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Injury Oct 2020Embedding physiological markers into treatment algorithms has helped trauma teams rationalise interventions safely and signifies a departure from the dichotomy of damage...
Embedding physiological markers into treatment algorithms has helped trauma teams rationalise interventions safely and signifies a departure from the dichotomy of damage control orthopaedics (DCO) and early total care (ETC) to early appropriate care (EAC). This has been shown to reduce length of stay and cost to treating centres. This article seeks to provide a clear summary of current concepts for managing orthopaedic injuries in the multiply injured patient.
Topics: Humans; Multiple Trauma; Orthopedic Procedures; Orthopedics
PubMed: 32758368
DOI: 10.1016/j.injury.2020.07.051 -
The Journal of Bone and Joint Surgery.... May 2020➤. Artificial intelligence (AI) provides machines with the ability to perform tasks using algorithms governed by pattern recognition and self-correction on large... (Review)
Review
➤. Artificial intelligence (AI) provides machines with the ability to perform tasks using algorithms governed by pattern recognition and self-correction on large amounts of data to narrow options in order to avoid errors. ➤. The 4 things necessary for AI in medicine include big data sets, powerful computers, cloud computing, and open source algorithmic development. ➤. The use of AI in health care continues to expand, and its impact on orthopaedic surgery can already be found in diverse areas such as image recognition, risk prediction, patient-specific payment models, and clinical decision-making. ➤. Just as the business of medicine was once considered outside the domain of the orthopaedic surgeon, emerging technologies such as AI warrant ownership, leverage, and application by the orthopaedic surgeon to improve the care that we provide to the patients we serve. ➤. AI could provide solutions to factors contributing to physician burnout and medical mistakes. However, challenges regarding the ethical deployment, regulation, and the clinical superiority of AI over traditional statistics and decision-making remain to be resolved.
Topics: Artificial Intelligence; Humans; Orthopedic Procedures; Orthopedics
PubMed: 32379124
DOI: 10.2106/JBJS.19.01128 -
The Orthopedic Clinics of North America Jul 2021Despite advances in surgical techniques and technology, casting remains an important treatment modality in the armamentarium of orthopedic surgery. Opportunities for... (Review)
Review
Despite advances in surgical techniques and technology, casting remains an important treatment modality in the armamentarium of orthopedic surgery. Opportunities for skill development and complication management are a decreasing commodity for the surgeon in training. Appropriate indications for casting and technical expertise of cast application are key to complication avoidance. Prompt recognition and evaluation of potential complications are key to optimizing patient outcomes. Following the lead of the American Board of Orthopedic Surgery Resident Skills Modules, we implore teaching institutions to develop and maintain robust teaching programs, skills acquisitions laboratories, and assessments for confirmation of competency for all residency programs.
Topics: Casts, Surgical; Clinical Competence; Humans; Internship and Residency; Orthopedic Procedures; Orthopedics; Pressure Ulcer
PubMed: 34053568
DOI: 10.1016/j.ocl.2021.03.005 -
Journal of Orthopaedic Trauma Aug 2019
Topics: Humans; Orthopedic Procedures; Orthopedics; Periodicals as Topic; Societies, Medical; Wounds and Injuries
PubMed: 31290814
DOI: 10.1097/BOT.0000000000001531 -
The Bone & Joint Journal Mar 2020
Topics: Economics, Hospital; Hospitals; Humans; Musculoskeletal Diseases; Orthopedic Procedures; Orthopedics; Specialization; United Kingdom
PubMed: 32114819
DOI: 10.1302/0301-620X.102B3.BJJ-2020-0067 -
The Journal of the American Academy of... Apr 2023Health literacy is a dynamic, multifaceted skill set that relies on patients, healthcare providers, and the healthcare system. In addition, health literacy assessment... (Review)
Review
Health literacy is a dynamic, multifaceted skill set that relies on patients, healthcare providers, and the healthcare system. In addition, health literacy assessment provides an avenue for evaluating patient understanding and offers insights into their health management capabilities. Inadequate health literacy results in poor patient outcomes and compromised care by considerably hindering successful communication and comprehension of relevant health information between the patient and the provider. In this narrative review, we explore why limited health literacy poses serious implications for orthopaedic patient health and safety, expectations, treatment outcomes, and healthcare costs. Furthermore, we elaborate on the complexity of health literacy, provide an overview of key concepts, and offer recommendations for clinical practice and research investigations.
