Hand Trauma Network in the United States: ASSH Member Perspective Over the Last Decade

Eberlin, Kyle R.; Payne, Diane E.S.; McCollam, Stephen M.; Levin, L. Scott; Friedrich, Jeffrey B.

doi:10.1016/j.jhsa.2021.03.018

Cited by 13 publications

(15 citation statements)

References 16 publications

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“…In a study of hand surgery trauma call, 47% of respondents from the American Society for Surgery of the Hand reported lifestyle consideration as the main barrier for not taking call. 9 This finding aligns with our results with "Lifestyle considerations/work-life balance" as the highest ranked barrier followed by "hospital environment or inadequate hospital resources." Surgeon satisfaction is important from both a workforce and patient perspective.…”

Section: Discussionsupporting

confidence: 91%

“…8 A 2021 study surveyed members of the American Society for Surgery of the Hand (ASSH) and found that the average compensation for taking hand call was slightly under $1000 as well. 9 Plastic surgeon compensation for facial trauma call is slightly below the average for these 2 subspecialties. Interestingly, when we compare mean compensation to other surgical fields like neurosurgery, plastic surgeons' compensation rates for taking call are significantly below their averages.…”

Section: Discussionmentioning

confidence: 96%

“…A previous study done in orthopedic surgery found that $1000 was the most common daily rate 8. A 2021 study surveyed members of the American Society for Surgery of the Hand (ASSH) and found that the average compensation for taking hand call was slightly under $1000 as well 9. Plastic surgeon compensation for facial trauma call is slightly below the average for these 2 subspecialties.…”

Section: Discussionmentioning

confidence: 99%

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Facial Trauma Call Reimbursement Patterns Among American Society of Maxillofacial Surgery Members

Rivera

Long

Shah

et al. 2022

Journal of Craniofacial Surgery

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Facial trauma accounts for over 3 million emergency room encounters each year in the United States and places significant financial burden on the health care system and surgeons. However, data on facial trauma call practices among plastic surgeons are lacking. We surveyed members of the American Society of Maxillofacial Surgeons (ASMS) regarding their experience with facial trauma call. A 27-question online survey was distributed through e-mail to ASMS members. Forty-five ASMS members completed the survey, of whom 64% were required to take facial trauma call and 44% were compensated for call. Respondents in the North-East were less likely [odds ratio (OR): 0.234, confidence interval (CI), 0.054-1.015; P = 0.052] to be compensated for taking call, whereas those who worked at level 1 trauma centers were more likely odds ratio: 5.42, CI, 0.892-32.89; P = 0.066) to be compensated. Surgeons required to take facial trauma call were 4.646 (CI,; P = 0.026) times more likely to take call ≥ 5 days per month. These results highlight a relatively low proportion of plastic surgeons receiving additional compensation for facial trauma call while work at a level 1 trauma center was associated with higher likelihood of compensation. Surgeons in the Northeast may be compensated less frequently than other regions. Plastic surgeons should be aware of these trends, as they decide how to incorporate facial trauma call into their practice.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Facial Trauma Call Reimbursement Patterns Among American Society of Maxillofacial Surgery Members

Rivera

Long

Shah

et al. 2022

Journal of Craniofacial Surgery

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“…Flexor tendon injuries are primarily treated by hand surgeons in many countries; however, this is not always possible in routine clinical practice and such patients may be treated by orthopedic surgeons, general surgeons, and rarely emergency room physicians who do not prioritize microsurgery training during their residency training. [ 10 , 11 ] However, in flexor tendon injuries, it is unacceptable that a digital nerve injury that may be missed in the preoperative examination of the patient is noticed intraoperatively, and the patient is left untreated due to the lack of microsurgery training.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9] room physicians who do not prioritize microsurgery training during their residency training. [10,11] However, in flexor tendon injuries, it is unacceptable that a digital nerve injury that may be missed in the preoperative examination of the patient is noticed intraoperatively, and the patient is left untreated due to the lack of microsurgery training.…”

mentioning

confidence: 99%

Is microsurgical experience essential in Zone II flexor tendon injuries?

Pamuk¹

2023

Jt Dis Relat Surg

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This study aims to investigate whether microsurgical experience was necessary for the treatment of Zone II flexor tendon injuries.Patients and methods: Between October 2018 and October 2021, a total of 73 Zone II flexor tendon injuries in 71 patients (53 males, 18 females; mean age: 39.6±12.1 years; range, 21 to 57 years) who underwent surgical intervention in our center were retrospectively analyzed. All patients in the study had flexor digitorum profundus (FDP) tendon injury. The clinical outcomes of patients with digital artery injury, nerve injury or phalanx fracture accompanying FDP tendon injury were evaluated separately according to the American Society for Surgery of the Hand (ASSH) scores. The scores of multiple injuries accompanying FDP tendon injury in patients with FDP+flexor digitorum superficialis (FDS)+digital nerve injury and FDP+FDS+digital artery+nerve injury were evaluated. Results:The mean ASSH score was 69.4±28.2 in the group with FDP tendon injury accompanying digital nerve injury and 62.9±19.7 in the group with FDP tendon injury and digital artery injury. The clinical outcomes were significantly lower in patients with digital nerve injury and digital artery injury respectively, compared to patients without accompanying injuries (p=0.029 and p=0.012, respectively). The lowest mean score (45.3±10.2) was in patients with fracture accompanying FDP tendon injury and ASSH score was significantly lower than in patients without fracture (p<0.001). Conclusion:Zone II flexor tendon injuries are frequently accompanied by digital artery or nerve injuries, which usually require microsurgical repair. If left untreated, treatment outcome may be poor. Surgical centers and departments undertaking the treatment of flexor tendon injuries should be able to perform microsurgery.

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