For Physicians
Scattered radiation during fixation of hip fractures. Is distance alone enough protection? SOURCE:J Bone Joint Surg BrWe measured the scattered radiation received by theatre staff, using high-sensitivity electronic personal dosimeters, during fixation of extracapsular fractures of the neck of the femur by dynamic hip screw. The dose received was correlated with that received by the patient, and the distance from t
Nineteenth-century contributions to the mechanical recording of postural sway. SOURCE:Arch NeurolIn the first half of the 19th century, European physicians, including Marshall Hall, Bernardus Brach, and Moritz Romberg, described loss of postural control in darkness by patients with severely compromised proprioception. Late 19th-century neurologists developed instruments to measure and record p
Prescriber profiles. SOURCE:J Bone Joint Surg AmWithin a two-week period, two sales representatives from competing pharmaceutical companies visited the office of an orthopaedic group practice. One representative was elated that the group had been steadily prescribing his company's new arthritis medication. The physicians assumed that the represe
The Internet as a communication tool for academic orthopaedic surgery departments in the United States. SOURCE:J Bone Joint Surg AmBACKGROUND: The Internet's appeal as an affordable, accessible medium for information transfer makes it a potentially useful tool for practicing physicians. In the past several years, Internet-based health-care companies have proliferated, and many medical centers have established individual web si
Access to orthopedic care for children with medicaid versus private insurance in California. SOURCE:PediatricsOBJECTIVE: To compare the availability of timely orthopedic care to a child with a fractured arm insured by Medi-Cal (California state Medicaid) and by private insurance. STUDY DESIGN: Fifty randomly chosen offices of orthopedic surgeons were telephoned with the following scenario: "My 10-year-old
Evaluating surgical resident selection procedures. SOURCE:Am J SurgPURPOSE: The purposes of this study were to develop and assess a rating form for selection of surgical residents, determine the criteria most important in selection, determine the reliability of the assessment form and process both within and across sites, and document differences in procedure and
Teaching professionalism in orthopaedic residency. SOURCE:J Bone Joint Surg AmTwo residents, wearing white coats with their names and "Department of Orthopaedics" conspicuously embroidered on them, boarded a hospital elevator crowded with physicians, employees, and visitors. In a clearly audible voice, one resident began a story: "You should have seen the patient I saw in my
Orthopaedic workforce studies: 1980 to 1985. SOURCE:Clin OrthopA committee was appointed by the American Academy of Orthopaedic Surgeons in 1981 to continue the orthopaedic workforce studies begun by D. Kay Clawson a decade earlier. The committee found that the rapid increase in orthopaedists graduating from residency programs between 1970 and 1982 had resulte
Orthopaedic manpower: an overview. SOURCE:Clin OrthopWhat constitutes orthopaedic practice and how many orthopaedic surgeons are desirable for a given population has been discussed since the specialty was founded. The American Academy of Orthopaedic Surgeons began addressing this issue in January 1937. Extensive studies were done in the early 1970s w
Shared decision-making and the orthopaedic workforce. SOURCE:Clin OrthopStudies of physician workforce need a standard of an appropriately sized workforce to compare projections. Although many studies use average rates of healthcare use as a standard, regional benchmarks provide a pragmatic alternative approach to estimating a reasonably sized physician workforce and a
Expanding the role of the orthopaedic surgeon in the treatment of osteoporosis. SOURCE:Clin OrthopOsteoporosis is an increasingly prevalent disease among the aging population, and osteoporotic features account for substantial morbidity, mortality, and healthcare costs associated with this disease. Because the disease is silent until a fracture occurs, the orthopaedic surgeon often may be the ph
Musculoskeletal disease in the United States: who provides the care? SOURCE:Clin OrthopMusculoskeletal care is a big business in the United States. It is estimated that the cost of musculoskeletal care is in excess of $215 billion per year. Although orthopaedic surgeons are responsible for providing musculoskeletal care, a significant proportion of care is rendered by other healthcar
Expanding roles of the orthopaedic surgeon. SOURCE:Clin OrthopMany sources predict an oversupply of orthopaedic surgeons in the United States continuing into the next 30 years. The most attractive solution to this problem is to expand the scope of orthopaedic practice by regaining direct patient access to orthopaedic specialty care, by developing and bringing
Occupational orthopaedics in this millennium. SOURCE:Clin OrthopTreatment of musculoskeletal pain in the workplace by early return to work and prevention is the future of occupational orthopaedics. Patients who receive workers' compensation comprise 20% of the general orthopaedist's practice, 65% of a hand surgeon's practice, and 90% of the independent medical
Expanding the orthopaedist's role in the treatment of foot and ankle disorders. SOURCE:Clin OrthopMany opportunities exist and more will become available for expanding the role of orthopaedic surgeons in the treatment of patients with foot and ankle conditions in the United States. The current authors present the main areas of opportunity: giving comprehensive foot care to patients who already