Imediegwu Kelechi U, Igwe Ozioma P, Onyebuchukwu Chiamaka Q, Okonkwo Kenechukwu J, Ngwu Amarachi O, Nduka Agenu P, Okeke Kosisochukwu, Anya Jonah P, Onyesoro Chinedu S, Akunna James-Ibe S, Oladiran Ajibola B
Department of Orthopaedic Surgery, National Orthopaedic Hospital, Enugu, Nigeria.
College of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
J West Afr Coll Surg. 2025 Jan-Mar;15(1):27-30. doi: 10.4103/jwas.jwas_129_23. Epub 2024 Aug 2.
As the field of surgery continues to evolve, subspecialty training is fast becoming integral to surgical education. Presently, orthopaedic surgery residents have opportunities to subspecialise in different areas.
The aim of this study was to determine the factors affecting the choice of desired subspecialties amongst orthopaedic surgery residents in southern Nigeria.
This study was a cross-sectional study conducted amongst senior orthopaedic surgery residents in southern Nigeria. A well-structured questionnaire designed using the free software Google Forms was electronically distributed to senior orthopaedic residents in Nigeria through online forums (WhatsApp, email, and Telegram). Data obtained were analysed using IBM Statistical Product and Service Solutions version 26. The odds ratio and the associated 95% confidence interval were used to assess outcomes, and a value <0.05 defined that the difference was statistically significant.
At the end of the study period, 53 orthopaedic surgery senior residents completed and submitted the questionnaire with a response rate of 73.6%; 50.9% were married with children and 49.1% were single. The most agreed key factor influencing the choice of orthopaedic surgery subspecialisation from the study was lifestyle considerations (79.2%). Other major factors considered to be also very important were the needs of the region (73.6%), active mentorship (71.7%), ergonomics (64.6%), rotation experiences (47.2%), cost of acquiring the training (41.5%), and salary and financial privileges (37.7%). Overall, 24.5% of respondents chose spine surgery as their desired subspecialty, 18.9% arthroplasty, 17% arthroscopy, 17% paediatrics, 13.2% reconstructive orthopaedics, 5.7% musculoskeletal oncology, and 4.7% hand and foot surgery. Our study revealed a significant statistical relationship between having children and choice of a subspecialty (Fischer's = 0.032; χ = 0.033), as the married female residents tend to have more family considerations in their final choice of subspecialisation.
The choice of orthopaedic surgery subspecialisation amongst orthopaedic surgery residents in southern Nigeria is affected by different factors, such as mentorship, needs of region, desire to work in academic settings, and ergonomics.
随着外科领域不断发展，专科培训正迅速成为外科教育的重要组成部分。目前，骨科住院医师有机会在不同领域进行专科化学习。
本研究旨在确定影响尼日利亚南部骨科住院医师选择理想专科的因素。
本研究是一项针对尼日利亚南部骨科高级住院医师开展的横断面研究。使用免费软件谷歌表单设计的一份结构完善的问卷，通过在线论坛（WhatsApp、电子邮件和Telegram）以电子方式分发给尼日利亚的骨科高级住院医师。所获数据使用IBM统计产品与服务解决方案版本26进行分析。优势比及相关的95%置信区间用于评估结果，P值<0.05表明差异具有统计学意义。
在研究期结束时，53名骨科高级住院医师完成并提交了问卷，回复率为73.6%；50.9%已婚并有子女，49.1%单身。研究中最被认可的影响骨科专科化选择的关键因素是生活方式考量（79.2%）。其他被认为也非常重要的主要因素包括地区需求（73.6%）、积极的导师指导（71.7%）、人体工程学（64.6%）、轮转经历（47.2%）、获取培训的成本（41.5%）以及薪资和经济特权（37.7%）。总体而言，24.5%的受访者选择脊柱外科作为他们理想的专科，18.9%选择关节置换术，17%选择关节镜检查，17%选择小儿骨科，13.2%选择重建骨科，5.7%选择肌肉骨骼肿瘤学，4.7%选择手足外科。我们的研究揭示了生育子女与专科选择之间存在显著的统计学关系（费舍尔检验P = 0.032；卡方检验χ = 0.033），因为已婚女性住院医师在最终选择专科时往往有更多家庭方面的考量。
尼日利亚南部骨科住院医师对骨科专科化的选择受到不同因素的影响，如导师指导、地区需求、在学术环境工作的愿望以及人体工程学等。
