Operative Experience in an Orthopaedic Surgery Residency Program: The Effect of Work-Hour Restrictions

ABSTRACT Background Despite specialty-driven efforts to improve diversity in the field, few women apply to orthopaedic residency, and women are unevenly distributed among programs. There is little evidence-based information on factors that may attract female applicants. Objective This study aims to identify factors important to applicants when evaluating orthopaedic residency programs and to identify gender-specific differences. Methods All applicants to a single orthopaedic surgery residency program in the 2017 Match were asked to fill out an anonymous survey. Respondents rated the importance of 35 factors when evaluating orthopaedic residency programs. The percentage of highly rated factors was calculated. Statistical analysis was performed for each factor to assess differences by gender. Results Of 1013 applicants who applied to orthopaedic surgery residency in 2017, 815 (80%) applied to our program, and 218 (27%) completed the survey. The most important factors when evaluating a residency program for both genders were (1) perceptions of current residents; (2) interactions with members of the program; (3) program reputation and fellowship placement; (4) geographic location; and (5) impressions after rotation at a program. Female applicants rated the presence of female and minority residents and faculty and program reputation for gender and racial/ethnic diversity higher than male applicants. Conclusions When choosing an orthopaedic surgery residency program, women more often reported the presence of female residents and faculty, program reputation for gender diversity, reputation for racial/ethnic diversity, presence of minority residents and faculty, and their personal interactions with members of the program as important factors.

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Orthopaedic Surgery Residency Program Website Content and Accessibility During the COVID-19 Pandemic: Observational Study (Preprint)

JMIR Medical Education ◽

10.2196/30821 ◽

2021 ◽

Author(s):

Muhammad El Shatanofy ◽

Lauryn Brown ◽

Peter Berger ◽

Alex Gu ◽

Abhinav Sharma ◽

...

Keyword(s):

Observational Study ◽

Residency Program ◽

Orthopaedic Surgery ◽

Surgery Residency Program ◽

Website Content

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Orthopaedic Residency Program Website Content and Accessibility During the COVID-19 Pandemic: Observational Study (Preprint)

10.2196/preprints.30821 ◽

2021 ◽

Author(s):

Muhammad El Shatanofy ◽

Lauryn Brown ◽

Peter Berger ◽

Alex Gu ◽

Abhinav Sharma ◽

...

Keyword(s):

Residency Program ◽

Orthopaedic Surgery ◽

The United States ◽

Residency Programs ◽

Research Opportunities ◽

Sample Rotation ◽

Residency Recruitment ◽

Orthopaedic Residency ◽

Residency Application ◽

Surgery Residency Program

BACKGROUND The exceptional competitiveness of the orthopaedic surgery specialty, combined with the unclear impact of the COVID-19 pandemic on residency recruitment, has presented significant challenges to applicants and residency program directors.1 With limited in-person opportunities in the 2020-2021 application cycle, applicants have been pressed to gauge chances and best fit by browsing program websites. OBJECTIVE The objective of the study was to assess the accessibility and content of accredited orthopaedic surgery residency program websites during the COVID-19 pandemic. METHODS Using the online database of the Electronic Residency Application Series (ERAS), we compiled a list of accredited orthopaedic residency programs in the United States. Program websites were evaluated across four domains: program overview, education, research opportunities, and application details. Each website was assessed twice in July, during a period of adjustment to the COVID-19 pandemic, and twice in November, following the October ERAS application deadline. RESULTS 189 accredited orthopaedic surgery residency programs were identified through ERAS. Three programs did not have a website and were not evaluated for content. Data analysis of content in each domain revealed that most websites included program details, a description of the didactic curriculum, and sample rotation schedules. Between the two evaluation periods in July and November, the percentage of program websites containing informative videos and virtual tours rose from 12% to 48% and 1% to 13%, respectively (p<0.005). However, the number of programs that included information about a virtual sub-internship or virtual interview to their websites did not change. CONCLUSIONS Most residency program websites offered program details and an overview of educational and research opportunities; however, few addressed the virtual transition of interviews and sub-internships during the COVID-19 pandemic.

