Abstract

Objective: This study aimed to examine the involvement of orthopedic residents in oncology in Saudi Arabia and investigate why it is the least preferred fellowship.
Methods: This cross-sectional study was conducted between May and October 2024 among orthopedic residents in Saudi Arabia. A validated questionnaire was distributed electronically through social media plat forms, and data on the residents’ exposure to orthopedic oncology, their fellowship preferences, and the factors influencing their choices were examined.
Results: A total of 40 participants (51% response rate) completed the questionnaire. The majority were post graduate year 4 residents (40%, 16 of 40 participants). Overall, 93% (37 of 40 participants) reported having an oncology rotation as part of their 5-year program, with 8% (3 of 40 participants) having two. Additionally, 95% (38 of 40 participants) expressed no interest in pursuing an orthopedic oncology fellowship. The main reasons cited were institutional needs, expected income, private job opportunities, and post-fellowship job availability.
Conclusion: Since orthopedic oncology cases were relatively rare, the preference for other subspecialties was understandable. To increase interest in orthopedic oncology, residency programs should provide more exposure to this field, consider double fellowships, and balance the appeal of more popular specialties such as sports injuries.

Key words: Internship, residency, orthopedics, medical oncology, Saudi Arabia