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1.
BMC Med Educ ; 21(1): 311, 2021 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-34078368

RESUMO

BACKGROUND: Medical research is a central part of any residency training. In view of the new Saudi orthopedic committee promotion regulation that mandates each resident to participate in a research project, the challenges that stand in the way of completion of substantial research within surgical residency must be investigated. The aim of this study was to assess the practice, attitudes, perception, and limitations associated with research among residents in the Saudi orthopedic program in the central region. METHODS: A cross-sectional study was conducted between June and July 2020 using an online-based survey. The total number of study participants was 128 orthopedic residents out of the 191 residents enrolled in the central region program. Data were analyzed, and descriptive statistics in the form of frequency and percentage were determined, analytical tests were performed with P < 0.05 being statistically significant. RESULTS: Most residents (95 %) participated in a research project during residency. Most projects (53.10 %) were case reports followed by retrospective studies (48.40 %). The majority (79.70 %) did not attend a research methods course during residency. Experience in research differed significantly (P < 0.05) by age, residency year, and center. The mean involvement score was significantly higher among males at 3 (± 1) than among females at 2 (± 0) (P < 0.001). Only 40.60 % have access to orthopedic journals, and the same percentage (40.60 %) knew how to Critique original articles. There was a statistically significant difference in the accessibility score according to the training center. Lack of faculty support and mentorship were the main barriers to medical research at 62.50 and 39.10 %, respectively. A total of 68.80 % reported that funding was not available through their institutes. CONCLUSIONS: In Saudi Arabia, the level of meaningful clinical research and publications by orthopedic residents is still low. The results of this study should be taken into consideration before the implementation of the new promotion criteria in the centers under the umbrella of Saudi orthopedic committee.


Assuntos
Internato e Residência , Ortopedia , Estudos Transversais , Feminino , Humanos , Masculino , Ortopedia/educação , Estudos Retrospectivos , Arábia Saudita
2.
Braz J Med Biol Res ; 54(9): e11055, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34133539

RESUMO

Because bone-associated diseases are increasing, a variety of tissue engineering approaches with bone regeneration purposes have been proposed over the last years. Bone tissue provides a number of important physiological and structural functions in the human body, being essential for hematopoietic maintenance and for providing support and protection of vital organs. Therefore, efforts to develop the ideal scaffold which is able to guide the bone regeneration processes is a relevant target for tissue engineering researchers. Several techniques have been used for scaffolding approaches, such as diverse types of biomaterials. On the other hand, metallic biomaterials are widely used as support devices in dentistry and orthopedics, constituting an important complement for the scaffolds. Hence, the aim of this review is to provide an overview of the degradable biomaterials and metal biomaterials proposed for bone regeneration in the orthopedic and dentistry fields in the last years.


Assuntos
Materiais Biocompatíveis , Ortopedia , Regeneração Óssea , Odontologia , Humanos , Engenharia Tecidual , Tecidos Suporte
3.
Medicine (Baltimore) ; 100(20): e25939, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011070

RESUMO

ABSTRACT: Although collaborative treatment by traditional Korean medicine doctors (KMDs) and medical doctors occurs, it is mainly done by referral. As no survey of the general public's preference for the type of collaboration has ever been conducted, we aimed to investigate Koreans' preferences for a collaborative treatment type.The responders were extracted by random digit dialing and then reextracted using the proportional quota sampling method by sex and age. From July to October 2017, telephone interviews were conducted and the participant responses regarding treatment history for spinal or joint diseases, experiences with collaborative treatment, and preferred type of collaborative treatment were recorded.Of the 1008 respondents, 44.64% reported a history of treatment for spinal or joint diseases at a medical institution. The concurrent collaborative treatment system, in which both KMDs and medical doctors are present in one location participating in the treatment concurrently, was the most preferred system among the respondents. Respondents who reported experience with traditional Korean medicine hospitals were more likely to prefer a one-stop treatment approach than those who did not have experience with traditional Korean medicine hospitals (adjusted odds ratio: 1.73; 95% confidence interval: 1.12-2.68). Respondents who were familiar with collaborative treatment but did not report any personal experience with it were more likely to prefer a one-stop treatment approach than those who were not familiar with collaborative treatment (adjusted odds ratio: 1.82; 95% confidence interval: 1.37-2.44).Koreans prefer a concurrent type of collaborative treatment system by KMDs and medical doctors. Therefore, efforts and support are needed to increase the application of the concurrent type of collaborative system.


