| The current practice of orthopaedic oncology in North America. | |
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MedLine Citation:
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PMID: 20532714 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The field of orthopaedic oncology in North America has been formalized over the past 30 years with the development of the Musculoskeletal Tumor Society (MSTS) and fellowship education opportunities. QUESTIONS/PURPOSES: To characterize current practices we assessed the fellowship education, practice setting, constitution of clinical practice, bone and soft tissue sarcoma treatment volume, perceived challenges and rewards of the career, and the nonclinical activities of orthopaedic oncologists. METHODS: Members of the MSTS and attendees of the 2009 AAOS-MSTS Specialty Day meeting were invited to participate in a twenty-three question online survey. One hundred and four surgeons including 99 of the 192 (52%) MSTS members completed the online survey. RESULTS: Sixty-nine of the 104 (66%) responding surgeons completed a 1-year musculoskeletal oncology fellowship. Thirty-eight (37%) completed an additional orthopaedic subspecialty fellowship. Seventy-four (79%) work in an academic practice and 70 (+/- 16) % of clinical time is spent practicing musculoskeletal oncology. An average of 20 (+/- 16) bone and 40 (+/- 36) soft tissue sarcomas were treated annually. Insufficient institutional support, reimbursement, and emotional stresses were perceived as the most important challenges in a musculoskeletal oncology practice. Sixty-seven (64%) of the surgeons reported serving in a leadership position at the departmental or national level. CONCLUSIONS: Professional time distribution is similar to other academic orthopaedists. The members of the MSTS are responsible for the treatment of more than two-thirds of bone and soft tissue sarcomas in the United States. CLINICAL RELEVANCE: This information can assist the fellowship directors and related professional societies in tailoring their educational programs and the interested orthopaedic resident to make a more informed career choice. |
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Authors:
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Jeremy White; Patrick Toy; Parker Gibbs; William Enneking; Mark Scarborough |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: 468 ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-09-30 Completed Date: 2010-10-21 Revised Date: 2011-11-01 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
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Languages: eng Pagination: 2840-53 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic Surgery and Rehabilitation, University of Oklahoma Health Sciences Center, 825 NE 10th Street, Oklahoma City, OK 73126, USA. Jeremy-white@ouhsc.edu |
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| MeSH Terms | |
Descriptor/Qualifier:
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Bone Neoplasms
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surgery* Career Choice Education, Medical, Graduate Fellowships and Scholarships Humans Insurance, Health, Reimbursement Internship and Residency Job Satisfaction Leadership Muscle Neoplasms / surgery* North America Orthopedic Procedures* / education, statistics & numerical data Personnel Staffing and Scheduling Physician's Practice Patterns* / statistics & numerical data Questionnaires Reward Societies, Medical Stress, Psychological Workload |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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