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Resident Education and Wellness: A Strategy for Future Pandemics. 居民教育与健康:应对未来流行病的策略。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Samuel L Posey, Josef E Jolissaint, Aaron M Brandt, Rachel B Seymour, Stephen H Sims, Joseph R Hsu, Joshua C Patt, Brian P Scannell
{"title":"Resident Education and Wellness: A Strategy for Future Pandemics.","authors":"Samuel L Posey,&nbsp;Josef E Jolissaint,&nbsp;Aaron M Brandt,&nbsp;Rachel B Seymour,&nbsp;Stephen H Sims,&nbsp;Joseph R Hsu,&nbsp;Joshua C Patt,&nbsp;Brian P Scannell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Coronavirus Disease 2019 (COVID-19) pandemic presented a novel challenge to modern healthcare systems and medical training. Resource allocation and risk mitigation dramatically affected resident training. The objective of this article is to develop new strategies to maintain a healthy, competent residency program while combating the unique challenges to resident education and wellness. In 2020, our institution implemented a revolving 3-Team system. While the \"Inpatient-Team\" delivered direct care, the \"Back-up Team\" and \"Quarantine-Team\" managed the telemedicine virtual clinic and education-wellness strategy, respectively. Our 3-Team system allowed delivery of safe, high-quality patient care while optimizing resident education, research, and wellness. The efficient use of technology led to both improved virtual education outside of the hospital and intentional wellness opportunities despite social distancing restrictions. Utilization of virtual platforms for patient care, education, research, and wellness grew out of necessity in this pandemic, yet represent an opportunity for lasting improvement. (Journal of Surgical Orthopaedic Advances 31(3):150-154, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 3","pages":"150-154"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0193
Ashley Long, Allison K. Bickett, David Price
{"title":"2022","authors":"Ashley Long, Allison K. Bickett, David Price","doi":"10.3113/jsoa.2022.0193","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0193","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"261 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77145079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0169
Olivia Rice, Alicia Williams, L. Lewandowski, Tamar Roomian, J. Hsu, S. Barnhill, Susan M. Odum, M. Wally, R. B. Seymour, Kristina Neri, Matthew W. Morris, G. Hernández, Michaelle Bosse, M. Karunakar, L. Kempton, Kevin Phelps, Stephanie Sims
{"title":"2022","authors":"Olivia Rice, Alicia Williams, L. Lewandowski, Tamar Roomian, J. Hsu, S. Barnhill, Susan M. Odum, M. Wally, R. B. Seymour, Kristina Neri, Matthew W. Morris, G. Hernández, Michaelle Bosse, M. Karunakar, L. Kempton, Kevin Phelps, Stephanie Sims","doi":"10.3113/jsoa.2022.0169","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0169","url":null,"abstract":"How does the geometric representation of a dataset change after the application of each randomly initialized layer of a neural network? The celebrated Johnson– Lindenstrauss lemma answers this question for linear fully-connected neural networks (FNNs), stating that the geometry is essentially preserved. For FNNs with the ReLU activation, the angle between two inputs contracts according to a known mapping. The question for non-linear convolutional neural networks (CNNs) becomes much more intricate. To answer this question, we introduce a geometric framework. For linear CNNs, we show that the Johnson–Lindenstrauss lemma continues to hold, namely, that the angle between two inputs is preserved. For CNNs with ReLU activation, on the other hand, the behavior is richer: The angle between the outputs contracts, where the level of contraction depends on the nature of the inputs. In particular, after one layer, the geometry of natural images is essentially preserved, whereas for Gaussian correlated inputs, CNNs exhibit the same contracting behavior as FNNs with ReLU activation.","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82713674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Descriptive Analysis of Orthopaedic Surgery Residency Program Directors. 骨科住院医师项目主任的描述性分析。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Frederick Mun, Alyssa R Scott, Nicole R Legro, Henry A Boateng, Paul J Juliano, William L Hennrikus
