Trends in Leadership at Spine Surgery Fellowships.

Autor: Donnally CJ 3rd; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA., Schiller NC; Department of Education, University of Miami Leonard M. Miller School of Medicine, Miami, FL., Butler AJ; Department of Orthopaedic Surgery, University of Miami Hospital, Miami, FL., Sama AJ; Department of Education, University of Miami Leonard M. Miller School of Medicine, Miami, FL., Bondar KJ; Department of Education, University of Miami Leonard M. Miller School of Medicine, Miami, FL., Goz V; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA., Shenoy K; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA., Vaccaro AR; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA., Hilibrand AS; Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA.
Jazyk: angličtina
Zdroj: Spine [Spine (Phila Pa 1976)] 2020 May 15; Vol. 45 (10), pp. E594-E599.
DOI: 10.1097/BRS.0000000000003350
Abstrakt: Study Design: Cross-sectional study.
Objective: To illustrate demographic trends among spine fellowship leaders (FLs).
Summary of Background Data: No previous study in the orthopedic literature has analyzed the demographic characteristics or past surgical training of FL in an orthopedic sub-specialty. We attempt to illustrate demographic trends among spine fellowship leadership including fellowship directors (FDs) and co-fellowship directors (co-FDs). We also highlight the institutions that have trained these leaders at various levels.
Methods: Our search for FDs was constructed from the 2018 to 2019 North American Spine Surgery (NASS) Fellowship Directory. Datapoints gathered included: age, sex, residency/fellowship training location, time since training completion until FD appointment, length in FD role, and personal research H-index.
Results: We identified 103 FLs consisting of 67 FDs, 19 co-FDs, and another 16 individuals with a synonymous leadership title. 96.1% (99) of the leadership consisted of males while 3.9% (4) were female. The mean age was 52.9 years old and the mean h-index of the FLs was 23.8. FLs were trained in orthopedic surgery (n = 89), neurosurgery (n = 13), or combined orthopedic surgery and neurosurgery training (n = 1). The top fellowships programs producing future FLs were: Case Western Reserve University, Cleveland (n = 10), Washington University, St. Louis (n = 9), and Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia (n = 7).
Conclusion: Spine surgery fellowship directors are more likely to have graduated from certain residency and fellowship programs. This finding could be a result of the training provided by these centers or the institution's predilection to select applicants that are more likely to later seek academic leadership roles post-training.
Level of Evidence: 4.
Databáze: MEDLINE