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Orthopedic education

Fadi Bouri, Walid El Ansari, Shady Mahmoud, Ahmed Elhessy, Abdulla Al-Ansari, Mohamed Al Ateeq Al-Dosari
Pain is a challenge for orthopedic healthcare professionals (OHCP). However, pain studies examined the competencies of a single OHCP category, did not consider various pain management domains or barriers to optimal pain service, and are deficient across the Arabic Eastern Mediterranean region. We surveyed OHCP's recognition and knowledge of pain and perceived barriers to optimal pain service (361 OHCP, five hospitals). Chi square compared doctors' ( n = 63) vs. nurses/physiotherapists' ( n = 187) views. In terms of pain recognition, more nurses had pain management training, confidently assessed pediatric/elderly pain, were aware of their departments' pain protocols, and felt that their patients receive proper pain management...
August 13, 2018: Healthcare (Basel, Switzerland)
Seung Woon Rha, Seung Hyuk Choi, Doo Il Kim, Dong Woon Jeon, Jae Hwan Lee, Kyung Soon Hong, Tae Joon Cha, Jang Hyun Cho, Sang Kon Lee, Yong Hwan Park, Woo Jung Park, Hyun Joo Kim, Young Joo Kim, Juneyoung Lee, Donghoon Choi
BACKGROUND AND OBJECTIVES: We aimed to investigate the history of medical resource consumption and quality of life (QoL) in peripheral arterial disease (PAD) patients in Korea. METHODS: This was a prospective, multi-center (23 tertiary-hospitals, division of cardiology), non-interventional study. Adult patients (age ≥20 years) suffering from PAD for the last 12-month were enrolled in the study if they met with any of following; 1) ankle-brachial index (ABI) ≤0...
June 18, 2018: Korean Circulation Journal
Carol A Mancuso, Roland Duculan, Frank P Cammisa, Andrew A Sama, Alexander P Hughes, Darren R Lebl, Federico P Girardi
STUDY DESIGN: Cross-sectional mixed methods analysis of sources of expectations of lumbar surgery. OBJECTIVE: To ascertain sources of expectations and compare them to clinical characteristics. SUMMARY OF BACKGROUND DATA: Understanding where patients obtain expectations of lumbar surgery is necessary in order to develop interventions to foster appropriate expectations. METHODS: This was a qualitative-quantitative study of 428 patients interviewed preoperatively with a 20-item validated survey which asks patients how much improvement they expect per item...
August 6, 2018: Spine
Jéssica S Venturine, Gabriel M T Pires, Monique L Pereira, Michelle G M Monteiro, Ney Meziat-Filho, Leandro C Nogueira, Felipe J J Reis
Background: Education about pain (pain education) for health professionals during undergraduate studies may be an important step in changing ineffective pain management practices. Objective: The objective of this study was to assess the extent of pain education in current accredited physical therapist education programs in Brazil. Design: This study was designed as a cross-sectional (survey) study. Methods: Brazilian physical therapist education programs accredited by the Ministry of Education participated in this study...
August 6, 2018: Physical Therapy
Darshan D Ruikar, Ravindra S Hegadi, K C Santosh
Precise simulators can replicate complete understanding of the models. In this survey, we focus on orthopedic simulators that are not only in replicating real-world models but also in educating with complete procedure: surgical, for instance. It covers 18 hip replacement, three-knee replacement, three facial surgeries, one spine surgery and six orthopedic psycho-motor skills training and assessment-based simulators. We also provide comparative studies and highlight current trends and possible challenges. We observed that orthopedic training methodologies have undergone a paradigm shift...
August 2, 2018: Journal of Medical Systems
Eric W Edmonds, John W Kemppainen, Joanna H Roocroft, John Munch, Tracey P Bastrom
Maintenance of certification (MOC) within a medical society requires continuing medical education that demonstrates life-long learning, cognitive expertise, and practice-based self-assessment. This prospective study sought to evaluate whether a self-directed Practice Improvement Module (PIM) would improve pediatric orthopedic patient outcomes, thus demonstrating evidence of life-long learning (Part II MOC credit) in treating supracondylar humerus fractures. Six surgeons and 113 patients were included. There was no significant difference in actual fracture outcome before or after PIM at any level of surgeon experience regarding radiographic appearance or need for reoperation ( p > 0...
