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The TROJAN Project: Creating a Customized International Orthopedic Training Program for Junior Doctors.

Ashish Kalraiya1, Pranai Buddhdev2

  • 1Department of Orthopedics, Edendale Hospital , Pietermaritzburg, South Africa.

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|April 16, 2015
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Summary

This study developed the TROJAN (Teaching Requested by Orthopaedic Juniors And Novices) program to address the gap in orthopedic education for junior doctors. The program tailors orthopedic training to local needs, receiving highly positive feedback.

Keywords:
educationorthopedicstrauma

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Area of Science:

  • Medical Education
  • Orthopedic Surgery
  • Global Health

Background:

  • Musculoskeletal conditions represent a significant patient load (15-36%) for physicians worldwide.
  • Current medical school curricula inadequately cover orthopedic knowledge and skills relative to their clinical prevalence.
  • A disparity exists in the practical versus theoretical orthopedic training needs of junior doctors globally.

Purpose of the Study:

  • To develop an international orthopedic teaching program, TROJAN (Teaching Requested by Orthopaedic Juniors And Novices), to bridge the educational gap for junior doctors.
  • To tailor orthopedic training content to the specific knowledge and skills required by junior doctors in diverse international settings.
  • To evaluate the effectiveness and utility of the TROJAN program in South Africa and the United Kingdom.

Main Methods:

  • A prospective study surveyed 50 junior doctors (South Africa and UK) on essential orthopedic topics for their practice.
  • The most frequently requested topics informed the curriculum design for the TROJAN training program workshops.
  • The TROJAN program was implemented in KwaZulu-Natal, South Africa, and London, UK, with participants within two years of graduation.

Main Results:

  • South African junior doctors prioritized practical skills (49%), including fracture reduction and open fracture management.
  • UK junior doctors most frequently requested training in neck of femur fracture management.
  • The TROJAN program demonstrated location-specific needs, with South African doctors requiring more hands-on skills and UK doctors focusing on pre-operative optimization and management planning.

Conclusions:

  • The TROJAN program successfully addresses the identified needs for orthopedic education among junior doctors in South Africa and the United Kingdom.
  • The program's success highlights the importance of location-specific curriculum development in medical education.
  • The exceptionally positive feedback underscores the high perceived value and utility of the TROJAN training program.