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Related Experiment Video

Updated: Apr 21, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

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Orthopedic Residency Training Reform in Iran: A Competency-Based Approach.

Omid Salkhori1,2, Nima Bagheri1,2, Seyed Hadi Kalantar1,2

  • 1Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.

The Archives of Bone and Joint Surgery
|April 20, 2026
PubMed
Summary

A new competency-based orthopedic residency curriculum in Iran improves trainee satisfaction and reduces burnout. This model better prepares residents for subspecialized practice and enhances overall well-being.

Keywords:
Competency-based educationCurriculum reformIranOrthopedic residencyResident wellness

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Area of Science:

  • Medical Education
  • Orthopedic Surgery Training
  • Curriculum Development

Background:

  • The traditional time-based apprenticeship model in Iranian orthopedic residency training requires evaluation.
  • Trainee burnout and dissatisfaction are significant issues within current orthopedic residency programs.

Purpose of the Study:

  • To critically evaluate the existing time-based orthopedic residency model in Iran.
  • To design a competency-based curriculum for the initial two years of orthopedic residency.
  • To align training with modern subspecialized practice and address trainee well-being.

Main Methods:

  • Narrative appraisal of Iranian training standards and synthesis of resident-reported challenges.
  • Review of international competency-based frameworks (North America, Europe, Australasia).
  • Development and expert panel refinement of explicit milestones and assessment tools.

Main Results:

  • A curriculum with 42 competencies across five domains, replacing seniority-based progression with milestone-triggered advancement.
  • Integration of simulation laboratories, structured feedback, and wellness sessions.
  • Pilot implementation showed increased resident satisfaction and a 30% reduction in burnout symptoms.

Conclusions:

  • A competency-based, well-supported curriculum enhances orthopedic resident preparedness and well-being.
  • Recommended for nationwide implementation to align with contemporary clinical practice standards.