Orthopedic Residency Programs: What are Our Current Goals? An International Society of Orthopedic Centers (ISOC) Delphi Consensus

Strengths: This is an international effort to standardize and elevate orthopedic residency training with a diverse panel of experts, ensuring that the consensus reflects a wide range of perspectives across different healthcare systems. The high level of agreement on many key recommendations provides a clear framework for educational institutions. Limitations: The variability in training needs and resources among institutions may limit applicability. The inherent subjectivity of the Delphi method also remains a consideration when interpreting the consensus data. Future Perspectives: We offer a blueprint for the evolution of orthopedic residency programs. Future research should focus on longitudinal studies that evaluate the impact on resident competence and patient outcomes. Exploring adaptive curricular models and sustainable funding mechanisms may help training programs to remain both cutting edge and contextually relevant. Future ISOC meetings will include follow-up surveys to evaluate modifications to the curriculum at these centers.