Swedish Neuroscience Institute, Seattle, Washington.
Warren Alpert Medical School of Brown University, Providence, Rhode Island.
J Bone Joint Surg Am. 2022 Jun 15;104(12):e52. doi: 10.2106/JBJS.20.02166. Epub 2022 Feb 8.
The ability to train an orthopaedic resident in all aspects of orthopaedics in 5 years has become increasingly difficult due to the growth in knowledge and techniques, work-hour restrictions, and reduced resident autonomy. It has become nearly universal for our residents to complete at least 1 subspecialty fellowship prior to entering practice. In some subspecialties, the skills necessary to practice competently have become difficult to master. Simply adding to the current length of training may not address these issues effectively and would add to the economic cost of residency training. Novel training pathways that allow residents to focus earlier and in greater depth on their intended subspecialty while maintaining general orthopaedic competencies can be created without lengthening training. It is time to initiate discussions about these possibilities.
由于知识和技术的增长、工作时间限制以及减少住院医师自主权，在 5 年内全面培训一名骨科住院医师的能力变得越来越困难。我们的住院医师在进入实践之前至少完成 1 项亚专业奖学金已经变得几乎普遍。在某些亚专业中，熟练掌握实践所需的技能变得越来越困难。仅仅增加当前的培训长度可能无法有效地解决这些问题，并且会增加住院医师培训的经济成本。可以在不延长培训时间的情况下创建新的培训途径，使住院医师能够更早地更深入地专注于他们预期的亚专业，同时保持普通骨科能力。现在是时候开始讨论这些可能性了。
