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A role delineation study of hand surgery
Curtis M Steyers1, Sally H Chai1, William F Blair1
1Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics and the Health Programs Department of The American College Testing Program, Iowa City, Iowa, USA.
The Journal of Hand Surgery
|February 5, 2025
Summary
A 1986 study defined essential knowledge and skills for competent hand surgery practice. Data from 838 surgeons informs education and practice pattern analysis in hand surgery.
Area of Science:
- Orthopedics
- Surgical Education
- Medical Practice Analysis
Background:
- Jointly sponsored by The American Association for Hand Surgery and the American Society for Surgery of the Hand in 1986.
- Initiated to define the scope of hand surgery practice.
- Aimed to establish criteria for competent practice.
Observation:
- A self-report questionnaire was distributed to 838 hand surgeons.
- Data collected included surgeon demographics, procedure importance, and knowledge categories.
- Surgeons' opinions on certification in hand surgery were also gathered.
Findings:
- This study represents the first comprehensive effort to delineate the domain of hand surgery.
- Identified key knowledge areas and surgical procedures critical to the specialty.
- Provided insights into the responsibilities and activities of practicing hand surgeons.
Implications:
- The findings serve as a foundation for developing residency, fellowship, and continuing education programs.
- Data can inform studies on healthcare workforce needs and regional practice variations.
- Highlights the educational needs within the hand surgery profession.

