Trends in Leadership at Orthopedic Surgery Adult Reconstruction Fellowships

Schiller, Nicholas C.; Donnally, Chester J.; Sama, Andrew J.; Schachner, Benjamin; Wells, Zachary; Austin, Matthew S.

doi:10.1016/j.arth.2020.04.091

Cited by 34 publications

(84 citation statements)

References 22 publications

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“…Our study indicates that there is a significant gender disparity in the FD role, as females were notably under-represented at only 2.5% ( n = 2) of all the current sports medicine FDs. This is actually a better representation that what was observed among adult reconstruction FDs, where no females were in an FD position at the time of the study[ 20 ]. As the healthcare profession advances, there has been a focus on the importance of overall diversity.…”

Section: Discussionmentioning

confidence: 84%

“…In discussions on appropriate or discrepant representation of gender and cultural diversity, the leadership within orthopaedics has come into focus[ 16 - 19 ]. Two other studies have described demographic characteristics for spine fellowship leaders and adult reconstruction FDs which similarly noted FDs are more likely to have graduated from certain residency and fellowship programs[ 7 , 20 ]. As in this sports medicine cohort, the spine and adult reconstruction cohorts might attract applicants with a predilection to later seek academic leadership roles post-training[ 7 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…This data is similar to the results in the other orthopaedics FD demographic studies. Spine FDs’ mean duration from fellowship graduation to FD appointment was 8.59 years, while, adult reconstruction FD’s had a mean duration 9.55 years[ 7 , 20 ]. The average age of sports medicine FDs was 56 years-old.…”

Section: Discussionmentioning

confidence: 99%

“…The average age of sports medicine FDs was 56 years-old. Compared to an average age 52.85 years and 52.60 years for spine and adult reconstruction FDs, respectively[ 7 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Overall, the top seven fellowship programs produced 57.32% ( n = 47) of all the current sports medicine FDs. Interestingly, there was significant overlap in the training sites for both the sports and spine leadership training and show some overlap between sports and adult reconstruction[ 7 , 20 ]. This may indicate that attending specific fellowship training programs may correlate with future academic leadership possibilities.…”

Section: Discussionmentioning

confidence: 99%

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Trends in leadership at orthopaedic surgery sports medicine fellowships

Schiller

Sama

Spielman

et al. 2021

WJO

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BACKGROUND Fellowship directors (FDs) in sports medicine influence the future of trainees in the field of orthopaedics. Understanding the characteristics these leaders share must be brought into focus. For all current sports medicine FDs, our group analyzed their demographic background, institutional training, and academic experience. AIM To serve as a framework for those aspiring to achieve this position in orthopaedics and also identify opportunities to improve the position. METHODS Fellowship programs were identified using both the American Orthopaedic Society for Sports Medicine and the Arthroscopy Association of North America Sports Medicine Fellowship Directories. The demographic and educational background data for each FD was gathered via author review of current curriculum vitae (CVs). Any information that was unavailable on CV review was gathered from institutional biographies, Scopus Web of Science, and emailed questionnaires. To ensure the collection of as many data points as possible, fellowship program coordinators, orthopaedic department offices and FDs were directly contacted via phone if there was no response via email. Demographic information of interest included: Age, gender, ethnicity, residency/fellowship training, residency/fellowship graduation year, year hired by current institution, time since training completion until FD appointment, length in FD role, status as a team physician and H-index. RESULTS Information was gathered for 82 FDs. Of these, 97.5% ( n = 80) of the leadership were male; 84.15% ( n = 69) were Caucasian, 7.32% ( n = 6) were Asian-American, 2.44% ( n = 2) were Hispanic and 2.44% ( n = 2) were African American, and 3.66% ( n = 3) were of another race or ethnicity. The mean age of current FDs was 56 years old (± 9.00 years), and the mean Scopus H-index was 23.49 (± 16.57). The mean calendar years for completion of residency and fellowship training were 1996 (± 15 years) and 1997 (± 9.51 years), respectively. The time since fellowship training completion until FD appointment was 9.77 years. 17.07% ( n = 14) of FDs currently work at the same institution where they completed residency training; 21.95% ( n = 18) of FDs work at the same institution where they completed fellowship training; and 6.10% ( n = 5) work at the same institution where they completed both residency and fellowship training. Additionally, 69.5% ( n = 57) are also team physicians at the professional and/or collegiate level. Of those that were found to currently serve as team physicians, 56.14% ( n = 32) of them worked with professiona...

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The average age of sports medicine FDs was 56 years-old. Compared to an average age 52.85 years and 52.60 years for spine and adult reconstruction FDs, respectively[ 7 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Trends in leadership at orthopaedic surgery sports medicine fellowships

Schiller

Sama

Spielman

et al. 2021

WJO

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Trends in leadership at breast surgical oncology fellowships

et al. 2022

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Introduction Breast surgical oncology is a defined sub-specialty of general surgery that focuses on the surgical management of breast disease and malignancy within a multidisciplinary context. The fellowship directors (FD) that lead these programs have been selected for their abilities. As programs do research to ensure proper training for the next generation of breast surgical oncologists, we wanted to look into the FDs responsible for their training. Methods The Breast Surgical Oncology care program list was compiled via the Society of Surgical Oncology and American Society of Breast Surgeons Accredited programs ( n = 60). The demographic information that was of interest included, but was not limited to, gender, age, ethnicity/background, past residency training, past fellowship training, year graduated from residency and fellowship, year since graduation to FD appointment, time at institution till FD appointment, and Hirsch index (h-index). Results Data were collected on all 60 FDs. The average age of FDs was 52 years old, 27% of FDs are men and 73% of FDs are women. The average H-index, number of publications, and number of citations were 19, 67, and 2648, respectively. The mean graduation year from residency was 2003, and from fellowship was 2006; with a mean of 9 years post fellowship graduation until becoming an FD. The most frequently attended residency was Rush ( n = 4), and the most common fellowships were Memorial Sloan Kettering ( n = 8), MD Anderson Cancer Center ( n = 7), and John Wayne Cancer Institute ( n = 4). Nine of the FDs stayed at the same institution after doing both residency and fellowship there (15%). Conclusion This is the first study to examine the demographics of those in FD positions in Surgical Breast Oncology, which is a relatively young fellowship. We found that FDs in Breast Surgical Oncology are defined by their high output of research. This qualification may be why the average age, and the number of years to FD are higher compared to other specialties where this research has been undertaken. Initial evaluation of FDs suggest more diversity in this field is needed. Further insight into the leaders training our next generation of surgeons is warranted.

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