1. Recruitment & Educationin
Orthopedics
Survey
among EBOT members
Niels Wisbech Pedersen
Denmark

2. 21 of 25 (84%) of the listed members from 16 countries have answered
There is still a chance to participate

3. Why do this survey?
Impression from European colleagues that there are problems with recruitment
Impression that there is a problem recruiting female doctors in Orthopedics
Is there a connection between recruitment and education/working conditions/ recruitment initiatives?
If possible make a catalogue on recruitment initiatives

4. Recruitment is not a widespread national problem!
Germany
Denmark
Croatia

5. Recruitment is a common regional problem!

6. Recruitment problems – why?
Too few students
Low payment
Working hours restriction
Attraction of other health branches and administration
Trainees in orthopedics have a heavy on call duty nights and weekends
Bad reputation mainly among females, orthopedics considered hard,
long on calls, rough atmosphere
Only 3-4 weeks of education during the surgical term
Long training period, low salary
In fact, recruitment is not a problem but the fact that after or during residency
a higher and higher percentage of them leave the country
Many applicants don’t want to leave the capital area
Socio-cultural differences between regions are major problems in recruiting
residents to orthopedic departments in those areas
Small hospitals in isolated areas without bigger cities

7. Some countries solve recruitment problems with foreign candidates
Between 0 and 25 % of trainee positions are occupied by applicants from other countries

8. Exam is often needed – research is not a requirement

9. Are other qualifications evaluated for trainee positions
Only formal requirements are medical school, internship, 21 months and license to practice
Orthopedic residents are matched to orthopedic programs according to their performance and ranking in the general ''specialist training entrance exam''
360 degree evaluation, cooporation
Languages
Individual after application in hospitals with accreditations for orthopedic training. Depends on the head of program whom he chooses
The above are not mandatory but will gain points with scoring systems for short-listing before interview.
Research, previous experience
The trainee is chosen after a personal interview
Graduated medical school

10. Most appointment procedures are performed at the hospitals

11. Individual job interviews are common

12. Most countries have a national competence based curriculum

13. Average working week for trainees: 48 hours

14. Almost all trainees have a supervisor

15. Most departments have a Education Responsible Doctor

16. Almost all have exams during trainee position

17. Most countries have specialist exams

18. Most have evaluation of knowledge and surgical skills during trainee position

19. Other evaluations of competences
360 evaluation and all 7 doctors competences evaluated (medical expert,
academical, professional, health provider, leader and administrator,
communicator, cooperator
Log book for evaluation of skills in other medical fields and overview of per-
formed or assisted surgeries.
CME points from orthopedic meetings
PBA (ankle fracture, prox. femur fracture, arthroscopy)
Evaluations are not formalized and vary between hospitals
Teaching
Lecture presentations
Tests after courses

20. Most have evaluation of knowledge, surgical skills and research before becoming a specialist

21. Other evaluations of competences
These are optional but the majority of UK trainees will do some sort of fellowship
training in a sub-speciality e.g. revision arthroplasty. This is done after passing
the exam (FRCS T&O) and usually before CCT. Some trainees may do such a
fellowship after CCT and before taking up a consultant position.
You must either publish a paper in an orthopedic journal or write a theses on a
specific orthopedic topic. Board exam with board from members of Universities,
orthopedic society and Czech medical chamber
360 degree evaluation of doctors competences

22. Female doctors in Orthopedics

23. Female doctors in Orthopaedics

24. There seems to be a problem recruiting female doctors in Orthopaedics

25. Few countries accept part time work for female trainees - Few precautions following maternity leave - Little acceptance of leaving early to collect children from nursery school

26. Recruitment initiatives
Medical students
Basic doctors
Trainees

27. Recruitment initiatives Medical students Presentations/meetings

28. Recruitment initiatives Medical students Workshops

29. Recruitment initiatives Basic doctors Presentations/meetings

30. Recruitment initiatives Basic doctors Workshops

31. Reduced fee Membership National Orthopedic Society

32. Other recruitment initiatives for basic doctors
Residential positions in Universities
Regional meetings for all trainees in one region with both scientific and social programs
Locums during summer breaks in medical school
Hands-on courses, cadaver courses, basic science summer schools
Student information, summer school
Meetings, workshops, website

33. Most countries have a National Board of Education

34. Half the countries have a National Board for Younger Doctors

35. Less than half have a website to facilitate recruitment

36. Recruitment doesn’t seem to be at significant national problem
There are recruitment problems in regional areas in most countries
The survey gives no explanation to regional recruitment problems

37. There are recruitment problems among female doctors
Few precautions during pregnancy
Few precautions following maternity leave
Part time work among female doctors is not common
The survey gives no other obvious explanations to recruitment problems

38. Most countries have exams on several educational levels
Other competences seem to be of less importance except for surgical skills and to some extent research competences
Most countries have taken several recruitment initiatives

39. Thank you for your help