A National Survey of Program Director Opinions of Core Competencies and Structure of Hand Surgery Fellowship Training

Sears, Erika D.; Larson, Bradley P.; Chung, Kevin C.

doi:10.1016/j.jhsa.2012.06.034

Cited by 27 publications

(19 citation statements)

References 9 publications

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“…Our response rate of 71% is consistent with surgical specialty program director response rates from other studies which range from 62% to 84%. 6,7 From this survey of program directors, it is clear that craniofacial fellowships currently provide a consistent educational experience for trainees, despite significant variation in the fine details of their programs. See Table 1.…”

Section: Discussionmentioning

confidence: 99%

A Survey of Craniofacial Fellowships in North America: The Craniofacial Fellowship Experience Outside of the Operating Room

Nguyen

Brady

Williams

2020

FACE

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Residencies are governed by the Accreditation Council for Graduate Medical Education’s (ACGME) common program requirements to help ensure that residents are adequately trained to practice medicine independently. Fellowships either rely on ACGME accreditation for standardization, have developed their own specialty accreditation councils, or have no governing body to monitor programs, such as in craniofacial surgery. This study was designed to capture the clinical, educational, and scholarly experiences of craniofacial fellows to better understand the current craniofacial fellowship landscape. An anonymous online survey was sent to all North American craniofacial surgery fellowship program directors via email. The first question group focused on program characteristics: ACGME accreditation, core faculty, and patient population. The second question group focused on the fellow’s scholarly experience: educational meetings and research requirements. The third question group focused on the fellow’s non-operative experience: clinic participation and call experience. The fourth question group focused on the fellow’s international experience. A total of 22 of 31 programs directors (71%) responded to the survey. The majority of fellowship programs (95.5%) had an educational program of meetings. The majority of programs (82.8%) mandated clinic time for the fellows. Five programs (22.7%) had a fellow’s clinic. The majority of fellowship programs (95.5%) had research expectations for the fellow. Call type and frequency varied widely between fellowship programs. Less than half (47.6%) of programs had an international experience for the fellow. Three-fourths of fellows only interacted with subspecialties of the cleft and craniofacial multidisciplinary clinic during clinic time. A total of 16 fellowship programs (72.7%) were non-ACGME accredited. Despite rapid growth in craniofacial fellowships and a lack of current oversight as to content, programs provide a similar experience for fellows outside of the operating room. Areas for further discussion regarding standardizing programs may include international experiences and formal exposure to other disciplines within the cleft and craniofacial clinic.

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Section: Discussionmentioning

confidence: 99%

A Survey of Craniofacial Fellowships in North America: The Craniofacial Fellowship Experience Outside of the Operating Room

Nguyen

Brady

Williams

2020

FACE

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“…The essential procedures for hand surgery fellowship, however, should probably be more comprehensive and lengthy, and contribution from hand surgery fellowship directors should be sought. 21,22 VanHeest et al 13 published comprehensive detailed checklists for open carpal tunnel release, open reduction and internal fixation of distal radius fracture, and open A1 pulley release. The next step is to develop detailed checklists for the remaining procedures identified in this study.…”

Section: Discussionmentioning

confidence: 99%

Essential Hand Surgery Procedures for Mastery by Graduating Plastic Surgery Residents

Noland

Fischer

Lee

et al. 2013

Plastic and Reconstructive Surgery

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Surgical educators need to develop objective methods to teach and document technical skill. The Objective Structured Assessment of Technical Skill is a valid method for accomplishing this task. There has been no consensus regarding which hand surgery procedures should be mastered by graduating plastic surgery residents. The authors have identified nine procedures that are overwhelmingly supported by plastic surgery program directors. These nine procedures can be used as a guideline for developing Objective Structured Assessment of Technical Skill to teach and document technical skills in hand surgery.

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“…Previous studies have been limited to qualitative studies on the impact of specialty on hand surgery training during residency. 18,19 Training discipline affects perceived comfort in performing certain hand surgeries, which can affect case selection during independent practice. 2,13 Currently, little is known regarding the state of hand surgery training during general surgery residency.…”

Section: Introductionmentioning

confidence: 99%

Variability in Resident Operative Hand Experience by Specialty

Silvestre

Lin

Levin

et al. 2016

Hand (New York, N,Y.)

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Background: Recent attention has sought to standardize hand surgery training in the United States. This study analyzes the variability in operative hand experience for orthopedic and general surgery residents. Methods: Case logs for orthopedic and general surgery residency graduates were obtained from the American Council of Graduate Medical Education (2006-2007 to 2014-2015). Plastic surgery case logs were not available for comparison. Hand surgery case volumes were compared between specialties with parametric tests. Intraspecialty variation in orthopedic surgery was assessed between the bottom and top 10th percentiles in procedure categories. Results: Case logs for 9605 general surgery residents and 5911 orthopedic surgery residents were analyzed. Orthopedic surgery residents performed a greater number of hand surgery cases than general surgery residents (P < .001). Mean total hand experience ranged from 2.5 ± 4 to 2.8 ± 5 procedures for general surgery residents with no reported cases of soft tissue repairs, vascular repairs, and replants. Significant intraspecialty variation existed in orthopedic surgery for all hand procedure categories (range, 3.3-15.0). Conclusions: As the model for hand surgery training evolves, general surgeons may represent an underutilized talent pool to meet the critical demand for hand surgeon specialists. Future research is needed to determine acceptable levels of training variability in hand surgery.

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A National Survey of Program Director Opinions of Core Competencies and Structure of Hand Surgery Fellowship Training

Cited by 27 publications

References 9 publications

A Survey of Craniofacial Fellowships in North America: The Craniofacial Fellowship Experience Outside of the Operating Room

A Survey of Craniofacial Fellowships in North America: The Craniofacial Fellowship Experience Outside of the Operating Room

Essential Hand Surgery Procedures for Mastery by Graduating Plastic Surgery Residents

Variability in Resident Operative Hand Experience by Specialty

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