{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:59:41Z","timestamp":1790103581641,"version":"4.0.1"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Access to orthopaedic education varies substantially across institutions, particularly at medical schools without affiliated residency programs. Faculty-supervised, peer-facilitated fracture conference curricula have emerged as a potential solution, yet evidence evaluating their impact remains limited. This study evaluated a structured, faculty-supervised fracture conference curriculum at medical schools without an affiliated orthopaedic department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional survey was administered to medical students who attended at least 1 session of a 13-module fracture conference curriculum between Fall 2022 and Spring 2026. The survey assessed pre- and postparticipation perceived familiarity across 7 orthopaedic skill domains, interest in orthopaedic surgery, agreement with 6 predefined statements evaluating educational value, and barriers to participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-one respondents were included. Respondents reported consistent improvements in perceived familiarity across all 7 domains (all p &lt; 0.001). Agreement with 6 predefined statements evaluating the program's educational value and impact had scores that were uniformly high, with respondents endorsing the low-stakes learning environment and the program's role in audition rotation preparedness. Among 10 respondents who completed an orthopaedic elective or away rotation, 90% rated the curriculum as \u201cVery\u201d or \u201cExtremely\u201d helpful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A structured, faculty-supervised fracture conference curriculum represents a potential approach to improving orthopaedic familiarity, specialty interest, and rotation preparedness among medical students at institutions without affiliated residency programs. This model may offer a low-resource, replicable framework for expanding orthopaedic exposure to students who currently lack access to specialty-specific education and warrants further evaluation through prospective, multi-institutional study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.oa.26.00152","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:00:36Z","timestamp":1790100036000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Bridging the Orthopaedic Education Gap"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9864-0272","authenticated-orcid":false,"given":"Lachlan F.","family":"Anderson","sequence":"first","affiliation":[{"name":"The Anne Marion Burnett School of Medicine at TCU, Fort Worth, Texas"},{"name":"Texas Hip and Knee Foundation, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8782-3787","authenticated-orcid":false,"given":"Carl","family":"Berghult","sequence":"additional","affiliation":[{"name":"The Anne Marion Burnett School of Medicine at TCU, Fort Worth, Texas"},{"name":"Texas Hip and Knee Foundation, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0598-2871","authenticated-orcid":false,"given":"Erica R.","family":"Olfson","sequence":"additional","affiliation":[{"name":"The Anne Marion Burnett School of Medicine at TCU, Fort Worth, Texas"},{"name":"Texas Hip and Knee Foundation, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Mellberg","sequence":"additional","affiliation":[{"name":"The Anne Marion Burnett School of Medicine at TCU, Fort Worth, Texas"},{"name":"Texas Hip and Knee Foundation, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7501-6003","authenticated-orcid":false,"given":"Mitchel","family":"Hawley","sequence":"additional","affiliation":[{"name":"Texas Hip and Knee Foundation, Fort Worth, Texas"},{"name":"Department of Orthopaedic Surgery, University of Arizona College of Medicine, Tucson, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1883-9486","authenticated-orcid":false,"given":"Anne M.","family":"Boeckmann","sequence":"additional","affiliation":[{"name":"Texas Hip and Knee Foundation, Fort Worth, Texas"},{"name":"Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David N.","family":"Shau","sequence":"additional","affiliation":[{"name":"The