The Core Competencies for General Orthopaedic Surgeons

Kellam, James F; Archibald, Douglas; Barber, James W.; Christian, Eugene P; D'Ascoli, Richard J; Haynes, Richard; Hecht, Suzanne; Hurwitz, Shepard R.; McLaren, Alexander C; Peabody, Terrance D.; Southworth, Stephen R.; Strauss, Robert W.; Wadey, Veronica

doi:10.2106/jbjs.16.00761

Cited by 24 publications

(11 citation statements)

References 5 publications

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“…As a possible source of explanation Italian OMPTs were trained by their University to apply conservative strategies for the management of the patients' complaints without using drugs or prescripting images (e.g., US, MRI, MRA) [27]. Contrarily, orthopaedic surgeons were educated to use drugs and to perform surgery during their University training, thus limiting their knowledge about physiotherapy and rehabilitation [40]. The results from the current study agree with other surveys on rotator cuff disorders performed in different European countries such as Italy [8], United Kingdom [9], Belgium and Netherlands [58].…”

Section: Discussionmentioning

confidence: 99%

Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities

Brindisino

Ristori²,

Lorusso

et al. 2020

Arch Physiother

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Background and aim: The subacromial impingement syndrome (SIS) represents a common cause of disability in approximately 74% of patients with Shoulder Pain (SP). Even if contemporary research suggests that this mechanism is not (always) the dominant driver in SP, SIS is still a source of debate among scholars and clinicians. From a clinical point of view, evidence has suggested that clinicians can use both medical and physiotherapy approaches as effective methods to treat SIS. This survey aims to investigate models of management of patients with SIS in a sample of Italian physiotherapist specialists (Orthopaedic Manipulative Physical Therapists, −OMPTs-) and orthopaedic surgeons. Materials and methods: An online survey with 29-item questionnaire was administered to assess the knowledge of OMPTs and orthopaedic surgeons about: a) strategies of clinical examination; b) the role of imaging in the diagnostic process; c) the physiotherapy management; and d) the pharmacological and surgical management in patients with SIS. Results: Six-hundred and twenty-nine respondents completed the survey (511 OMPTs (79.97%) and 128 orthopaedic surgeons (20.03%)). Ninety-two percent (n = 470) of the OMPTs and 80.5% (n = 103) of orthopaedic surgeons stated that in patients with SIS, a combination of diagnostic tests produced better accuracy (p = < 0.001). Twenty point seven % of OMPTs (n = 106) and 4.7% of orthopaedic surgeon (n = 6) stated that the Lift off was the most specific test (p = < 0.001). Four-hundred-and-twenty-four OMPTs (83%) and 40 orthopaedic surgeons (31.3%) answered that the gold standard for diagnosis of a patient with SIS are history and clinical examination (p < 0.001). Conclusion: OMPTs and orthopaedic surgeons approach patients with SIS differently during both the assessment and the treatment. OMPTs appear to be appropriate in planning and managing clinical examination and therapeutic strategies to use with patients with SIS.

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Section: Discussionmentioning

confidence: 99%

Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities

Brindisino

Ristori²,

Lorusso

et al. 2020

Arch Physiother

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“…We need to study variability among residency programs and ultimately take steps to mitigate it. In their recent study, Kellam and colleagues [3] made great strides in defining the capabilities of a general orthopaedic surgeon in practice. Using their study as a jumping off point, future researchers should develop an educational plan detailing how to become a general orthopaedic surgeon in 5 years.…”

Section: Linking Education To Practicementioning

confidence: 99%

CORR® Curriculum — Orthopaedic Education: Reconsidering the ACGME Orthopaedic Milestones

Dougherty

2018

Clin Orthop Relat Res

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“…Owing to limited employment opportunities in government hospitals, many surgeons in Southern Africa are forced into private practice 2 . Here, the distribution of trauma and elective surgery often mirrors high-resource settings, where arthroscopy of the knee and shoulder is ranked among the 10 most common procedures for a general orthopaedic surgeon 3 . For knee arthroscopy in this sector, an estimated 10 knee arthroscopies are performed per 10,000 population annually 4 .…”

Section: Introductionmentioning

confidence: 99%

Evaluating Basic Knee Arthroscopy Skills in Orthopaedic Trainees in a Limited-Resource Setting

et al. 2023

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Background: Orthopaedic training in Southern Africa is largely focused on trauma, although elective procedures, such as knee arthroscopy, are increasing. This is especially true in the private sector where most trainees will practice. The primary aim of this study was to assess the arthroscopic competency of orthopaedic trainees in a setting of limited resources. Methods: A prospective observational cohort study was conducted. Orthopaedic trainees of a Southern African university hospital performed basic arthroscopy on a knee model. Their surgical competency was assessed by 2 surgeons proficient in arthroscopy using the modified Basic Knee Arthroscopy Skill Scoring System (mBAKSSS). Results: A total of 16 trainees (12 male) were included (6 junior and 10 senior trainees). The median age of participants was 36 (34.8-37) years. The median mBAKSSS was 28.0 (20.3-32.5) but showed a large variability (12.0-42.5). The overall reliability was excellent with Cronbach's alpha of 0.91 and interclass correlation of 0.91 (95% confidence interval 0.75-0.97). Conclusions: The average knee arthroscopy proficiency of our trainees is comparable with that of international training programs, but there was great variability with inconsistent skills among the trainees. This calls for improved and reproducible arthroscopy training and skills transfer, exposure to procedures, and ongoing assessment. Level of Evidence: II (prospective observational cohort study).Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSOA/A446).

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The Core Competencies for General Orthopaedic Surgeons

Cited by 24 publications

References 5 publications

Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities

Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities

CORR® Curriculum — Orthopaedic Education: Reconsidering the ACGME Orthopaedic Milestones

Evaluating Basic Knee Arthroscopy Skills in Orthopaedic Trainees in a Limited-Resource Setting

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