骨科运动医学专科培训项目主任的特点。
Characteristics of Orthopaedic Sports Medicine Fellowship Directors.
作者信息
Belk John W, Littlefield Connor P, Mulcahey Mary K, McCarty Torrance A, Schlegel Theodore F, McCarty Eric C
机构信息
Department of Orthopaedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.
出版信息
Orthop J Sports Med. 2021 Feb 26;9(2):2325967120985257. doi: 10.1177/2325967120985257. eCollection 2021 Feb.
BACKGROUND
No study in the orthopaedic literature has analyzed the demographic characteristics or surgical training of sports medicine fellowship directors (FDs. Objective determinations as to what makes a physician qualified for this leadership position remain unclear; thus, it is important to identify these qualities as future physicians look to fill these roles.
PURPOSE
To illustrate characteristics common among sports medicine FDs.
STUDY DESIGN
Cross-sectional study.
METHODS
The 2020 Accreditation Council for Graduate Medical Education Fellowship Directory was used to identify the FDs for all orthopaedic sports medicine fellowship programs in the United States. The characteristics and educational background data for FDs were gathered by 2 independent reviewers from up-to-date curricula vitarum, Web of Science, and institutional biographies and consolidated into 1 database. Data points gathered included age, sex, residency/fellowship training location and graduation year, name of current institution, length of time at current institution, time since training completion until being appointed FD, length of time in current FD role, and personal research H-index.
RESULTS
We identified 90 current orthopaedic sports medicine FDs. The mean Scopus H-index was 24.1 (median, 17). The mean age of FDs was 55.4 years; 87 of 90 (96.7%) were male and 3 (3.3%) were female; and 79/90 (87.8%) were White and 3/90 (3.3%) were African-American. The mean time to complete residency was 5.1 years (range, 5.0-6.0 years), and the most attended residency programs were the Hospital for Special Surgery (n = 9), the Harvard Combined Orthopaedic Residency Program (n = 5), and Duke University Medical Center (n = 4). The mean time required to complete a fellowship was 1.1 years (range, 1.0-2.0 years), and the fellowship programs that produced the most future FDs were the American Sports Medicine Institute (n = 11), the Steadman Hawkins Clinic (Vail) (n = 8), the Kerlan-Jobe Orthopaedic Clinic (n = 7), and the Hospital for Special Surgery (n = 7). The mean time from completion of fellowship to appointment as a FD was 12.8 years (range, 1-39 years).
CONCLUSION
Women and minority groups are largely underrepresented among leadership positions in the field of orthopaedic sports medicine.
背景
骨科文献中尚无研究分析运动医学专科主任（FD）的人口统计学特征或外科培训情况。对于何种资质能使医生胜任这一领导职位，尚无明确的客观判定标准；因此，随着未来医生期望填补这些职位，明确这些资质很重要。
目的
阐述运动医学FD的共同特征。
研究设计
横断面研究。
方法
使用2020年研究生医学教育认证委员会专科名录来确定美国所有骨科运动医学专科项目的FD。FD的特征和教育背景数据由2名独立评审员从最新的履历、科学网和机构传记中收集，并整合到1个数据库中。收集的数据点包括年龄、性别、住院医师培训/专科培训地点及毕业年份、现任机构名称、在现任机构的工作时长、完成培训至被任命为FD的时间、担任现任FD的时长以及个人研究H指数。
结果
我们确定了90名现任骨科运动医学FD。Scopus H指数的平均值为24.1（中位数为17）。FD的平均年龄为55.4岁；90人中87人（96.7%）为男性，3人（3.3%）为女性；90人中79人（87.8%）为白人，3人（3.3%）为非裔美国人。完成住院医师培训的平均时长为5.1年（范围为5.0 - 6.0年），住院医师培训就读最多的项目是特种外科医院（9人）、哈佛联合骨科住院医师项目（5人）和杜克大学医学中心（4人）。完成专科培训所需的平均时长为1.1年（范围为1.0 - 2.0年），培养出未来FD最多的专科项目是美国运动医学研究所（11人）、斯特德曼·霍金斯诊所（韦尔）（8人）、克伦 - 乔布骨科诊所（7人）和特种外科医院（7人）。从完成专科培训到被任命为FD的平均时间为12.8年（范围为1 - 39年）。
结论
在骨科运动医学领域的领导职位中，女性和少数群体的代表性严重不足。
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