• Abdulaziz Al-Ahaideb, Hamza M Alrabai, Osama A Alrehaili, Abdulaziz N Aljurayyan, Ranyah M Alsaif, Nizar Algarni, Hazem M Al-Khawashki, and Abdulrahman D Algarni.
• Department of Orthopedics, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
• Adv Med Educ Pract. 2014 Jan 1;5:315-21.

ObjectiveThe primary aim of the present study was to assess the quality of the Saudi Orthopedic Residency Program.MethodologyAs a comparator, a cross-sectional survey involving 76 Saudi residents from different training centers in Saudi Arabia namely; Riyadh, Jeddah, Medina, Abha, and Dammam and 15 Canadian.ResultsThe results showed that Canadian residents read more peer-reviewed, scholarly articles compared with Saudi residents (P=0.002). The primary surgical role for residents was to hold retractors during surgery. The survey respondents strongly supported the ability to recommend removal of incompetent trainers. Saudi trainees were more apprehensive of examinations than Canadian trainees (P<0.0001). Most residents preferred studying multiple-choice questions before examinations. Saudi and Canadian participants considered their programs to be overcrowded. Unlike Canadian participants, Saudi trainees reported an inadequate level of training (P<0.0001).ConclusionEducational resources should be readily accessible and a mentorship system monitoring residents' progress should be developed. The role of the resident must be clearly defined and resident feedback should not be ignored. Given the importance of mastering basic orthopedic operative skills for residents, meaningful remedial action should be taken with incompetent trainers.

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