Pediatric Orthopaedic Workforce in 2014: Current Workforce and Projections for the Future

Sawyer, Jeffrey R.; Jones, Kerwyn C.; Copley, Lawson A.; Chambers, Stephanie

doi:10.1097/bpo.0000000000000666

Cited by 28 publications

(10 citation statements)

References 38 publications

(34 reference statements)

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“…4 In addition, of note is the unequal distribution of pediatric orthopaedic surgeons currently practicing in the United States. 11 Pediatric orthopaedic surgeon density correlates with population density, which further supports the claim that less densely populated suburban and rural areas would see a greater benefit from a pediatric orthopaedics telehealth program than an urban area. Thus, it remains unclear how the results presented here may differ in a densely populated region; nonetheless, the relevance of this work is apparent for the large majority of the United States' mainland.…”

Section: Discussionsupporting

confidence: 63%

Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care

et al. 2019

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Introduction:Telemedicine may transform health care by overcoming geographical and travel-associated barriers to patient care. This study assesses patient satisfaction with telemedicine for fracture care.Methods:Two groups of patients were compared from suburban/rural Pennsylvania. One group reported to a regional medical center for real-time video consultation with a pediatric orthopaedic surgeon facilitated by a physician's assistant. The other group underwent conventional outpatient clinic visits at a tertiary care hospital. The distance between the tertiary care hospital and the regional medical center was 69 miles. New or follow-up fracture patients not living in the vicinity of either medical center were included. A satisfaction survey and questionnaire were administered to both groups at the end of their visit.Results:One hundred sixty-seven patients returned the questionnaires (66 conventional and 101 telemedicine). Telemedicine visits decreased indirect and direct costs (P = 0.032). Travel costs and travel times were lower (P < 0.001) in the telemedicine group. Patient satisfaction was similar. Only 8 of 101 patients in the telemedicine cohort preferred their next visit to be a conventional follow-up.Discussion:Utilization of video consultation and trained physician assistants to provide pediatric orthopaedic care across suburban/rural areas can increase pediatric orthopaedic surgeon access and decrease travel costs while maintaining patient satisfaction.

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Section: Discussionsupporting

confidence: 63%

Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care

et al. 2019

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“…Applicants should be aware that the pediatric orthopaedic surgeon workforce also expects robust demands evidenced by a 155% increase in the Pediatric Orthopaedic Society of North America membership from 1993 to 2014. 11 However, pediatric orthopaedic surgeons represent only 5.8% of the workforce, which may be associated with regional concentrations and shortages of practitioners. 2…”

Section: Discussionmentioning

confidence: 99%

Trends in the Orthopaedic Surgery Fellowship Match 2013 to 2017

et al. 2018

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Introduction:This study describes trends in the postgraduate orthopaedic surgery fellowship match from 2013 to 2017.Methods:We determined the numbers of applicants and positions in Adult Reconstruction/Oncology, Foot and Ankle, Pediatrics, Shoulder and Elbow, Spine, Sports Medicine, and Trauma. We also defined the odds of matching in each subspecialty. We determined the applicant's odds of matching in their first or second choice by year and specialty. We also determined the number of applications made by applicants in each subspecialty. Data were obtained from the San Francisco Match.Results:In 2017, Adult Reconstruction/Oncology was the most selective, with a 68% match rate in 2017, whereas Pediatric Orthopaedic Surgery had a 93% chance of matching. The odds of matching in one's first (14% to 41%) or second (8% to 16%) choice was low in the study period. The average range of applications made by applicants varied from 18 to 28 applications, depending on year and specialty. Sports applicants made significantly more mean number of applications than all specialties (range +5 to 9.8 applications; P < 7.59 × 10−7 to 0.011).Discussion:The numbers of positions and odds of matching in postgraduate orthopaedic surgery fellowships are variable by year and subspecialty. Applicants need to consider their entire match list carefully due to low odds of matching in their first or second choice. These trends are valuable to applicants and training programs when selecting the numbers of applications and interviews for a successful match.

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“…1 Correspondingly, there has been a large increase in the number and size of pediatric orthopaedic fellowship programs as well as the number of fellowship applicants. 2,3 The increased demand for pediatric-trained orthopaedic surgeons may be partly explained by a general shift in the treatment of pediatric conditions to surgeons with pediatrics-specific training 4 as well as a recognition that complication rates in treating certain pediatric conditions are typically lower when treated by pediatric subspecialized surgeons rather than adult-specialized surgeons. [5][6][7][8] Pediatric orthopaedics is becoming increasingly concentrated at tertiary referral centers due to increased subspecialization and the requirement for supportive ancillary services such as pediatric specific anesthesiology and intensive care units.…”

Section: Introductionmentioning

confidence: 99%

An Analysis of Academic Background and Research Activity Among Pediatric Orthopaedic Surgery Division Chiefs and Fellowship Program Directors

Bram¹,

Pascual-Leone²,

DeFrancesco³

et al. 2022

Journal of the Pediatric Orthopaedic Society of North America

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Background: Pediatric orthopedics has seen a large increase in the number of practicing surgeons. As a field that is concentrated at tertiary referral centers, research productivity can be a critical component of academic advancement for pediatric orthopedics. Little has been published on the academic profiles of pediatric orthopedic leaders, and therefore, this study sought to highlight the demographics of these individuals. Methods: Pediatric orthopedic division chiefs and fellowship program directors (PD) were identified for all Pediatric Orthopedic Society of North America (POSNA) accredited fellowship programs in the 2020-21 application cycle. A combination of organizational and public websites was used to compile the academic profiles of these leaders, including demographic variables and research productivity. Division chiefs and PDs were then compared, as were leaders when stratified by fellowship size. Results: A total of 46 POSNA-accredited fellowships were identified. As 12 surgeons held dual roles as division chief and PD, 46 division leaders and 34 PDs formed the groups for comparison. Division chiefs had greater median years-in-practice (24.0 vs 13.0, p<0.001), PubMed publications (56.0 vs 27.0, p=0.037), and more frequently were appointed as “Professor” (54.3% vs 23.5%, p=0.013) compared to fellowship PDs. Leaders working at programs with >1 spot/year were more likely to have completed fellowship at their home program (40.0% vs 8.0%, p=0.001) and had higher research productivity across all metrics (all p<0.002) than leaders at programs with 1 position/year. Female representation among division chiefs and fellowship PDs was 10.9% and 14.7%, respectively. Conclusions: When compared to fellowship PDs, pediatric division chiefs had higher research productivity and academic appointments. Division leaders at larger programs additionally had higher research output and more commonly trained at their current institution. Female representation among pediatric orthopedic leaders was higher than the field of orthopedics at large, but lagged behind reported POSNA membership.

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Pediatric Orthopaedic Workforce in 2014: Current Workforce and Projections for the Future

Abstract: Level II-economic and decision analysis.

Cited by 28 publications

References 38 publications

Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care

Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care

Trends in the Orthopaedic Surgery Fellowship Match 2013 to 2017

An Analysis of Academic Background and Research Activity Among Pediatric Orthopaedic Surgery Division Chiefs and Fellowship Program Directors

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