Early-Career Sports Medicine Surgeons Perform a Large Volume of Non-Sports Medicine Procedures: American Board of Orthopaedic Surgery (ABOS) Part-II Data Regarding Orthopaedic Surgeons Specializing in Sports Medicine.
Journal
The Journal of bone and joint surgery. American volume
ISSN: 1535-1386
Titre abrégé: J Bone Joint Surg Am
Pays: United States
ID NLM: 0014030
Informations de publication
Date de publication:
16 11 2022
16 11 2022
Historique:
pubmed:
2
7
2022
medline:
19
11
2022
entrez:
1
7
2022
Statut:
ppublish
Résumé
The purpose of this study was to utilize the American Board of Orthopaedic Surgery (ABOS) Part-II Case List database to (1) define the practice patterns of sports medicine-trained ABOS Part- II Oral Examination Candidates and (2) describe the frequency and practice patterns of individuals who are dual fellowship-trained sports medicine candidates. The ABOS Part-II Case List database was utilized to define all cases submitted by 3,298 applicants indicating completion of a sports medicine fellowship between January 1, 2003, and January 1, 2020. Cases were classified by subspecialty category and case type. The frequency and practice patterns of candidates pursuing additional fellowship training (i.e., "dual fellowship-trained") were recorded. Descriptive statistical methods were used to describe the annual and overall procedure volume and candidate case mix. Trends in the relative frequency of cases performed and fellowship training patterns were determined using linear regression analysis. On average, sports medicine-trained candidates submitted 100.6 cases for review during the 6-month case collection period: 59.0 (58.6%) sports medicine/arthroscopy cases, 29.3 (29.1%) trauma/general cases, 4.5 (4.5%) adult reconstruction cases, and 7.8 (7.8%) "other" cases per candidate. Although candidates performed fewer total (r 2 = 0.84, p < 0.001) and sports medicine/arthroscopy (r 2 = 0.85, p < 0.001) cases over the study period, the proportion of sports medicine/arthroscopy cases did not change over the study period (p = 0.18). Dual fellowship training was indicated by 333 individuals (10.1%). The number of dual fellowship-trained candidates pursuing additional fellowship training in pediatrics and adult reconstruction increased over the study period, and the number of dual fellowship-trained candidates pursuing additional fellowship training in trauma decreased over the study period. Early-career sports medicine candidates are likely to perform >40% of cases outside of the sports medicine subspecialty. Sports medicine trainees are increasingly likely to pursue a second fellowship in pediatrics or adult reconstruction. Therapeutic Level III . See Instructions for Authors for a complete description of levels of evidence.
Sections du résumé
BACKGROUND
The purpose of this study was to utilize the American Board of Orthopaedic Surgery (ABOS) Part-II Case List database to (1) define the practice patterns of sports medicine-trained ABOS Part- II Oral Examination Candidates and (2) describe the frequency and practice patterns of individuals who are dual fellowship-trained sports medicine candidates.
METHODS
The ABOS Part-II Case List database was utilized to define all cases submitted by 3,298 applicants indicating completion of a sports medicine fellowship between January 1, 2003, and January 1, 2020. Cases were classified by subspecialty category and case type. The frequency and practice patterns of candidates pursuing additional fellowship training (i.e., "dual fellowship-trained") were recorded. Descriptive statistical methods were used to describe the annual and overall procedure volume and candidate case mix. Trends in the relative frequency of cases performed and fellowship training patterns were determined using linear regression analysis.
RESULTS
On average, sports medicine-trained candidates submitted 100.6 cases for review during the 6-month case collection period: 59.0 (58.6%) sports medicine/arthroscopy cases, 29.3 (29.1%) trauma/general cases, 4.5 (4.5%) adult reconstruction cases, and 7.8 (7.8%) "other" cases per candidate. Although candidates performed fewer total (r 2 = 0.84, p < 0.001) and sports medicine/arthroscopy (r 2 = 0.85, p < 0.001) cases over the study period, the proportion of sports medicine/arthroscopy cases did not change over the study period (p = 0.18). Dual fellowship training was indicated by 333 individuals (10.1%). The number of dual fellowship-trained candidates pursuing additional fellowship training in pediatrics and adult reconstruction increased over the study period, and the number of dual fellowship-trained candidates pursuing additional fellowship training in trauma decreased over the study period.
CONCLUSIONS
Early-career sports medicine candidates are likely to perform >40% of cases outside of the sports medicine subspecialty. Sports medicine trainees are increasingly likely to pursue a second fellowship in pediatrics or adult reconstruction.
LEVEL OF EVIDENCE
Therapeutic Level III . See Instructions for Authors for a complete description of levels of evidence.
Identifiants
pubmed: 35777936
doi: 10.2106/JBJS.21.01129
pii: 00004623-202211160-00015
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e97Informations de copyright
Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article ( http://links.lww.com/JBJS/H78 ).
Références
Morrell NT, Mercer DM, Moneim MS. Trends in the orthopedic job market and the importance of fellowship subspecialty training. Orthopedics. 2012 Apr;35(4):e555-1-7.