Assuntos
Colaboração Intersetorial , Artropatias/terapia , Preferência do Paciente/estatística & dados numéricos , Padrões de Prática Médica/organização & administração , Doenças da Coluna Vertebral/terapia , Adulto , Idoso , Terapia Combinada/métodos , Terapia Combinada/estatística & dados numéricos , Feminino , Saúde Holística/estatística & dados numéricos , Humanos , Masculino , Medicina Tradicional Coreana/métodos , Medicina Tradicional Coreana/estatística & dados numéricos , Pessoa de Meia-Idade , Ortopedia/organização & administração , Ortopedia/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , República da Coreia , Inquéritos e Questionários/estatística & dados numéricos
4.
Artigo em Inglês | MEDLINE | ID: mdl-34040680

RESUMO

Background and aim: The current COVID-19 pandemic scenario has driven surgical departments to a transformation.The worldwide spread of the disease has led to a public health quarantine where health care professionals are at high risk of infection. In this context, telemedicine has been promoted and scaled up to reduce the risk of transmission. This study aims to demonstrate that a combined framework based on telematics and in-person clinical encounter not only ensures medical care but the safety of healthcare professionals and patients. Material and method: Descriptive observational study on the follow-up of patients during the COVID19 Pandemic, combining telephone and traditional. Results: A total of 5031 telephone calls were made, differentiating between medical referrals, specialised primary care visits, and outpatient consultation.They were classified as successful, required an in-person visit, or no successful telephone contact. Furthermore, we divided them into 2 groups: resolved and unresolved.53% of all telematic visits were successful. Conclusions: Telematic medical systems are a feasible option in a orthopedics department and an interesting resource to preserve once the pandemic is resolved. Future lines of research should be opened to improve system success, analyze its cost-effectiveness ratio, and correct any legal conflicts that may exist.


Assuntos
Assistência ao Convalescente/métodos , COVID-19/prevenção & controle , Controle de Infecções/métodos , Ortopedia/métodos , Cuidados Pós-Operatórios/métodos , Consulta Remota/métodos , Telefone , Assistência ao Convalescente/estatística & dados numéricos , COVID-19/epidemiologia , Estudos de Viabilidade , Política de Saúde , Acesso aos Serviços de Saúde , Humanos , Ortopedia/estatística & dados numéricos , Avaliação de Processos e Resultados em Cuidados de Saúde , Pandemias , Distanciamento Físico , Cuidados Pós-Operatórios/estatística & dados numéricos , Consulta Remota/estatística & dados numéricos , Espanha/epidemiologia
5.
Artigo em Inglês | MEDLINE | ID: mdl-33995713

RESUMO

The COVID pandemic has made telematic consultations a basic tool in daily practice. Aims: The main objective of the study is to assess the results of the application of telematic consultations to limit the mobility of patients.The operational objectives are; to propose a consultation plan, to know how attendance limits consultations and to define which pathologies benefit the most from this plan. Methods: A scheme is proposed with the creation of pre-scheduled clinic to assess suitability and the possibility of carrying them out in a single non face-to-face act. Results: Phone call to 5619 patients were made with a lack of response of 19%The cases of 74% of the patients that answered were resolved virtually. There is a difference between units, obtaining a higher answering rate from patients appointed to specific clinic units, OR = 0.60, or to general trauma ones, OR = 0.67. The lowest answering rate was obtained from those derived from the emergency department.Twenty per cent of the consultations were not accompanied by complementary tests that would have favored the resolution in a single act. The general trauma consultations, OR = 0.34, postoperative control, OR = 0.49, and specific unit ones, OR = 0.40, were the ones that better met this requirement.Out of the remaining patients, the general trauma consultations, OR = 0.50, and those referred to units, OR = 0.54, were the ones that had a higher resolution rate without in- person consultation. Conclusions: The cases of 74% of the patients who answered the phone call were resolved virtually.Cases of 20% of the patients cannot be solved in a single act because they are derived without complementary tests.Osteosynthesis and postoperative arthroscopic follow-up consultations are the ones that need to be carried out in person the most.


