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Orthopedic education

Alexander F Post, Jennifer B Dai, Adam Y Li, Akbar Y Maniya, Syed Haider, Stanislaw Sobotka, Isabelle M Germano, Tanvir F Choudhri
OBJECTIVE: Spinal surgery is taught and practiced within two different surgical disciplines: neurological surgery and orthopedic surgery. This article provides a unified analysis of spine-focused faculty at U.S. residency programs. METHODS: 278 Accreditation Council for Graduate Medical Education (ACGME) training programs were assessed to identify 923 full-time faculty members with spinal surgery designation defined by spine fellowship training or surgeon case volume >75% spine surgeries...
October 6, 2018: World Neurosurgery
J-P Haas, M Arbogast
The treatment of children and adolescents with juvenile idiopathic arthritis (JIA) has progressed substantially during recent years. Multiple different factors have played a role in this advancement: improved medical treatment due to the introduction of new drugs, structural improvements with provision of units specializing in childhood rheumatology, multidisciplinary treatment concepts, structured educational programs for patients and parents, improved functional treatment including sports therapy, and selective surgical and orthopedic interventions improving functional capacities...
October 5, 2018: Der Orthopäde
Scott W Cheatham, Kyle R Stull, Tony Ambler-Wright
Background: Roller massage (RM) has become a popular intervention prescribed by physical therapy (PT) professionals. While this popularity has stimulated an increase in research and product development, the trends in the use of RM among PT professionals remain undocumented. It is unknown how professionals are using RM and integrating the research into their clinical practice. Purpose: To survey and document responses in the knowledge, clinical application methods, and use of RM devices among PT professionals in the United States...
August 2018: International Journal of Sports Physical Therapy
Marianne Hollensteiner, Melanie Botzenmayer, David Fürst, Martin Winkler, Peter Augat, Sabrina Sandriesser, Falk Schrödl, Benjamin Esterer, Stefan Gabauer, Klaus Püschel, Andreas Schrempf
Vertebral augmentation techniques are used to stabilize impacted vertebrae. To minimize intraoperative risks, a solid education of surgeons is desirable. Thus, to improve education of surgeons as well as patient safety, the development of a high-fidelity simulator for the surgical training of cement augmentation techniques was initiated. The integrated synthetic vertebrae should be able to provide realistic haptics during all procedural steps. Synthetic vertebrae were developed, tested and validated with reference to human vertebrae...
September 29, 2018: Journal of Materials Science. Materials in Medicine
Tyler Freeman, Nikhil Shelke, Rajiv Rajani
BACKGROUND: Due to orthopedic surgery's unique educational model, recent changes within graduate medical education have the potential to impact the methods and outcomes of specialty training significantly. Using Mind the Gap: Representation of Medical Education in Cardiology-Related Articles and Journals (Allred et al., 2016) as a framework, this study investigates educational research within the field of orthopedics. OBJECTIVE: Two main objectives were evaluated: (1) quantitative analysis of the amount and type of orthopedic education-related research in orthopedic, general surgery, and medical education journals and (2) estimate the priority of orthopedic journals to publish education-focused articles...
September 26, 2018: Journal of Surgical Education
Alexander F Post, Adam Y Li, Jennifer B Dai, Akbar Y Maniya, Syed Haider, Stanislaw Sobotka, Tanvir F Choudhri
OBJECTIVE: Spinal surgery is taught and practiced within two different surgical disciplines, Neurological Surgery (NS) and Orthopedic Surgery (OS). This article provides a unified analysis of academic productivity measured by h-index attributable to spine-focused faculty at U.S. residency programs. METHODS: 278 Accreditation Council for Graduate Medical Education (ACGME) training programs were assessed to identify 923 full-time faculty members with spinal surgery designation defined by spine fellowship training or case volume >75% in spine surgery...
September 27, 2018: World Neurosurgery
Katherine A Schofield, Deborah A Schwartz
STUDY DESIGN: Cross-sectional survey study. INTRODUCTION: Occupational therapy (OT) programs must provide students with the skills necessary to fabricate orthoses. Input from OT educators can provide valuable insight into how these skills are taught and the resources used. PURPOSE OF THE STUDY: Explore how instruction in orthotic fabrication is addressed in OT education programs. METHODS: Surveys were distributed to all accredited OT programs in the United States...
