From the Department of Orthopaedic Surgery, University of Arizona (Dr. Sherman, Dr. Khwaja, Dr. DeSilva), and College of Medicine (Sorenson), University of Arizona, Tucson, AZ.
J Am Acad Orthop Surg Glob Res Rev. 2021 Sep 2;5(9):e21.00056. doi: 10.5435/JAAOSGlobal-D-21-00056.
Orthopaedic surgery continues to be a highly desired residency specialty for graduating medical students in the United States. The geographic preferences and trajectories of orthopaedic surgery applicants are not well understood.
The primary objective of this study was to determine the geographic movement patterns of orthopaedic residents from university through residency. A secondary objective was to trend the career and personal interests of orthopaedic residents.
One hundred eighty-seven orthopaedic surgery programs and 3672 residents were identified through the Electronic Residency Application Service website and Google searches and included for study. Program provided information, including the residents' medical school, undergraduate institution, career interests, and personal interests was then gathered. All data were recorded between the dates of March 25, 2020, and April 2, 2020.
A minority of orthopaedic residents (46.2%; n = 1,569/3,398) were training in the same geographic region of their medical school; however, analysis revealed a statistically significant strength of association for home region over a different US census bureau region (χ2 = 127.4, df = 8, Cramer's V = 0.2, P < 0.001). The average distance between orthopaedic residents' medical school and residency program was 666 miles. Male residents were more interested in arthroplasty, spine, and sports, whereas female residents were more interested in hand and pediatrics. The residents leading interests were in arthroplasty (24.4%), sports (21.7%), and trauma (21.3%).
Orthopaedic surgery residents are more likely to train in a geographical region that is different from their medical school or undergraduate institution. The reported career interests of male and female orthopaedic residents showed significant differences, but personal interests seem to be similar between genders.
在美国，骨科手术仍然是医学专业毕业生非常向往的住院医师专业。骨科手术申请人的地域偏好和轨迹尚不清楚。
本研究的主要目的是确定骨科住院医师从大学到住院医师的地域流动模式。次要目的是了解骨科住院医师的职业和个人兴趣趋势。
通过电子住院医师申请服务网站和谷歌搜索确定了 187 个骨科手术项目和 3672 名住院医师，并将其纳入研究。收集了项目提供的信息，包括住院医师的医学院、本科院校、职业兴趣和个人兴趣。所有数据均于 2020 年 3 月 25 日至 4 月 2 日期间记录。
少数骨科住院医师（46.2%；n=1569/3398）在其医学院所在的同一地理区域接受培训；然而，分析显示，原籍地区与美国不同人口普查局地区的关联具有统计学意义（χ2=127.4，df=8，Cramer's V=0.2，P<0.001）。骨科住院医师医学院和住院医师项目之间的平均距离为 666 英里。男性住院医师对关节置换术、脊柱和运动更感兴趣，而女性住院医师对手和儿科更感兴趣。住院医师的主要兴趣是关节置换术（24.4%）、运动（21.7%）和创伤（21.3%）。
骨科手术住院医师更有可能在与医学院或本科院校不同的地理区域接受培训。男性和女性骨科住院医师报告的职业兴趣存在显著差异，但性别之间的个人兴趣似乎相似。