Assuntos
COVID-19 , Departamentos Hospitalares , Ortopedia/métodos , Consulta Remota , Traumatologia/métodos , Humanos , Consulta Remota/organização & administração , Consulta Remota/estatística & dados numéricos
6.
West Afr J Med ; 38(5): 472-477, 2021 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-34051720

RESUMO

BACKGROUND: Musculoskeletal disorders often pose significant limitation to activities of daily living due to pain or disability. These disorders often arise as a result of the normal aging process, but most have some predisposing factors that are lifestyle-related, especially in younger people as a result of repeated mal- posturing/ misuse of parts of the body in the course of their jobs or recreations. These disorders cause more functional limitations in the older adult population than any other group of disorders. Thus, with increasing aging of most populations of the world, it is expected that the burden of these disorders will continue to rise. There is paucity of epidemiological data on this subject and no published study showing the ease of affordability of treatment for these conditions in Nigeria, hence this study. PATIENTS AND METHODS: A cross -sectional study of patients with chronic musculoskeletal conditions attending the orthopaedic outpatient clinic of Ahmadu Bello university Teaching Hospital between 1st July 2019 and 31st December 2019, involving physical interview of new patients and review of case notes of old patients seen within the period. Statistical analysis was done with the Statistical Package for the Social Sciences (SPSS) version 20.0, and descriptive statistics were employed to summarize data. Pearson Chi- square test was used to examine for association between age, occupational ergonomic factors and chronic musculoskeletal conditions. RESULTS: Forty-six percent of the outpatients suffered from chronic musculoskeletal disorders. Chronic low back pain accounted for the greatest burden (64.9%), followed by osteoarthritis of the weight bearing joints (27%), chronic neck pain (4.8%) and rheumatoid arthritis (2.8%). 51.8% of the patients with chronic low back pain, 64.5% of chronic neck pain and 68.5% of osteoarthritis were in the middle-age group. Occupational ergonomic factors as an entity was a significant risk factor identified in almost all the conditions except rheumatoid arthritis (P = 0.0001). Only 121(18.7%) of the patients enjoyed health insurance, while majority do not. Also, 56.0% of the patients had the means of footing the cost of their treatment (either by way of health insurance coverage or out-of-pocket payment). CONCLUSION: The burden of chronic musculoskeletal disorders is high in our region. There is a need for the government to organize ergonomic educational programs through seminars and workshops as part of public health education, and a wider, well funded health insurance policy that covers both the formal and informal sectors and the full extent of the management of these chronic disorders to make such care accessible to all.


Assuntos
Doenças Musculoesqueléticas , Ortopedia , Atividades Cotidianas , Idoso , Instituições de Assistência Ambulatorial , Humanos , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Nigéria/epidemiologia , Pacientes Ambulatoriais , Prevalência , Centros de Atenção Terciária
9.
Orthop Clin North Am ; 52(3): 231-240, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34053568

RESUMO

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.


Assuntos
Moldes Cirúrgicos/efeitos adversos , Procedimentos Ortopédicos , Competência Clínica , Humanos , Internato e Residência , Procedimentos Ortopédicos/efeitos adversos , Procedimentos Ortopédicos/instrumentação , Procedimentos Ortopédicos/métodos , Procedimentos Ortopédicos/normas , Ortopedia/educação , Ortopedia/normas , Lesão por Pressão
10.
BMC Med Educ ; 21(1): 255, 2021 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-33941167

