Evidence map›Paper›PMID 39505395›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Perceptions of readiness for independent practice among graduating orthopedic surgery residents in Ontario in the last 30 years.

Silvio Ndoja, Holly S Howe, Steven R Papp, Emil H Schemitsch, Brent A Lanting

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Enhancing Graduate Surgical Education: Recommendations for Development of Common Surgery Education and Training Accreditation Standards.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Review
  2. Article
  3. 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

5 authors.

Silvio NdojaFrom Western University, London, Ont. (Ndoja) Schemitsch, Lanting); the London Health Sciences Centre, London, Ont. (Ndoja, Schemitsch, Lanting); HEC Montréal, Montréal, Que. (Howe); the University of Ottawa, Ottawa, Ont. (Papp); the Ottawa Hospital, Ottawa, Ont. (Papp) sndoja@uwo.ca.
Holly S HoweFrom Western University, London, Ont. (Ndoja) Schemitsch, Lanting); the London Health Sciences Centre, London, Ont. (Ndoja, Schemitsch, Lanting); HEC Montréal, Montréal, Que. (Howe); the University of Ottawa, Ottawa, Ont. (Papp); the Ottawa Hospital, Ottawa, Ont. (Papp).
Steven R PappFrom Western University, London, Ont. (Ndoja) Schemitsch, Lanting); the London Health Sciences Centre, London, Ont. (Ndoja, Schemitsch, Lanting); HEC Montréal, Montréal, Que. (Howe); the University of Ottawa, Ottawa, Ont. (Papp); the Ottawa Hospital, Ottawa, Ont. (Papp).
Emil H SchemitschFrom Western University, London, Ont. (Ndoja) Schemitsch, Lanting); the London Health Sciences Centre, London, Ont. (Ndoja, Schemitsch, Lanting); HEC Montréal, Montréal, Que. (Howe); the University of Ottawa, Ottawa, Ont. (Papp); the Ottawa Hospital, Ottawa, Ont. (Papp).
Brent A LantingFrom Western University, London, Ont. (Ndoja) Schemitsch, Lanting); the London Health Sciences Centre, London, Ont. (Ndoja, Schemitsch, Lanting); HEC Montréal, Montréal, Que. (Howe); the University of Ottawa, Ottawa, Ont. (Papp); the Ottawa Hospital, Ottawa, Ont. (Papp).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increasing concern regarding the lack of physicians and underresourcing of the medical system in Canada. The training of orthopedic surgeons has emerged as an area of particular concern. The purpose of this study was to gain insight into the outcomes of graduates of orthopedic surgery residency programs in Ontario in the last 30 years.

methodsWe invited graduates of orthopedic surgery residency programs in Ontario from 1992 to 2020 to participate in our survey regarding their practice patterns and career choices. Participants were asked whether they believed their residency had prepared them for independent practice and were asked about their practice patterns after graduation, including whether they completed fellowships.

resultsA total of 618 graduates met the inclusion criteria. We had a response rate of 40.9% (

conclusionA substantial proportion of orthopedic graduates reported not feeling comfortable entering practice directly out of residency, with only 62.8% of participants reporting feeling ready for independent practice after graduation. Furtermore, graduates are incurring a significant opportunity cost completing 1 or often 2 fellowships. These findings necessitate an appraisal of our goals in residency education.

Indexed as

Career ChoiceInternship and ResidencyOrthopedicsAdultAttitude of Health PersonnelFellowships and ScholarshipsFemaleHumansMaleOntarioSurveys and Questionnaires

Identifiers

PMID39505395
PMCPMC11573426

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.