DeMik David E, Cohen-Rosenblum Anna, Landy David C, Kerr Joshua, Deen Justin T, Ramkumar Prem N, Bernstein Jenna
Rockhill Orthopaedic Specialists, Lee's Summit, MO, USA.
Department of Orthopaedic Surgery, Louisiana State University, New Orleans, LA, USA.
Arthroplast Today. 2024 Jun 27;27:101328. doi: 10.1016/j.artd.2024.101328. eCollection 2024 Jun.
As demand for total hip arthroplasty and total knee arthroplasty increases, more surgeons have pursued subspecialty training in adult reconstruction. However, little information is available regarding the practice environment in which these fellowship-trained surgeons practice. The purpose of this study was to describe the practice environments of contemporary adult reconstruction surgeons.
A survey was developed and distributed to members of the American Association of Hip and Knee Surgeons from December 2022 to January 2023. Information was collected on surgeon demographics, practice setting, call requirements, and educational debt. Responses were recorded using frequencies and proportions.
A total of 886 of 2471 (36%) surgeons completed the survey, with 93% identifying as male and 81% as white. The primary surgical practice locations were: community hospital 53%, academic/tertiary hospital 24%, specialty orthopedic hospital 17%, and ambulatory surgery center 7%. Nearly half (49%) of the respondents practiced in orthopedic specialty groups, and 60% spent 50%-66% of their clinical time in the office. The majority of surgeons performed between 101-250 (20%) and 251-400 (31%) arthroplasty cases per year, though this varied considerably. Call was taken by 77% of surgeons, yet only 54% received compensation.
The most common practice setting for adult reconstruction surgeons was in a community-based hospital as part of a large orthopedic specialty group. Despite the considerable variability in annual procedure volume, the majority of surgeons spent over half their clinical time in office and had call obligations with variable compensation models.
随着全髋关节置换术和全膝关节置换术需求的增加，越来越多的外科医生开始接受成人重建领域的亚专业培训。然而，关于这些接受过 fellowship 培训的外科医生的执业环境，可获取的信息很少。本研究的目的是描述当代成人重建外科医生的执业环境。
2022 年 12 月至 2023 年 1 月，我们设计了一项调查问卷并分发给美国髋膝关节外科医生协会的成员。收集了有关外科医生人口统计学、执业环境、值班要求和教育债务的信息。使用频率和比例记录回复情况。
2471 名外科医生中有 886 名（36%）完成了调查，其中 93% 为男性，81% 为白人。主要的外科执业地点为：社区医院 53%，学术/三级医院 24%，专科骨科医院 17%，门诊手术中心 7%。近一半（49%）的受访者在骨科专科组执业，60% 的人将 50%-66% 的临床时间用于门诊。大多数外科医生每年进行 101-250 例（20%）和 251-400 例（31%）关节置换手术，不过这一数字差异很大。77% 的外科医生需要值班，但只有 54% 的人获得补偿。
成人重建外科医生最常见的执业环境是在社区医院，作为大型骨科专科组的一部分。尽管每年的手术量差异很大，但大多数外科医生将超过一半的临床时间用于门诊，并且在不同的补偿模式下承担值班义务。
