BACKGROUND The claim that "50% of orthopaedic surgeons leave their first job within 2 years" did not originate from evidence. The purpose of this study was to investigate practice change rates among board- eligible orthopaedic surgeons using the American Board of Orthopaedic Surgery (ABOS) database. METHODS We utilized information provided by orthopaedic surgeons taking the ABOS Part II Examination across 6 different years. Surgeons who trained outside of the United States and members of the uniformed services of the U.S. were excluded. Move rates within 2 years of starting practice and before the candidate's Part II examination were determined. All surgeons were then subcategorized as having followed a traditional or nontraditional certification timeline based on whether they took Part II of the examination within 2 practice years after becoming board-eligible. Candidate-specific variables were analyzed according to whether the surgeon did or did not change practices. RESULTS Among 3,784 orthopaedic surgeons, 215 (5.7%) left their first practice within 2 years. On average, candidates sat for the Part II examination at a mean (and standard deviation) of 2.1 ± 1.1 years (range, 0.7 to 31.9 years) after reporting their first practice location. Seventy-six percent of surgeons took the Part II examination within a traditional timeframe. On average, nontraditional candidates left their first practice at a significantly higher rate than traditional candidates (20.5% versus 1.3%; p < 0.001), changed practices more often (1.5 versus 1.2 moves; p = 0.021), and moved farther (500.1 versus 304.4 miles; p = 0.023). Fellowship training and/or Part II examination subspecialty were not strongly associated with a surgeon leaving his or her first practice. CONCLUSIONS While it is possible that >5.7% of orthopaedic surgeons leave their first job during their early career, it is unlikely that many relocate within 2 years. This is especially true among orthopaedic surgeons pursuing ABOS certification within a traditional timeframe.

中文翻译：

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一半的整形外科医生在头两年内换工作吗？：使用美国整形外科委员会数据库进行的分析。


背景 “50%的整形外科医生在两年内离开第一份工作”的说法并没有证据。本研究的目的是利用美国骨外科委员会 (ABOS) 数据库调查符合委员会资格的骨科医生的实践变化率。方法 我们利用了 6 个不同年份参加 ABOS 第二部分考试的骨科医生提供的信息。在美国境外接受培训的外科医生和美国军警人员被排除在外。开始执业后两年内和考生第二部分考试之前的转岗率已确定。然后，根据所有外科医生是否在获得委员会资格后的 2 个执业年内参加了第二部分考试，将他们分为遵循传统或非传统认证时间表的类别。根据外科医生是否改变做法来分析候选人特定的变量。结果 在 3,784 名骨科医生中，215 名（5.7%）在 2 年内离开了他们的第一次执业。平均而言，考生在报告其首次执业地点后参加第二部分考试的平均时间（和标准差）为 2.1 ± 1.1 年（范围为 0.7 至 31.9 年）。 76% 的外科医生在传统时间范围内参加了第二部分考试。平均而言，非传统考生离开第一次练习的比率明显高于传统考生（20.5% 与 1.3%；p < 0.001），更频繁地改变练习（1.5 次与 1.2 次移动；p = 0.021），并且移动得更远（500.1）与 304.4 英里相比；p = 0.023）。专科培训和/或第二部分考试亚专业与外科医生离开他或她的第一次执业没有密切关系。 结论 虽然 >5.7% 的骨科医生可能在职业生涯早期离开第一份工作，但许多人不太可能在 2 年内搬迁。对于在传统时间范围内寻求 ABOS 认证的骨科医生来说尤其如此。