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Influence of Trainee Experience on Choice of Orthopaedic Subspecialty Fellowship.

Publication ,  Journal Article
Matson, AP; Kavolus, JJ; Byrd, WA; Leversedge, FJ; Brigman, BE
Published in: J Am Acad Orthop Surg
February 1, 2018

INTRODUCTION: Most orthopaedic surgery residents elect to pursue additional subspecialty training; however, factors influencing the choice of subspecialty and the ways that these factors change during training are not well understood. The aim of this investigation was to determine, on the basis of a trainee's postgraduate year (PGY), whether variability exists in factors valued when choosing a specific subspecialty. METHODS: We emailed an online survey (intended for distribution to current trainees) to a list of orthopaedic surgery residency program coordinators in the United States. The survey queried demographic information, PGY level, and the importance of 14 discrete factors in the selection of fellowship specialty according to a Likert scale rating from 1 to 4. RESULTS: There were 359 respondents representing an even distribution of PGY levels. Junior trainees assigned greater relative value to geographic location, on-call responsibilities, financial compensation, and the tradition of the residency program, whereas senior trainees assigned greater relative value to variety of cases and intellectual stimulation (all P < 0.05). DISCUSSION: The differences seen in factors valued based on trainee experience may highlight the relative importance of greater exposure to the breadth of orthopaedic surgical practice during training and increasing awareness of clinical competencies and responsibilities. CONCLUSIONS: When deciding on orthopaedic subspecialty choice, junior trainees value lifestyle factors relatively more than do senior trainees, whereas senior trainees value case variety and stimulation relatively more than junior trainees do.

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Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

February 1, 2018

Volume

26

Issue

3

Start / End Page

e62 / e67

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Specialization
  • Salaries and Fringe Benefits
  • Professional Practice Location
  • Personnel Staffing and Scheduling
  • Orthopedics
  • Orthopedics
  • Male
  • Internship and Residency
 

Citation

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Matson, A. P., Kavolus, J. J., Byrd, W. A., Leversedge, F. J., & Brigman, B. E. (2018). Influence of Trainee Experience on Choice of Orthopaedic Subspecialty Fellowship. J Am Acad Orthop Surg, 26(3), e62–e67. https://doi.org/10.5435/JAAOS-D-16-00701
Matson, Andrew P., Joseph J. Kavolus, William A. Byrd, Fraser J. Leversedge, and Brian E. Brigman. “Influence of Trainee Experience on Choice of Orthopaedic Subspecialty Fellowship.J Am Acad Orthop Surg 26, no. 3 (February 1, 2018): e62–67. https://doi.org/10.5435/JAAOS-D-16-00701.
Matson AP, Kavolus JJ, Byrd WA, Leversedge FJ, Brigman BE. Influence of Trainee Experience on Choice of Orthopaedic Subspecialty Fellowship. J Am Acad Orthop Surg. 2018 Feb 1;26(3):e62–7.
Matson, Andrew P., et al. “Influence of Trainee Experience on Choice of Orthopaedic Subspecialty Fellowship.J Am Acad Orthop Surg, vol. 26, no. 3, Feb. 2018, pp. e62–67. Pubmed, doi:10.5435/JAAOS-D-16-00701.
Matson AP, Kavolus JJ, Byrd WA, Leversedge FJ, Brigman BE. Influence of Trainee Experience on Choice of Orthopaedic Subspecialty Fellowship. J Am Acad Orthop Surg. 2018 Feb 1;26(3):e62–e67.

Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

February 1, 2018

Volume

26

Issue

3

Start / End Page

e62 / e67

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Specialization
  • Salaries and Fringe Benefits
  • Professional Practice Location
  • Personnel Staffing and Scheduling
  • Orthopedics
  • Orthopedics
  • Male
  • Internship and Residency