Anne Marion Burnett School of Medicine at TCU, Fort Worth, Texas"},{"name":"Texas Hip and Knee Foundation, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"issue":"4","key":"R1-20260922","doi-asserted-by":"crossref","first-page":"e25.00155","DOI":"10.2106\/JBJS.OA.25.00155","article-title":"The current state of musculoskeletal education and orthopaedic surgery exposure in US allopathic medical schools","volume":"10","author":"Scambler","year":"2025","journal-title":"JBJS Open Access"},{"issue":"4","key":"R2-20260922","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1007\/s11999-015-4511-7","article-title":"Musculoskeletal medicine is underrepresented in the American medical school clinical curriculum","volume":"474","author":"DiGiovanni","year":"2016","journal-title":"Clin Orthop Relat Res."},{"issue":"1","key":"R3-20260922","doi-asserted-by":"crossref","first-page":"e25.00246","DOI":"10.2106\/JBJS.OA.25.00246","article-title":"Preclinical musculoskeletal curriculum duration in US allopathic medical schools","volume":"11","author":"Anderson","year":"2026","journal-title":"JBJS Open Access"},{"issue":"19","key":"R4-20260922","doi-asserted-by":"crossref","first-page":"e146(1","DOI":"10.2106\/JBJS.K.01286","article-title":"Medical student musculoskeletal education: an institutional survey","volume":"94","author":"Skelley","year":"2012","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"R5-20260922","first-page":"e25.00047","article-title":"Orthopaedic representation in medical school leadership: implications for musculoskeletal education","volume":"10","author":"Scambler","year":"2025","journal-title":"JB JS Open Access"},{"issue":"1","key":"R6-20260922","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5435\/JAAOS-D-24-00495","article-title":"Bridging the gap: advocating for medical students without home orthopaedic surgery programs","volume":"33","author":"Tabaie","year":"2025","journal-title":"J Am Acad Orthop Surg"},{"issue":"4","key":"R7-20260922","doi-asserted-by":"crossref","first-page":"e25.00129","DOI":"10.2106\/JBJS.OA.25.00129","article-title":"Assessing medical student preparedness for orthopaedic clinical rotations: insights from a cross-sectional survey","volume":"10","author":"Hawley","year":"2025","journal-title":"JBJS Open Access"},{"issue":"2","key":"R8-20260922","doi-asserted-by":"crossref","first-page":"e24.00173","DOI":"10.2106\/JBJS.OA.24.00173","article-title":"Impact of medical school ranking and other predictive factors on the 2020 to 2022 orthopaedic surgery match","volume":"10","author":"Perry","year":"2025","journal-title":"JBJS Open Access"},{"issue":"23","key":"R9-20260922","doi-asserted-by":"crossref","first-page":"945","DOI":"10.5435\/JAAOS-D-20-00485","article-title":"Curriculum reform and new technology to fill the void of musculoskeletal education in medical school curriculum","volume":"28","author":"Lynch","year":"2020","journal-title":"J Am Acad Orthop Surg."},{"issue":"11S","key":"R10-20260922","doi-asserted-by":"crossref","first-page":"S28","DOI":"10.1097\/ACM.0000000000002897","article-title":"Exploring the construct of psychological safety in medical education","volume":"94","author":"Tsuei","year":"2019","journal-title":"Acad Med."},{"issue":"10","key":"R11-20260922","doi-asserted-by":"crossref","first-page":"2239","DOI":"10.1097\/CORR.0000000000001751","article-title":"Does medical students' sense of belonging affect their interest in orthopaedic surgery careers? A qualitative investigation","volume":"479","author":"Gerull","year":"2021","journal-title":"Clin Orthop Relat Res."},{"issue":"3","key":"R12-20260922","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1007\/s10067-019-04889-4","article-title":"Psychological safety, the hidden curriculum, and ambiguity in medicine","volume":"39","author":"Torralba","year":"2020","journal-title":"Clin Rheumatol."