcomes to Evaluate General Surgery Residency Program Performance. unfortunately these ranking systems appear to have more and more influence. Download Citation | On Jan 6, 2023, Patrick J. Meade and others published Doximity Orthopaedic Surgery Program Rankings Are Associated with Academic Productivity | Find, read and cite all the . Objective To assess general surgery residency program performance using the objective clinical outcomes of patients operated on by program graduates.. Design, Setting, and Participants A retrospective cohort study was conducted of discharge . Clipboard, Search History, and several other advanced features are temporarily unavailable. Medical students are using Doximity Residency Navigator, a ranking system for residency programs, to help them create their rank lists when applying to programs, yet there are concerns about the system's lack of objectivity and transparency. Teaching via tweet: Micro-lessons on writing scientific papers take off. Doximity's proprietary database is additionally bolstered by registered and Sorry, your blog cannot share posts by email. Tex Heart Inst J. At John Hopkins University each year seven residents are chosen for the general surgery residency program. Top 20 Internal Medicine Residency Programs 2022. as ranked by Doximity. Doximity Residency Navigator is a ranking system that previous reports have shown significantly influences medical student application decisions. The strength of the relationship between residency program size and Doximity rank contrasts with previous work that found only a moderate association between an objective, outcomes-based ranking system and Doximity rankings in one specialtysurgerywhich was not one of the specialties included in our study.11 It is possible that Doximity reputation score calculations are weighted such that larger residency programs are often ranked higher because they have more residents and alumni who may respond to the survey. I have a vested interest in the whole process for two reasons: I want to help my students find and match with excellent residency programs, and I want to attract the best possible candidates to my residency program. With a few changes, the Doximity rankings could be a really useful tool for helping students navigate the residency application process. Nationally, the program placed in the 99th percentile for research output.. Notify me of follow-up comments by email. Abbreviations: Phys. University of Cincinnati Medical Center and University of Southern California topped Doximity's rankings. The program lasts for five years after which individuals are eligible to apply for any number of subspecialties. Relation of Doximity ranking and matched applicant characteristics in orthopedic residency programs These findings support the critique that the Doximity reputation ranking system may favor larger residency programs. Copyright 2015 Association of Program Directors in Surgery. Objective: The release of general surgery residency program rankings by Doximity and U.S. News & World Report accentuates the need to define and establish measurable standards of program quality . Importance To evaluate and financially reward general surgery residency programs based on performance, performance must first be defined and measureable.. 2023 Doximity, Inc. Your email address will not be published. May 4, 2021. official website and that any information you provide is encrypted Education Division Phone Number: 212-241-5871. 10 Best Neurosurgery Residency Programs in America10 best surgical residency programs in the USbest residency programsbest surgical residency programs in the worldbrigham and women's hospital general surgery residencycommunity general surgery residency programsduke university hospital general surgery residencyemory university school of medicine general surgery residencygeneral surgery residency rankings 2016general surgery residency rankings 2018john hopkins university general surgery residencyList XFinancemadigan healthcare system general surgery residencymassachusetts general hospital general surgery residencymayo clinic college of medicine and science general surgery residencymcgaw medical center of northwestern university general surgery residencyniversity of florida college of medicine general surgery residency programSlideshowstanford health care-sponsored general surgery residencythe university of cincinnati medical center general surgery residencytop 10 emergency medicine residency programstop 10 OBGYN residency programs in Americatop 12 surgery residency programs in 2018top 20 general surgery residency programstop 30 general surgery residency programstop pathology residency programstop pathology residency programs as well as top internal medicine residency programsucla david geffen school of medicine/ucla medical center program general surgery residencyuf health general surgery residentsuniversity of california san francisco general surgery residencyuniversity of florida general surgery residencyuniversity of michigan general surgery residencyuniversity of pennsylvania general surgery residencyuniversity of texas southwestern general surgery residencyuniversity of virginia medical center general surgery residencyuniversity of washington general surgery residencyvanderbilt university medical center program general surgery residencywashington university/b-jh/slch consortium program general surgery residencyShow moreShow less, 7 Easiest Nursing Schools to Get into in NYC, 10 Good Excuses for Missing Class in High School and College, 4 Straightforward Tips for Maximizing Your Credit Card Rewards, 7 Best Company Team Building Activities to Build Workplace Camaraderie, 10 Unfriendliest Cities in the World in 2018, 10 Countries with the Most Mass Shootings in the World, Top 10 Sugar Producing Countries in the World, 10 Best Franchises to Open in 2018 with $10k. Doximity bases its rankings on three major criteria: 1. PGY1 Annual Salary: $61,358. To start with, Doximity states that only MD residency programs are eligible for inclusion. Doximity rankings include 28 medical and surgical specialties. Alumni votes were weighted according to the percent of the eligible physician population that a particular program accounts for within that specialty (number of alumni divided by total eligible within the specialty). This documentation does not indicate the degree to which votes from current residents are weighted in comparison to alumni. UVA offers afive-year general surgery residency program withfive resident places. Data extracted from Doximity included program rank, size, and age. It is estimated that fewer than 5% of these surgeons limit their practices to general surgery. 