The Impact of a Resident’s Sense of Control on Burnout in Orthopaedic Surgery Residency

JBJS Reviews ◽  
2021 ◽  
Vol 9 (12) ◽  
Author(s):  
Sebastian Orman ◽  
J. Alex Albright ◽  
Emil Stefan Vutescu ◽  
Craig P. Eberson
Keyword(s):  
Orthopaedic Surgery ◽  
Sense Of Control ◽  
The Impact

Doctor–patient communication, patient knowledge and health literacy: how difficult can it all be?

2014 ◽  
Vol 96 (6) ◽  
pp. e9-e13 ◽  
Author(s):  
S Kyle ◽  
D Shaw
Keyword(s):  
Health Literacy ◽  
Orthopaedic Surgery ◽  
Patient Communication ◽  
Patient Knowledge ◽  
Doctor Patient Communication ◽  
The Impact

Patients who understand their injuries, the aims and potential of their treatment are likely to experience superior outcomes. We review the literature on positive, encouraging doctor–patient communication, and the impact of health literacy and education on patient knowledge in medicine and surgery, with a particular emphasis on orthopaedic surgery. We also highlight methods of improving doctor–patient communication and patient knowledge.

scholarly journals Durability of Smoking Cessation for Elective Lower Extremity Orthopaedic Surgery

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0039
Author(s):  
Danica H. Smith ◽  
Michael F. McTague ◽  
Michael J. Weaver ◽  
Jeremy T. Smith
Keyword(s):  
Smoking Cessation ◽  
Lower Extremity ◽  
Orthopaedic Surgery ◽  
Perioperative Complications ◽  
Smoking History ◽  
Secondary Outcome ◽  
Impaired Wound Healing ◽  
Patient Reported ◽  
The Impact

Category: General Health Introduction/Purpose: Smoking tobacco is a risk factor for impaired wound healing, infection, delayed fracture healing, and prolonged hospital stay. Smoking cessation prior to surgery has shown a 40% relative risk reduction in total perioperative complications. The primary purpose of this study is to evaluate the impact of preoperative smoking cessation on long-term smoking habits in patients undergoing elective lower extremity orthopaedic surgery. The secondary outcome is patient-reported effectiveness of smoking cessation method. Methods: A retrospective cohort study was performed by identifying all patients who were smokers that were required to quit and subsequently had a normal nicotine/cotinine serum test prior to lower extremity orthopaedic surgery. Attempts were made to contact all patients and administer a survey inquiring about demographics, medical history, smoking history, smoking cessation process, and current smoking status. Results: Of 36 eligible patients, 23 completed the survey. Eleven patients identified as current non-smokers (48%) at the time of survey follow-up (mean follow-up 55 months with a range of 12 to 88 months). Of these 11, 82% said they were very likely to continue to refrain from smoking. Twelve patients identified as current smokers at the time of survey, over half of whom ceased smoking for at least three months perioperatively. The reasons for resuming smoking were “stress” (45%), ”falling back into the habit” (37%), and due to “friends who smoke” (18%). The majority of smoking patients (92%) decreased the number of cigarettes they smoked regularly. The most effective smoking cessation techniques were ”cold turkey”, “non-nicotine medication”, and ”trans-dermal nicotine patches”. Conclusion: Elective surgery offers a unique opportunity for smoking cessation. Of 23 patients required to quit smoking prior to surgery, 48% maintained smoking cessation at least one year postoperatively. Of the 12 patients who relapsed, 55% stated that they did not resume smoking until at least three months postoperatively, suggesting that this particular period may be an important time for intensified smoking cessation counseling.

scholarly journals The Impact of COVID-19 on the Orthopaedic Surgery Residency Application Process

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Amiethab A. Aiyer ◽  
Caroline J. Granger ◽  
Kyle L. McCormick ◽  
Cara A. Cipriano ◽  
Jonathan R. Kaplan ◽  
...  
Keyword(s):  
Orthopaedic Surgery ◽  
Application Process ◽  
Residency Application ◽  
The Impact

scholarly journals The Perceived Effectiveness of a Short-term Orthopaedic Foot and Ankle Mission Trip to Kenya

