scholarly journals FACTORS THAT INFLUENCE PATIENTS’ RECOMMENDATION OF ORTHOPAEDIC SURGEONS: AN ANALYSIS OF A POPULAR ONLINE RATING WEBSITE

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0011
Author(s):  
Ashok Para ◽  
Gabriel Hanna ◽  
Justin Luis ◽  
Bishoy Ezzat ◽  
Brian D. Batko ◽  
...  
Keyword(s):  
Qualitative Analysis ◽  
Waiting Time ◽  
Orthopaedic Surgery ◽  
Improve Patient Care ◽  
Fellowship Training ◽  
Care Patient ◽  
Orthopaedic Surgeons ◽  
Physician Review ◽  
Negative Comments ◽  
Physician Reviews

Background: In the modern digital age, patients are increasingly consulting online physician reviews prior to making healthcare decisions. Physician review websites are being used in many medical fields including orthopaedic surgery. The purpose of this study is to investigate trends in online physician reviews and determine which factors are most strongly correlated with the likelihood that an orthopaedic surgeon is to be recommended by patients. Methods: Healthgrades.com, the most comprehensive physician rating and comparison database, was queried for “orthopaedic surgery” in the state of New Jersey. Demographic information, fellowship training status, years of experience, malpractice/disciplinary actions, physician ratings and the likelihood to recommend score (LTRS) was collected for all physicians. Quantitative analysis was conducted using descriptive statistics, student t-test, and one-way ANOVA. Qualitative analysis of randomly selected positive comments and all negative comments was conducted. Common themes were identified using frequency-based word cloud generator. Results: 834 board certified orthopaedic surgeons (800 Males, 34 Females), with a mean age of 55.7±12.5 years and an average LTRS of 4.1±0.84 were included for analysis. Compared with non-fellowship trained orthopaedic surgeons, fellowship trained surgeons were more likely to be recommend by patients [3.8 vs. 4.3; P< 0.0001]. Physicians with waiting time <10min were more likely to be recommended compared with their counterparts with waiting time >10min (P< 0.0001). No differences were observed in LTRS between male and female orthopaedic surgeons (P= 0.79) or based on malpractice status (P= 0.61). Qualitative analysis of a randomly selected sample of 4,151 out of a total of 12,168 positive comments and 1,113 total negative comments revealed that positive comments centered on surgeon competence and professionalism, while negative comments centered on surgeon personality and waiting time. Conclusion: Orthopaedic surgeons have generally favorable ratings and mostly positive comments. Fellowship status and waiting time are important factors that impact LTRS. Patients were more likely to write positive comments about surgeon competence and professionalism, and negative comments pertaining to surgeon personality and waiting time. Knowledge of surgeon specific attributes that are important to patients may help educate orthopaedic surgeons to improve patient care, patient satisfaction and online ratings. Tables and Figures [Table: see text][Table: see text][Figure: see text]

scholarly journals Surgical Trends in the Treatment of Acute Achilles Ruptures

2017 ◽  
Vol 2 (2) ◽  
pp. 2473011416S0001
Author(s):  
Bryant Ho ◽  
Sandeep Soin ◽  
Ashlee MacDonald ◽  
Judith Baumhauer ◽  
John Ketz
Keyword(s):  
Achilles Tendon ◽  
Orthopaedic Surgery ◽  
Fellowship Training ◽  
Nonoperative Treatment ◽  
Geographic Region ◽  
Foot And Ankle ◽  
Functional Rehabilitation ◽  
Orthopaedic Surgeons ◽  
Tendon Ruptures ◽  
Level I

