ArticleActa orthopaedica et traumatologica turcica2025
A nationwide survey of orthopedic residency training in Türkiye: Theoretical education, surgical exposure, faculty engagement, and mentorship influence on resident competence.
Article in Acta orthopaedica et traumatologica turcica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study aimed to evaluate orthopedic residency training in Türkiye by analyzing the structure of clinical education, levels of faculty engagement, availability of mentorship, and residents' self-perceived competence. It further examined the influence of mentorship and faculty involvement on surgical training, academic career interest, and subspecialty decisions. Methods: A cross-sectional survey was conducted among orthopedic residents across Türkiye between February 6-18, 2025. A total of 849 residents participated, covering all provinces with orthopedic training centers. Data on institutional characteristics, educational methods, surgical exposure, mentorship, and residents' self-assessed competencies were collected using an online questionnaire. The mean age of participants was 29.1 years (range: 23-35), and 95.2% were male. The mean residency year was 2.7. The primary outcomes included surgical exposure, self-assessed competence, academic interest, and mentorship impact. Results: Among participants, 8.13% reported no theoretical education, with peer-based learning (52.1%) being the dominant method. Faculty-led instruction was limited (24.6%). A mentor figure was present in 68.8% and was significantly associated with higher selfassessed competence in theoretical knowledge, surgical skills, and complication management (P < .0001). Mentored residents had greater academic interest (41.1% vs. 33.2%, P=.011) and clearer subspecialty goals (27.9% vs. 18.9%, P=.017). Only 45.7% of the fifth-year residents rated themselves as highly competent. Higher monthly operating room days and case volumes were significantly correlated with greater self-perceived competence (P=.0001). Conclusion: This study reveals substantial disparities in surgical training, faculty engagement, and mentorship across orthopedic residency programs in Türkiye. Structured mentorship initiatives, improved surgical exposure, and faculty-driven education are essential to enhance residents' professional development and preparedness for independent practice.
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