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Review
. 2019 Nov;28(11):2437-2443.
doi: 10.1007/s00586-019-06098-8. Epub 2019 Aug 12.

Advancing spinal fellowship training: an international multi-centre educational perspective

Ashwin Kumaria  1 , Antony H Bateman  2 , Niall Eames  3 , Michael G Fehlings  4 , Christina Goldstein  5 , Bernhard Meyer  6 , Scott J Paquette  7 , Albert J M Yee  8   9   10
Affiliations
Review

Advancing spinal fellowship training: an international multi-centre educational perspective

Ashwin Kumaria et al. Eur Spine J. 2019 Nov.

Abstract

Purpose: The purpose of this article is to review the importance of contemporary spine surgery fellowships and educational strategies to assist with fellowship design and delivery.

Methods: Spine surgery fellowship includes trainees from orthopaedic and neurosurgical backgrounds and is increasingly indicated for individuals wishing to pursue spine surgery as a career, recognizing how spinal surgery evolved significantly in scope and complexity. We combine expert opinion with a review of the literature and international experience to expound spine fellowship training.

Results: Contemporary learning techniques include boot camps at the start of fellowship which may reinforce previous clinical learning and help prepare fellows for their new clinical roles. There is good evidence that surgical specialty training boot camps improve clinical skills, knowledge and trainee confidence prior to embarking upon new clinical roles with increasing levels of responsibility. Furthermore, as simulation techniques and technologies take on an increasing role in medical and surgical training, we found evidence that trainees' operative skills and knowledge can improve with simulated operations, even if just carried out briefly. Finally, we found evidence to suggest a role for establishing competence-based objectives for training in specific operative and technical procedures. Competence-based objectives are helpful for trainees and trainers to highlight gaps in a trainee's skill set that may then be addressed during training.

Conclusions: Spinal fellowships may benefit from certain contemporary strategies that assist design and delivery of training in a safe environment. Interpersonal factors that promote healthy teamwork may contribute to an environment conducive to learning. These slides can be retrieved under Electronic Supplementary Material.

Keywords: Boot camps; Competency; Postgraduate education; Spine surgery fellowship; Surgical simulation; Surgical training.

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References

    1. Lenehan B, Dvorak MF, Madrazo I, Yukawa Y, Fisher CG (2010) Diversity and commonalities in the care of spine trauma internationally. Spine (Phila Pa 1976) 35(21 supple):S174–S179. https://doi.org/10.1097/BRS.0b013e3181f32c82 - DOI
    1. Hussain M, Nasir S, Moed A, Murtaza G (2011) Variations in practice patterns among neurosurgeons and orthopaedic surgeons in the management of spinal disorders. Asian Spine J 5(4):208–212. https://doi.org/10.4184/asj.2011.5.4.208 - DOI - PubMed - PMC
    1. Grauer JN, Vaccaro AR, Beiner JM, Kwon BK, Hilibrand AS, Harrop JS, Anderson G, Hurlbert J, Fehlings MG, Ludwig SC, Hedlund R, Arnold PM, Bono CM, Brodke DS, Dvorak MF, Fischer CG, Sledge JB, Shaffrey CI, Schwartz DG, Sears WR, Dickman C, Sharan A, Albert TJ, Rechtine GR, 2nd (2004) Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice. Spine (Phila Pa 1976) 29(6):685–696 - DOI
    1. Sollmann N, Morandell C, Albers L, Behr M, Preuss A, Dinkel A, Meyer B, Krieg SM (2018) Association of decision-making in spinal surgery with specialty and emotional involvement-the Indications in Spinal Surgery (INDIANA) survey. Acta Neurochir (Wien) 160(3):425–438. https://doi.org/10.1007/s00701-017-3459-7 - DOI
    1. ACGME website. https://www.acgme.org/Portals/0/PDFs/ab_ACGMEglossary.pdf

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