Content Expert Lecturers and Their Related Peer Reviewed Publications: An Analysis of Foot & Ankle Societys' Annual Meetings from 2016 to 2020

CATEGORY: Other INTRODUCTION/PURPOSE: Annual national society meetings for the American College of Foot and Ankle Surgeons (ACFAS) and American Orthopaedic Foot & Ankle Society (AOFAS) have long provided an important resource to disseminate the latest innovations, techniques, and research. However, unlike submitted research abstracts which are screened by a selection committee, there are scant guidelines for selected content experts to present educational content. To date, the ability to publish in a peer-reviewed journal bestows the ultimate validity of academic expertise on a particular subject matter and supports the expertise of the clinician. The purpose of this study was to evaluate for the first time, the incidence of scholarly publication in a peer reviewed journal for invited speakers from the ACFAS and AOFAS annual meetings from 2016 to 2020. METHODS: Annual meeting programs for the ACFAS and AOFAS from 2016 to 2020 were compiled by two reviewers. Faculty lists and assigned lecture tract topics from each meeting were entered into password protected databases. Oral and poster abstracts, industry/society sponsored presentations, 'competitions', and 'other events' held during the annual meetings were excluded. Speaker specific variables included: gender, number of peer reviewed journal publications on the assigned subject matter (publications preceding the meetings date), study design, weighted total topic publication citations, and H-index. The weighted total topic publication citations was obtained by dividing the total citation counts for each manuscript on a particular subject by the number of years since its publication. The H-index, an author specific metric of both productivity and citation impact was obtained from searches of an online resource (http://www.scopus.com/freelookup). For the purposes of the present study, only foot and ankle surgeons (DPM, MD, DO) were included for assessment. RESULTS: There were a total 1,028 invited presentations combined between AOFAS (158) and ACFAS (870) at the annual meetings fom 2016-2020. With combined data, 724 (70%) presentations were given by speakers with no publications in the subject matter while 300 (29.2%) were given by speakers with one or more publications. Lecture topics that had the highest percentage of speakers with publications in the subject matter included Wound Care/Limb Salvage (82.8%), Charcot (63.6%) and Total Ankle Replacement/Fusions (50%). Topics with the highest number of speakers without publications on the topic included Trauma (84%), Sports (80.3%) and Forefoot Elective (78.7%). Only the Trauma category of speakers had a statistically significant difference of predicted number of lectures by publication between no publications (3.7 lectures) and those with 1 or more publications (1.6 lecture) with p=0.04. CONCLUSION: Content expert presentations at national society specialty meetings are a crucial source of continuing education. What makes a speaker a content expert has yet to be defined but is important to consider. Perhaps factors such as peer reviewed publications in subject matter or the speaker's H-index are characteristics to consider in selecting content experts. In our survey of ACFAS and AOFAS annual meetings from 2016-2020, there were many topics were the vast majority of lectures were given by speakers without any publications and dispersed across the spectrum regardless of the speaker's H-Index ranking. Further criteria development is likely needed.