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Characterizing Leadership Trends in Hand Surgery Fellowship Programs.

Ashwin Madhan1, Manish P Mehta1, Peter R Swiatek1

  • 1Department of Orthopaedic Surgery, Northwestern Memorial Hospital, Chicago, IL.

Journal of Hand Surgery Global Online
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Hand surgery fellowship directors are predominantly White men with high research productivity. Specific training programs may create a pipeline for these leadership roles.

Keywords:
EducationFellowship directorHand surgeryLeadershipTrends

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery Fellowship Programs
  • Academic Medicine

Background:

  • Understanding the profile of fellowship directors (FDs) is crucial for shaping future leadership in hand surgery.
  • Previous characterizations of FDs in orthopedic subspecialties are limited.

Purpose of the Study:

  • To identify academic and demographic factors associated with hand surgery fellowship director roles.
  • To analyze educational and employment trends among these leaders.
  • To compare findings with other orthopedic subspecialties.

Main Methods:

  • Data collection through internet searches and direct contact with 88 hand surgery fellowship programs.
  • Analysis of demographic data, education, employment history, research productivity (H-index), and society memberships of 86 FDs.
  • Comparison with data from other orthopedic subspecialties.

Main Results:

  • FDs are predominantly male (88.4%) and White (74%), with a mean age of 53.3 years.
  • The average Scopus H-index was 16.3, indicating significant research productivity.
  • Most FDs completed orthopedic surgery residency, with specific institutions like the University of Pennsylvania and Mayo Clinic being frequent training grounds.

Conclusions:

  • Hand surgery fellowship directors are largely White men, characterized by high research output.
  • A few select programs appear to disproportionately supply FDs, suggesting a potential pipeline effect or targeted career aspirations.