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Orthopedic education

Ming-Yueh Chou, Yu-Chun Wang, Li-Ning Peng, Chih-Kuang Liang, Che-Sheng Chu, Mei-Chen Liao, Yu-Te Lin, Chien-Jen Hsu, Liang-Kung Chen
OBJECTIVES: To evaluate the roles of preoperative anemia and intra-operative blood transfusion in the development of post-operative delirium among older patients undergoing elective orthopedic surgery. METHODS: This prospective cohort study recruited subjects aged 60 years and over who were admitted for elective orthopedic surgery in a tertiary medical center during April 2011 to December 2013. Demographic data (age, gender, BMI, educational level), surgery-related factors (ASA class, type of anesthesia and surgery, intra-operative blood transfusion), results of geriatric assessment (hearing/visual impairment, cognition, depressive mood, comorbidity, malnutrition, polypharmacy, ADL, and IADL), laboratory data, length of hospital stay and the development of post-operative delirium were collected for analysis...
February 13, 2019: International Journal of Geriatric Psychiatry
Yuki Fujihara, Nasa Fujihara, Michiro Yamamoto, Hitoshi Hirata
BACKGROUND: To date, little is known about the characteristics of highly cited studies in hand surgery compared with other orthopaedic subspecialties. We aimed to assess the position of hand surgery within the orthopedic surgery literature. METHODS: We conducted a bibliographic analysis using the Web of Science database to review 1,568 articles published between January 2012 and December 2012 in 4 relevant general orthopedic and 2 hand surgery journals. We used the number of citations within 3 years of publication to measure the impact of each paper...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Robert Joseph, Richmond Robinson, Adam Fleischer, Leland Jaffe, Alison Joseph, Isabel Baker, Jacqueline Truong, Aksone Nouvong, Nancy L Parsley, John H Becker
In 1912, the Illinois College of Chiropody and Orthopedics was founded, and is today known as the Dr. William M. Scholl College of Podiatric Medicine. It has been an integral part of Rosalind Franklin University of Medicine and Science in North Chicago, Illinois since 2001. Through the ensuing decades, Scholl College alumni have been instrumental in moving the profession forward.
November 2018: Journal of the American Podiatric Medical Association
Bennet A Butler, Cameron M Butler, Terrance D Peabody
Traditional apprenticeships have been used through history as a teaching model for wide variety of skills. These apprenticeships are characterized by practical, on-the-job training in which the apprentice observes and assists a master in the completion of a task, and thereby learns the skills needed to complete that task on his or her own. Cognitive apprenticeship is a modified version of this traditional teaching method which is differentiated from the traditional apprenticeship model primarily by its educational goals; cognitive apprenticeships are used to teach skills which require internal thought processes which cannot be readily observed externally by the teacher or the student...
February 6, 2019: Journal of Surgical Education
Christopher Tran, Douglas Archibald, Susan Humphrey-Murto, Clare Liddy, Erin Keely
INTRODUCTION: Poor communication between health professionals can compromise patient safety, yet specialists rarely receive feedback on their written communication. Although worldwide implementation of electronic consultation (eConsult) services is rising rapidly, little is known about the features of effective communication when specialists provide online advice to primary care providers (PCP). To inform efforts to ensure and maintain high-quality communication via eConsult, we aim to identify features of high-quality eConsult advice to incorporate into an assessment tool that can provide specialists with feedback on their correspondence...
February 4, 2019: Journal of Telemedicine and Telecare
Murray B Stein, Sonia Jain, Joseph T Giacino, Harvey Levin, Sureyya Dikmen, Lindsay D Nelson, Mary J Vassar, David O Okonkwo, Ramon Diaz-Arrastia, Claudia S Robertson, Pratik Mukherjee, Michael McCrea, Christine L Mac Donald, John K Yue, Esther Yuh, Xiaoying Sun, Laura Campbell-Sills, Nancy Temkin, Geoffrey T Manley, Opeolu Adeoye, Neeraj Badjatia, Kim Boase, Yelena Bodien, M Ross Bullock, Randall Chesnut, John D Corrigan, Karen Crawford, Ramon Diaz-Arrastia, Sureyya Dikmen, Ann-Christine Duhaime, Richard Ellenbogen, V Ramana Feeser, Adam Ferguson, Brandon Foreman, Raquel Gardner, Etienne Gaudette, Joseph T Giacino, Luis Gonzalez, Shankar Gopinath, Rao Gullapalli, J Claude Hemphill, Gillian Hotz, Sonia Jain, Frederick Korley, Joel Kramer, Natalie Kreitzer, Harvey Levin, Chris Lindsell, Joan Machamer, Christopher Madden, Alastair Martin, Thomas McAllister, Michael McCrea, Randall Merchant, Pratik Mukherjee, Lindsay D Nelson, Florence Noel, David O Okonkwo, Eva Palacios, Daniel Perl, Ava Puccio, Miri Rabinowitz, Claudia S Robertson, Jonathan Rosand, Angelle Sander, Gabriela Satris, David Schnyer, Seth Seabury, Mark Sherer, Murray B Stein, Sabrina Taylor, Arthur Toga, Nancy Temkin, Alex Valadka, Mary J Vassar, Paul Vespa, Kevin Wang, John K Yue, Esther Yuh, Ross Zafonte
Importance: Traumatic brain injury (TBI) has been associated with adverse mental health outcomes, such as posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), but little is known about factors that modify risk for these psychiatric sequelae, particularly in the civilian sector. Objective: To ascertain prevalence of and risk factors for PTSD and MDD among patients evaluated in the emergency department for mild TBI (mTBI). Design, Setting, and Participants: Prospective longitudinal cohort study (February 2014 to May 2018)...