2018: Advances in Orthopedics
Alex Gometz, Diana Maislen, Chelsea Youtz, Erinn Kary, Emma L Gometz, Stanislaw Sobotka, Tanvir F Choudhri
Rehabilitation prior to orthopedic surgery (prehab) has been studied with more frequency and studies have shown reduced costs and improved functional outcomes among patients who have undergone total hip arthroplasty (THA) and total knee arthroplasty (TKA). This literature review is to determine whether prehab improves functional outcomes and reduces costs following spinal surgery. PubMed, CINHAL via EBSCO and EMBASE via Ovid were searched with publication date restrictions from May 2006 to May 2016 for the terms 'physical therapy', 'physiotherapy', 'prehabilitation' or 'prehab', 'spine' or 'spinal', and 'preoperative' or 'pre-op'...
May 23, 2018: Curēus
P Göbel
BACKGROUNDS AND OBJECTIVE: The increasing tendency toward formation of centers and expansion of quality assurance has had a clear effect on medical education and quality of care in Germany in recent years. On the background of the German diagnosis-related groups (DRG) system and the significant devaluation of DRG codes, this issue should be addressed, particularly in the field of orthopedic endoprostheses. METHODS: The effects of center formation and quality assurance on education and quality of care were evaluated based on a middle-sized clinic...
July 25, 2018: Der Orthopäde
Corey Montgomery, Austin Porter, Christopher Parks, Brant Sachleben, R Dale Blasier, Brien Rabenhorst
Football remains a popular sport in the United States despite sometimes significant injuries, such as fractures and dislocations, occurring. The objective of this study was to evaluate pediatric extremity fractures and dislocations related to football. A retrospective review was conducted at a level 1 pediatric trauma center to identify patients who were treated specifically for American football-related injuries (International Classification of Diseases, Ninth Revision, code E007.0). All patients with football-related injuries presenting to the emergency department during a 6-year period (2007-2012) were reviewed for inclusion in the study...
July 1, 2018: Orthopedics
Stephen R Marrone
The purpose of this performance improvement project was to design, implement and evaluate an interprofessional education initiative intended to improve surgical team efficiency, communication and work satisfaction. The development of interprofessional perioperative accountable care teams in three surgical specialties, cardiothoracic, neurosurgery and orthopedics, demonstrated a reduction in turnover time, increased staff, patient and surgeon satisfaction, and increased operating room (OR) revenue generated by the surgical specialties within one year of implementation...
January 1, 2018: Journal of Perioperative Practice
Jeffrey G Stepan, Hayley A Sacks, Francis C Lovecchio, Ajay Premkumar, Michael C Fu, Daniel A Osei, Duretti T Fufa
PURPOSE: Recent studies demonstrated the overprescription of opioids after ambulatory hand surgery in the setting of a national opioid epidemic. Prescriber education has been shown to decrease these practices on a small scale; however, currently no nationally standardized prescriber education or postoperative opioid prescribing guidelines exist. The purpose of this study was to evaluate the effect of prescriber opioid education and postoperative opioid guidelines on prescribing practices after ambulatory hand surgery...
July 19, 2018: Journal of Hand Surgery
Ahmed Siddiqi, Peter B White, William Murphy, Dave Terry, Stephen B Murphy, Carl T Talmo
BACKGROUND: There are few studies available on the savings generated and strategies employed for cost reduction in total joint arthroplasty. In this study, our organization-a group of private practices partnering with a consultant-aimed to analyze the impact of a preoperative protocol on overall cost savings. MATERIALS AND METHODS: Using administrative data from the Medicare Bundled Payments for Care Improvement (BPCI) initiative, 771 consecutive total joint arthroplasty patients from 2009-2014 were compared with 408 consecutive BPCI patients from 2014-2017...
July 20, 2018: Surgical Technology International
Huseyin Yener Erken, Junseok Bae, Sang-Ho Lee, Jin Suk Seo, Sang Ha Shin
STUDY DESIGN: This was a prospective clinical study. OBJECTIVE: The aim of this study was to evaluate the influence of a preoperative conference on spine surgeons' decision-making in the treatment of adult spinal disorders. SUMMARY AND BACKGROUND DATA: There are several factors that spine surgeons have to consider when determining a surgical plan for the treatment of spinal disorders, which include surgical approach, application of fusion or nonfusion surgery, levels to be treated, treatment of accompanying spinal conditions, the need for further preoperative imaging, and the implant type to be used...
