Access and feasibility of orthopaedic training in the independent sector – A Deanery's experience

Lenihan, J; Ngu, Albert; Vince, Alastair; Kang, Sertaz-Niel; Sanghrajka, Anish; Tansey, Rosamund; Patel, Jay; Liew, Ignatius; Rooney, A. Denise; Matthews, William; Sadique, Hammad; Hourston, George Joseph Michael; Abdelhaq, Ady; Almustafa, Mohammed; Barwell, Jennifer; Baskaradas, Aroon; Butt, Jehan; Davies, B. I.; Dixon, J.M.; Dunne, Mike; Fawi, Hassan; Fisher, Rachael; Gill, James M.; Granger, L. Abbigail; Hatzantonis, Catherine; Hislop, Simon; Hopwood, Samuel; Howell, C. R.; Huq, Sumon; Kabwama, Silvester; Karssiens, Timothy; Kumar, Vishal; Kumar, Sunil Haradi; Lebe, Moritz; Logan, Karl; Macmillan, Alexandra; Modi, Nishil; Nabulyato, William; Ong, J. W.; Osmani, Humza; Parikh, Sunny; Pecheva, Mira; Pulido, Pamela Garcia; Rahman, Jeeshan; Ramasamy, Ashok; Raval, Pradyumna; Ricketts, M.; Scarsbrook, Christine; Sgardelis, Panagiotis; Shah, Anand S.; Singhania, Kriti; Sohail, Zain; Stohlner, Victoria; Stringfellow, Thomas; Al‐Sukaini, Ahmad; Taki, Hussein; Tarazi, Nadim; Toma, O.; Wong, Ken

doi:10.1016/j.surge.2021.07.003

Cited by 3 publications

(3 citation statements)

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“…Owing to COVID restrictions, some residents were allocated to nonacademic independent sector practices to increase social distancing and provide more opportunities for education; only 52% of trainees reported achievement of their learning goals, the main obstacles were lack of opportunity (51%) and paperwork issues (22%) 60 . In a survey of sports fellowship applicants from the class of 2020, 8% of applicants had their previous contract or job offer rescinded, 6% of which now plan to go into a different fellowship specialty 61 .…”

Section: Resultsmentioning

confidence: 99%

Orthopaedic Surgery Training and Education During COVID-19

Randall,

Ganapathy,

Kuhn

et al. 2023

JBJS Open Access

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Background: COVID-19 forced surgical resident training programs to adapt to meet educational requirements within the constraints of various guidelines. Some of the changes implemented during the pandemic have imparted a lasting effect on orthopaedic education. As such, the purpose of this article was to review how orthopaedic training and education were affected during the COVID-19 pandemic. Methods: The published literature was queried using search strategies devised by a medical librarian, according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Studies eligible for inclusion were studies related to COVID-19, orthopaedic surgical training, and medical education. Studies were excluded if they (1) were abstracts, conference proceedings, letters, perspective pieces, reviews, or editorials; (2) evaluated medical student education; (3) included other specialties; or (4) were unrelated to COVID-19 and/or orthopaedic training. Results: Eighty-three (n = 83) studies were included. Five themes emerged including (I) Fellowship Application, Interview, and Match Processes; (II) Social Media and Websites for Program Information; (III) Changes in Trainee Surgical Volume; (IV) Trainee Mental Health and Well-being; and (V) Innovations in Education. The pandemic decreased opportunities for medical students to gain exposure to orthopaedic surgery. Social media use, particularly Instagram, among orthopaedic residencies increased during the pandemic. Between the cancellation of away rotations and in-person interviews, applicants saved over $6,000; however, both residency applicants and interviewers preferred in-person interviews. The pandemic led to decreased surgical volume and in-person didactics for trainees, thus relying more on virtual learning. Orthopaedic trainees had mixed feelings regarding online virtual education. Although some respondents reported that they preferred the convenience of online learning, others expressed dissatisfaction with the quality of virtual education. Conclusions: The shift to virtual learning affected how applicants learned about residency programs, with many relying on virtual away rotations and social media to compare different programs. The pandemic also highlighted issues of diversity and accessibility within orthopaedic surgery, with cost savings from virtual interviews and canceled away rotations potentially benefiting applicants from lower socioeconomic backgrounds. Although some innovative approaches and adaptations to orthopaedic education and training have shown promise and may continue to be used in the future after the COVID-19 pandemic, the role of others, such as virtual interviews, is less clear.

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Section: Resultsmentioning

confidence: 99%

Orthopaedic Surgery Training and Education During COVID-19

Randall,

Ganapathy,

Kuhn

et al. 2023

JBJS Open Access

View full text Add to dashboard Cite

show abstract

“…Private providers may also advertise longer term vacancy posts with more competitive salaries, which could lure more junior doctors away from NHS work 4. Recent analysis of orthopaedic training in the independent sector has shown that private institutions in their current state can’t fulfil curricular needs 5. Nevertheless, such financial incentives still attract medical trainees who would otherwise fill NHS rota gaps.…”

mentioning

confidence: 99%

“…4 Recent analysis of orthopaedic training in the independent sector has shown that private institutions in their current state can't fulfil curricular needs. 5 Nevertheless, such financial incentives still attract medical trainees who would otherwise fill NHS rota gaps.…”

mentioning

confidence: 99%