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Surgical skill education: Deficiency in the learning curve has to change

Surgical skill education: Deficiency in the learning curve has to change
Orthopedics Today, February 2016
Anthony A. Romeo, MD

The education of orthopedic surgeons continues to evolve with most of the focus on the acquisition of knowledge and becoming proficient in the treatment of many complex musculoskeletal problems. Residents and fellows learn from faculty in a variety of settings and digital resources. Then after residency, orthopedic surgeons take their steps toward certification through examinations by the American Board of Orthopaedic Surgery.

However, the process to assess technical surgical skills is almost nonexistent and is certainly antiquated. The master-apprentice model of teaching surgical skills is inadequate to effectively train today’s residents, fellows and practicing orthopedic surgeons. The model may have been effective decades ago when surgical skills focused on basic principles with limited technological options. However, today’s orthopedic surgeons not only have to be capable of complex surgical skills, but they also have to be competent with rapidly progressing technology that requires an advancement of skills beyond a fixed point in time, such as residency education.

PRP with arthroscopic acromioplasty did not improve outcomes for chronic rotator cuff tendinopathy for up to 2 years

Orthopedics Today, February 2016
Treatment of chronic rotator cuff tendinopathy with arthroscopic acromioplasty significantly improved long-term clinical outcomes up to 2 years, according to study…

Canadian patients had higher major complication rates after TKA vs US patients

Orthopedics Today, February 2016
Patients from Canada who underwent total knee arthroplasty experienced a higher rate of major complications compared with patients from the United States, according to…

Study finds VTE likely rare following knee arthroscopy

Orthopedics Today, February 2016
Following knee arthroscopy and arthroscopy-assisted cases in the absence of routine chemoprophylaxis, symptomatic venous thromboembolic events were rare and occurred…
Surgical Technique

Minimal soft tissue dissection, careful suture placement are keys to limited incision repair of acute midsubstance Achilles tendon rupture

Orthopedics Today, February 2016
Andrew R. Hsu, MD
Acute midsubstance Achilles tendon ruptures, an increasingly common athletic injury in patients 30 years to 50 years old, can result in significant functional…
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