Survey on the surgical skills of orthopedics and traumatology residents from accredited and nonaccredited institutions in İstanbul

Objective: To investigate whether orthopedic and traumatology residents who are undergoing training achieve competence in surgical techniques after completion of their specialization and to determine whether there are significant differences between the responses of residents from accredited and nonaccredited institutions. Methods: A total of 131 orthopedics and traumatology residents from nine institutions in the İstanbul province answered the questionnaire during the morning training meeting. In addition to basic demographic data, level of seniority, equipment competence, and theoretical and practical training, the residents were asked about their opinion on what type of surgeries they could perform after their specialization, considering the surgery and follow-up of the case as well as the complications occurring during this period. The residents responded to questions on 46 surgeries under the main headings of trauma, arthroscopy, arthroplasty, spine, pediatric orthopedics, hand surgery, deformity, and bone and soft tissue tumors. In addition to descriptive statistical methods, one-way analysis of variance, Tukey’s multiple comparison test, and chi square test were used to evaluate the data. The significance level for the results was set at p


1. Öztuna V. Eğitimde akreditasyonun önemi. TOTBID Dergisi. 2014; 13(6). doi:10.14292/totbid.dergisi.2014.57 [CrossRef]

2. Türk Ortopedi ve Travmatoloji Eğitim Konseyi (TOTEK) Kurum Ziyaretleri ve Akreditasyon Programı Esasları ve Akreditasyon Standartları. Available from: akreditasyon%20esaslari.pdf.

3. Tabrizi JS, Gharibi F, Wilson AJ. Advantages and disadvantages of health care accreditation models. Health Promot Perspect 2011; 1: 1-31.

4. Geoffrion R, Koenig N, Sanaee MS, Lee T, Todd NJ. Optimizing resident operative self-confidence through competency-based surgical education modules: are we there yet?. Int Urogynecol J 2018; 30: 423-8. [CrossRef]

5. Accreditation Council for Graduate Medical Education. Orthopaedic surgery program requirements. Available from: https://

6. Chaer RA, Derubertis BG, Lin SC, et al. Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study. Ann Surg 2006; 244: 343-52. [CrossRef]

7. Angelo RL, Pedowitz RA, Ryu RK, Gallagher AG. The Bankart performance metrics combined with a shoulder model simulator create a precise and accurate training tool for measuring surgeon skill. Arthroscopy 2015; 31: 1639-54. [CrossRef]

8. Angelo RL, Ryu RK, Pedowitz RA, et al. A proficiency-based progression training curriculum coupled with a model simulator results in the acquisition of a superior arthroscopic bankart skill set. Arthroscopy 2015; 31: 1854-71. [CrossRef]

9. Van Heest A, Putnam M, Agel J, Shanedling J, McPherson S, Schmitz C. Assessment of technical skills of orthopaedic surgery residents performing open carpal tunnel release surgery. J Bone Joint Surg Am 2009; 91: 2811-7. [CrossRef]

10. Gil JA, Daniels AH, Weiss AP. Variability in surgical case volume of orthopaedic surgery residents: 2007 to 2013. J Am Acad Orthop Surg 2016; 24: 207-12. [CrossRef]

11. Goldin SB, Wahi MM, Farooq OS, et al. Student quality-of-life declines during third year surgical clerkship. J Surg Res 2007; 143: 151-7. [CrossRef]

12. Dokuzlar U, Miman MC, Denizoğlu İİ, Eğrilmez M. Opinions of otorhinolaryngology residents about their education process. Turk Arch Otorhinolaryngol 2015; 53: 100-7. [CrossRef]

13. Huri G, Cabuk YS, Gursoy S, et al. Evaluation of the orthopaedics and traumatology resident education in Turkey: A descriptive study. Acta Orthop Traumatol Turc 2016; 50: 567-71. [CrossRef]

14. Orthopaedic Surgery Minimum Numbers Review Committee for Orthopaedic Surgery. Available from: Accessed: 2019, April 20

15. Daniels A, Ames C, Smith J, Hart R. Variability in spine surgery procedures performed during orthopedic and neurological surgery residency training: An analysis of ACGME case log data. Spine J 2014; 14: 111-2. [CrossRef]

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