Table 4.
Comparison of exposure ratings for scales in which graduates of orthopedic surgery Residency Review Committee-accredited fellowships report significantly better exposure than graduates of plastic surgery RRC-accredited fellowships
| Knowledge topics and procedures scales | PS RRC fellowship ratings (95 % CIa) | OS RRC fellowship ratings (95 % CIa) | p value |
|---|---|---|---|
| Fracture/dislocation/malunion/nonunion: metacarpal/phalangeal | 1.1 (1.1–1.3) | 1.0(1.0–1.0) | <0.01 |
| Fracture/dislocation/malunion/nonunion: carpus | 1.2 (1.1–1.4) | 1.1 (1.0–1.1) | <0.01 |
| Fracture/dislocation/malunion/nonunion: distal radius/ulna | 1.7 (1.3–2.0) | 1.2 (1.1–1.2) | <0.01 |
| Fracture/dislocation/malunion/nonunion: forearm | 1.9 (1.5–2.3) | 1.2 (1.1–1.3) | <0.01 |
| Ulnar nerve compression syndromes | 1.1 (0.9–1.2) | 1.0 (1.0–1.0) | 0.01 |
| Osteoarthritis: digits | 1.2 (1.1–1.4) | 1.1 (1.0–1.1) | <0.01 |
| Osteoarthritis: carpus | 1.5 (1.1–1.8) | 1.1 (1.1–1.2) | <0.01 |
| Osteoarthritis: radius/ulna | 1.6 (1.2–2.0) | 1.2 (1.2–1.3) | <0.01 |
| Synovectomy: inflammatory arthritis | 1.1 (0.9–1.3) | 1.0 (1.0–1.0) | 0.02 |
| PIPb joint release (Dupuytren) | 1.4 (0.9–1.8) | 1.1 (1.1–1.2) | 0.03 |
| CRPPc/ORIFd/ex-fixe: carpal/distal radius/distal ulna | 1.6 (1.3–1.9) | 1.3 (1.2–1.3) | 0.01 |
| ORIFd: forearm | 2.0 (1.4–2.6) | 1.3 (1.2–1.4) | <0.01 |
| Intercarpal repair/carpal fusion/wrist athroscopy | 1.8 (1.4–2.1) | 1.2 (1.2–1.3) | <0.01 |
| VBGf/fusion/denervation: avascular necrosis | 1.9 (1.5–2.2) | 1.4 (1.3–1.5) | 0.01 |
| Ulnar nerve transposition | 1.2 (0.9–1.5) | 1.0 (1.0–1.1) | 0.01 |
A greater proportion of orthopedic surgery-trained than plastic surgery-trained responders indicated receiving enough exposure for proficiency
aConfidence interval
bProximal interphalangeal
cClosed reduction percutaneous pining
dOpen reduction internal fixation
eExternal fixation
fVascularized bone graft