POSE-UK: Paediatric orthopaedic surgery exposure in the UK

Area of Science:

• Orthopaedic Surgery
• Pediatric Orthopaedics
• Surgical Education

Background:

• Orthopaedic trainees have varied early exposure to pediatric orthopaedics.
• Factors influencing subspecialty selection are not well understood.
• Current training may not adequately prepare trainees for pediatric orthopaedic emergencies.

Purpose of the Study:

• Investigate early exposure of orthopaedic trainees to pediatric orthopaedics.
• Explore training experiences and influencing factors for subspecialty selection.
• Assess confidence in performing standard emergency pediatric orthopaedic procedures.

Main Methods:

• National electronic survey distributed to British Orthopaedic Trainees' Association members.
• Pilot survey conducted with British Society of Children's Orthopaedic Surgery members.
• Thematic analysis of open, closed, and free-text responses using NVivo software.

Main Results:

• 133 responses received from UK and Ireland trainees.
• Significant variation in timing of first pediatric orthopaedic exposure; 25% encountered it late (ST6+).
• Limited theatre exposure and insufficient emphasis contribute to lack of interest; trainees lack confidence in emergency procedures and may not meet training requirements.

Conclusions:

• Earlier and more extensive pediatric orthopaedic exposure can increase subspecialty interest.
• Enhanced training in emergency pediatric orthopaedics is vital for consultant readiness.
• Addressing training gaps ensures competence in essential pediatric orthopaedic procedures.