Experience of a fellowship in spinal surgery: A quantitative analysis

被引:14
作者
Konczalik W. [1 ]
Elsayed S. [2 ]
Boszczyk B. [2 ]
机构
[1] University of Nottingham, Nottingham
[2] Centre for Spinal Studies and Surgery, Queens Medical Centre
关键词
Assessment; Complications; Fellowship; Spine; Training;
D O I
10.1007/s00586-014-3209-y
中图分类号
学科分类号
摘要
Objectives: The objective of our paper was to ascertain the self-reported competency level of surgeons who had completed a 1-year spine fellowship versus those who had not. Our secondary objective was to determine whether there was any difference between orthopaedic and neurosurgeons. Methods: A 60 question online questionnaire was provided to AOSpine Europe members for completion online. Results: 289 members provided a response, of which 64 % were orthopaedic surgeons and 31 % neurosurgeons (5 % did not specify). Eighty (28 %) had completed a 1-year fellowship. Theoretical and practical knowledge of the management of spinal deformity was the greatest difference seen upon completing a fellowship. Multiple elective and emergent conditions were demonstrated to have a significant difference upon completion of a fellowship. There was no difference between orthopaedic surgeons and neurosurgeons. Conclusions: In order to provide an efficient and safe service covering the broad spectrum of spinal pathology, a formal spine fellowship, ideally with a formal curriculum, should be considered. © 2014 Springer-Verlag Berlin Heidelberg.
引用
收藏
页码:S40 / S54
页数:14
相关论文
共 22 条
[1]  
Mulholland R.C., Clamp J.C., Boszczyk B.M., A short history of spinal training and outlook on spine speciality development in the UK 1948-2013, Eur Spine J, 22, SUPPL.. 1, (2013)
[2]  
Dvorak M., Et al., Confidence in spine training among senior neurosurgical and orthopaedic residents, Spine, 31, 7, pp. 831-837, (2006)
[3]  
Boszczyk B., Et al., Spine surgery training and competence of European neurosurgical trainees, Acta Neurochir, 151, 6, pp. 619-628, (2009)
[4]  
Bass B.L., Early specialization in surgical training: An old concept whose time has come?, Semin Vasc Surg, 19, 4, pp. 214-217, (2006)
[5]  
Woodrow S.I., Et al., Training and evaluating spinal surgeons - The development of novel performance measures, Spine, 32, 25, pp. 2921-2925, (2007)
[6]  
Vitale M.A., Et al., Comparison of the volume of scoliosis surgery between spine and pediatric orthopaedic fellowship - Trained surgeons in New York and California, J Bone Joint Surg Am, 87, pp. 2687-2692, (2005)
[7]  
Garfin S.R., Editorial on residencies and fellowships, Spine, 25, 20, pp. 2700-2702, (2000)
[8]  
Herkowitz H.N., Et al., Resident and fellowship guidelines: Educational guidelines for resident training in spinal surgery, Spine, 25, 20, pp. 2703-2707, (2000)
[9]  
Chumas P., Et al., Safe paediatric neurosurgery 2001, Br J Neurosurg, 16, 3, pp. 208-210, (2002)
[10]  
Fallah A., Et al., Do supspecialized neurosurgeons experience higher complication rates for nonsubspecialty emergent surgery, Surg Neurol, 72, 1, pp. 98-99, (2009)