scholarly journals Variability in trauma case volume in orthopedic surgery residents

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Travis D. Blood ◽  
Joseph A. Gil ◽  
Christopher T. Born ◽  
Alan H. Daniels
Keyword(s):  
Orthopedic Surgery ◽  
Trauma Surgery ◽  
Orthopedic Trauma ◽  
Upward Trend ◽  
Case Volume ◽  
Trauma Case ◽  
The Mean ◽  
The Difference ◽  
Case Logs ◽  
Orthopedic Trauma Surgery

Orthopedic trauma surgery is a critical component of resident education. Surgical case logs obtained from the Accreditation Council of Graduate Medical Students from 2009 to 2013 for orthopedic surgery residents were examined for variability between the 90<sup>th</sup> and 10<sup>th</sup> percentiles in regards to the volume of cases performed. There was an upward trend in the mean number of cases performed by senior residents from 484.4 in 2009 to 534.5 in 2013, representing a 10.3% increase. There was a statistically significant increase in the number of cases performed for humerus/elbow, forearm/wrist, and pelvis/hip during this period (Pth and 90<sup>th</sup> percentile case volumes narrowed over the study period, the difference between these groups remained significant in 2013 (P=0.02). In 2013, all categories of trauma cases had a greater than 2.2-fold difference between the 10<sup>th</sup> and 90<sup>th</sup> percentile of residents for numbers of trauma cases performed. Although case volume is not the sole determinant of residency education and competency, evidence suggests that case volume plays a crucial role in surgeon confidence and efficiency in performing surgery. Further studies are needed to better understand the effect of this variability seen among residents performing orthopedic trauma surgery.

scholarly journals Microsurgery Case Volume During Orthopedic Surgery Residency: A 7-Year Assessment

Hand ◽  
2016 ◽  
Vol 12 (6) ◽  
pp. 610-613 ◽  
Author(s):  
Richard M. Hinds ◽  
Christopher S. Klifto ◽  
Michael S. Guss ◽  
John T. Capo
Keyword(s):  
Medical Education ◽  
Orthopedic Surgery ◽  
Median Number ◽  
Regression Analyses ◽  
Case Volume ◽  
Educational Implications ◽  
Wide Clinical Application ◽  
The Mean ◽  
Case Logs ◽  
Analyze Case

Background: Microsurgery is a specialized surgical technique with wide clinical application. The purpose of this study was to analyze case logs of graduating orthopedic surgery residents to assess trends in case volume for microsurgery procedures. Methods: Accreditation Council for Graduate Medical Education case log reports were analyzed for microsurgery experience from 2007 to 2013. The mean number of adult, pediatric, and total microsurgery cases was noted. In addition, the median number of microsurgery procedures performed by the 90th, 50th, and 10th percentiles of residents (by case volume) was recorded. Temporal changes in case volume were calculated utilizing linear regression analyses. Results: The proportion of microsurgery procedures increased significantly (1.3% to 2%; P = .024). The mean number of adult (24.5 to 41.9; P = .01), pediatric (1.9 to 3.4; P = .011), and total (26.3 to 45.3; P = .01) microsurgery procedures also increased significantly. Similarly, residents in both the 90th (63 to 109; P = .01) and 50th (10 to 21; P = .036) percentiles sustained significant increases in the median number of microsurgery procedures. No change was noted for residents in 10th percentile (0 to 0; P > .999). Graduating residents in the 90th percentile performed over 6 times more microsurgery procedures than residents in the 50th percentile. Conclusions: Microsurgical caseload is increasing among graduating orthopedic residents. However, there is substantial variability in resident microsurgery case volume. Future investigations are needed to explore the educational implications of these findings and should seek to correlate microsurgical caseload with competency.

