Publication date: Available online 30 January 2017
Source:Journal of Surgical Education
Author(s): Nickul S. Jain, Ran Schwarzkopf, John A. Scolaro
ObjectiveOrthopedic residents commonly perform closed manipulative reductions as a part of their training. Traditionally, this skill is taught early in training but difficult to simulate. Proficiency is achieved through repetition and experience; faculty observation and instruction is unfortunately often limited. Direct resident teaching has been shown to increase competency, comfort, and long-term skill retention. We hypothesize that video review of closed fracture reductions will provide an inexpensive and valuable tool for resident education and improve skill performance.DesignClosed reductions performed by orthopaedic residents were recorded using a secured mobile tablet device in the emergency department (ED). Video review sessions were performed with both peer and faculty feedback/analysis of reduction technique. Anonymous resident and faculty surveys were completed following each session to evaluate the usage and perceived benefit of the program.SettingUniversity-based Level I Trauma Center.ParticipantsOrthopedic surgery residents and faculty.ResultsAll junior orthopedic residents (postgraduate year [PGY] 1-3) reported that direct video observation by faculty was beneficial. Furthermore, 97% of junior resident and 100% of faculty responses reported that they would use this educational technology in the future. Residents and faculty both strongly agreed that video review was more useful than other methods, improved resident preparation for ED fracture care, and felt this technique would improve patient care and outcomes. Compared with senior residents (PGY 4-5), PGY-1s believed that this technique helped them prepare for ED fracture care (p = 0.02).ConclusionsVideo review provides a useful, innovative, and inexpensive method to improve resident competency in closed fracture reduction—a critical skill in orthopedic patient care. These procedures are uncommonly available for direct faculty observation. We have demonstrated that both residents and faculty were satisfied with the ability to review procedures, identify weaknesses, and obtain or provide direct feedback on this skill. Additionally, fracture reduction video review may help residents meet and achieve clinical milestones, an area of future investigation.
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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Τρίτη 31 Ιανουαρίου 2017
Video Review as a Tool to Improve Orthopedic Residents׳ Performance of Closed Manipulative Reductions
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- In Response to “Does the intraoperative nerve moni...
- Extracapsular dissection as sole therapy for small...
- Monitoring of the posterior cricoarytenoid muscle ...
- Rurality and determinants of hearing healthcare in...
- In Response to “Does the intraoperative nerve moni...
- Extracapsular dissection as sole therapy for small...
- Melanin-concentrating hormone in peripheral circul...
- Binding of the chemokine CXCL12α to its natural ex...
- Limiting the protein corona: A successful strategy...
- Selective transduction of astrocytic and neuronal ...
- IOP-details
- Editorial Board
- Instructions to Authors
- Correlation between auditory brainstem response an...
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- Editorial Board
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- Associations of Maternal Vitamin B12 Concentration...
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- Is p16 an adequate surrogate for human papillomavi...
- Genetic signature and profiling of head and neck c...
- Is p16 an adequate surrogate for human papillomavi...
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