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A Resident-Driven Mobile Evaluation System Can Be Used to Augment Traditional Surgery Rotation Evaluations

The American Surgeon ◽

10.1177/00031348211011130 ◽

2021 ◽

pp. 000313482110111

Author(s):

Kurun Partap S Oberoi ◽

Akia D Caine ◽

Jacob Schwartzman ◽

Sayeeda Rab ◽

Amber L Turner ◽

...

Keyword(s):

Medical Education ◽

Graduate Medical Education ◽

General Surgery ◽

Residency Program ◽

Evaluation System ◽

Clinical Rotation ◽

Web Based ◽

General Surgery Residency ◽

Surgery Residency Program ◽

To Receive

Background The Accreditation Council for Graduate Medical Education requires residents to receive milestone-based evaluations in key areas. Shortcomings of the traditional evaluation system (TES) are a low completion rate and delay in completion. We hypothesized that adoption of a mobile evaluation system (MES) would increase the number of evaluations completed and improve their timeliness. Methods Traditional evaluations for a general surgery residency program were converted into a web-based form via a widely available, free, and secure application and implemented in August 2017. After 8 months, MES data were analyzed and compared to that of our TES. Results 122 mobile evaluations were completed; 20% were solicited by residents. Introduction of the MES resulted in an increased number of evaluations per resident ( P = .0028) and proportion of faculty completing evaluations ( P = .0220). Timeliness also improved, with 71% of evaluations being completed during one’s clinical rotation. Conclusions A resident-driven MES is an inexpensive and effective method to augment traditional end-of-rotation evaluations.

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Showcasing a general surgery residency program during the COVID-19 pandemic

Journal of Surgical Education ◽

10.1016/j.jsurg.2021.04.018 ◽

2021 ◽

Author(s):

Sarah Lund ◽

Taleen MacArthur ◽

Jonie Keune ◽

Teresa Enger ◽

Jorys Martinez-Jorge ◽

...

Keyword(s):

General Surgery ◽

Residency Program ◽

General Surgery Residency ◽

Surgery Residency Program

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Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA

Perioperative Medicine ◽

10.1186/s13741-021-00185-5 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Sunitha M. Singh ◽

Asha Liverpool ◽

Jamie L. Romeiser ◽

Julie Thacker ◽

Tong J. Gan ◽

...

Keyword(s):

San Francisco ◽

Residency Program ◽

Enhanced Recovery ◽

Enhanced Recovery After Surgery ◽

Positive Association ◽

Surgical Oncology ◽

Surgical Service ◽

Significant Positive Association ◽

The Usa ◽

Surgery Residency Program

Abstract Background Enhanced Recovery After Surgery (ERAS) programs have gained traction across US hospitals in the past two decades. Initially implemented for elective colorectal surgical procedures, ERAS has expanded to a variety of surgical service lines. There is little information regarding the extent to which various surgical service lines use ERAS. Methods A survey was performed to describe the prevalence of ERAS programs across surgical service lines in the USA. The survey had questions regarding the number of ERAS programs, operating rooms (ORs) and presence of anesthesia and/or surgery residency program at an institution. The survey was administered electronically to members of the American Society for Enhanced Recovery (ASER) and manually to participants at the 2018 Perioperative Quality and Enhanced Recovery Conference in San Francisco, CA. Results Responses were received from 88 unique institutions. The most commonly reported surgical service lines were colorectal (87%), gynecology (51%), orthopedic (49%), surgical oncology (39%), and urology (35%). A significant positive association was observed between the number of ORs and the number ERAS programs (Spearman’s Rho 0.5, p<0.0001). Furthermore, institutions that reported an anesthesia and/or surgery residency program had more ERAS programs (mean 5.0 ± 3.2) compared to those that did not (mean 2.0 ± 2.0) (Wilcoxon rank sum p< 0.001). Conclusions ERAS has expanded to a large extent outside of the colorectal surgery service line with increases notable in orthopedic surgery, obstetric/gynecology, surgical oncology, and urology procedures. Institutions with a higher number of ORs and the presence of an anesthesia and/or surgery residency program are associated with an increased number of ERAS programs.

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