{"title":"Descriptive Analysis of Orthopaedic Surgery Residency Program Directors.","authors":"Frederick Mun,&nbsp;Alyssa R Scott,&nbsp;Nicole R Legro,&nbsp;Henry A Boateng,&nbsp;Paul J Juliano,&nbsp;William L Hennrikus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to analyze the demographics and backgrounds of U.S. orthopaedic surgery residency program directors (PDs). We collected publicly available information on 189 orthopaedic surgery residency PDs. Of those PDs, 90% were male MDs with an average age of 52. The average age at PD appointment was 45. The average duration of appointment was 7 years. About 81% of programs were university-affiliated, and 61% were in an urban environment. PDs attended 100 medical schools, 129 residencies, and 96 fellowships. of PDs, 87% completed fellowships, commonly in trauma and sports medicine. There was no significant difference between male and female PDs when comparing age, academic appointment, or urban/rural environment. Most female PDs (89%) were at university-based hospitals. Of PDs at osteopathic-focused programs, 28% had an MD/PD. No program with an allopathic focus had a DO/PD. Lastly, 38% of PDs worked at the center where they completed residency. (Journal of Surgical Orthopaedic Advances 31(4):252-255, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"252-255"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10830886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association of H-index and Academic Rank Among Full-time Academic Foot and Ankle Surgeons Affiliated with Fellowship Programs. 与奖学金项目相关的全职学术足踝外科医生的h指数和学术排名协会。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
John P Scanaliato, Clare K Green, Michael M Polmear, Justin D Orr, John C Dunn
{"title":"The Association of H-index and Academic Rank Among Full-time Academic Foot and Ankle Surgeons Affiliated with Fellowship Programs.","authors":"John P Scanaliato,&nbsp;Clare K Green,&nbsp;Michael M Polmear,&nbsp;Justin D Orr,&nbsp;John C Dunn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study is to investigate the association between Hirsch index (h-index) and academic rank among foot and ankle surgeons affiliated with American Orthopaedic Foot and Ankle Society (AOFAS) fellowship programs. The total number of publications, academic rank, years in practice, fellowship training pedigree, and h-indices of 176 foot and ankle surgeons from 48 AOFAS fellowship programs were recorded, and statistical analysis was performed. We found a strong association between total number of publications and h-index. Number of publications, h-index and training program affiliation were associated with higher academic rank, except at the chair/director position. Overall, h-index is a stronger predictor of academic rank than number of publications. The results of this study suggest that h-index and total number of publications are associated with a higher academic rank for full-time foot and ankle fellowship affiliated surgeons. (Journal of Surgical Orthopaedic Advances 31(4):263-267, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"263-267"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10830887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0242
Kyleen Jan, Arya V. Dadhania, Michael P. Foy, Anshum Sood, Mark E. Gonzalez
{"title":"2022","authors":"Kyleen Jan, Arya V. Dadhania, Michael P. Foy, Anshum Sood, Mark E. Gonzalez","doi":"10.3113/jsoa.2022.0242","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0242","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87119447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0233
Suman Medda, Matthew Duffin, S. Rosas, Raymond B. Kessler, S. Babcock, J. Halvorson, Eben A. Carroll, H. Pilson
{"title":"2022","authors":"Suman Medda, Matthew Duffin, S. Rosas, Raymond B. Kessler, S. Babcock, J. Halvorson, Eben A. Carroll, H. Pilson","doi":"10.3113/jsoa.2022.0233","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0233","url":null,"abstract":"Logicbecame“formal”attheendofthe19thcenturyprimarilyinpursuitofdeductiverigor within mathematics. But by the early 20th century, a formal treatment of logic had become essential to two new streams in the current of logic: the collection of crucial “semantic” notions surrounding the idea of categoricity","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82562079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2022 2022
Journal of surgical orthopaedic advances Pub Date : 2022-01-01 DOI: 10.3113/jsoa.2022.0256
Andrew J. Sama, Nicholas C. Schiller, J. McCormick, Kevin J. Bondar, Deborah J. Li, J. Canseco, Chester J Donnally Iii
