Addressing Patient Preferences Appropriately

During a recent meeting of the Patient Safety Committee, Chair David Ring, MD, PhD, facilitated a discussion focused on identifying and responding to patient preferences in treatment. Participating committee members Dwight Burney, MD; Michael Pinzur, MD; Alan Reznik, MD; Andrew Grose, MD; Chris Gaunder, MD; Ramon Jimenez, MD; and Michael R. Marks, MD, MBA, shared strategies. Dr. Ring: The concept of shared decision making has had some impact, but there is still room for improvement.

Second Look – Clinical News and Views

These items originally appeared in AAOS Headline News Now, a thrice-weekly enewsletter that keeps AAOS members up to date on clinical, socioeconomic, and political issues, with links to more detailed information. Subscribe at www.aaos.org/news/news.asp (member login required). Frameless stereotaxic navigation systems—The U.S.

What Is the True Value of the On-call Orthopaedic Resident?

Peter Pollack

"Residents provide a significant amount of care to patients with orthopaedic injuries and musculoskeletal conditions," noted J. Benjamin Jackson, MD. When the attending is not present, much of that care goes unbilled. Currently, resident education is funded by Medicare and the host institution. "The Balanced Budget Act of 1996 froze funding for graduate medical education (GME), so any new resident openings have been funded by individual hospitals.

Correction

The article "Identifying Risk Factors for Unplanned Readmissions Following TJA," which was published in the May issue of AAOS Now, misidentified the presenting author of a study presented at the AAOS 2017 Annual Meeting in San Diego. the primary author of "Ten-year Trends and Independent Risk Factors for Unplanned Readmission Following Elective Total Joint Arthroplasty at a Large Urban Academic Hospital," presented the study.

Patients with Ankle Fractures May Be Able to Use Fewer Opioids

Terry Stanton

According to a study published in the July issue of the Journal of the American Academy of Orthopaedic Surgeons, no association exists between opioid intake and disability following surgery for ankle fracture. The study also found no link between opioid intake and satisfaction with treatment or pain management.

Oral Examinations: Not Just for ABOS Part II Examinations

James R. Roberson, MD; Douglas W. Lundy, MD, MBA; ; David F. Martin, MD

Although the structure of the American Board of Orthopaedic Surgery's (ABOS) oral examinations has changed over the years, the exams are still an integral component for certification and a good option for Maintenance of Certification (MOC). Candidates must pass the Part II oral examination as the final step toward achieving initial ABOS Board Certification. Each year, approximately 750 surgeons take the ABOS Part II oral examination.

PJI and Cancer: More Similar Than Different?

Terry Stanton

Periprosthetic joint infection (PJI) following total joint arthroplasty (TJA) is recognized as a serious and potentially devastating complication. Yet the full magnitude of this complication in terms of financial burden, disability, and even death may be underappreciated. The medical community and public see other health threats, such as cancer, as posing far greater risks. For the population it affects, however, PJI deserves the same attention that cancer receives.