Where are orthopedic surgery graduates practising? A critical look at the last 30 years in Ontario

Q: What does this research mean for the field?

Recent orthopedic surgery graduates in Ontario are increasingly leaving Canada due to a perceived lack of professional opportunities, and almost none identify as generalists. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Silvio Ndoja; Holly S. Howe; Steven Papp; Emil H. Schemitsch; Brent A. Lanting

doi:10.1503/cjs.011525

March 31, 2026Canadian Journal of SurgeryOpen Access

Where are orthopedic surgery graduates practising? A critical look at the last 30 years in Ontario

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Key Points

To explore the practice locations of orthopedic surgery graduates in Ontario over the last 30 years and understand the factors influencing their career choices.
Analyzed historical data on orthopedic surgery graduates from Ontario over the last three decades.
Examined the impact of the graduating institution on career decisions, particularly emigration from Canada.
Conducted surveys to assess perceptions of opportunities in the field among recent graduates.
Found that recent graduates have a higher likelihood of leaving Canada for better opportunities.
University of Ottawa graduates reported the most significant challenges in finding jobs.
Indicated that a majority of graduates do not identify as generalists, reflecting a shift in residency education goals.

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Implication

Analysis reveals changing career opportunities for orthopedic surgery graduates in Ontario, suggesting educational re-evaluation.

Abstract

We found an effect of school on the probability of leaving Canada, with surgeons who graduated more recently leaving out of necessity. This suggests that more recent graduates believe there are not enough opportunities, with graduates of the University of Ottawa being the hardest hit. We also found that almost no one viewed themselves as a generalist, which suggests a re-evaluation of the goals of residency education.

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Cite This Study

Ndoja et al. (2026) studied this question.

synapsesocial.com/papers/69cf5c925a333a821460a12b https://doi.org/10.1503/cjs.011525

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Where are orthopedic surgery graduates practising? A critical look at the last 30 years in Ontario

Key Points

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Implication

Abstract

Discussion

Cite This Study

Where are orthopedic surgery graduates practising? A critical look at the last 30 years in Ontario

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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