Matteo Pejrona1, Gabriele Ristori1, Jorge Hugo Villafañe2, Fabrizio Ernesto Pregliasco3, Pedro Berjano1. 1. IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161 Milan (MI), Italy. 2. IRCCS Fondazione Don Carlo Gnocchi, Piazzale Morandi, 6, 20161 Milan (MI), Italy. Electronic address: mail@villafane.it. 3. IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy.
Abstract
BACKGROUND CONTEXT: Spine surgery is a multifaceted subspeciality requiring a breadth of knowledge and skill from different branches of medicine for the treatment of pathologies varying from degenerative to deformity, oncological, and trauma. PURPOSE: The aim of the study was to investigate the self-perceived competency of spine surgeons in relation to different types of spinal procedures. STUDY DESIGN/ SETTING: This is a survey study. METHODS: We conducted a survey on 176 surgeons (orthopedic surgeons and neurosurgeons). The instrument used for the assessment of the perceived ability was a survey consisting of 21 items (scenarios) developed and distributed through a professional online survey service to ensure confidentiality and anonymity. A newly proposed procedure-specific rating survey was used for the evaluation. Kruskal-Wallis non-parametric test was used to assess validity. A p-value of <.05 was considered statistically significant. A Cronbach α value of >0.8 indicated reliability. RESULTS: Between the respondents (101), 47.5% were orthopedic surgeons and 52.5% were neurosurgeons. The internal consistency of the questionnaire was satisfactory (Cronbach α=0.93). For common spinal conditions, the orthopedic surgeons and the neurosurgeons perceived a similar competency. The neurosurgeons felt more competent in some cervical conditions (upper cervical procedures, myelopathy) and in neurologic tumors of the spine. The orthopedic surgeons felt more competent in deformities of the spine and in pelvic trauma. CONCLUSIONS: Self-perceived surgical competency for common spinal conditions is similar for orthopedic and neurosurgically trained spine surgeons. For less common conditions and clinical scenarios, the combination of both specialties seems to cover better the full spectrum of surgical care for spinal conditions. Multidisciplinary teams and comprehensive, multidisciplinary spinal surgical training should be considered to provide full coverage of spinal pathology.
BACKGROUND CONTEXT: Spine surgery is a multifaceted subspeciality requiring a breadth of knowledge and skill from different branches of medicine for the treatment of pathologies varying from degenerative to deformity, oncological, and trauma. PURPOSE: The aim of the study was to investigate the self-perceived competency of spine surgeons in relation to different types of spinal procedures. STUDY DESIGN/ SETTING: This is a survey study. METHODS: We conducted a survey on 176 surgeons (orthopedic surgeons and neurosurgeons). The instrument used for the assessment of the perceived ability was a survey consisting of 21 items (scenarios) developed and distributed through a professional online survey service to ensure confidentiality and anonymity. A newly proposed procedure-specific rating survey was used for the evaluation. Kruskal-Wallis non-parametric test was used to assess validity. A p-value of <.05 was considered statistically significant. A Cronbach α value of >0.8 indicated reliability. RESULTS: Between the respondents (101), 47.5% were orthopedic surgeons and 52.5% were neurosurgeons. The internal consistency of the questionnaire was satisfactory (Cronbach α=0.93). For common spinal conditions, the orthopedic surgeons and the neurosurgeons perceived a similar competency. The neurosurgeons felt more competent in some cervical conditions (upper cervical procedures, myelopathy) and in neurologic tumors of the spine. The orthopedic surgeons felt more competent in deformities of the spine and in pelvic trauma. CONCLUSIONS: Self-perceived surgical competency for common spinal conditions is similar for orthopedic and neurosurgically trained spine surgeons. For less common conditions and clinical scenarios, the combination of both specialties seems to cover better the full spectrum of surgical care for spinal conditions. Multidisciplinary teams and comprehensive, multidisciplinary spinal surgical training should be considered to provide full coverage of spinal pathology.
Authors: Jong-Myung Jung; Si Un Lee; Seung-Jae Hyun; Ki-Jeong Kim; Tae-Ahn Jahng; Chang Wan Oh; Hyun-Jib Kim Journal: J Korean Neurosurg Soc Date: 2019-08-14
Authors: Alfredo José Guiroy; Matias Pereira Duarte; Juan Pablo Cabrera; Nicolás Coombes; Martin Gagliardi; Alberto Gotfryd; Charles Carazzo; Nestor Taboada; Asdrubal Falavigna Journal: Surg Neurol Int Date: 2020-11-11
Authors: Anoop R Galivanche; Courtney Toombs; Murillo Adrados; Wyatt B David; Rohil Malpani; Comron Saifi; Peter G Whang; Jonathan N Grauer; Arya G Varthi Journal: Neurospine Date: 2021-03-31