Educational Resource Utilization by Current Orthopaedic Surgical Residents: A Nation-wide Survey

Background: More than 150 accredited orthopaedic residency programs exist in the United States with more than 3,300 residents. Every year, between 600 and 800 orthopaedic surgeons complete board certification. However, little is known about what residents use and prefer of the many resources available to them. The purpose of this study is to understand how orthopaedic residents across the country prioritize educational resources. Methods: An 18-question survey with subqueries was compiled on the REDCap (Research Electronic Data Capture) platform. Residents were reached through program coordinators, program directors, and word of mouth. There were 374 total respondents. Responses were summarized for the total population and stratified separately by sex, location, and year of training. P values were adjusted for multiple comparisons using the Bonferroni method. Results: Respondents were 83.4% male and 16.6% female. Orthobullets was the single most valued resource and general review articles were the single most valued journal resource. The average time spent studyingwas 10.7 hr/wk (SD=7.6), with no notable differences by programlocation or sex. A significantly larger percentage of female residents placed more importance on specialty-specific journals (32.8% rated as very important versus 19.9% from males, P=0.016) and research-related journals (P=0.004). VuMedi use significantly increased until postgraduate year-4 (P<0.001), whereas residents earlier in training used YouTube more often (P=0.026). There were differences in journal prioritization by program region, with the Midwest, Northeast, and South preferring primary, focused articles and the Northeast, South, and West emphasizing systematic review articles (P=0.032). Industry-sponsored events were used by 67.4% of residents as an educational adjunct. Conclusions: Current residents-regardless of sex, location, and year in training-use Orthobullets and other electronic resources. There continues to be utilization of industry-sponsored resources, although they are not the primary focus for those in training.