Henry James P, Partan Matthew J, Chen Katharine M, Cohn Randy M, Bitterman Adam D
Northwell, New Hyde Park, NY, USA.
Department of Orthopaedic Surgery at Huntington Hospital, Huntington, NY, USA.
J Osteopath Med. 2024 Aug 14;125(1):19-24. doi: 10.1515/jom-2024-0092. eCollection 2025 Jan 1.
Over the past several decades, orthopedic surgery has seen a substantial increase in the number of surgeons completing fellowship training. Doctors of Osteopathic Medicine (DOs) continue to advance their orthopedic education through subspecialty fellowship training. DOs have represented between approximately 6 % and 15 % of American Orthopaedic Foot and Ankle Society (AOFAS) fellows. Although historical representation has been considered strong, the fellowship match years 2020 and 2021 have seen a decline in osteopathic orthopedic surgeons participating in foot and ankle fellowships. This deviates from the recent trends of increasing participation across orthopedic subspecialities.
To investigate and review the trends of orthopedic foot and ankle fellowship training.
Data was reviewed from the AOFAS regarding number of fellows matched and degree obtained. Data from the Federation of State Medical Boards (FSMB), American Orthopaedic Foot and Ankle Society (AOFAS) and Association of American Medical Colleges (AAMC) were reviewed for physician trends and match statistics.
Fellowship match years 2020 and 2021 have seen a decline in osteopathic orthopedic surgeons participating in foot and ankle fellowships, with only roughly 3% of AOFAS fellows being osteopathic trained.
Orthopedic surgery has the highest rate of subspecialty training of all surgical specialties. Although there is hope for an increasing osteopathic presence in orthopedic surgery, recent literature has pointed to potential for continued bias in opportunities for osteopathic students. We hope that increased participation of osteopathic graduates in orthopedic surgery training programs will result in the continued expansion of osteopathic orthopedic surgeons completing fellowship training, including in foot and ankle surgery.
在过去几十年中，完成专科培训的骨科外科医生数量大幅增加。整骨医学博士（DO）通过专科培训继续推进其骨科教育。在美国骨科足踝协会（AOFAS）的学员中，整骨医学博士占比约为6%至15%。尽管历史上的占比一直被认为较高，但在2020年和2021年的专科匹配年份中，参与足踝专科培训的整骨骨科外科医生数量有所下降。这与骨科各亚专科参与人数增加的近期趋势背道而驰。
调查和回顾骨科足踝专科培训的趋势。
查阅了AOFAS关于匹配学员数量和获得学位的数据。审查了州医学委员会联合会（FSMB）、美国骨科足踝协会（AOFAS）和美国医学院协会（AAMC）的数据，以了解医生趋势和匹配统计情况。
在2020年和2021年的专科匹配年份中，参与足踝专科培训的整骨骨科外科医生数量有所下降，只有大约3%的AOFAS学员接受过整骨医学培训。
骨科手术在所有外科专科中的亚专科培训率最高。尽管整骨医学在骨科手术中的占比有望增加，但最近的文献指出，整骨医学学生在机会方面可能仍存在持续的偏见。我们希望整骨医学毕业生更多地参与骨科手术培训项目，将导致完成专科培训的整骨骨科外科医生数量持续增加，包括足踝外科领域。
