Puckett Haley D, Cunningham Brian P, Cannada Lisa K
Department of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN.
Department of Orthopaedic Surgery, Methodist Hospital, St. Louis Park, MN.
OTA Int. 2025 Sep 11;8(4):e427. doi: 10.1097/OI9.0000000000000427. eCollection 2025 Dec.
The purpose was to report pre-COVID-19 and post-COVID-19 trends in training and job searches for recent orthopaedic trauma fellowship graduates. The pandemic occurred within the survey period, so the aim was to evaluate the pandemic's effects, particularly regarding training and jobs. It was hypothesized that the pandemic and other societal changes that occurred during the survey period had broad-reaching effects on graduate medical education and job selection for graduating traumatologists, including fewer surgical repetitions, strained interviews, and altered trends in job characteristic prioritization extending beyond the pandemic.
Cross-sectional survey.
Orthopaedic Trauma Association (OTA/AO) surveys.
Orthopaedic surgeons who graduated from United States (US) trauma fellowships from 2017 to 2023 were eligible.
A 56-question survey was emailed to recent trauma fellowship graduates assessing training, job searches, and job types selected.
In total, 240/600 (40%) orthopaedic surgeons who graduated from US trauma fellowships from 2017 to 2023 participated. Most (68%) trained at academic level 1 trauma fellowships. Of 2020-2023 graduates, 52% reported lighter caseloads, while 27% felt telehealth made their clinical experience less valuable. Many (42%) reported fewer jobs. Sought-after job characteristics included 51-70 work hours/wk (63%), 4-6 night-calls/month (36%), and 401-500 cases/year (27%). The most common salary was $501,000-$600,000/y (22%).
For trauma fellows, COVID-19 resulted in training disadvantages, including fewer hands-on experiences, and job search obstacles, including less employment opportunities and compensation. Recognizing trends in recently graduated traumatologists will help maximize training and enhance professional satisfaction for young surgeons.
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本研究旨在报告近期骨科创伤 fellowship 毕业生在 COVID-19 疫情前后的培训及求职趋势。疫情发生在调查期间，因此目的是评估疫情的影响，特别是在培训和工作方面。研究假设在调查期间发生的疫情及其他社会变化对毕业后创伤科医生的毕业后医学教育和工作选择产生了广泛影响，包括手术重复机会减少、面试紧张以及工作特征优先级的变化趋势，且这种影响超出了疫情范围。
横断面调查。
骨科创伤协会（OTA/AO）调查。
2017 年至 2023 年从美国创伤 fellowship 毕业的骨科外科医生符合条件。
向近期创伤 fellowship 毕业生发送了一份包含 56 个问题的调查问卷，评估培训、求职及所选工作类型。
2017 年至 2023 年从美国创伤 fellowship 毕业的 600 名骨科外科医生中，共有 240 名（40%）参与调查。大多数（68%）在学术一级创伤 fellowship 接受培训。在 2020 - 2023 年毕业的人中，52%报告工作量减轻，而 27%认为远程医疗使他们的临床经验价值降低。许多人（42%）报告工作机会减少。受欢迎的工作特征包括每周工作 51 - 70 小时（63%）、每月值 4 - 6 个夜班（36%）以及每年处理 401 - 500 个病例（27%）。最常见的薪资是每年 501,000 - 600,000 美元（22%）。
对于创伤 fellowship 学员而言，COVID-19 导致了培训劣势，包括实践经验减少，以及求职障碍，包括就业机会和薪酬降低。认识近期毕业创伤科医生的趋势将有助于优化培训并提高年轻外科医生的职业满意度。
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