RESUMO

BACKGROUND: United States Medical Licensing Examination Step 1 will transition from numeric grading to pass/fail, sometime after January 2022. The aim of this study was to compare how program directors in orthopaedics and internal medicine perceive a pass/fail Step 1 will impact the residency application process. METHODS: A 27-item survey was distributed through REDCap to 161 U.S. orthopaedic residency program directors and 548 U.S. internal medicine residency program directors. Program director emails were obtained from the American Medical Association's Fellowship and Residency Electronic Interactive Database. RESULTS: We received 58 (36.0%) orthopaedic and 125 (22.8%) internal medicine program director responses. The majority of both groups disagree with the change to pass/fail, and felt that the decision was not transparent. Both groups believe that the Step 2 Clinical Knowledge exam and clerkship grades will take on more importance. Compared to internal medicine PDs, orthopaedic PDs were significantly more likely to emphasize research, letters of recommendation from known faculty, Alpha Omega Alpha membership, leadership/extracurricular activities, audition elective rotations, and personal knowledge of the applicant. Both groups believe that allopathic students from less prestigious medical schools, osteopathic students, and international medical graduates will be disadvantaged. Orthopaedic and internal medicine program directors agree that medical schools should adopt a graded pre-clinical curriculum, and that there should be a cap on the number of residency applications a student can submit. CONCLUSION: Orthopaedic and internal medicine program directors disagree with the change of Step 1 to pass/fail. They also believe that this transition will make the match process more difficult, and disadvantage students from less highly-regarded medical schools. Both groups will rely more heavily on the Step 2 clinical knowledge exam score, but orthopaedics will place more importance on research, letters of recommendation, Alpha Omega Alpha membership, leadership/extracurricular activities, personal knowledge of the applicant, and audition electives.


Assuntos
Internato e Residência , Procedimentos Ortopédicos , Ortopedia , Humanos , Medicina Interna , Licenciamento em Medicina , Percepção , Estados Unidos
12.
Orthopedics ; 44(2): e211-e214, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34038693

RESUMO

Telemedicine technology was rapidly and widely adopted during the early phase of the coronavirus disease 2019 (COVID-19) response, and its efficacy in orthopedic surgery is still undetermined. The objective of this study was to determine the efficacy of new patient orthopedic surgery ambulatory encounters performed using telemedicine during the early phase of the COVID-19 crisis. Failure of the telemedicine encounter was assessed in this study by 2 separate criteria: (1) an unplanned visit to the emergency department (ED) within 6 weeks of the telemedicine encounter and (2) a planned subsequent in-person encounter for inability to formulate a complete diagnosis virtually. The authors retrospectively identified all new patient orthopedic surgery ambulatory encounters performed using telemedicine in the orthopedic surgery department of an academic tertiary care center during the first 6 weeks of the COVID-19 response, from March 16, 2020, to April 26, 2020. The study cohort included 298 new patients treated by 41 providers. The mean age of the 298 patients was 48 years, and 59% were women. Two hundred encounters were performed with video, and 98 were performed with telephone only. Three (1%) patients presented to the ED within 6 weeks of their new patient telemedicine encounter, and 8 (3%) patients presented for a planned in-person encounter. The authors concluded that new patient orthopedic surgery ambulatory encounters performed using telemedicine were able to effectively direct patients to a variety of treatments and dispositions, with a low rate of unplanned presentation to the ED or need for supplementary in-person assessment. [Orthopedics. 2021;44(2):e211-e214.].


Assuntos
COVID-19/prevenção & controle , Ortopedia/métodos , Telemedicina/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Processos e Resultados em Cuidados de Saúde , Estudos Retrospectivos
13.
Bone Joint J ; 103-B(5): 898-901, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33934660

RESUMO

AIMS: This study reviews the past 30 years of research from the Canadian Orthopedic Trauma Society (COTS), to identify predictive factors that delay or accelerate the course of randomized controlled trials in orthopaedic trauma. METHODS: We conducted a methodological review of all papers published through the Canadian Orthopaedic Trauma Society or its affiliates. Data abstracted included: year of publication; journal of publication; study type; number of study sites; sample size; and achievement of sample size goals. Information about the study timelines was also collected, including: the date of study proposal to COTS; date recruitment began; date recruitment ended; and date of publication. RESULTS: In total, 22 studies have been published through the COTS working group, 13 of which are randomized controlled trials (RCTs). In total, 1,423 individual patients have been involved in COTS studies, a mean of 110 patients per trial (22 to 424). Each study was conducted across a mean of approximately six centres (1 to 11) and took nearly ten years (mean 119.9 months (59 to 188)) from presentation of concept to publication. The mean length of enrolment was 63 months (26 to 113) and the mean time from cessation of enrolment to publication 51 months (19 to 78). Regardless of sample size, the only factor associated with a decreased length of enrolment was a higher number of clinical sites (p = 0.041). Neither study sample size nor length of enrolment were associated with total time to publication. CONCLUSION: Over the last three decades, COTS has developed a multinational strategy to produce high-quality evidence in the field of orthopaedic trauma through 13 multicentre RCTs. Future efficiencies can be realized by recruitment of more clinical sites, improving connectivity between the sites, and the promotion of national streamlined ethics processes. Cite this article: Bone Joint J 2021;103-B(5):898-901.