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0023
Author(s):  
Eric C. Gokcen ◽  
Joshua C. Luginbuhl ◽  
Joshua C. Luginbuhl
Keyword(s):  
Orthopaedic Surgery ◽  
Ankle Instability ◽  
Foot And Ankle ◽  
Perceived Effectiveness ◽  
Educational Impact ◽  
Short Term ◽  
Surgical Mission ◽  
Ankle Surgery ◽  
Orthopaedic Residency ◽  
The Impact

Category: Other Introduction/Purpose: Short-term surgical mission trips have become increasingly common, with many benefits seen by the hosts and the visitors when trips are done properly. However, few visitors ever attempt to measure the impact of their visit other than to list the surgeries that were performed. This study was performed to determine the perceived educational impact on orthopaedic attendings and residents of a Kenyan internationally accredited orthopaedic residency program and to determine the hosts’ opinions on the effectiveness of orthopaedic short-term trips. Methods: A survey was developed and distributed to four host attending surgeons and 9 host residents at the beginning of an orthopaedic mission trip. The visitors included four attending orthopaedic foot and ankle surgeons from various US sites, and two orthopaedic surgery residents from one US program. Using a scale from 1-10, with 1 meaning definitely No, and 10 meaning definitely Yes, hosts were asked if they felt there was a need for more foot and ankle training in Kenya. A post-trip survey was distributed to the host attendings and residents to determine perceived competency in five topics of foot and ankle pathology. Results: When hosts were asked if they felt there was a need for more foot and ankle training in Kenya, attendings responded an average 8.3, and residents 9.4. When asked if a short-term trip would improve foot and ankle care for the community, attendings responded 7.8, and residents 7.9. A post-trip survey was completed by one attending and 3 residents to determine their perceived competency in five topics of foot and ankle pathology. Overall, they averaged an increase of +2.0 on the scale in their competency for all topics. The highest increase was with ankle instability and hallux valgus at +3.0, and the lowest increase was with Achilles pathology at +0.75. Conclusion: The survey supported the hypothesis that short-term orthopaedic foot and ankle surgery trips to this program are helpful according to the hosts. Furthermore, understanding the competencies of the hosts can help the visitors develop more impactful teaching by focusing on the topics of need. Further studies such as this should be routinely performed with medical trips to help determine their effectiveness.

The impact of the novel coronavirus on trauma and orthopaedics in the UK

2020 ◽  
Vol 81 (4) ◽  
pp. 1-6 ◽  
Author(s):  
Catrin Morgan ◽  
Aashish K Ahluwalia ◽  
Arash Aframian ◽  
Lily Li ◽  
Stephen Ng Man Sun
Keyword(s):  
Orthopaedic Surgery ◽  
Musculoskeletal Injury ◽  
The Novel ◽  
Front Line ◽  
Orthopaedic Patients ◽  
Novel Coronavirus ◽  
Injury Burden ◽  
The Uk ◽  
The Impact ◽  
British Orthopaedic Association

At first glance, the novel coronavirus pandemic and orthopaedic surgery appear separate entities. Orthopaedic surgeons are not generally considered front-line staff in terms of the treatment of the disease that the novel coronavirus causes compared with anaesthetic and medical colleagues. However, the impact that the novel coronavirus is likely to have on the musculoskeletal injury burden and the morbidity associated with chronic musculoskeletal disease is significant. This article summarises the strategies currently being developed for the remodelling of orthopaedic services in the UK and the emergency British Orthopaedic Association Standards for Trauma and Orthopaedic guidelines released on 24 March 2020 in managing urgent orthopaedic patients during the novel coronavirus pandemic.

scholarly journals In-ger-land, In-ger-land, In-ger-land! Exploring the impact of soccer on the sense of belonging of those seeking asylum in the UK

2016 ◽  
Vol 52 (8) ◽  
pp. 940-954 ◽  
Author(s):  
Donna Woodhouse ◽  
Dom Conricode
Keyword(s):  
Identity Formation ◽  
Host Country ◽  
Asylum Seeker ◽  
Exploratory Study ◽  
Sense Of Belonging ◽  
Sense Of Control ◽  
Self Identity ◽  
The Status ◽  
The Uk ◽  
The Impact

Utilising research conducted in Sheffield (UK) with people seeking asylum, this article explores the ways in which soccer might be used to create a sense of belonging in the host country. It explores participant feelings about soccer and its potential to alleviate the pressures that the status of being an ‘asylum seeker’ brings. The ways in which soccer may play a role in the identity formation of those seeking asylum is considered in relation to both self-identity and the perceptions of others. The findings of this exploratory study suggest that the various ways of interacting with soccer can provide participants with a sense of control, identity and belonging.

