Professionalism in 21st Century Professional Practice: Autonomy and Accountability in Orthopaedic Surgery

Schneller, Eugene S.; Wilson, Natalia

doi:10.1007/s11999-009-0836-4

Cited by 22 publications

(8 citation statements)

References 19 publications

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“…10 To clarify the surgeon-company relationship, guidelines/standards should be provided for surgeons to follow and become accountable. 11 Many senior surgeons are thrust into the management team and may not have any training on management or business, and hospital mangers are not expected to appreciate the surgeons' priorities. Thus, we suggest setting up a culture of co-production where surgeons, managers, patients, and implant companies work closely together.…”

Section: Discussionmentioning

confidence: 99%

Surgeons' Knowledge about the Costs of Orthopaedic Implants

Rohman

Hadi

Whitwell

2014

J Orthop Surg (Hong Kong)

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Purpose. To investigate consultant surgeons' knowledge about the costs of implants for various joint surgeries. Methods. Questionnaires were distributed to consultant orthopaedic surgeons at 2 hospitals. Respondents were asked to estimate the implant costs of any brand for low-demand and high-demand total hip replacement (THR), total knee replacement (TKR), uni-compartmental knee replacement, arthroscopy shaver blade, total anterior cruciate ligament (ACL) fixation, and meniscal repair. The actual cost of each implant was obtained from the manufacturer. Results. 16 consultant surgeons completed the questionnaires. The respective mean estimated and actual costs for a low-demand THR implant were £1714 (range, £600-3000) and £1448 (range, £985-2335), with an overestimation of 18.4%. The respective costs for a high-demand THR implant were £2172 (range, £600-6000) and £1737 (range, £1192-2335), with an overestimation of 25%. The respective costs for a TKR implant were £1550 (range, £600-6000) and £1316 (range, £995-1535), with an overestimation of 17.8%. The respective costs for a uni-compartmental knee replacement implant were £1040 (range, £600-2000) and £1296 (range, £698-1470), with an

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Section: Discussionmentioning

confidence: 99%

Surgeons' Knowledge about the Costs of Orthopaedic Implants

Rohman

Hadi

Whitwell

2014

J Orthop Surg (Hong Kong)

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“…The profession of physical therapy evolved from a medically directed clinical decision-making in treating patients to an autonomous direct-access service [5]. With growth in practice autonomy, there is an increased need for professional accountability which improves quality of provided care [6,7].…”

Section: Introductionmentioning

confidence: 99%

Levels of Professionalism among Physical Therapists in India- A National Cross-Sectional Survey

Kumar

Sisodia²,

Jacob³

2013

J Sports Med Doping Stud 2013

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Background and purpose: The American Physical Therapy Association (APTA) developed the core values of leadership, administration, management and professionalism for physical therapists. The aim of this study was to assess the levels of professionalism among physical therapists in India. Materials and methods:This cross-sectional study was done using a survey questionnaire-Professionalism In Physical Therapy-Core Values (PPTCV) instrument that consisted of sample indicators for each of the seven core values-accountability (10 indicators), altruism (5 indicators), compassion/caring (11 indicators), excellence (11 indicators), integrity (12 indicators), professional duty (7 indicators), and social responsibility (12 indicators). Each sample indicator was to be rated using a 5-point Likert scale from 'never, rarely, occasionally, frequently and rarely.' 771 eligible questionnaires out of 889 participants with a response rate of 91.33% were analyzed and computed based upon individual-and profession-related variables. Descriptive analysis was done using SPSS version 11.5 (SPSS Inc, IL) at 95% confidence interval. Results:Overall, high levels of professionalism was reported by post-graduate students, followed by researchers and teaching faculty. Younger male physical therapy students were more likely to report high levels of professionalism. Individually, accountability was high among teaching faculty, altruism, compassion/caring and social responsibility among clinician-therapists, and integrity and professional duty was high among researchers. No single professional category showed high levels of professionalism in all seven core values. Conclusion:Overall levels of professionalism among Indian physical therapists were moderate, and altruism and compassion levels were also low. Other indicators of professionalism were fairly evenly distributed among the students and therapists, and between genders. The study findings are of importance to develop curricular and educational modifications to improve levels of professionalism among physical therapists in India and future studies are warranted around the world.undergone continuing professional development programmes had improved levels of professionalism and they chose supervision as a method for self-directed professional development [32].

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“…In another study by Gong et al [ 30 ], 78 patients who underwent carpal tunnel release for carpal tunnel syndrome were requested to indicate their preferred level of involvement in clinical decision making, with 59 (76 %) indicating that they preferred a collaborative role. In addition, several studies have emphasised the importance of incorporating patient preferences into orthopaedic care [ 35 – 39 ].…”

Section: Discussionmentioning

confidence: 99%

Patient preferences for emergency or planned hip fracture surgery: a cross-sectional study

2016

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BackgroundThe ideal timing of surgical management for hip fractures remains controversial. Currently, individual surgeon preference and departmental resources guide decision making regarding the use of emergency or planned operating lists for hip fracture surgery. We evaluated patient preference for emergency or planned surgery.Methods102 patients awaiting surgery for a hip fracture at a tertiary hospital were surveyed in this cross-sectional study. After being informed of the benefits and risks associated with an emergency or planned operation, the patients were asked to indicate a hypothetical preference for surgical operating time. They were then asked to give an importance value for six factors that may influence decision making including consultant supervision, operative timeliness, surgical cancellation, after hours operation, length of hospital stay and repeated fasting. For each factor, absolute importance was rated from 0 to 10, and factors were independently ranked for relative importance from 1 to 6. An open ended question was used to include any other factors they thought relevant to their hypothetical decision making.ResultsOf the 102 patients surveyed, 95 patients (93 %) indicated that they preferred planned over emergency surgery. The most important influencing factor was the presence of specialist supervision (mean rating 9.4, mean rank 1.3) followed by avoidance of operative cancellation (mean rating 8.8, mean rank 2.3) and avoidance of after hours operations (mean rating 8.1, mean rank 3.2). A lower importance was attached to operative timeliness and avoiding prolonged fasting, with reduction in length of hospital stay being the least important variable. There was a direct correlation between absolute ratings and relative rankings independently assigned by patients to each factor.ConclusionsPatients with hip fractures prefer planned rather than emergency surgery, the presence of specialist supervision being the most important factor influencing their preference.

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Professionalism in 21st Century Professional Practice: Autonomy and Accountability in Orthopaedic Surgery

Cited by 22 publications

References 19 publications

Surgeons' Knowledge about the Costs of Orthopaedic Implants

Surgeons' Knowledge about the Costs of Orthopaedic Implants

Levels of Professionalism among Physical Therapists in India- A National Cross-Sectional Survey

Patient preferences for emergency or planned hip fracture surgery: a cross-sectional study

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