Early subspecialization in orthopedic surgery training

J. Mason DePasse, Michael I. Nzeogu, Chris Travers, Mary K. Mulcahey, Mark A. Palumbo, Robert Hart, J. Lawrence Marsh, Alan H. Daniels

Research output: Contribution to journalArticle

Abstract

Recent studies have shown that applicants to the American Board of Orthopaedic Surgery Part II examination are performing fewer procedures outside of their chosen subspecialty. In this study, the authors assessed whether trainees are beginning their subspecialization during residency. The authors reviewed the chosen fellowships and case logs of 231 residents graduating from 5 academic orthopedic residency training programs from 2002 to 2017. The number of cases logged by residents who chose a specialty was then compared with the number of cases logged by residents who chose other specialties. Residents who chose spine surgery (108.4±50.7 vs 74.4±60.2, P<.01), hand surgery (242.2±92.9 vs 194.3±78.2, P<.01), and sports medicine (278.5±105.8 vs 229.0±93.9, P<.01) performed significantly more procedures in their chosen fields than their colleagues. In contrast, for total joint arthroplasty (P=.18) and foot and ankle surgery (P=.46), there was no significant difference in the number of cases between residents who chose the subspecialty and those who did not. Residents pursuing careers in spine surgery, hand surgery, and sports medicine obtained additional operative exposure to their chosen field during residency. Formalizing this early experience with specialization tracks during the chief year may be considered.

Original languageEnglish (US)
Pages (from-to)e39-e43
JournalOrthopedics
Volume42
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Orthopedics
Internship and Residency
Sports Medicine
Spine
Hand
Ankle
Arthroplasty
Foot
Joints
Education

ASJC Scopus subject areas

  • Surgery

Cite this

Mason DePasse, J., Nzeogu, M. I., Travers, C., Mulcahey, M. K., Palumbo, M. A., Hart, R., ... Daniels, A. H. (2019). Early subspecialization in orthopedic surgery training. Orthopedics, 42(1), e39-e43. https://doi.org/10.3928/01477447-20181109-01

Early subspecialization in orthopedic surgery training. / Mason DePasse, J.; Nzeogu, Michael I.; Travers, Chris; Mulcahey, Mary K.; Palumbo, Mark A.; Hart, Robert; Lawrence Marsh, J.; Daniels, Alan H.

In: Orthopedics, Vol. 42, No. 1, 01.01.2019, p. e39-e43.

Research output: Contribution to journalArticle

Mason DePasse, J, Nzeogu, MI, Travers, C, Mulcahey, MK, Palumbo, MA, Hart, R, Lawrence Marsh, J & Daniels, AH 2019, 'Early subspecialization in orthopedic surgery training' Orthopedics, vol. 42, no. 1, pp. e39-e43. https://doi.org/10.3928/01477447-20181109-01
Mason DePasse J, Nzeogu MI, Travers C, Mulcahey MK, Palumbo MA, Hart R et al. Early subspecialization in orthopedic surgery training. Orthopedics. 2019 Jan 1;42(1):e39-e43. https://doi.org/10.3928/01477447-20181109-01
Mason DePasse, J. ; Nzeogu, Michael I. ; Travers, Chris ; Mulcahey, Mary K. ; Palumbo, Mark A. ; Hart, Robert ; Lawrence Marsh, J. ; Daniels, Alan H. / Early subspecialization in orthopedic surgery training. In: Orthopedics. 2019 ; Vol. 42, No. 1. pp. e39-e43.
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