September 26, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Meghan V Flood, Neil A Manson, Alana J Green, Edward P Abraham, Erin Bigney
Study Design: Retrospective study. Objective: To identify prevalence of, reasons for, and predictors of emergency department (ED) utilization 6 months following elective thoracolumbar spine surgery. Methods: A retrospective review of a patient database was conducted (N = 577). Visits were divided by orthopedic spinal surgeons into (1) avoidable ED visit, (2) appropriate/no visit, and (3) unrelated visit. Measures: Demographics, pain scores, patient characteristics, and surgical factors...
August 2018: Global Spine Journal
Benedict U Nwachukwu, Ryan C Rauck, Cynthia A Kahlenberg, Chukwuma Nwachukwu, William W Schairer, Riley J Williams, David W Altchek, Answorth A Allen
Background: As the use of biologic therapies for the management of knee pathology continues to expand, it is more likely that patients will turn to the Internet to gather information on this topic. Given the lack of scientific consensus on the use of biologics, care providers must understand what information is available online. Questions/Purposes: The purpose of this study was to evaluate the quality of websites that patients may use to educate themselves on knee biologics...
October 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Ons Alouini, Daniel Rollet
INTRODUCTION: The aim of this article was to assess the impact of a flexible functional education splint for interceptive treatment of Class II division 1 dysmorphoses. MATERIALS AND METHODS: An observational, prospective, multi-center non-comparative EGIDYS study was conducted in 81 children with a Class II division 1 malocclusion presenting one or several functional disorders. Patients wore a flexible splint in the EF Line® range for a minimum of two hours per day and all night over 12 months in combination with educational exercises depending on the case...
September 2018: L' Orthodontie Française
Peter L Althausen, Kyle E Lybrand
The field of orthopedics is becoming increasingly complex as the demands for success are not merely clinical competence and good interpersonal skills. To achieve practice stability strategic planning, contract negotiation, health care law, practice management, health care economics, and personal finance are all needed skills. Unfortunately, most of these areas of professional growth require some basic background in business principles. This is an area that most recent residency graduates feel is neglected as a core educational competency...
October 2018: Orthopedic Clinics of North America
Siddartha Simha, Zain Sayeed, Muhammad T Padela, Alberto Criado, Karun Amar, Walid Yassir
As the Accreditation Council for Graduate Medical Education (ACGME) and National Academy of Medicine (NAM) increase emphasis on quality improvement (QI), continuing medical education must also adapt to meet these increasing demands. In fellowship programs and for attending physicians, QI initiatives exist but are more rare compared with initiatives during residency programs, and they are even more rare for orthopedic surgery residents, fellows, and attending physicians. A QI curriculum should be in place at all stages of continuing medical education, as they help meet the criteria of the ACGME and NAM and promote better clinical practice and minimize errors...
October 2018: Orthopedic Clinics of North America
Thomas A Einhorn, Feroz A Osmani, Yousuf Sayeed, Raj Karia, Philip Band, Richard Iorio
Technologies continue to shape the path of medical treatment. Orthopedic surgeons benefit from becoming more aware of how twenty-first century information technology (IT) can benefit patients. The percentage of orthopedic patients utilizing IT resources is increasing, and new IT tools are becoming utilized. These include disease-specific applications. This article highlights the opportunity for developing IT tools applicable to the growing population of patients with osteoarthritis (OA), and presents a potential solution that can facilitate the way OA education and treatment are delivered, and thereby maximize efficiency for the health care system, the physician, and the patient...
October 2018: Orthopedic Clinics of North America
George C Balazs, Ronald B Doria, Bobby G Yow, Ashley B Anderson, Syed I Ahmed, Jefferson W Jex
Previous studies have shown relatively high rates of inappropriate referrals to pediatric orthopedic surgery. The purpose of this study was to determine the rate of inappropriate referrals in an egalitarian healthcare system. We reviewed all 400 referrals to our pediatric orthopedic surgery practice over a 2-year period and assessed the appropriateness of each based on the American Academy of Pediatrics guidelines. A total 206 (52%) referrals were deemed appropriate. There is a high rate of inappropriate referral to pediatric orthopedic surgery even within a closed, egalitarian healthcare system...
