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Challenges and influencing factors in hand surgery subspecialty training: a nationwide survey of orthopedic, plastic, and hand surgery residents in Türkiye

Acta Orthopaedica Et Traumatologica Turcica · Mayıs 2025

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YÖKSİS Kayıtları
Challenges and influencing factors in hand surgery subspecialty training: a nationwide survey of orthopedic, plastic, and hand surgery residents in Türkiye
Acta Orthopaedica et Traumatologica Turcica · 2025 SCI-Expanded
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Makale Bilgileri

DergiActa Orthopaedica Et Traumatologica Turcica
Yayın TarihiMayıs 2025
Cilt / Sayfa59 · 141-145
Erişim🔓 Açık Erişim
Özet Objective: This study aimed to identify the factors influencing the decisions of orthopedic and plastic surgery residents in Türkiye regarding their pursuit of a subspecialty in hand surgery, as well as to evaluate the challenges faced during hand surgery training. Methods: A national survey was conducted among residents in orthopedic and trauma surgery (n = 92), plastic surgery (n = 84), and hand surgery (n = 12). The survey, developed from literature reviews and previous studies, was distributed online, and responses were collected via Google Forms. Orthopedic and plastic surgery residents responded using a 4-point Likert scale, while hand surgery residents answered multiple-choice questions. The collected data were analyzed to determine factors influencing career choices, training adequacy, and the challenges faced by residents. Results: The analysis revealed a negative correlation between the high volume of emergency hand surgery cases and residents’ inclination toward the subspecialty (r = −0.217, P <.05). Theoretical training was significantly linked to enhanced hand surgery knowledge and skills (r = 0.213, P <.05), whereas the lack of adequate training infrastructure negatively affected residents’ experience (r = 0.390, P <.05). Financial concerns and heavy workloads were identified as major challenges, with 33.3% of hand surgery subspecialty residents considering quitting their program. The study also highlighted a lack of continuity in training, insufficient exposure to elective hand surgery cases, and limited access to international educational opportunities. Conclusion: The findings indicate a need to enhance both the theoretical and practical aspects of hand surgery training in Türkiye. By addressing financial and workload-related concerns, improving clinical exposure, and expanding access to microsurgical tools and training resources, it may be possible to increase interest in the subspecialty and ensure a sustainable workforce of hand surgeons in the future. Level of Evidence: N/A.

Yazarlar (5)

1
Muhammet Okkan
ORCID: 0000-0003-4549-0317
2
Ibrahim Caltiner
3
Anıl Tarık Saygılı
ORCID: 0009-0009-2032-847X
4
Gokce Yildiran
5
Melih Bağır
ORCID: 0000-0002-3761-8774

Anahtar Kelimeler

Hand surgery Orthopedics and traumatology Plastic surgery Resident Subspecialty

Kurumlar

Çukurova Üniversitesi Tip Fakültesi
Adana Turkey
Mersin Üniversitesi Tip Fakültesi
Mersin Turkey
Selçuk Üniversitesi
Selçuklu Turkey

Metrikler

1
Atıf
5
Yazar
5
Anahtar Kelime

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