1 in research output and by reputation among sister programs in California and across the western U.S. in the Doximity 2018-19 annual survey. An official website of the United States government. SAN MATEO, Calif., Jan. 13, 2015 /PRNewswire/ -- Doximity, the largest professional network for physicians, today announced residency program rankings by region and the top 10 national training institutions most recognized by physicians for the quality of residency programs across multiple specialties. doi: 10.2106/JBJS.OA.22.00081. Data were additionally collected from the Blue Ridge Institute for Medical Research, National Institutes of Health, funding in 2018 and the US News & World Report Best . Because the goal of residency training is not board certification its to produce doctors who are qualified and competent to take care of patients. Reaction score. Despite rising concerns over long work hours and low wages, residency reviews remain overall positive. Editor's Note: The online version of this article contains a complete list of reasons for exclusions made in the analysis and R2 values for models and parameter estimates for departmental NIH funding, association with US News & World Report ranked medical school, and residency program age. JB JS Open Access. In the US, ABMS & AOA can both certify physicians and are recognized as equivalent certifications by ACGME, insurers, regulators, governments, and other entities nationwide. 1 out of 345 residency programs, while Otolaryngology and . About Us Fax: 212-241-2206. Output, Percent Subspecialize and Percent Board Certified rates as After two more years of foundational medical courses in medical school, come two years of clinical clerkship. How well did our students match? Residency Navigator is Over 90% of graduating U.S. medical students join Doximity to use tools including Residency Navigator before earning their medical degree. There is also extensive exposure to the surgical specialties. The third major determining factor in Doximitys residency rankings is research output. I believe research is important its how we get better and improve the care we offer our patients but I dont believe research output should be such a major factor in evaluating the quality of a residency program. So, if youre one of them do check out some of the community general surgery residency programs in the country. Massachusetts General Hospital - Boston, MA, 2. Their goal is to produce surgeons that have the leadership, technical skills and professional standards necessary for a successful career in academic surgery. Madigan Healthcare System is a branch of United States Army Hospitals founded in 1944. University of Pennsylvania (Perelman) University of California--San Francisco. Duke University. University of Pennsylvania (Perelman) Duke University. i think the question is, what massive has changed in the past 2 years to go from 5 a . Methods A cross-sectional study of Doximity residency rankings from the 2018-2019 academic year was conducted. Make an Appointment at Between their PGY2 and PGY3 years, residents can earn degrees such as master of population health sciences degree or master of business administration degree. notes about each program as they go through the application interview process and prepare their Rank Order List. New York, NYSeptember 10, 2014 Physician network Doximity, along with U.S. News & World Report, today announced the results of the first comprehensive national evaluation of residency programs.The results are used in Doximity's free interactive tool called Residency Navigator designed for third- and fourth-year medical students, which also launched today. 8600 Rockville Pike So, we consulted the U. S. News, Research Gate, and Doximity. One of the best-paying medical specialties is, without doubt, neurosurgery, and we strongly suggest you read our article on10 best neurosurgery residency programs in America. . Now, the 18,000 medical students who are currently conducting residency interviews and making their final decisions on where they will begin their career, will have insight into which programs physicians hold in the highest regard in a particular region and the institutions that are well-respected across a broad mix of specialties. Residency Navigator is designed to offer students the insights and data they need to identify the residency programs that best fit their personal and career goals," said Nate Gross, M.D., co-founder of Doximity. This study evaluated the extent to which program rankings based solely on peer nominations correlated with familiar program outcomes measures. 1, 14 Accurate knowledge of the academic achievement of general surgery residency programs is one of many facets that is . There are also several fellowship opportunities like surgical critical care fellowship. For each program included in the study, data were collected on total NIH funding awarded in 2018 as reported by the Blue Ridge Institute for Medical Research Ranking Tables of NIH Funding to US Medical Schools in 2018, and the USNWR Best Medical Schools research rankings for 20192020. Length of Accredited Training: 4 years. Beckers Spine Review reports on the Doximity rankings of the top four orthopedic surgeon residency programs by region including HSS in the Northeast. 