Horst PK, Choo K, Bharucha N, Vail TP. Graduates of Orthopaedic Residency Training Are Increasingly Subspecialized: A Review of the American Board of Orthopaedic Surgery Part II Database. J Bone Joint Surg Am. 2015 May 20;97(10):869-1-7.
Obey MR, Lamplot J, Nielsen ED, Andras LM, Mignemi M, Sawyer J, Flynn JM, Albanese SA, Hosseinzadeh P. Pediatric Sports Medicine, A New Subspeciality in Orthopedics: An Analysis of the Surgical Volume of Candidates for the American Board of Orthopaedic Surgery Part II Certification Exam Over the Past Decade. J Pediatr Orthop. 2019 Jan;39(1):e71-1-7.
DePasse JM, Daniels AH, Durand W, Kingrey B, Prodromo J, Mulcahey MK. Completion of Multiple Fellowships by Orthopedic Surgeons: Analysis of the American Board of Orthopaedic Surgery Certification Database. Orthopedics. 2018 Jan 1;41(1):e33-1-7.
Inclan PM, Hyde AS, Hulme M, Carter JE. For Love, Not Money: The Financial Implications of Surgical Fellowship Training. Am Surg. 2016 Sep;82(9):794-1-7.
Kavolus JJ, Matson AP, Byrd WA, Brigman BE. Factors Influencing Orthopedic Surgery Residents’ Choice of Subspecialty Fellowship. Orthopedics. 2017 Sep 1;40(5):e820-1-7.
Duchman KR, Miller BJ. Are Recently Trained Tumor Fellows Performing Less Tumor Surgery? An Analysis of 10 Years of the ABOS Part II Database. Clin Orthop Relat Res. 2017 Jan;475(1):221-1-7.
Miller BJ, Rajani R, Leddy L, Carmody Soni EE, White JR; Musculoskeletal Oncology Research Initiative. How much tumor surgery do early-career orthopaedic oncologists perform? Clin Orthop Relat Res. 2015 Feb;473(2):695-1-7.
Ruddell JH, Eltorai AEM, DePasse JM, Kuris EO, Gil JA, Cho DK, Paxton ES, Green A, Daniels AH. Trends in the Orthopaedic Surgery Subspecialty Fellowship Match: Assessment of 2010 to 2017 Applicant and Program Data. J Bone Joint Surg Am. 2018 Nov 7;100(21):e139.
Eslam Pour A, Bradbury TL, Horst PK, Harrast JJ, Erens GA, Roberson JR. Trends in Primary and Revision Hip Arthroplasty Among Orthopedic Surgeons Who Take the American Board of Orthopedics Part II Examination. J Arthroplasty. 2016 Jul;31(7):1417-1-7.
Duchman KR, Westermann RW, Glass NA, Bedard NA, Mather RC 3rd, Amendola A. Who Is Performing Hip Arthroscopy?: An Analysis of the American Board of Orthopaedic Surgery Part-II Database. J Bone Joint Surg Am. 2017 Dec 20;99(24):2103-1-7.
Gordon AM, Flanigan DC, Malik AT, Vasileff W. Orthopaedic Surgery Sports Medicine Fellows See Substantial Increase in Hip Arthroscopy Procedural Volume With High Variability From 2011 to 2016. Arthroscopy. 2021 Feb;37(2):521-1-7.
Colvin AC, Harrast J, Harner C. Trends in hip arthroscopy. J Bone Joint Surg Am. 2012 Feb 15;94(4):e23.
Carpenter DP, Feinstein SD, Van Buren ED, Lin FC, Amendola AN, Creighton RA, Kamath GV. Trends in open shoulder surgery among early career orthopedic surgeons: who is doing what? J Shoulder Elbow Surg. 2020 Jul;29(7):e269-1-7.
Katz JN, Brophy RH, Chaisson CE, de Chaves L, Cole BJ, Dahm DL, Donnell-Fink LA, Guermazi A, Haas AK, Jones MH, Levy BA, Mandl LA, Martin SD, Marx RG, Miniaci A, Matava MJ, Palmisano J, Reinke EK, Richardson BE, Rome BN, Safran-Norton CE, Skoniecki DJ, Solomon DH, Smith MV, Spindler KP, Stuart MJ, Wright J, Wright RW, Losina E. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med. 2013 May 2;368(18):1675-1-7. Epub 2013 Mar 18. Erratum in: N Engl J Med. 2013 Aug 15;369(7):683.
Lähdeoja T, Karjalainen T, Jokihaara J, Salamh P, Kavaja L, Agarwal A, Winters M, Buchbinder R, Guyatt G, Vandvik PO, Ardern CL. Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis. Br J Sports Med. 2020 Jun;54(11):665-1-7.
Hosseinzadeh P, DeVries CA, Nielsen E, Andras LA, Mignemi M, Sawyer JR, Flynn JM, Albanese SA. Changes in the Practice of Pediatric Orthopaedic Surgeons Over the Past Decade: Analysis of the Database of the American Board of Orthopaedic Surgery. J Pediatr Orthop. 2018 Sep;38(8):e486-1-7.