tag:blogger.com,1999:blog-6760873683081651675.post4233961461956469166..comments2024-01-18T04:16:57.545-06:00Comments on Orthopaedic Residency: The attending perspective: Practice makes perfect ... or something like thatAnonymoushttp://www.blogger.com/profile/18071954032609414825noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6760873683081651675.post-7059903514069937032007-10-21T21:24:00.000-05:002007-10-21T21:24:00.000-05:00Chrysalis Angel:the research i listed just came ou...Chrysalis Angel:<BR/>the research i listed just came out. i don't know if the 20% decrease in case number is completely accurate but i think the decrease is true. although simulators help, you are right that the tactile feel is not the same. the other thing is that live is always a different feeling than simulation. how will you react to the adrenaline you get?<BR/><BR/>MWWAK: <BR/>there has actually be a lot of research into the education of physician (look in academic medicine ... the journal) but i don't know if the same techniques apply. the other thing is what evaluation tools are we going to use to say that the physician has reached technical competency? i believe just with the increase in the number of procedures we do and the increase in technical difficulty. now with the decrease in the number of cases, i feel that is will be something e may see in the future.<BR/><BR/>Hildy:<BR/>my fiend from down under. Please don't let those people on the msg board deter your interest in orthopaedics. :) i would agree that there will be some changes in requirements for certification. it will also come into play for hospital credentialing.Someonecthttps://www.blogger.com/profile/01098940208758613514noreply@blogger.comtag:blogger.com,1999:blog-6760873683081651675.post-10788226881923060852007-10-20T16:32:00.000-05:002007-10-20T16:32:00.000-05:00I think that the time extension is necessary - or ...I think that the time extension is necessary - or perhaps compulsory board certification. This is coloured by my experience in a British-patterned medical education system where, to practise as a surgeon, you must obtain the equivalent of board certification (fellowship of the college). Make it clear to trainees that graduation from the program within a fixed time period is neither certain nor desirable; that what is necessary for completion of residency is having breadth, depth and number of cases, as well as the scientific knowledge required for the field.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6760873683081651675.post-60399567449291300502007-10-20T09:59:00.000-05:002007-10-20T09:59:00.000-05:00I agree with you. While I think that some work ho...I agree with you. While I think that some work hours limitations are smart and reasonable, they do have their down sides. I think that in order to do enough procedures and see enough patients, you just have to be in the hospital a certain amount of time.<BR/><BR/>Unfortunately, since, until recently, there hasn't been a lot of research into education of doctors, we don't really know how many arthroscopies, laparoscopies, hysterectomies, outpatient evals, etc. one has to do to be a good doctor. I don't know that simulators can help all that much. To a certain extent, the only way to learn how to operate is to operate. <BR/><BR/>And with resident time being a 0-sum game now, every outpatient experience takes away from the OR or vice-versa. <BR/><BR/>I think that it would be entirely reasonable to extend training times, particularly in surgical specialties, at this point. I bet a year would make up for the 20% drop in operative volume. I've thought about this a lot for ob-gyn.Midwife with a Knifehttps://www.blogger.com/profile/04309579302399381913noreply@blogger.comtag:blogger.com,1999:blog-6760873683081651675.post-76143762418467051002007-10-19T18:20:00.000-05:002007-10-19T18:20:00.000-05:00I was going to say simulators. Although, I don't ...I was going to say simulators. Although, I don't know how they could possibly give that hands on experience of textures, and the like.<BR/><BR/>Power Points, by the way, are turning into a no, no, so my last seminar said. They've found people tune out, and all they hear is the drone of the presenter. Some drift off to sleep if you lower the lights to view the Power Point. I've seen that happen without the Power Point. (I think it depends on the presenter.)<BR/><BR/>What an interesting post, it would be interesting to see what others think.Chrysalis https://www.blogger.com/profile/00757696627388704079noreply@blogger.com