95% of graduate residents choose academic careers, starting as assistant professors. The residency experience is more than clinical time, conferences, and studying. Parameter estimates (beta) are from individual multivariable linear regression models for each specialty. Doximitys Residency Navigator is the most comprehensive 6 among all departments of surgery residency training programs in the United States. Surgeon General to Its Board of Directors. If you have any questions about Residency Navigator please email residency@doximity.com or consult our research methodology. residency@doximity.com or consult our research methodology. Becker's Spine Review reports on the Doximity rankings of the top four orthopedic surgeon residency programs by region including HSS in the Northeast. Sep 10, 2014. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Submitted by UCSF Urology on August 6, 2021 at 5:46 pm. J Surg Educ. 5 in surgery and urology. Another possible explanation for the correlation between residency program size and rank is that the strength of a program may have contributed to approval for more residency spots. Because these physicians arent allowed to nominate programs, residencies geared toward community-based practice dont get the same recognition as large academic programs in the rankings. Not to mention the hard work and dedication. Joining a residency with a partner in mind? The company's network members include over 80% of U.S. physicians across all specialties and practice areas. Then we singled out the top general surgery residencies according to their popularity, research activities, tuition, number of clinical and research residents as well as the number of positions and reputation. 2022. as ranked by Doximity hundreds of surgeons since 1947 consideration as top programs! The extent to which votes from current residents are chosen for the next time I comment fourth-year medical students decide! The United States Army Hospitals founded in 2010, Doximity is the doximity general surgery residency rankings comprehensive among... Year was conducted a ranking system that previous reports have shown significantly influences medical student application decisions variety of,. A ranking system that previous reports have shown significantly influences medical student application decisions residents who. Is estimated that fewer than 5 % of these surgeons limit their practices to general residency! Range in score of 4.41 to 4.86 better healthcare for their patients total score degree. Residency Navigator before earning their medical degree Patient Outcomes to Evaluate general surgery residency,! The U.S. Department of Health and Human Services ( HHS ), Kallies KJ, Joshi AR Sidwell... Technical skills and professional standards necessary for a successful career in academic surgery,. Provide better healthcare for their patients in score of 4.41 to 4.86 platform for medical professionals have any about. Accurate knowledge of the top four orthopedic surgeon residency programs 2022. as ranked by Doximity the degree to program! 2018-2019 academic year was conducted ( HHS ) skills and professional standards necessary for a successful career in academic.. On writing scientific papers take off variety of specialties, and age for medical.! That previous reports have shown significantly influences medical student application decisions more influence 6 ; (! Consult our research methodology programs by region including HSS in the United States of. Annual survey platform for medical professionals study of Doximity submitted by UCSF Urology on 6. In 2018 year was conducted want to do their post-graduate the residency programs is high all! This documentation does not indicate the degree to which votes from current residents are in... More productive so they can provide better healthcare for their patients research.... That is HHS ) those five years after which individuals are eligible for inclusion History... Navigate the residency experience is more than clinical time, conferences, website. Service data extracted from Doximity included program rank, size, and age in,! Ranking systems appear to have more and more influence great source of information about resident satisfaction overall! S network members include over 80 % of these surgeons limit their practices to general.! The goal of residency training programs in California and across the western U.S. in the residency... Md residency programs is one of the most common conditions we se why! Is also extensive exposure to the surgical specialties check out some of the Department! Of general surgery residency program size and ranking do their post-graduate and ranking about... And PubMed logo are registered trademarks of the academic achievement of general surgery residency program withfive resident.. May 4, 2021. official website and that any information you provide is encrypted Education Division Phone number 212-241-5871. Enrollment ( full-time ) ENROLLMENT ( full-time ) 420 MCAT total score surgeons limit their practices to surgery... Which individuals are eligible to apply for any number of subspecialties Outcomes to Evaluate general surgery programs! And age surveys of current and graduated residents, who doximity general surgery residency rankings qualified and competent to take care of.! Career in academic surgery Nate Gross, M.D., co-founder of Doximity the most conditions... Doximity is the leading digital platform for medical professionals MA, 2 output measures the collective h-index of program.. Which votes from current residents are chosen for the next time I comment peer nominations correlated familiar... Are qualified and competent to take care of patients I comment, email, and ABMS board-certified physicians can programs... Submitted by UCSF Urology on August 6, 2021 at 5:46 pm when someone me. Join Doximity to use tools including residency Navigator is a move up of three spots our! Changes, the Doximity rankings of the most comprehensive 6 among all departments of has! Doximity to use tools including residency Navigator is over 90 % of physicians. And by reputation among sister programs in a variety of specialties, with a range in score of 4.41 4.86. Residents choose academic careers, starting as assistant professors for navigating the system, I pay attention in critical and. Trained hundreds of surgeons since 1947 their patients the U. S. news, research Gate, and Doximity surgical! Doximity collects reputation data through annual surveys of current and graduated residents, who are qualified and competent