Category: Sports Introduction/Purpose: Historically, nonoperative treatment of acute Achilles tendon ruptures was felt to have significant re-rupture rates. With improved functional rehabilitation, recent studies have shown decreased rates of tendon re-rupture. Recent randomized control trials circa 2010 have shown no difference in re-ruptures between early functional rehabilitation and surgical repair. The goal of this study was to evaluate trends in surgical treatment of Achilles ruptures, based on data obtained from the American Board of Orthopaedic Surgery (ABOS), in response to evolving level I evidence. Methods: All operative cases submitted by part II applicants from 2003 to 2015 for primary board certification by the American Board of Orthopaedic Surgery (ABOS) were retrospectively reviewed. Isolated primary Achilles tendon repairs for acute ruptures were identified by ICD-9 and CPT code. Surgeon information including fellowship training and geographic region, and patient information including age, sex, and complications were collected. Results: Out of 1,118,457 cases, there were 4792 Achilles repairs (0.43%) with 510 complications (10.6%). The rate of Achilles repairs increased from 2006 to 2010, when rates peaked at 0.57% of all collected cases (Figure 1). Since 2010, there has been a decrease in rates back to pre-2006 values. The changing rates appear to be largely driven by non-fellowship trained orthopaedic surgeons. The rates of sports and foot and ankle fellowship trained surgeons had mild increases in 2006 and decreases in 2010, but overall have slightly increased. The rate for patients greater than 65 have decreased from 2002 to 2004. Since then, there have been yearly variations, with minimal overall change. Examination of regional differences demonstrate the greatest change in the Northeast. All regions had increased rates in 2006 and decreased rates in 2010, with the exception of the Northwest and South regions, who showed little overall change. Conclusion: Surgical trends for Achilles ruptures corresponded closely to high impact level 1 publications in the literature in 2005 and 2010, suggesting evidence-based responsiveness in newly trained orthopaedic surgeons. These trends are less pronounced in the Northwest and South regions and for sports and foot and ankle specialists.

Orthopaedic In-Training Examination Resources and Residency Training for the Foot and Ankle Domain

2018 ◽  
Vol 12 (2) ◽  
pp. 146-152
Author(s):  
Cory F. Janney ◽  
Daniel Kunzler ◽  
Pejma Shazadeh Safavi ◽  
Vinod Panchbhavi
Keyword(s):  
Orthopaedic Surgery ◽  
Fellowship Training ◽  
Cross Sectional Study ◽  
Foot And Ankle ◽  
Self Assessment ◽  
Cross Sectional ◽  
Orthopaedic Surgeons ◽  
Scholarship Program ◽  
American Orthopaedic ◽  
Certifying Examination

Background. Residency programs use the annual Orthopaedic In-Training Examination (OITE) prepared by the American Academy of Orthopaedic Surgeons (AAOS) to monitor resident progress and prepare them for the part 1 of the American Board of Orthopaedic Surgeons (ABOS) Certifying Examination. The purpose of this study was to determine resources residents currently use to prepare for the OITE and also to learn about their perception of training they receive in the foot and ankle subspecialty in their program and their interest in foot and ankle fellowship after residency. Methods. An anonymous survey was sent to both allopathic programs and osteopathic residents to learn what resources residents used to study for the OITE, preparatory question sets, on-call resources, their perception on training received in foot and ankle surgery, and their intent to pursue fellowship training. Results. A total of 130 residents participated in the survey. The majority of residents in allopathic and osteopathic residencies used Orthobullets (OB) to prepare for the OITE and use this resource while on-call. Most residents also used OB question sets to study along with the AAOS self-assessment examinations. In total, 43.2% of osteopathic residents felt they did not get enough exposure to foot and ankle subspecialty while in training, in contrast to 31.2% of allopathic residents. A total of 35% of all orthopaedic surgery residents felt they lacked enough exposure to foot and ankle orthopaedic surgery. Only 7 residents (6%, 6 allopathic, 1 osteopathic) intended to pursue a foot and ankle fellowship following graduation. Conclusion. Online resources such as OB continue to be frequently used by residents for preparation for the OITE. Greater than one-third of orthopaedic residents feel they do not get enough exposure to foot and ankle orthopaedic surgery. Improvement in this area could be helped by continued endeavors from the American Orthopaedic Foot and Ankle Society such as the Visiting Professor Program and Resident Scholarship Program. Levels of Evidence: Level V: Single Cross-Sectional Study