January 30, 2019: JAMA Psychiatry
Cheryl B Hines, Angela Collins-Yoder
Bone cement implantation syndrome (BCIS) is a potentially fatal complication of orthopedic surgeries that use cement. The symptoms of BCIS occur primarily during femoral fracture repairs, but this complication has been reported in a wide variety of cemented procedures. Clinical presentation of this syndrome begins as a cascade with hypoxia and hypotension; if it is not reversed, it ends with right-sided heart failure and cardiac arrest. This syndrome usually occurs at cementation, prosthesis insertion, joint reduction, or tourniquet deflation, and should be treated with aggressive resuscitation and supportive care...
February 2019: AORN Journal
Daipayan Guha, Ali Moghaddamjou, Zaneen H Jiwani, Naif M Alotaibi, Michael G Fehlings, Todd G Mainprize, Albert Yee, Victor X D Yang
BACKGROUND: Computer-assisted navigation (CAN) improves the accuracy of spinal instrumentation in vertebral fractures and degenerative spine disease; however, it is not widely adopted because of lack of training, high capital costs, workflow hindrances, and accuracy concerns. We characterize shifts in the use of spinal CAN over time and across disciplines in a single-payer health system, and assess the impact of intra-operative CAN on trainee proficiency across Canada. METHODS: A prospectively maintained Ontario database of patients undergoing spinal instrumentation from 2005 to 2014 was reviewed retrospectively...
January 2019: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
Malihe Saboor, Ahmad-Ali Akbari Kamrani, Yadollah Abolfathi Momtaz, Robab Sahaf
Aim Potentially inappropriate medications (PIMs) in older people are associated with the increased use of health care services. The aim of this study was to investigate the prevalence of PIMs among the elderly being referred to pharmacies in Tehran using the Beers criteria of 2012, and identify factors related to PIMs. Methods This cross-sectional study was conducted on elderly patients (60 years and above) referred to pharmacies in Tehran, in 2017. The Beers' criteria 2012 were used to evaluate PIMs. The logistic regression analysis was used to find sociodemographic predictors of PIMs...
February 1, 2019: Medicinski Glasnik
Adam P Schumaier, Rafael Kakazu, Chelsea E Minoughan, Brian M Grawe
Background: Many Americans have limited literacy skills, and the National Institutes of Health (NIH) suggests patient educational material be written below the 8th grade level. Many orthopedic organizations provide print material for patients, but whether these documents are written at an appropriate reading level is not clear. This study assessed the readability of patient education brochures provided by the American Shoulder and Elbow Surgeons (ASES). Materials and Methods: In May 2017, 6 ASES patient education brochures were analyzed using readability software...
July 2018: JSES open access
Yen-Ko Lin, Kuan-Ting Liu, Chao-Wen Chen, Wei-Che Lee, Chia-Ju Lin, Leiyu Shi, Yin-Chun Tien
BACKGROUND: Obtaining adequate informed consent from trauma patients is challenging and time-consuming. Healthcare providers must communicate complicated medical information to enable patients to make informed decisions. This study aimed to explore the challenges of obtaining valid consent and methods of improving the quality of the informed consent process for surgical procedures in trauma patients. METHODS: We conducted a systematic review of relevant English-language full-text original articles retrieved from PubMed (1961-August 2018) that had experimental or observational study design and involved adult trauma patients...
January 23, 2019: BMC Medical Ethics
Alex C DiBartola, Christine Barron, Scott Smith, Catherine Quatman-Yates, Ajit M W Chaudhari, Thomas J Scharschmidt, Susan D Moffatt-Bruce, Carmen E Quatman
Operating room (OR) traffic and door openings increase potential for air contamination in the OR and create distractions for surgical teams. A multidisciplinary intervention was developed among OR staff, surgical staff, vendors, radiology, and anesthesia and approved by the hospital system's patient and quality safety department for implementation. Interventions included education, OR signage, and team-based accountability and behavioral interventions. After interventions were implemented, a second prospective, observational data collection was performed and compared to preintervention OR traffic...
