Townsend Clay B, Soderquist Melissa, Hoy Robert C, Sewards J Milo, Galos David
From the Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, Philadelphia, PA.
J Am Acad Orthop Surg Glob Res Rev. 2025 Mar 6;9(3). doi: 10.5435/JAAOSGlobal-D-24-00380. eCollection 2025 Mar 1.
The purpose of this study was to investigate the influence a personal experience with an orthopaedic injury or condition has on applicants' decisions to pursue orthopaedic surgery and to investigate current applicant motivations for pursuing orthopaedic surgery.
This was a cross-sectional survey study of orthopaedic surgery applicants during the 2023 to 2024 application cycle who applied to the residency program at a single academic institution.
Of the 290 respondents (38.5% response rate), approximately two-fifths (37.6%) reported experiencing a musculoskeletal injury/condition that influenced their decision to pursue orthopaedic surgery, with 64.2% requiring surgical intervention. Injuries were most commonly sustained while playing soccer (21.0%), American football (19.0%), and basketball (10.0%). The most common injuries reported included anterior cruciate ligament rupture (14.1%), ankle fracture (9.4%), and meniscus tear (6.3%). Applicants with a history of an anterior cruciate ligament rupture represented 6.2% (18/290) of the entire applicant cohort. Approximately one-fifth (21.7%, 63/290) of applicants reported that a musculoskeletal injury or condition experienced by a family member or friend had influenced their decision to pursue orthopaedic surgery. The most commonly selected motivating factor for deciding to pursue orthopaedic surgery was intellectual curiosity (86.6%), followed by clinical rotation experience (84.8%), mentor/faculty interactions (75.9%), personal experience with a musculoskeletal injury/condition (60.0%), and academic opportunities (51.7%).
A large portion of current orthopaedic surgery applicants were motivated to pursue orthopaedic surgery by a personal experience with an orthopaedic injury or condition. This study revealed many novel findings related to current orthopaedic applicant motivations for pursuing orthopaedic surgery as a career.
本研究的目的是调查骨科损伤或疾病的个人经历对申请人选择骨科手术的决定的影响,并调查当前申请人选择骨科手术的动机。
这是一项对2023至2024申请周期内申请单一学术机构住院医师项目的骨科手术申请人进行的横断面调查研究。
在290名受访者中(回复率为38.5%),约五分之二(37.6%)报告经历过影响其选择骨科手术决定的肌肉骨骼损伤/疾病,其中64.2%需要手术干预。受伤最常见于踢足球(21.0%)、美式足球(19.0%)和篮球(10.0%)时。报告的最常见损伤包括前交叉韧带断裂(14.1%)、踝关节骨折(9.4%)和半月板撕裂(6.3%)。有前交叉韧带断裂病史的申请人占整个申请人队列的6.2%(18/290)。约五分之一(21.7%,63/290)的申请人报告称,家庭成员或朋友经历的肌肉骨骼损伤或疾病影响了他们选择骨科手术的决定。决定选择骨科手术最常被提及的动机因素是求知欲(86.6%),其次是临床轮转经历(84.8%)、与导师/教员的互动(75.9%)、肌肉骨骼损伤/疾病的个人经历(60.0%)和学术机会(51.7%)。
目前很大一部分骨科手术申请人是受骨科损伤或疾病的个人经历驱动而选择骨科手术的。本研究揭示了许多与当前骨科申请人选择骨科手术作为职业的动机相关的新发现。