Topics: Humans; Orthopedics; Health Literacy; Orthopedic Procedures; Communication; Health Care Costs
PubMed: 36884220
DOI: 10.5435/JAAOS-D-22-01026 -
Journal of Surgical Orthopaedic Advances 2021Military orthopaedic surgeons are faced with hardship and decreased morale. Surgeons have frequent deployments and practice inefficiencies resulting in poor retention...
Military orthopaedic surgeons are faced with hardship and decreased morale. Surgeons have frequent deployments and practice inefficiencies resulting in poor retention rates. The purpose of this analysis is to report demographics and factors effecting military retention. A survey was sent to all members of the Society of Military Orthopedic Surgeons. The survey obtained demographic information, as well as factors affecting retention and termination of service. Data was compared between subset groups within the total respondent population. Of active-duty personnel, 38.5% plan on staying in the military until retirement. Most surgeons entered into the military due to a desire to serve their country, while most people leave service due to higher pay as a civilian. A minority of military orthopaedic surgeons achieve military retirement; however, increased pay, increased control over practice, and decreased frequency of deployments are factors that could improve retention rates. (Journal of Surgical Orthopaedic Advances 30(2):116-119, 2021).
Topics: Humans; Military Personnel; Orthopedic Procedures; Orthopedic Surgeons; Orthopedics; Surgeons
PubMed: 34181530
DOI: No ID Found -
Journal of Surgical Education 2022
Topics: Humanities; Orthopedics; Orthopedic Procedures; Curriculum
PubMed: 35902348
DOI: 10.1016/j.jsurg.2022.06.013 -
British Journal of Hospital Medicine... Mar 2022There is a paucity of literature analysing the importance of leadership within trauma and orthopaedics. However, such skills are essential to make an orthopaedic surgeon... (Review)
Review
There is a paucity of literature analysing the importance of leadership within trauma and orthopaedics. However, such skills are essential to make an orthopaedic surgeon proficient in their various roles. This literature review on leadership within orthopaedics enables an understanding of current issues. A narrative literature review was conducted using Pubmed, Medline and The National Centre for Biotechnology databases. The search string used to conduct the narrative literature review was (orthopaedic) and (leadership[Title]). The articles were screened by title, abstract and full text. A reference search was subsequently conducted on these papers using the same inclusion and exclusion criteria. The papers then underwent a thematic analysis to understand the issues surrounding leadership in orthopaedics. The critical themes recognised were quality improvement, training, women in leadership, inequality and traits of a leader. Through reviewing the themes in this article, a framework was developed to identify the current issues and potential avenues of advancing orthopaedic leadership. This narrative literature review has demonstrated a paucity of research in orthopaedic leadership. Further work would create a robust evidence base, outline ideal orthopaedic leadership and standardise training to create better orthopaedic leaders.
Topics: Delivery of Health Care; Female; Humans; Leadership; Orthopedic Procedures; Orthopedics
PubMed: 35377201
DOI: 10.12968/hmed.2021.0617 -
The Bone & Joint Journal Jan 2021
Topics: COVID-19; Humans; Orthopedic Procedures; Orthopedics; Pandemics; Prosthesis-Related Infections; Randomized Controlled Trials as Topic; Surgery, Computer-Assisted
PubMed: 33380186
DOI: 10.1302/0301-620X.103B1.BJJ-2020-2272