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Development of an Orthopedic Surgery Anatomy Curricular Model for Fourth Year Medical Students Using a Modified
Jorge H Figueras1, Dorothy Chan1, Bhargavi Maheshwer2
1Department of Orthopedics and Sports Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio; Department of Medical Education, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Objective:
The purpose of this study was to develop anatomy-focused learning outcomes that can be used to design a fourth-year elective for students matriculating into orthopedic surgery residencies.
Design:
A series of proposed learning outcomes (N=72) was developed using the ACGME Orthopedic Milestones 2.0 as a framework. In 2021, these were converted into a survey asking participants to rate the importance of each outcome on a 5-point Likert scale. The modified Delphi Method was used to refine the list of outcomes until group consensus was achieved. The consensus was defined using a conservative 3-tier approach.
Setting:
Eighteen academic centers with an associated orthopedic surgery residency.
Participants:
Twenty-six orthopedic surgeons (ranging from 1 to 42 years in practice).
Results:
Of the 72 learning outcomes from the first-round survey, 25 met consensus criteria. Of the 62 learning outcomes from the second-round survey, 45 met consensus criteria. All learning outcomes that met consensus criteria after the second-round survey were stratified into low-yield (n = 8), intermediate-yield (n = 34), and high-yield (n = 28) categories.
Conclusion:
Using a modified Delphi Method, this study elicited feedback from experts in the field of orthopedic surgery to develop a framework for a fourth-year elective focused on anatomical concepts important for students applying to residencies in orthopedic surgery. The product of this process affords a great deal of flexibility when utilizing the results of this study in institution-specific curricular development.
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