早期职业运动医学外科医生执行大量非运动医学手术：美国骨科外科委员会（ABOS）关于专门从事运动医学的骨科外科医生的第二部分数据。

Early-Career Sports Medicine Surgeons Perform a Large Volume of Non-Sports Medicine Procedures: American Board of Orthopaedic Surgery (ABOS) Part-II Data Regarding Orthopaedic Surgeons Specializing in Sports Medicine.

机构信息

Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri.

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

出版信息

J Bone Joint Surg Am. 2022 Nov 16;104(22):e97. doi: 10.2106/JBJS.21.01129. Epub 2022 Jun 30.

DOI:10.2106/JBJS.21.01129

PMID:35777936

Abstract

BACKGROUND

The purpose of this study was to utilize the American Board of Orthopaedic Surgery (ABOS) Part-II Case List database to (1) define the practice patterns of sports medicine-trained ABOS Part- II Oral Examination Candidates and (2) describe the frequency and practice patterns of individuals who are dual fellowship-trained sports medicine candidates.

METHODS

The ABOS Part-II Case List database was utilized to define all cases submitted by 3,298 applicants indicating completion of a sports medicine fellowship between January 1, 2003, and January 1, 2020. Cases were classified by subspecialty category and case type. The frequency and practice patterns of candidates pursuing additional fellowship training (i.e., "dual fellowship-trained") were recorded. Descriptive statistical methods were used to describe the annual and overall procedure volume and candidate case mix. Trends in the relative frequency of cases performed and fellowship training patterns were determined using linear regression analysis.

RESULTS

On average, sports medicine-trained candidates submitted 100.6 cases for review during the 6-month case collection period: 59.0 (58.6%) sports medicine/arthroscopy cases, 29.3 (29.1%) trauma/general cases, 4.5 (4.5%) adult reconstruction cases, and 7.8 (7.8%) "other" cases per candidate. Although candidates performed fewer total (r 2 = 0.84, p < 0.001) and sports medicine/arthroscopy (r 2 = 0.85, p < 0.001) cases over the study period, the proportion of sports medicine/arthroscopy cases did not change over the study period (p = 0.18). Dual fellowship training was indicated by 333 individuals (10.1%). The number of dual fellowship-trained candidates pursuing additional fellowship training in pediatrics and adult reconstruction increased over the study period, and the number of dual fellowship-trained candidates pursuing additional fellowship training in trauma decreased over the study period.

CONCLUSIONS

Early-career sports medicine candidates are likely to perform >40% of cases outside of the sports medicine subspecialty. Sports medicine trainees are increasingly likely to pursue a second fellowship in pediatrics or adult reconstruction.

LEVEL OF EVIDENCE

Therapeutic Level III . See Instructions for Authors for a complete description of levels of evidence.

摘要

背景

本研究旨在利用美国骨科医师协会（ABOS）第 II 部分病例清单数据库，（1）定义接受过运动医学培训的 ABOS 第 II 部分口试候选人的实践模式，（2）描述双重 Fellowship 培训的运动医学候选人的频率和实践模式。

方法

利用 ABOS 第 II 部分病例清单数据库，确定 2003 年 1 月 1 日至 2020 年 1 月 1 日期间，通过完成运动医学奖学金的 3298 名申请人提交的所有病例。病例按亚专科类别和病例类型进行分类。记录了追求额外 Fellowship 培训（即“双重 Fellowship 培训”）的候选人的频率和实践模式。使用描述性统计方法描述候选人每年和总体程序量和病例组合。使用线性回归分析确定执行的病例相对频率和 Fellowship 培训模式的趋势。

结果

平均而言，运动医学培训的候选人在 6 个月的病例收集期间提交了 100.6 份病例进行审查：59.0（58.6%）运动医学/关节镜病例、29.3（29.1%）创伤/一般病例、4.5（4.5%）成人重建病例和 7.8（7.8%）每个候选人的“其他”病例。尽管候选人在研究期间执行的总病例数（r 2 = 0.84，p < 0.001）和运动医学/关节镜病例数（r 2 = 0.85，p < 0.001）有所减少，但运动医学/关节镜病例的比例在研究期间并未发生变化（p = 0.18）。有 333 人（10.1%）表示接受过双重 Fellowship 培训。在研究期间，追求儿科和成人重建额外 Fellowship 培训的双重 Fellowship 培训候选人的数量增加，而追求创伤额外 Fellowship 培训的双重 Fellowship 培训候选人的数量减少。