January 17, 2019: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Abhiram R Bhashyam, Jason Young, Rameez A Qudsi, Robert L Parisien, George S M Dyer
PURPOSE: In many academic medical centers, resident physicians typically write initial opioid prescriptions, but little is known about their prescribing practices. We hypothesized that lower resident postgraduate year, residency-training program, and noncompletion of an opioid prescribing training would be factors associated with increased opioid prescribing by orthopedic residents after open reduction and internal fixation of distal radius fractures. METHODS: A survey was administered to all 135 residents from 4 orthopedic residency programs in a state located in the northeastern United States between August 2017 and November 2017...
January 8, 2019: Journal of Hand Surgery
Huixiang Wang, Kapil Sugand, Simon Newman, Gareth Jones, Justin Cobb, Edouard Auvinet
PURPOSE: Surgical education videos currently all use a single point of view (POV) with the trainee locked onto a fixed viewpoint, which may not deliver sufficient information for complex procedures. We developed a novel multiple POV video system and evaluated its training outcome compared with traditional single POV. METHODS: We filmed a hip resurfacing procedure performed by an expert attending using 8 cameras in theatre. 30 medical students were randomly and equally allocated to learn the procedure using the multiple POV (experiment group [EG]) versus single POV system (control group [CG])...
2019: PloS One
Jeffrey Pradeep Raj, Shreeraam Venkatachalam, Mahesh Shekoba, Joshua Jonathan Norris, Rajkumar S Amaravati
Background: Calcium is the most abundant mineral in our body with varied functions, and its dietary deficiency leads to osteoporosis. Various studies have shown that adequate dietary calcium intake (DCI) and moderately increased physical activity if maintained for long term prevent osteoporosis. The data regarding DCI of people living in Karnataka, south India, are limited. Thus, we aimed to assess DCI, physical activity, and their predictors among people living in Karnataka. Methodology: A cross-sectional study was done among 250 inpatients and normal relatives of orthopedics department of a tertiary care teaching hospital...
November 2018: Journal of Family Medicine and Primary Care
Nicolas Reina
Information is everywhere in the surgeon's life. It can improve medical practice and allow for personalized care. To answer the question, "How should the surgeon be connected?" we must assess the role and limitations of digital information in daily practice, particularly through mobile applications or mHealth. These tools and their scope must be defined in order to measure their impact on our clinical practice. New regulations on medical data have been introduced imposing that privacy be maintained...
December 24, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Kevin J Little, Samir Trehan, Roger Cornwall, Stephanie Garrison, Emily Dastillung, Lisa McFadden
Purpose: An unexpected return to clinic (URTC) visit can place a substantial financial burden on patients and families while stressing the health care system. Our SMART aim was to decrease the rate of URTC visits from 1.8 per 100 patient follow-up visits by 50% using quality improvement methodology. Methods: The rate of URTC visits was tracked at our tertiary care pediatric hospital from February 1, 2014, to May 31, 2015, using a weekly P-chart. Interventions were studied from January 1 to May 31, 2015...
September 2018: Pediatric Quality & Safety
Seija Klemetti, Brynja Ingadottir, Jouko Katajisto, Chryssoula Lemonidou, Evridiki Papastavrou, Kirsi Valkeapää, Adelaida Zabalegui, Helena Leino-Kilpi
Purpose: This study provides an overview of the self-defined skills and practices of European orthopedic nurses in empowering patient education. Nurses themselves have highlighted the necessity to enhance their own skills, but possibilities for further education have been limited. Methods: The data ( n = 317 nurses) from a structured survey were collected during the years 2009-2012 in seven European countries with an EPNURSE-questionnaire (Empowering Patient Education from the point of view of Nurses). Results: Nurses considered patient education as an important part of their work and evaluated their own skills as good...
November 2018: Research and Theory for Nursing Practice
Hélène Gil, Frédéric Courson
INTRODUCTION: Most malocclusions are dysfunctional in origin and multidisciplinary care appears essential to correct as well as to maintain the orthopedic treatments performed. However, some "re-"educational therapies do not always deliver the desired results and the persistence of dysfunctions can thus compromise the stability of long-term results of orthodontic treatments. MATERIAL AND METHOD: Through a review of the literature, this article analyzes the former and current theories regarding maxillofacial rehabilitation...
December 2018: L' Orthodontie Française
(no author information available yet)
BACKGROUND: Intimate partner violence (IPV) is prevalent among female patients at fracture clinics; however, previous research suggests health care providers (HCPs) are unprepared to identify victims and provide appropriate support. To address this gap in care, we developed an IPV educational program and conducted a study to measure the impact of this program on HCPs' IPV-related knowledge, attitudes, beliefs and self-reported behaviours. METHODS: We enrolled 140 participants (orthopedic surgeons, surgical trainees, nonphysician HCPs and research and administrative staff) from 7 fracture clinics in North America who completed the 2-hour educational program...
October 2018: CMAJ Open
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