September 15, 2018: Journal of Pediatric Orthopedics. Part B
Lauren G Keeney, Mary J Hargett, Gregory A Liguori
Charles L. Burstein was the first departmental Director and Chief of Anesthesiology at the Hospital for Special Surgery in New York City. He joined the staff in 1937, when the hospital was still known by its original name of the Hospital for the Ruptured and Crippled. In 1940, it was renamed The Hospital for Special Surgery. Burstein, an early disciple of Emery Rovenstine, accomplished much to advance the Department of Anesthesiology through academic collaborations, education, clinical specialization, and research...
July 2018: Journal of Anesthesia History
Ronak N Kotian, Varun Puvanesarajah, Sandesh Rao, Jad M El Abiad, Carol D Morris, Adam S Levin
BACKGROUND: Surgical decision-making can be challenging when treating patients with osseous metastases. Numerous factors, including expected duration of survival, must be considered to ensure optimal operative stabilization of the affected bone. However, life expectancy of patients with metastatic carcinoma is often difficult to estimate. The goal of our study was to assess the associations of various clinical and demographic factors with survival time after intramedullary nail fixation of impending or completed pathologic femur fractures...
September 2018: Surgical Oncology
Ashfaq Akram, Farzana Rizwan, Kamran Sattar, Jalal Ibrahim S Hadi, Sultan Ayoub Meo
Background and Objectives: Medical schools are to develop integrated medical curricula because the term 'integrated curriculum' has grown up and flourished globally and it has become mandatory to align the medical education with the global concept in Pakistan. This paper aims to present a guideline to design an undergraduate integrated medical curriculum. Methods: Various themes are used to develop integrated curriculum which are basic medical science, simulation skills, clinical science, personality development, research, entrepreneurship and pre specialization...
July 2018: Pakistan Journal of Medical Sciences Quarterly
Giovanni Di Fine, Giuliana Centini, Dario Gavetti, Patrizia Lemma, Franco Cavallo, Andrea Pici, Lorenza Garrino, Valerio Dimonte
Since 2009, the Department of Continuing Education at the Orthopedic and Trauma Center Hospital in Turin, Italy, has provided a training course for nurses in the management of central vascular access devices (CVADs). The course focuses on dressing and flushing procedures, as well as compliance with other CVAD guidelines. An observational study was conducted among nurses to determine the level of best practices in areas with a high prevalence of nurses trained in the management of CVADs. A correlation was observed between best practices and having attended the course, but other variables also influenced best practices...
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
Vineet Tyagi, Coridon Huez, Shasta Henderson, Adam Lukasiewicz, Elizabeth Gardner, Lee Rubin, Lawrence Weis
Background: Arthrofibrosis after total knee arthroplasty (TKA) is a common complication, potentially occurring in up to 25% of patients, and may be treated during the early recovery period by manipulation under anesthesia (MUA). The majority of preoperative factors that predispose patients to postoperative stiffness are patient specific and not modifiable. The United States Veteran Affairs is a particularly challenging group given a higher baseline rate of medical comorbidities and opioid dependence than the general population...
September 2018: Arthroplasty Today
Selina Poon, Daniel Kiridly, Levi Brown, Stephen Wendolowski, Rachel Gecelter, Alexa Vetere, Myriam Kline, Lewis Lane
In recent years, there has been an increasing trend toward subspecialization in orthopedic surgery via fellowships. This study sought to characterize sex, ethnic, and racial representation within each fellowship program and to examine their changes over time to identify trends and/or gaps. Demographic data were obtained from the National Graduate Medical Education Census. Diversity was assessed using proportions of minority and female trainees. The trends in racial, ethnic, and sex diversity from 2006 to 2015 for orthopedics as a whole and within each subspecialty were analyzed...
September 1, 2018: Orthopedics
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