{"title":"2022","authors":"Andrew J. Sama, Nicholas C. Schiller, J. McCormick, Kevin J. Bondar, Deborah J. Li, J. Canseco, Chester J Donnally Iii","doi":"10.3113/jsoa.2022.0256","DOIUrl":"https://doi.org/10.3113/jsoa.2022.0256","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74855467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thermal Output of Oscillation Versus Forward Drilling of Bone. 震荡的热输出与骨的前钻。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Suman Medda, Matthew J Duffin, Samuel Rosas, Raymond B Kessler, Sharon Babcock, Jason J Halvorson, Eben A Carroll, Holly T Pilson
{"title":"Thermal Output of Oscillation Versus Forward Drilling of Bone.","authors":"Suman Medda,&nbsp;Matthew J Duffin,&nbsp;Samuel Rosas,&nbsp;Raymond B Kessler,&nbsp;Sharon Babcock,&nbsp;Jason J Halvorson,&nbsp;Eben A Carroll,&nbsp;Holly T Pilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study's objective was to identify a difference in maximum temperature change during forward versus oscillating drilling of cadaveric bone. Paired femurs were dissected from the soft tissue of five cadavers. Each cadaver had one femur assigned to forward and the other to oscillation. The first drill hole was 2.5 cm distal to the lesser trochanter and the remaining 10 holes were evenly spaced 2 cm apart. A System 7 drill and 3.5 mm drill bit were attached to an Instron 5500R to provide a progressive force of 50 Newtons per minute for each drill hole. A thermal camera recorded each drilling. A new drill bit was used for each femur. Fifty bicortical drillings were analyzed in each group. The average time to complete forward drilling (45.0 seconds) was shorter compared to oscillation (55.5 s, p < 0.001). The average force required for forward drilling (27.7 N) was lower than for oscillation (44.3N, p < 0.001). The maximum change in temperature during the drilling process was similar (oscillating 100.2° F vs. forward 100.7° F, p = 0.871). The maximum change in temperature at the near cortex was lower for oscillation (78.1°F) compared to forward drilling (89.1°F, p = 0.011), while the maximum change at the far cortex was lower for forward drilling (89.3°F) compared to oscillation (95.8°F, p = 0.115) but not significantly. Overall, there is no difference in the thermal output between techniques. Oscillation may be beneficial in proximity to vital structures or to navigate narrow bony corridors, but it requires additional time and force. (Journal of Surgical Orthopaedic Advances 31(4):233-236, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"233-236"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10830881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability Testing of the Mayo Elbow Performance Score in Post-operative Patients. Mayo肘关节功能评分在术后患者中的可靠性检验。
Journal of surgical orthopaedic advances Pub Date : 2022-01-01
Aaron Baessler, Robert Renn Eason, Myles R Joyce, Daniel T Dibaba, Jim Y Wan, Frederick M Azar, Tyler J Brolin, Thomas W Throckmorton
{"title":"Reliability Testing of the Mayo Elbow Performance Score in Post-operative Patients.","authors":"Aaron Baessler,&nbsp;Robert Renn Eason,&nbsp;Myles R Joyce,&nbsp;Daniel T Dibaba,&nbsp;Jim Y Wan,&nbsp;Frederick M Azar,&nbsp;Tyler J Brolin,&nbsp;Thomas W Throckmorton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aimed to determine intra-observer and inter-observer reliability of the Mayo Elbow Performance Score (MEPS). Patients undergoing elbow surgery completed a MEPS questionnaire initially and another 2-3 weeks later. During the second interview, patients completed the Oxford Elbow Score (OES) for comparison. Intraclass correlation coefficients (ICC) and Pearson correlation coefficients (PCC) > 0.80 indicated substantial agreement. In 42 patients who had elbow surgery, the average MEPS score initially was 78 (range, 5-100, SD 22.4) and 77 (range, 5-100, SD 21.5) at second interview. The average normalized OES score was 79 (range, 17-100, SD 23.6). The ICC for MEPS scores at the two time points was 0.90, and the PCC between the MEPS and OES scores was 0.87, indicating substantial agreement. The MEPS has strong intra-observer reliability at different time points and strong inter-observer reliability when compared with the OES, validating the MEPS as an outcome measure of elbow surgery. (Journal of Surgical Orthopaedic Advances 31(4):229-232, 2022).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"229-232"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10830882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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