},{"issue":"4","key":"R13-20260922","doi-asserted-by":"crossref","first-page":"e25.00178","DOI":"10.2106\/JBJS.OA.25.00178","article-title":"Bridging student leadership and faculty mentorship in orthopaedic research and clinical education","volume":"10","author":"Boeckmann","year":"2025","journal-title":"JBJS Open Access"},{"issue":"5","key":"R14-20260922","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1016\/j.jsurg.2014.01.007","article-title":"Results of a near-peer musculoskeletal medicine curriculum for senior medical students interested in orthopedic surgery","volume":"71","author":"Schiff","year":"2014","journal-title":"J Surg Educ."},{"issue":"1","key":"R15-20260922","doi-asserted-by":"crossref","first-page":"E55","DOI":"10.1503\/cjs.014723","article-title":"Outcomes of the Canadian Orthopaedic Surgery Medical Education Course (COSMEC): a virtual curriculum to enhance medical student learning","volume":"68","author":"Daud","year":"2025","journal-title":"Can J Surg."},{"issue":"22","key":"R16-20260922","doi-asserted-by":"crossref","first-page":"e1360","DOI":"10.5435\/JAAOS-D-25-00062","article-title":"Developing a Novel Orthopaedic Surgery Summer Program for medical students","volume":"33","author":"Patel","year":"2025","journal-title":"J Am Acad Orthop Surg"},{"issue":"4","key":"R19-20260922","doi-asserted-by":"crossref","first-page":"541","DOI":"10.4300\/JGME-5-4-18","article-title":"Analyzing and interpreting data from likert-type scales","volume":"5","author":"Sullivan","year":"2013","journal-title":"J Grad Med Educ"},{"issue":"4","key":"R20-20260922","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1016\/j.jsurg.2015.02.003","article-title":"Under the knife: medical student perceptions of intimidation and mistreatment","volume":"72","author":"Stone","year":"2015","journal-title":"J Surg Educ."},{"issue":"9","key":"R21-20260922","doi-asserted-by":"crossref","first-page":"e2534462","DOI":"10.1001\/jamanetworkopen.2025.34462","article-title":"Barriers and facilitators to surgical trainee psychological safety","volume":"8","author":"Chen","year":"2025","journal-title":"JAMA Netw Open"},{"issue":"24","key":"R22-20260922","doi-asserted-by":"crossref","first-page":"e1097","DOI":"10.5435\/JAAOS-D-19-00822","article-title":"Harassment, discrimination, and bullying in orthopaedics: a Work Environment and Culture Survey","volume":"28","author":"Balch Samora","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"issue":"2","key":"R23-20260922","doi-asserted-by":"crossref","first-page":"103375","DOI":"10.1016\/j.jsurg.2024.103375","article-title":"Characterizing the relationships amongst psychological safety, the learning environment, and well-being in surgical faculty and trainees","volume":"82","author":"Pradarelli","year":"2025","journal-title":"J Surg Educ."},{"issue":"11S","key":"R24-20260922","doi-asserted-by":"crossref","first-page":"S46","DOI":"10.1097\/ACM.0000000000004913","article-title":"Clinician teacher as leader: creating psychological safety in the clinical learning environment for medical students","volume":"97","author":"McClintock","year":"2022","journal-title":"Acad Med."},{"issue":"1","key":"R25-20260922","doi-asserted-by":"crossref","first-page":"103337","DOI":"10.1016\/j.jsurg.2024.103337","article-title":"OrthoACCESS 2.0: redesigning a national orthopaedic surgery curriculum for medical students using a flipped-classroom blended Learning model","volume":"82","author":"Dagher","year":"2025","journal-title":"J Surg Educ."},{"issue":"10","key":"R26-20260922","doi-asserted-by":"crossref","first-page":"2292","DOI":"10.2106\/JBJS.G.01676","article-title":"Design and implementation of a system-based course in musculoskeletal medicine for medical students","volume":"90","author":"Bilderback","year":"2008","journal-title":"J Bone Jt Surg Am"}],"container-title":["JBJS Open Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.OA.26.00152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:00:39Z","timestamp":1790100039000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.OA.26.00152"}},"subtitle":["Implementing a Fracture Conference Curriculum for Medical Students at Institutions Without Affiliated Residency Programs"],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.oa.26.00152","relation":{},"ISSN":["2472-7245","2472-7245"],"issn-type":[{"value":"2472-7245","type":"electronic"},{"value":"2472-7245","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}