Orthopaedic In-Training Examination Resources and Residency Training for the Foot and Ankle Domain.

Foot Ankle Spec

Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas (CFJ, DK, PSS, VP).

Published: April 2019

AI Article Synopsis

  • Residency programs utilize the OITE from the AAOS to track resident progress and prepare them for board certification in orthopedic surgery.
  • An anonymous survey of 130 residents revealed that most relied on Orthobullets and AAOS resources for OITE preparation, with many expressing insufficient exposure to foot and ankle subspecialty training.
  • A small percentage (6%) of residents showed interest in pursuing further fellowship training in foot and ankle surgery, highlighting the need for improved training opportunities in this area.

Article Abstract

Background: Residency programs use the annual Orthopaedic In-Training Examination (OITE) prepared by the American Academy of Orthopaedic Surgeons (AAOS) to monitor resident progress and prepare them for the part 1 of the American Board of Orthopaedic Surgeons (ABOS) Certifying Examination. The purpose of this study was to determine resources residents currently use to prepare for the OITE and also to learn about their perception of training they receive in the foot and ankle subspecialty in their program and their interest in foot and ankle fellowship after residency.

Methods: An anonymous survey was sent to both allopathic programs and osteopathic residents to learn what resources residents used to study for the OITE, preparatory question sets, on-call resources, their perception on training received in foot and ankle surgery, and their intent to pursue fellowship training.

Results: A total of 130 residents participated in the survey. The majority of residents in allopathic and osteopathic residencies used Orthobullets (OB) to prepare for the OITE and use this resource while on-call. Most residents also used OB question sets to study along with the AAOS self-assessment examinations. In total, 43.2% of osteopathic residents felt they did not get enough exposure to foot and ankle subspecialty while in training, in contrast to 31.2% of allopathic residents. A total of 35% of all orthopaedic surgery residents felt they lacked enough exposure to foot and ankle orthopaedic surgery. Only 7 residents (6%, 6 allopathic, 1 osteopathic) intended to pursue a foot and ankle fellowship following graduation.

Conclusion: Online resources such as OB continue to be frequently used by residents for preparation for the OITE. Greater than one-third of orthopaedic residents feel they do not get enough exposure to foot and ankle orthopaedic surgery. Improvement in this area could be helped by continued endeavors from the American Orthopaedic Foot and Ankle Society such as the Visiting Professor Program and Resident Scholarship Program.

Levels Of Evidence: Level V: Single Cross-Sectional Study.

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Source
http://dx.doi.org/10.1177/1938640018770808DOI Listing

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