Dataset Information

A role delineation study of hand surgery in the USA: assessing variations in fellowship training and clinical practice.

ABSTRACT:

Background

We examined the fellowship experience of hand surgeons in the USA to identify gaps and variations in exposure to essential skills and knowledge during hand fellowship.

Methods

We conducted a web-based survey of the entire American Society for Surgery of the Hand and American Association for Hand Surgery membership. We inquired about the level of exposure received to 170 knowledge topics and procedures during fellowship. We used factor analysis to group the knowledge topics and procedures into 79 scales of related items and calculated mean exposure ratings for each scale. We compared the ratings between graduates of plastic surgery (PS) and orthopedic surgery (OS) Residency Review Committee (RRC)-accredited fellowships.

Results

Our response rate was 21 % (n?=?562). Plastic surgery RRC-accredited fellowship graduates reported inadequate exposure for proficiency in 22 % (17/79) of the knowledge topic and procedure scales whereas graduates of OS RRC-accredited fellowships reported inadequate exposure for proficiency in 10 % (8/79) of the scales. Moreover, 11 and 21 % of graduates from PS RRC-accredited fellowships reported receiving no exposure in distal radius/ulna and forearm conditions, respectively, whereas only 1 and 2 % of graduates from OS RRC-accredited fellowships reported receiving no exposure in the same domains, respectively.

Conclusions

Hand surgeons reported significant variations in exposure to essential skills and knowledge. Additionally, in a considerable number of knowledge topics and procedures, a majority of participants in both groups reported what they perceived as inadequate or no exposure during their hand surgery fellowship.

SUBMITTER: Aliu O

PROVIDER: S-EPMC3928391 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

A role delineation study of hand surgery in the USA: assessing variations in fellowship training and clinical practice.

Aliu Oluseyi O Chung Kevin C KC

Hand (New York, N.Y.) 20140301 1

<h4>Background</h4>We examined the fellowship experience of hand surgeons in the USA to identify gaps and variations in exposure to essential skills and knowledge during hand fellowship.<h4>Methods</h4>We conducted a web-based survey of the entire American Society for Surgery of the Hand and American Association for Hand Surgery membership. We inquired about the level of exposure received to 170 knowledge topics and procedures during fellowship. We used factor analysis to group the knowledge top ...[more]

PMID: 24570639

Similar Datasets

Project description:PurposeThe Coronavirus disease 2019 pandemic occurred during the interview period for numerous surgical fellowships, resulting in most programs transitioning to a virtual interview format during the 2020-2021 application cycle. This study investigated modifications adopted by fellowship programs and perceptions of the virtual interview format among hand surgery fellowship applicants.MethodsVoluntary, anonymous online surveys were emailed to all applicants to the Johns Hopkins hand surgery fellowship during the 2020-2021 interview cycle. The surveys were released after the rank order list certification deadline on May 6, 2021, and closed on May 18, 2021, before the match results were released. Descriptive statistics based on the overall cohort and primary outcome of an applicant's willingness to recommend virtual interviews in the future were conducted.ResultsThirty-four of 112 (30.4%) applicants completed their surveys. Twenty-seven (79.4%) survey respondents recommended the virtual interview format in the future and 7 (20.6%) did not. Applicants who recommended virtual interviews were similar to those who did not on the basis of the number of interviews received and taken, information provided by programs, and self-rated competency with the virtual interview format. Those who recommended virtual interviews rated the effectiveness of self-advocacy higher compared with those who did not. All respondents agreed that cost savings and scheduling were more effective with virtual interviews. Perceived weaknesses differed between the 2 groups and included the lack of physical tour, difficulty with self-advocacy, and technical difficulties. The majority of survey respondents preferred in-person interviews before the interview cycle (n = 32, 94.1%), whereas nearly half of survey respondents preferred virtual interviews after the interview cycle (n = 16, 47.1%).ConclusionsNearly 80% of survey respondents recommended virtual interviews in the future. Major benefits included effectiveness of scheduling and cost savings.Clinical relevanceVirtual interviews may be considered as an alternative or adjunct to in-person hand surgery fellowship interviews in the future.

Dataset Information

A role delineation study of hand surgery in the USA: assessing variations in fellowship training and clinical practice.

Background

Methods

Results

Conclusions

Publications

A role delineation study of hand surgery in the USA: assessing variations in fellowship training and clinical practice.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets