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The growth trend of orthopaedic fellowships is not due to insufficient resident training

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Document pages: 10 pages

Abstract: Among the medical specialties, orthopaedic residents have the highest participation rate in the fellowship. More and more people are worried that the lack of resident training may lead to this trend. Therefore, a mixed exploratory study was conducted on all 148 graduating Canadian orthopaedic residents to investigate their views and attitudes towards seeking fellowship. Most residents received one (27 ) or two (60 ) fellowships and received a 33 response rate (). It is reported that surgical skill development is the most common incentive factor, followed by employment and marketization; Medical malpractice protection and economic reasons are the least relevant. The vast majority of residents (94 ) thought that their hospitalization training was well preparedor independent general practice, and 84 () of respondents did not feel that current fellowship trends were due to poor residency training. Three common themes were expressed in their comments: the growing perceived expectation by healthcare professionals and employers to be fellowship-certified, the integration of fellowship training into the surgical education hierarchy, and the failure of residency training curriculums to accommodate for this trend. In conclusion, Canadian orthopedic residents are confident of their residency training and are increasingly pursuing fellowships to primarily develop their surgical skills and expertise.

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