Silvestre Jason, Guzman Javier Z, Abbatematteo Joseph M, Chang Benjamin, Levin L Scott
Perelman School of Medicine, University of Pennsylvania, 415 Curie Blvd., Philadelphia, PA 19104 USA.
The Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York City, NY 100029-6574 USA.
Hand (N Y). 2015 Sep;10(3):516-21. doi: 10.1007/s11552-014-9732-9.
Graduates of general, orthopedic, and plastic surgery residencies utilize web-based resources when applying for hand fellowship training. The purpose of this study was to evaluate the accessibility and content of hand fellowship websites (HFWs).
Websites of accredited hand surgery fellowships were eligible for study inclusion. HFWs were evaluated for comprehensiveness in the domains of education and recruitment. Website content was correlated with program characteristics via Fisher exact tests.
Fifteen plastic, 65 orthopedic, and 1 general surgery hand fellowships were analyzed. Seventy-four hand fellowships maintained an HFW (91 %). HFWs were not found for 3 plastic and 4 orthopedic hand programs (20 versus 6 %, p = 0.118). HFWs provided only half of all analyzed content (54 %-education and 49 %-recruitment). Orthopedic programs had more education content than plastic surgery programs (55 versus 44 %, p = 0.030). Programs in the South had more education content than programs in the Northeast (63 versus 47 %, p = 0.001), but not more than programs in the West (54 %) or Midwest (55 %). Larger programs with more fellows had greater education content than those with only one fellow (57 versus 49 %, p = 0.042). Programs affiliated with top-ranked medical schools had less education content than lower-ranked schools (48 versus 56 %, p = 0.045). No differences existed in recruitment content between programs.
Most hand surgery fellowships lack readily accessible and comprehensive websites. The paucity of online content suggests HFWs are underutilized as educational resources and future opportunity may exist to optimize these tools.
普通外科、整形外科和骨科住院医师培训项目的毕业生在申请手部专科培训时会使用网络资源。本研究的目的是评估手部专科培训网站（HFW）的可访问性和内容。
经认可的手部外科专科培训项目的网站符合纳入研究的条件。对HFW在教育和招生领域的全面性进行评估。通过Fisher精确检验将网站内容与项目特征进行关联。
分析了15个整形外科、65个骨科和1个普通外科手部专科培训项目。74个手部专科培训项目设有HFW（91%）。3个整形外科和4个骨科手部项目未找到HFW（20%对6%，p = 0.118）。HFW仅提供了所有分析内容的一半（教育方面为54%，招生方面为49%）。骨科项目的教育内容比整形外科项目多（55%对44%，p = 0.030）。南部的项目比东北部的项目有更多的教育内容（63%对47%，p = 0.001），但不比西部（54%）或中西部（55%）的项目多。学员较多的大型项目比只有一名学员的项目有更多的教育内容（57%对49%，p = 0.042）。与排名靠前的医学院相关的项目比排名靠后的学校的教育内容少（48%对56%，p = 0.045）。各项目在招生内容方面没有差异。
大多数手部外科专科培训项目缺乏易于访问和全面的网站。在线内容的匮乏表明HFW作为教育资源未得到充分利用，未来可能有机会优化这些工具。