July 13, 2018: Clinical Spine Surgery
Yu P Soldatov, A V Gubin
The national publications related to characteristics of organization of education of foreign specialists, mainly cover processes of their adaptation in medical universities. The purpose of study was to establish a rational system of organization of process of education of physicians on the basis of education of training of foreign specialists in the research institute of orthopedic traumatological profile. The analysis was applied to process of education of foreign specialists in 1979-2015 in the academician G...
January 2018: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Jennifer L Register, Priscilla J Head, Germain Orteneau
Many surgical procedures are performed in outpatient settings, and outpatient joint replacements are one of the emerging trends in orthopedics. Rising consumer demand for value-driven health care, new technology, and pain management advancements, and more physicians training in minimally invasive surgical techniques during their residency have driven this change. When a facility is considering the establishment of an outpatient joint arthroplasty program, leaders must take into consideration the outcomes data from the facility's current joint arthroplasty program...
July 2018: AORN Journal
Anamari Bulatovic
Positioning patients for orthopedic procedures can be a daunting experience for nurses because of the wide variety of orthopedic procedures and available positioners. Understanding what to use for a particular procedure can help perioperative nurses feel more confident and allow them to provide the safest patient care possible. This knowledge also helps avoid workflow delays because of missing or incorrect equipment. Educators or senior staff nurses can provide access to information and education that will help ensure that nurses provide efficient, safe care for patients undergoing orthopedic procedures...
July 2018: AORN Journal
Paul N Morgan, Patrick L Coleman, Cintia Mayel Martinez-Garduno, Anoja W Gunaratne, Elizabeth McInnes, Sandy Middleton
Background: Preoperative anemia in surgical patients has been linked to increased rates of allogeneic blood transfusion (ABT) and associated adverse patient outcomes such as prolonged ventilation in intensive care, increased length of hospital stay, and infections. We conducted a multifaceted implementation for orthopedic surgeons to improve preoperative patient assessment of anemia and iron deficiency to reduce perioperative blood transfusions. Materials and methods: Using a before-and-after study design of independent samples, we recruited a convenience sample of surgeons who performed primary total hip arthroplasty at 1 Australian private hospital...
2018: Journal of Blood Medicine
Philip K Lim, Graham S Stephenson, Thomas W Keown, Connor Byrne, Charles C Lin, Geoffrey S Marecek, John A Scolaro
OBJECTIVE: To determine if three-dimensional (3D) printed models can be used to improve acetabular fracture pattern recognition and be a valuable adjunct in orthopedic resident education. DESIGN: Fifteen randomized testing stations with each containing plain radiographs (XRs), two-dimensional computed tomography (CT) scans, or 3D model of an acetabular fracture. SETTING: Two orthopedic residency programs based at Level 1 trauma centers. PARTICIPANTS: Forty-one orthopedic residents, PGY 1-5...
June 18, 2018: Journal of Surgical Education
Camille Choufani, Olivier Barbier, Aurélie Mayet, Sylvain Rigal, Laurent Mathieu
Introduction: A deployed military orthopedic surgeon is a trauma surgeon working in austere conditions. The first aim of this study was to analyze the current activity of French military orthopedic surgeons in the field and to identify the differences of the combat zone with their daily practice. The second aim was to assess the adequacy of the preparedness they received before their deployment and to identify additional needs that could be addressed in future training. Methods: An evaluation survey was sent to all French military orthopedic surgeons deployed in theaters of operations between 2004 and 2014...
June 13, 2018: Military Medicine
Jennifer L Smith, Meaghan A Tranovich, Nabil A Ebraheim
Most frequently associated with orthopedic surgery, malignant hyperthermia is a rare genetic condition linked to volatile anesthetics and succinylcholine. If not treated quickly with appropriate measures, death may result. To aid in the prevention of further fatalities, this review seeks to educate clinicians and staff on the presentation and treatment of this disease, as well as to provide a comprehensive overview by further addressing prevalence, similar conditions, pathogenesis and other aspects. Although the number of deaths due to malignant hyperthermia has greatly declined in the last several years, increased knowledge may eliminate associated mortalities, particularly in the orthopedic setting...
June 2018: Journal of Orthopaedics
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