Improvement of Orthopedic Residency Programs and Diversity: Dilemmas and Challenges, an International Perspective | ||
The Archives of Bone and Joint Surgery | ||
مقاله 264، دوره 7، شماره 4، مهر 2019، صفحه 384-396 اصل مقاله (1 M) | ||
نوع مقاله: PERSPECTIVE | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2018.29430.1852 | ||
نویسندگان | ||
Hangama C. Fayaz* 1؛ Raymond M. Smith1؛ Mohammad H. Ebrahimzadeh2؛ Hans-Christoph Pape3؛ Javad Parvizi4؛ Khaled J. Saleh5؛ Jens-Peter Stahl6؛ Johannes Zeichen7؛ James F. Kellam8؛ SM Javad Mortazavi9؛ Ashok Rajgopal10؛ Vivek Dahiya10؛ Wolfgang Zinser11؛ Leonid Reznik12؛ Igor Shubnyakov13؛ Marco Pecina14؛ Jupiter B. Jesse1 | ||
1Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA | ||
2Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
3Universitaets Spital Zuerich, Switzerland | ||
4University of Tehran, Tehran, Iran | ||
5Michigan Musculoskeletal Institute, Madison Heights, USA | ||
6Department of Trauma, Klinikum Dortmund, Germany | ||
7Department of Trauma, Johannes Wesling Klinikum Minden, Germany | ||
8Department of Orthopedics, University of Texas, USA | ||
9Joint Reconstruction Research Center Tehran University of Medical Sciences | ||
10Fortis Bone and Joint Institute, India | ||
11Department of Orthopedics, St Vinzenz Hospital Dinslaken, Germany | ||
12Omsk State Medical University, Russia | ||
13R.R. Vreden Russian Research Institute of Traumatology and Orthopaedics. Saint Petersburg, Russia | ||
14Department of Orthopaedic Surgery, School of Medicine University of Zagreb,Croatia | ||
چکیده | ||
Background: To date, little has been published comparing the structure and requirements of orthopedic training programs across multiple countries. The goal of this study was to summarize and compare the characteristics of orthopedic training programs in the U.S.A., U.K., Canada, Australia, Germany, India, China, Saudi Arabia, Russia and Iran. Methods: We communicated with responders using a predetermined questionnaire regarding the national orthopedic training program requirements in each respondent’s home country. Specific items of interest included the following: the structure of the residency program, the time required to become an orthopedic surgeon, whether there is a log book, whether there is a final examination prior to becoming an orthopedic surgeon, the type and extent of faculty supervision, and the nature of national in-training written exams and assessment methods. Questionnaire data were augmented by reviewing each country’s publicly accessible residency training documents that are available on the web and visiting the official website of the main orthopedic association of each country. Results: The syllabi consist of three elements: applied clinical knowledge, applied clinical skills, and professional and management skills. The application of simulation techniques for both teaching and assessment are fundamental to modern surgical education. The skill of today’s trainees predicts the quality of future orthopedic surgeons. The European Board of Orthopaedics and Traumatology (EBOT) exam throughout the European Union countries should function as the European board examination in orthopedics. We must standardize many educational procedures worldwide in the same way we standardized patient safety. Conclusion: Considering the world’s cultural and political diversity, the world is nearly unified in regards to orthopedics. The procedures (structure of the residency programs, duration of the residency programs, selection procedures, using a log book, continuous assessment and final examination) must be standardized worldwide, as implemented for patient safety. To achieve this goal, we must access and evaluate more information on the residency programs in different countries and their needs by questioning them regarding what they need and what we can do for them to make a difference. Level of evidence: III | ||
کلیدواژهها | ||
Cultural competences؛ Educational procedures؛ Politics؛ Residency programs؛ Women in orthopedics | ||
مراجع | ||
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