Assuntos
Ortopedia , Publicações Periódicas como Assunto , Editoração/estatística & dados numéricos , Traumatologia , Canadá , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Sociedades Médicas
14.
Mayo Clin Proc ; 96(5): 1379-1380, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33958073

RESUMO

Stamp Vignettes focus on biographical details and accomplishments related to science and medicine, and not individual views and prejudices except when they had a major impact on the subject's life. The authors of Stamp Vignettes do not intend to imply any endorsement of such views when discussing a Stamp Vignette on Medical Science.


Assuntos
Acetábulo/lesões , Fixação de Fratura/história , Fraturas Ósseas/história , Filatelia , Acetábulo/cirurgia , Fixação de Fratura/métodos , Fraturas Ósseas/cirurgia , França , História do Século XX , Humanos , Ortopedia/história
15.
Int Orthop ; 45(6): 1391-1397, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33835246

RESUMO

PURPOSE: In an observational study, we studied the impact of COVID-19 pandemic on our clinical practice of trauma and orthopaedics, in tertiary care hospital of New Delhi. METHODS: We collated the hospital data for 2019 and 2020 and analyzed and compared it extensively. We looked for the effects of the COVID-19 pandemic on several important clinical practice parameters like outpatient attendance, inpatients admissions, and surgery. The correlation of the number of surgeries done during the pandemic time was done with the number of positive cases in Delhi, monthwise. A trend of recovery was also observed. RESULTS: During the pandemic period, the attendance of outpatients fell by 71.93%, admissions by 59.35%, and surgery by 55.78%. Adult trauma surgery was the least affected (42.21%), followed by arthroscopic surgery (49.81%). Fragility hip fractures requiring bipolar hip arthroplasty were reduced by 34.15%. The maximum adverse impact of the pandemic was seen on arthroplasty surgery (hip > knee), followed by on the paediatric orthopaedic cases, and spinal surgery. We notice a "lazy V-shaped" recovery after the lockdown period. CONCLUSION: COVID-19 pandemic has had a severe impact on all aspects of orthopaedics and trauma's clinical practice in our setup. These adverse effects were maximally seen during the lockdown period, with a reduction of 90.77% in the outpatients, 84.63% in the admissions, and 86.67% in the surgery.


Assuntos
COVID-19 , Ortopedia , Adulto , Criança , Controle de Doenças Transmissíveis , Humanos , Índia/epidemiologia , Pandemias , SARS-CoV-2 , Centros de Atenção Terciária
17.
J Surg Orthop Adv ; 30(1): 30-35, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33851911

RESUMO

The primary goal of this study was to determine if an applicant's geographic region of residency was associated with where they matched for fellowship. San Francisco Match (SF Match) provided results regarding applicant data and match results from 2014-2018 for orthopaedic subspecialties except hand and shoulder and elbow. Residency programs were divided into five regions: (Northeast [NE], Southeast [SE], Midwest [MW], Southwest [SW] and West [W]). The MW region had the fewest number of fellowship positions per applicant (0.62), the W region had the most (1.7). Applicants from each region were significantly (p < 0.0001) more likely to complete fellowship in the same region where they completed residency, and there were significant (p < 0.05) differences between regions for specific subspecialties. There are imbalances in terms of the number of applicants and specific fellowship spots available in each region. This imbalance seems important considering the strong associations found between the region in which an applicant completes residency and fellowship. Level of Evidence: Level 3. (Journal of Surgical Orthopaedic Advances 30(1):030-035, 2021).


