Evidence map›Paper›PMID 37533873›Full record

ReviewJB & JS open access

Longitudinal Assessment of Modern Spine Surgery Training: 10-Year Follow-up of a Nationwide Survey of Residency and Spine Fellowship Program Directors.

Alan H Daniels, Daniel Alsoof, Christopher L McDonald, Andrew S Zhang, Bassel G Diebo, Craig P Eberson, Eren O Kuris, William Lavelle, Christopher P Ames, Christopher I Shaffrey and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Alan H DanielsDepartment of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID https://orcid.org/0000-0001-9597-4139
Daniel AlsoofDepartment of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID https://orcid.org/0000-0002-8754-7070
Christopher L McDonaldDepartment of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID https://orcid.org/0000-0002-9633-5336
Andrew S ZhangDepartment of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID https://orcid.org/0000-0003-1799-8703
Bassel G DieboDepartment of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID https://orcid.org/0000-0002-7835-2263
Craig P EbersonDepartment of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID https://orcid.org/0000-0003-0651-5825
Eren O KurisDepartment of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
William LavelleDepartment of Orthopedic Surgery, Upstate University Hospital, Syracuse, New York.
Christopher P AmesDepartment of Neurosurgery, University of California-San Francisco, San Francisco, California.ORCID https://orcid.org/0000-0003-2618-3098
Christopher I ShaffreyDepartment of Neurosurgery, Duke University, Durham, North Carolina.
Robert A HartDepartment of Orthopedic Surgery, Swedish Neuroscience Institute, Seattle, Washington.
Brown University · USDuke University · USLouisiana State University in Shreveport · USSUNY Upstate Medical University · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spine surgeons complete training through residency in orthopaedic surgery (ORTH) or neurosurgery (NSGY). A survey was conducted in 2013 to evaluate spine surgery training. Over the past decade, advances in surgical techniques and the changing dynamics in fellowship training may have affected training and program director (PD) perceptions may have shifted. Methods: This study is a cross-sectional survey distributed to all PDs of ORTH and NSGY residencies and spine fellowships in the United States. Participants were queried regarding characteristics of their program, ideal characteristics of residency training, and opinions regarding the current training environment. χ Results: In total, 241 PDs completed the survey. From 2013 to 2023, NSGY increased the proportion of residents with >300 spine cases (86%-100%) while ORTH remained with >90% of residents with < 225 cases (p < 0.05). A greater number of NSGY PDs encouraged spine fellowship even for community spine surgery practice (0% in 2013 vs. 14% in 2023, p < 0.05), which continued to be significantly different from ORTH PDs (∼88% agreed, p > 0.05). 100% of NSGY PDs remained confident in their residents performing spine surgery, whereas ORTH confidence significantly decreased from 43% in 2013 to 25% in 2023 (p < 0.05). For spinal deformity, orthopaedic PDs (92%), NSGY PDs (96%), and fellowship directors (95%), all agreed that a spine fellowship should be pursued (p = 0.99). In both 2013 and 2023, approximately 44% were satisfied with the spine training model in the United States. In 2013, 24% of all PDs believed we should have a dedicated spine residency, which increased to 39% in 2023 (fellowship: 57%, ORTH: 38%, NSGY: 21%) (p < 0.05). Conclusion: Spine surgery training continues to evolve, yet ORTH and neurological surgery training remains significantly different in case volumes and educational strengths. In both 2013 and 2023, less than 50% of PDs were satisfied with the current spine surgery training model, and a growing minority believe that spine surgery should have its own residency training pathway. Level of Evidence: IV.

Identifiers

PMID37533873
PMCPMC10393084
OpenAlexW4385453210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.