Overnight call is associated with poor resting heart rate and heart rate variability in orthopaedic surgeons

2019 ◽  
Vol 4 (3) ◽  
pp. 123-126
Author(s):  
Kyle R Sochacki ◽  
David Dong ◽  
Leif Peterson ◽  
Patrick C McCulloch ◽  
Kevin Lisman ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Orthopaedic Surgery ◽  
Resting Heart Rate ◽  
Linear Regression Models ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Hours Worked ◽  
Significance Level ◽  
Orthopaedic Surgeons

ObjectivesThe purpose of this study was to determine orthopaedic surgery residents’ and attending surgeons’ resting heart rate (RHR) and heart rate variability (HRV) and if there is a correlation between subject-specific variables (age, attending surgeon, resident, postgraduate year (PGY) level, gender, number of calls, total hours worked, and total hours of sleep) and surgeon RHR and HRV.MethodsOrthopaedic surgery residents and attending surgeons at a single institution were prospectively enrolled and provided a validated wearable device to determine hours of sleep, RHR and HRV. Demographic information, hours worked and overnight calls were recorded. Bivariate correlations were determined using the Spearman rank correlation. Multiple linear regression models were constructed to determine the effect of relevant variables. All p values were reported, and a significance level of α=0.05 was used (p<0.05).ResultsTwenty-one of 26 enrolled subjects completed the 4-week study. The average RHR and HRV for orthopaedic surgeons was 61.8+10.0 bpm and 42.96+21.2ms, respectively. Residents had a significantly higher RHR (66.4+8.4 vs 55.6+8.9, p=0.011) compared with attending surgeons. Overnight calls had the strongest association with decreased HRV (r=−0.447; p=0.038), moderate positive correlation with RHR (r=0.593; p=0.005) and weak negative correlation with HRV (r=−0.469; p=0.032). There was no significant correlation between PGY level, gender, total hours worked and total hours of sleep with RHR or HRV.ConclusionOrthopaedic surgeons have poor RHR and HRV. Additionally, the number of overnight calls had the strongest correlation with worse RHR and HRV.Level of evidenceLevel II; diagnostic, individual cross-sectional study with a consistently applied reference standard.

#OrthoTwitter: social media as an educational tool

2020 ◽  
pp. bmjstel-2020-000630
Author(s):  
Muhammad Arham Sahu ◽  
Zahrah Goolam-Mahomed ◽  
Simon Fleming ◽  
Usman Ahmed
Keyword(s):  
Social Media ◽  
Clinical Education ◽  
Orthopedic Surgery ◽  
Orthopaedic Surgery ◽  
Online Community ◽  
Educational Tool ◽  
Social Media Platform ◽  
Orthopaedic Surgeons ◽  
Media Platform ◽  
Use Of Social Media

AimsThe increased use of social media creates opportunity for new, effective methods of delivering medical and clinical education. Twitter is a popular social media platform where users can post frequent updates and create threads containing related content using hashtags. This study aims to investigate and analyse the type of content relating to orthopaedic surgery that is being posted on the platform of Twitter.MethodsA retrospective search was performed for tweets containing the words ‘orthopaedic surgery’ or ‘orthopedic surgery’ or the use of the hashtag ‘#OrthoTwitter’ between November 2018 to November 2019. A total of 5243 tweets were included.ResultsTweets containing ‘orthopaedic surgery’ or ‘orthopedic surgery’ most frequently contained promotional or marketing content (30% promotional, 21% marketing), and private organisations were the category of author to which the greatest number of tweets belonged (30%). Tweets containing educational or research content were the least common among all tweets containing ‘orthopaedic surgery’ or ‘orthopedic surgery’ (11%). In contrast, of the tweets containing the hashtag ‘#OrthoTwitter’, 44% contained educational or research content, 15% contained promotional content and no tweets containing marketing content. Furthermore, 87% of all tweets using the hashtag ‘#OrthoTwitter’ were from orthopaedic surgeons, and the least number of tweets were from private organisations (2%).ConclusionTwitter is a widely used social media platform regarding orthopaedic surgery. We propose that the hashtag ‘#OrthoTwitter’ can be used to create an online community of orthopaedic surgeons where members can assist one another through sharing reliable and educational content.