Assuntos
Internato e Residência , Ortopedia , Bolsas de Estudo , Humanos , Ortopedia/educação
18.
ANZ J Surg ; 91(5): 986-991, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33825302

RESUMO

BACKGROUND: To assess patient outcomes after the introduction of a regular orthopaedic-specific trauma list (OTL). METHODS: A retrospective analysis of 422 trauma cases was performed comparing patient outcomes after the introduction of the OTL. Four common traumatic injuries requiring operative intervention were considered; closed tibial fractures, intra-capsular neck of femur fractures, displaced paediatric supracondylar humeral fractures and hand tendon injuries. The outcomes assessed included time from patient referral to theatre, time from admission to theatre, operative times, time of day operation commenced, consultant involvement, hospital length of stay (LOS), returns to theatre and mortality. RESULTS: Tibial fractures had an increased time from admission to theatre (0.46 days pre-OTL versus 1.21 days post-OTL, P = 0.01), hand tendons injuries had an increase in time from referral to theatre (1.06 days pre-OTL versus 2.82 days post-OTL, P = 0.001). Consultant involvement increased for supracondylar procedures (27% pre-OTL versus 61% post-OTL, P < 0.001) and tendinous hand injury repairs (5% pre-OTL versus 37% post-OTL, P < 0.001). There was a decrease in cases starting after 17:00 hours; however, no group reached statistical significance. There was a reduction in complications and shorter inpatient LOS, however; these were not statistically significant. There was no difference in overall operative times after OTL implementation; however, individual group differences existed between registrars and consultants. CONCLUSION: Implementing regular orthopaedic trauma lists resulted in greater consultant involvement and was associated with decreased after-hours operating. Delays to theatre increased from both time of referral and admission; however, this was not correlated with increases in significant harm.


Assuntos
Ortopedia , Criança , Consultores , Humanos , Tempo de Internação , Queensland/epidemiologia , Estudos Retrospectivos
19.
Pan Afr Med J ; 38: 96, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33889262

RESUMO

Introduction: the purpose of this study was to assess the orthopaedic surgeons' perceptions and attitudes on COVID-19 related changes in their practice. Methods: an online survey was shared with orthopaedic surgeons practicing in different countries. Results: this study showed that orthopaedic surgery plan management was adapted to respond more effectively to the COVID-19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Among the introduced measures, elective surgery was postponed to free-up beds for suspected or COVID-19 positive patients requiring hospitalization. Additionally, the number of outpatient visits was considerably decreased and non-urgent visits were postponed to reduce the flow of patients in and out of hospitals and therefore minimize the risk of contamination. Interestingly, data revealed the willingness of orthopaedic surgeons to take care of COVID-19 positive patients and support their colleagues in intensive care units, if needed. Conclusion: orthopaedic surgery departments have adapted their programs to face the unprecedented challenges due to the COVID-19 pandemic. Quick measures were taken to reduce the risk of contamination in patients, medical staff and to allow hospitals to free up beds for treatment of patients with positive or suspected COVID-19.


Assuntos
COVID-19 , Procedimentos Ortopédicos/estatística & dados numéricos , Cirurgiões Ortopédicos/estatística & dados numéricos , Ortopedia/estatística & dados numéricos , Adulto , Idoso , Atitude do Pessoal de Saúde , Estudos Transversais , Procedimentos Cirúrgicos Eletivos/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Cirurgiões Ortopédicos/organização & administração , Ortopedia/organização & administração , Percepção , Inquéritos e Questionários
20.
Arthroscopy ; 37(4): 1107-1109, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33812515

RESUMO

The optimal way to train a future surgeon has been debated for years, with strategies ranging from the well-known "see one, do one, teach one" approach to more novel approaches that rely on metrics and proficiency. Recent research shows that surgical training with a proficiency-based progression curriculum is an efficient strategy for teaching arthroscopy procedural skills, and, further, may improve patient safety by reducing the technical errors that might otherwise occur before proficiency is achieved. While every surgical specialty has its nuances that must be mastered to provide safe, effective, and efficient care, for a variety of reasons, the skills needed to perform arthroscopy are incredibly difficult to learn, let alone achieve proficiency or master. "On-the-job" training for orthopaedic residents has become more difficult in today's fast-paced, work hour-limited, volume-rewarded society. Proficiency-based progression is a piece of the puzzle, but for now, it is not a complete substitute for high-volume, clinical experience and exposure to the countless variables that may affect a "real-life" surgical procedure.


Assuntos
Ortopedia , Treinamento por Simulação , Competência Clínica , Currículo , Humanos , Ortopedia/educação , Manguito Rotador
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