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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25861

Title: Canadian Spine Surgery: A Review of Educational Objectives in Fellowship Training and Evaluation of Outcomes in Current Surgical Practice
Authors: Malempati, Harsha Sree
Advisor: Yee, Albert
Department: Medical Science
Keywords: spine surgery
competencies
degenerative lumbar spine
fellowship training
orthopaedic surgery
neurosurgery
Issue Date: 12-Jan-2011
Abstract: There have been many advances in surgical residency education and similar interest exists in fellowship education. This study evaluated perceptions among spine surgeons about the specific competencies required for successful spine surgical fellowship training, and then compared these perceptions to clinical practice. Firstly, a questionnaire was administered to spine fellow trainees and academic spine surgeons across Canada in order to identify the cognitive and technical skills required for successful spine fellowship training. Fellowship trainees and supervisors had similar perceptions on the relative importance of specific cognitive and technical competencies. Differences in perceptions were found when comparing surgeons based on background residency specialty training (orthopaedic surgical or neurosurgical). Secondly, using administrative data, a retrospective study assessed volumes, surgeon characteristics, and outcomes for surgery of the degenerative lumbar spine in Ontario between 1995 and 2001. Neurosurgeons were found to perform more decompressions, and more total procedures, than orthopaedic surgeons with similar outcomes.
URI: http://hdl.handle.net/1807/25861
Appears in Collections:Master

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