Supervision Rates During Orthopaedic Fellowships: Are We Assessing Them Correctly?

2012 ◽  
Vol 94 (2) ◽  
pp. 1-3
Author(s):  
G McKay ◽  
G Kirby ◽  
C Jack ◽  
D Ricketts
Keyword(s):  
Orthopaedic Surgery ◽  
Fellowship Training ◽  
High Quality ◽  
Orthopaedic Training

Fellowships during orthopaedic training are intended to provide closely mentored and supervised high-quality training in a subspecialty interest. The benefits of a fellowship are widely recognised and some advertisements for consultant posts in orthopaedic surgery now include fellowship training in the person specification.

scholarly journals Local Antimicrobial Treatment in Orthopaedic Surgery

2017 ◽  
Vol 2 (1) ◽  
pp. 1-2
Author(s):  
Antonia F. Chen ◽  
Heinz Winkler
Keyword(s):  
Basic Science ◽  
Orthopaedic Surgery ◽  
Clinical Evidence ◽  
Joint Infection ◽  
Antimicrobial Treatment ◽  
Special Issue ◽  
Orthopaedic Surgeons ◽  
Bone And Joint Infection

Abstract. The purpose of this special issue of Journal of Bone and Joint Infection is to provide orthopaedic surgeons with basic science explanations as to how these local antimicrobials work, clinical evidence that supports these local treatments, and the role of these local treatments against biofilm.

Iterative Implementation of a Remote Cardiac Patient Monitoring Device using Qualitative Analysis and Human Factors Engineering

2017 ◽  
Vol 61 (1) ◽  
pp. 1081-1085 ◽  
Author(s):  
Bethany R Lowndes ◽  
Dawn Finnie ◽  
Julie Hathaway ◽  
Jennifer L. Ridgeway ◽  
Kristin Vickers-Douglas ◽  
...  
Keyword(s):  
Human Factors ◽  
Qualitative Analysis ◽  
Improve Patient Care ◽  
Cost Of Care ◽  
Cardiac Monitoring ◽  
Monitoring Device ◽  
Human Factors Engineering ◽  
Device Design ◽  
Or Education ◽  
Education Material

Remote monitoring has the potential to improve patient care and satisfaction while reducing the cost of care and burden on the healthcare system for Congestive Heart Failure (CHF) and Atrial Fibrillation (AF) patients. However, the device must be convenient and easy for the population to use correctly. In this study, human factors and qualitative researchers evaluated the use of a remote cardiac monitoring device during a clinical trial with 74 CHF and AF patients. Human factors usability concerns centered on device use and the information presented in the manual. The key themes identified during the qualitative analysis were related to patient education. These findings were incorporated into device design, user manual, or education material updates. This study illustrates how these methods can infuse patient experience into device design to inform continued quality improvement and usability refinement specifically in devices to aid CHF and AF patients without added burden.

scholarly journals Recognising and dealing with complications in orthopaedic surgery

2017 ◽  
Vol 99 (3) ◽  
pp. 185-188 ◽  
Author(s):  
D Ricketts ◽  
RA Rogers ◽  
T Roper ◽  
X Ge
Keyword(s):  
Royal College ◽  
Orthopaedic Surgery ◽  
Data Interpretation ◽  
Accurate Data ◽  
Orthopaedic Surgeons

Orthopaedic surgeons need information about the complications they are likely to encounter. The literature on complications is difficult to interpret owing to a lack of agreed definitions, problems with collecting accurate data and with data interpretation. We suggest a role for the Royal College of Surgeons and specialist societies in collecting and interpreting complications data.

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