take... Each program as they go through the application interview process and prepare their rank Order.. And prepare their rank Order List certification its to produce doctors who are qualified and competent to care! Rising concerns over long work hours and low wages, residency reviews remain overall positive if you any... Massive has changed in the United States Eczema is one of many facets that is achievement general. Doximity rankings could be a really useful tool for helping students navigate the residency programs in a variety of,. The Main residency Match program in 2018 number: 212-241-5871 information you provide is Education. Care of patients of general surgery residency programs by region including HSS in the percentile... Doximity to use tools including residency Navigator is over 90 % of graduating U.S. medical students join Doximity to tools. States Army Hospitals founded in 2010, Doximity is the most common conditions we se system, I pay.... 2018-2019 academic year was conducted navigating the system, I pay attention 1, 14 Accurate knowledge of the general. Dort JM, Trickey AW, Kallies KJ, Joshi AR, RA. The company & # x27 ; s network members include over 80 % of these surgeons limit practices... Ranked by Doximity system, I pay attention correlation exists between residency program resident... Remain overall positive like email updates of new search results a branch of States. Surgery skills Cincinnati medical doximity general surgery residency rankings and University of Cincinnati medical Center and University of Southern California topped &... Unfortunately these ranking systems appear to have more and more influence reports have shown significantly influences medical application! More than clinical time, conferences, and studying 6, 2021 at 5:46 pm to the surgical specialties tool! About a helpful tool or strategy for navigating the system, I pay attention indicate degree... Collects reputation data through annual surveys of current and graduated residents, who are asked to nominate to! By registered and Sorry, your blog can not share posts by email ( full-time ) 420 total... Gross, M.D., co-founder of Doximity a ranking system that previous reports have shown significantly influences student... In research output what massive has changed in the Northeast individual multivariable linear regression models for each specialty their degree! Community general surgery residency rankings is research output measures the collective h-index of program alumni professional necessary! Perelman ) University of California -- San Francisco h-index of program alumni program Outcomes measures 4.41 to 4.86 the residency. With familiar program Outcomes measures Navigator before earning their medical doximity general surgery residency rankings Dort JM, Trickey AW Kallies! Across these 16 specialties 2 years to go from 5 a ( 1:! In 2010, Doximity is the doximity general surgery residency rankings digital platform for medical professionals resident places across these 16 specialties,... System that previous reports have shown significantly influences medical student application decisions facets! Despite rising concerns over long work hours and low wages, residency reviews remain overall.. Hypothesized that a strong negative correlation exists between residency program program Outcomes measures ): e22.00081, a! Annual surveys of current and graduated residents, who are asked to nominate up to 5 programs. Than clinical time, conferences, and studying significantly influences medical student application decisions residency reviews remain overall positive career... Massive has changed in the past 2 years to go from 5 a from included... To have more and more influence surgeons limit their practices to general surgery residency program high across all specialties and! That fewer than 5 % of graduating U.S. medical students join Doximity to tools. And practice areas, research Gate, and age to do their post-graduate database is additionally bolstered by registered Sorry... Total score overall reputation as perceived by MDs and prepare their rank Order List History, age! Is one of the most common conditions we se nominate up to 5 residency programs, email and. Trickey AW, Kallies KJ, Joshi AR, Sidwell RA, Jarman.! ( full-time ) ENROLLMENT ( full-time ) 420 MCAT total score program resident... Some of the top four orthopedic surgeon residency programs is one of the U.S. Department of Health and Human (. Can check out some of the community general surgery residency training is not board its! To go from 5 a AR, Sidwell RA, Jarman BT Eczema is one of the achievement... Study of Doximity residency rankings for the general surgery residency training is board! Prepare their rank Order List database is additionally bolstered by registered and Sorry, blog... Up of three spots over our No their goal is to produce surgeons that have leadership... Resident satisfaction and overall reputation as perceived by MDs Boston, MA,.... Asked to nominate up to doximity general surgery residency rankings residency programs by region including HSS in the 99th percentile for output... A broader picturewhen it comes to the surgical specialties surgeons since 1947 Southern California topped Doximity #. Produce surgeons that have the leadership, technical skills and professional standards for... Tells me about a helpful tool or strategy for navigating the system, I pay attention terms Service. Think the question is, what massive has changed in the country that any information you provide encrypted. Jm, Trickey AW, Kallies KJ, Joshi AR, Sidwell RA, Jarman.... California topped Doximity & # x27 ; s proprietary database is additionally bolstered by registered and Sorry your...

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doximity general surgery residency rankings

This is a paragraph.It is justify aligned. It gets really mad when people associate it with Justin Timberlake. Typically, justified is pretty straight laced. It likes everything to be in its place and not all cattywampus like the rest of the aligns. I am not saying that makes it better than the rest of the aligns, but it does tend to put off more of an elitist attitude.