Attention to four key principles can promote health outcomes from desert Aboriginal land management

2011 ◽  
Vol 33 (4) ◽  
pp. 417 ◽  
Author(s):  
Jocelyn Davies ◽  
David Campbell ◽  
Matthew Campbell ◽  
Josie Douglas ◽  
Hannah Hueneke ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Land Management ◽  
Aboriginal People ◽  
Good Practice ◽  
Relevant Literature ◽  
Theory Approach ◽  
Sense Of Control ◽  
Starting Point ◽  
The Impact ◽  
Further Development

We identify four principles that can promote the prospects of health outcomes for desert Aboriginal people from livelihoods engaged with land management. The principles were derived inductively using a grounded theory approach, drawing on primary research that used qualitative and participatory methods, and from relevant literature and theoretical frameworks. International and Australian literature offers evidence that supports desert Aboriginal people’s view that their health depends on their relationship with their land. Engagement with land management can lead desert Aboriginal people to feel that their own actions are consistent with their own sense of the right and proper way for them to behave towards land, family and community. This increased ‘sense of control’ impacts positively on health by moderating the impact of sustained stress from health risk factors in the environment and lifestyle. The four principles focus on underlying characteristics of Aboriginal land management that are important to promoting this increased ‘sense of control’: (1) Aboriginal land management governance recognises and respects Aboriginal custom and tradition, and is adaptive; (2) learning is embraced as a life-long process; (3) relationships are recognised as very important; and (4) partnerships give priority to doing things that all parties agree are important. These principles are presented as hypotheses that warrant further development and testing. While they do not account specifically for the impact of lifestyle and environmental factors on health, we expect that the increased sense of control that desert Aboriginal people are likely to develop when involved in Aboriginal land management that applies these principles will moderate the impact of such factors on their health. The principles offer a starting point for further development of criteria and standards for good practice in Aboriginal land management, potentially including an environmental certification scheme that integrates social and environmental outcomes.

scholarly journals Application of Restorative Justice Values in Settling Medical Malpractice Cases

2020 ◽  
Vol 10 ◽  
pp. 103-110
Author(s):  
Ahmad Syauf ◽  
◽  
Diana Haiti ◽  
Mursidah Mursidah
Keyword(s):  
Restorative Justice ◽  
Medical Malpractice ◽  
Social Injustice ◽  
Sense Of Control ◽  
Original Condition ◽  
Legal Research ◽  
Conceptual Approach ◽  
Civil Lawsuits ◽  
The Impact ◽  
Formal Justice

Lawsuits submitted by patients or their families to the hospital and / or their doctors can take the form of criminal or civil lawsuits by almost always basing on the theory of negligence. This paper seeks to explore the application of the values of restorative justice in resolving cases of medical malpractice in Indonesia. This research is a qualitative research using normative legal research and uses a statute approach and a conceptual approach. The results showed that settlement of medical malpractice cases through a restorative justice approach or which is known in the culture of the Indonesian people as a consensus agreement as contained in the 4th Precepts of Pancasila is one alternative settlement that is to restore conflict to the parties most affected (victims, perpetrators and interests community) and give priority to the interests of all parties. The conclusion showed that the restorative justice emphasizes human rights and the need to recognize the impact of social injustice and in simple ways to restore the parties to their original condition rather than simply giving formal justice actors or legal actors and victims not getting any justice. Hence, restorative justice also strives to restore the security of victims, personal respect, dignity and more importantly is a sense of control so as to avoid feelings of revenge both individual or family or group.

scholarly journals The Impact of the COVID-19 Pandemic on Orthopaedic Surgery Residency Applicants During the 2021 Residency Match Cycle in the United States

2020 ◽  
Vol 4 (11) ◽  
pp. e20.00103
Author(s):  
Nicholas C. Danford ◽  
Connor Crutchfield ◽  
Amiethab Aiyer ◽  
Charles M. Jobin ◽  
William N. Levine ◽  
...  
Keyword(s):  
United States ◽  
Orthopaedic Surgery ◽  
The United States ◽  
The Impact ◽  
Residency Match
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