Rates of Perioperative Complications Among Patients Undergoing Orthopedic Trauma Surgery Despite Having Positive Results for Methamphetamine

Orthopedics ◽  
2019 ◽  
Vol 42 (4) ◽  
pp. 192-196 ◽  
Author(s):  
Thomas Githens ◽  
Malcolm R. DeBaun ◽  
Sean T. Campbell ◽  
Edward J. Wu ◽  
L. Henry Goodnough ◽  
...  
Keyword(s):  
Perioperative Complications ◽  
Trauma Surgery ◽  
Orthopedic Trauma ◽  
Orthopedic Trauma Surgery ◽  
Positive Results

Orthopedic trauma surgery and hospital cost analysis in refugees; the effect of the Syrian civil War

2017 ◽  
Vol 41 (5) ◽  
pp. 877-884 ◽  
Author(s):  
Altuğ Duramaz ◽  
Mustafa Gökhan Bilgili ◽  
Berhan Bayram ◽  
Nezih Ziroğlu ◽  
Alkan Bayrak ◽  
...  
Keyword(s):  
Civil War ◽  
Cost Analysis ◽  
Hospital Cost ◽  
Trauma Surgery ◽  
Orthopedic Trauma ◽  
Syrian Civil War ◽  
Orthopedic Trauma Surgery

Pioneering orthopaedic trauma surgery in Turkey: Burhaneddin Toker (1890–1951), the stormy 1930s, and refugees running from Nazism

2020 ◽  
pp. 096777202093501
Author(s):  
Erdem Bagatur
Keyword(s):  
Orthopedic Surgery ◽  
Medical Training ◽  
Trauma Surgery ◽  
Musculoskeletal Injuries ◽  
Trauma Patients ◽  
Orthopedic Trauma ◽  
The West ◽  
Scientific Publications ◽  
Medical Discipline ◽  
Republican Government

Orthopedic surgery, the medical discipline that deals with diseases and injuries of the musculoskeletal system has been considered a distinct medical discipline in the west since the beginning of the twentieth century. However, in Turkey, the acceptance of musculoskeletal traumatology as an integral part of orthopedic surgery actualized as late as 1961. Previously, orthopedic trauma patients were usually treated in general surgery departments. Dr. Burhaneddin Toker, a true pioneer, changed this conduct of the time in Turkey. He transformed Cerrahpaşa Hospital, then a municipality hospital today the well-known Cerrahpaşa Medical School of Istanbul University, to a trauma center. He pioneered systematic surgery of the musculoskeletal injuries, created a separate service for musculoskeletal traumatology, trained many surgeons in this field, wrote textbooks, and reported his clinical experience in scientific publications. This study examines the biography of Burhaneddin Toker and how he was able to further medical training in Turkey with a focus on Turkey in the stormy 1930s, the way the young republican government under Atatürk’s leadership handled educational issues, and the refugee scientists who found a safe haven in Turkey fleeing Nazism.

Patent Foramen Ovale Closure Before Orthopedic Trauma Surgery to Reduce Risk of Recurrent Systemic Fat Embolism

2007 ◽  
Vol PAP ◽  
Author(s):  
Paul Leeson ◽  
Ahmed Al-Mousawi ◽  
Jonathan Timperley ◽  
Andrew R. Mitchell ◽  
Keith Willett ◽  
...  
Keyword(s):  
Patent Foramen Ovale ◽  
Trauma Surgery ◽  
Fat Embolism ◽  
Orthopedic Trauma ◽  
Foramen Ovale ◽  
Reduce Risk ◽  
Orthopedic Trauma Surgery

What factors influence follow-up in orthopedic trauma surgery?

2015 ◽  
Vol 135 (3) ◽  
pp. 321-327 ◽  
Author(s):  
Paul S. Whiting ◽  
Sarah E. Greenberg ◽  
Rachel V. Thakore ◽  
Vignesh K. Alamanda ◽  
Jesse M. Ehrenfeld ◽  
...  
Keyword(s):  
Trauma Surgery ◽  
Orthopedic Trauma ◽  
Orthopedic Trauma Surgery
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