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Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned

Away rotations have become a critical factor for a successful orthopaedic surgery residency match. Away rotations significantly improve an applicant's chance of matching into an orthopaedic residency. Away rotations were limited during the 2020 to 2021 academic year because of the COVID-19 pand...

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Autores principales: Rosenow, Christian S., Brinkman, Joseph C., Deckey, David G., Tummala, Sailesh V., Pollock, Jordan R., Spangehl, Mark J., Bingham, Joshua S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of Bone and Joint Surgery, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484814/
https://www.ncbi.nlm.nih.gov/pubmed/36147654
http://dx.doi.org/10.2106/JBJS.OA.21.00119
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author Rosenow, Christian S.
Brinkman, Joseph C.
Deckey, David G.
Tummala, Sailesh V.
Pollock, Jordan R.
Spangehl, Mark J.
Bingham, Joshua S.
author_facet Rosenow, Christian S.
Brinkman, Joseph C.
Deckey, David G.
Tummala, Sailesh V.
Pollock, Jordan R.
Spangehl, Mark J.
Bingham, Joshua S.
author_sort Rosenow, Christian S.
collection PubMed
description Away rotations have become a critical factor for a successful orthopaedic surgery residency match. Away rotations significantly improve an applicant's chance of matching into an orthopaedic residency. Away rotations were limited during the 2020 to 2021 academic year because of the COVID-19 pandemic. During the 2021 to 2022 academic year, the American Association of Medical Colleges coalition recommended students only complete 1 rotation outside their home institution, whereas the American Orthopaedic Association Council of Residency Directors argued that multiple rotations should be allowed. We sought to quantify the impact of these restrictions on orthopaedic surgery applicants during the 2020 to 2021 residency application cycle. METHODS: An online survey was sent to all applicants applying to the authors' home orthopaedic surgery program. The survey asked respondents to indicate how many away rotations they completed and how many they planned to complete but were unable to complete in the 2020 to 2021 application cycle. Historical match data were obtained from the National Resident Matching Program's publicly accessible Main Residency Match Data and Reports. RESULTS: Survey responses were collected from 650 of 812 applicants (80%) to our program. Over a third of respondents (38.1%) reported completing 3 subinternship rotations during the 2020 to 2021 application cycle. Nearly a quarter of respondents (24.0%) reported completing 4 rotations. Most applicants (50.9%) were unable to complete 5 previously planned rotations because of pandemic-related restrictions, and 25.2% reported an inability to complete 4 rotations. Fewer applicants reported canceling 3 rotations (9.2%), 2 rotations (6.8%), or 1 (7.8%) rotation. CONCLUSIONS: Away rotations have been a traditional component of the orthopaedic surgery application process. Restrictions on away rotations in the 2020 to 2021 residency application cycle had affected the number of rotations that applicants were able to complete. However, despite those restrictions, over a third of applicants were able to complete at least 3 rotations. This suggests that the away rotation experience is variable for students and may be multifactorial; however, our study did not investigate the reasons for this. Accordingly, limiting away rotations may support an inequitable environment for medical students applying to orthopaedic surgery, and creating a consensus definition among medical schools, program directors, and orthopaedic chairs of away rotations, their duration, and the maximum number allowed would enhance fairness and reduce inconsistencies.
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spelling pubmed-94848142022-09-21 Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned Rosenow, Christian S. Brinkman, Joseph C. Deckey, David G. Tummala, Sailesh V. Pollock, Jordan R. Spangehl, Mark J. Bingham, Joshua S. JB JS Open Access AOA Critical Issues in Education Away rotations have become a critical factor for a successful orthopaedic surgery residency match. Away rotations significantly improve an applicant's chance of matching into an orthopaedic residency. Away rotations were limited during the 2020 to 2021 academic year because of the COVID-19 pandemic. During the 2021 to 2022 academic year, the American Association of Medical Colleges coalition recommended students only complete 1 rotation outside their home institution, whereas the American Orthopaedic Association Council of Residency Directors argued that multiple rotations should be allowed. We sought to quantify the impact of these restrictions on orthopaedic surgery applicants during the 2020 to 2021 residency application cycle. METHODS: An online survey was sent to all applicants applying to the authors' home orthopaedic surgery program. The survey asked respondents to indicate how many away rotations they completed and how many they planned to complete but were unable to complete in the 2020 to 2021 application cycle. Historical match data were obtained from the National Resident Matching Program's publicly accessible Main Residency Match Data and Reports. RESULTS: Survey responses were collected from 650 of 812 applicants (80%) to our program. Over a third of respondents (38.1%) reported completing 3 subinternship rotations during the 2020 to 2021 application cycle. Nearly a quarter of respondents (24.0%) reported completing 4 rotations. Most applicants (50.9%) were unable to complete 5 previously planned rotations because of pandemic-related restrictions, and 25.2% reported an inability to complete 4 rotations. Fewer applicants reported canceling 3 rotations (9.2%), 2 rotations (6.8%), or 1 (7.8%) rotation. CONCLUSIONS: Away rotations have been a traditional component of the orthopaedic surgery application process. Restrictions on away rotations in the 2020 to 2021 residency application cycle had affected the number of rotations that applicants were able to complete. However, despite those restrictions, over a third of applicants were able to complete at least 3 rotations. This suggests that the away rotation experience is variable for students and may be multifactorial; however, our study did not investigate the reasons for this. Accordingly, limiting away rotations may support an inequitable environment for medical students applying to orthopaedic surgery, and creating a consensus definition among medical schools, program directors, and orthopaedic chairs of away rotations, their duration, and the maximum number allowed would enhance fairness and reduce inconsistencies. Journal of Bone and Joint Surgery, Inc. 2022-04-25 /pmc/articles/PMC9484814/ /pubmed/36147654 http://dx.doi.org/10.2106/JBJS.OA.21.00119 Text en Copyright © 2022 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle AOA Critical Issues in Education
Rosenow, Christian S.
Brinkman, Joseph C.
Deckey, David G.
Tummala, Sailesh V.
Pollock, Jordan R.
Spangehl, Mark J.
Bingham, Joshua S.
Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned
title Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned
title_full Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned
title_fullStr Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned
title_full_unstemmed Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned
title_short Orthopaedic Surgery Away Rotations: Current Issues and Lessons Learned
title_sort orthopaedic surgery away rotations: current issues and lessons learned
topic AOA Critical Issues in Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484814/
https://www.ncbi.nlm.nih.gov/pubmed/36147654
http://dx.doi.org/10.2106/JBJS.OA.21.00119
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