From the Department of Orthopaedics and Rehabilitation (Dr. Anderson, Dr. Kuhns, Dr. Schwarz, Dr. Rubery, Dr. Mannava), University of Rochester, Rochester; and the State University of New York Upstate Medical University (Ms. Kaupp), Syracuse, NY.
J Am Acad Orthop Surg Glob Res Rev. 2020 May;4(5):e2000003. doi: 10.5435/JAAOSGlobal-D-20-00003.
Orthopaedic surgery is ever changing and depends on diverse technical and intellectual skill sets. The purpose of the current study was to evaluate the percentage of academic orthopaedic surgeons with additional graduate degrees in the United States.
Data including advanced degree(s) (eg, PhD, MS, MBA, MPH, JD, and DVM), academic rank, leadership position, subspecialty, years since training completion, and sex were collected from websites for all academic orthopaedic surgery departments in the United States. Univariate analyses were performed to evaluate for differences in demographic data based on the advanced degree status. Data from the National Resident Matching Program (NRMP) were used to characterize graduate degree-holding US senior medical students who ranked orthopaedic surgery first relative to peers without additional advanced degrees and to applicants who ranked other specialties first.
Of 4,519 faculty at 175 academic orthopaedic surgery departments in the United States, 7.1% held a graduate degree in addition to a medical doctorate. There was no difference in the percentage of faculty who held departmental leadership positions (P = 0.62) or who were full professors (P = 0.66) based on holding an additional graduate degree. Of 678 US senior applicants who ranked orthopaedic surgery first and successfully matched into the specialty in 2018, 12.5% held an additional graduate degree and 1.3% were MD-PhDs. Orthopaedic surgery had the second lowest percentage of matched medical students with additional advanced degrees, which was significantly lower than the top 10 specialties (range 16.1% to 21.6%; P < 0.05). Orthopaedic surgery recruited 1.6% of all MD-PhD applicants in 2018.
Few academic orthopaedic surgery faculty and admitted orthopaedic residency candidates have additional graduate school training. The low percentage of orthopaedic faculty and trainees with additional advanced degrees relative to other specialties may represent a missed opportunity to recruit individuals with diverse skills to advance the field of orthopaedic surgery.
骨科手术一直在不断发展，需要各种技术和知识技能。本研究的目的是评估美国学术骨科医生中拥有额外研究生学位的比例。
从美国所有学术骨科外科系的网站上收集了高级学位（如博士、硕士、工商管理硕士、公共卫生硕士、法学博士和兽医博士）、学术职称、领导职位、亚专业、培训完成后年限和性别等数据。进行单变量分析，以评估根据高级学位状态的人口统计学数据差异。国家住院医师匹配项目（NRMP）的数据用于描述在美国排名第一的骨科专业的持有研究生学位的高年级医学生，与没有额外高级学位的同龄人相比，以及与其他专业排名第一的申请人相比。
在美国 175 个学术骨科外科系的 4519 名教师中，7.1%的人除了医学博士学位外，还拥有研究生学位。在担任系领导职位（P=0.62）或担任正教授（P=0.66）的教师中，持有额外研究生学位的比例没有差异。在 2018 年成功匹配到该专业的 678 名美国高年级申请者中，有 12.5%的人拥有额外的研究生学位，1.3%的人是医学博士。骨科外科是在 2018 年拥有匹配的研究生学位的医学生比例第二低的专业，明显低于排名前十的专业（范围为 16.1%至 21.6%；P<0.05）。2018 年，骨科外科招收了所有医学博士申请者的 1.6%。
学术骨科外科教师和被录取的骨科住院医师候选人中，很少有人有额外的研究生院培训。与其他专业相比，骨科教师和受训者拥有额外高级学位的比例较低，这可能代表着错过了招募具有不同技能的人来推进骨科手术领域的机会。
