Mark Miller, MD is a professor of orthopaedic surgery at the University of Virginia, founder and co-director of the Miller Review Courses, and former deputy editor for sports medicine at JBJS. In a piece he authored recently for The Conversation, Dr. Miller labeled stem-cell treatments for knee osteoarthritis (OA) “unproven, expensive, and potentially dangerous.”
About 2 years ago, Dr. Miller himself underwent bilateral knee replacements for severe knee arthritis. He understands why patients may fall prey to misleading marketing hype that claims stem cell treatments can help people postpone or entirely avoid knee replacement. (See related OrthoBuzz post.) “My mission,” he writes, is to “try to keep the enthusiasm regarding new cutting-edge options in check,” adding that “the excitement about stem cells has outpaced the science,” especially when it comes to knee OA.
Although stem cell injections have been promoted as a way to regenerate cartilage in arthritic joints, Dr. Miller echoes the American Association of Hip and Knee Surgeons when he says that “there are no proven…therapies that can delay or reverse the progressive joint destruction that occurs with osteoarthritis.” Moreover, the do-no-harm part of the Hippocratic oath requires doctors to give their patients “a clear picture of the potential benefits and side effects of their treatment options,” writes Dr. Miller, who cited a December 20, 2018 New York Times article describing 12 patients who were hospitalized for serious infections after receiving stem cell injections into their knees, shoulders, or spines.
For their part, Dr. Miller says patients should employ the “buyer beware” concept because stem cell therapy for osteoarthritis is not only unproven but also expensive—and usually not covered by medical insurance. The best approach to knee OA, says Dr. Miller, is what is nowadays called shared decision making: “Physicians need to work closely with patients to help them understand their options and which choice may be best for them.”
After a wildly successful inaugural visit to Saudi Arabia in 2018, the 5-day Miller Review Course (MRC) for orthopaedists in training will return to Riyadh from April 22-27, 2019, at the Fairmont Hotel.
The location for this intense and comprehensive orthopaedic review course—the Saudi capital and the nation’s most populous city—caters to attendees from Asia, the Middle East, and Africa, but it is open to orthopaedists-in-training from anywhere in the world. Attendees will receive not only the finest in orthopaedic review courses, but also an eye-opening introduction to Saudi life, culture, and food.
The expert Miller faculty will cover 9 orthopaedic subspecialties, plus basic science, statistics, anatomy, and musculoskeletal rehabilitation. In line with Saudi medical training, this version of the MRC is conducted exclusively in English.
The expansion of the largest orthopaedic review course in the US to the Middle East is a unique opportunity for any orthopaedic resident/registrar to prepare for the next step in their career.
Click here to register and to preview the faculty and agenda.
The Second Edition of the JBJS Virtual Recertification Course, in association with the Miller Review Course, is now available. Featuring 15 updated modules, the course now includes the option to purchase bundles of 3 modules to address your specific educational needs. Presented by top lecturers, the course is approved for 22.5 AMA PRA Category I credits™ and ABOS-approved for 10 self-assessment examination (SAE) credits.
Each module includes pre- and post-test assessments, hour-long video-learning components, and citations to relevant literature.
Click here to purchase the full 15-module course or five different 3-module bundles.
Topics/faculty presenters include:
- Adult Hip Reconstruction by Dr. James Browne
- Adult Knee Reconstruction by Dr. Edward McPherson
- Basic Science by Dr. Winston Gwathmey
- Foot and Ankle by Dr. Steven Haddad
- Hand and Wrist by Dr. Sanjeev Kakar
- MRI by Dr. Timothy Sanders
- Pediatric Orthopaedics by Dr. Jeremy Rush
- Orthopaedic Oncology by Dr. Ginger Holt
- Rehabilitation by Dr. MaCalus Hogan
- Spine by Dr. Francis Shen
- Sports: Upper Extremity by Dr. Kevin Plancher
- Sports: Lower Extremity by Dr. Mark Miller
- Test Prep/Statistics by Dr. Stephen Thompson
- Trauma: Pelvic and Upper Extremity by Dr. Thomas Schaller
- Trauma: Lower Extremity by Dr. Michael LeCroy
The general clinical recertification exam for orthopaedic surgeons is a four-hour, 200-question, multiple-choice exam covering clinical material that all orthopaedists should know. The JBJS Recertification Course, in association with the Miller Review Course, is a top-quality, self-paced test-prep solution that you can take from the convenience of home or office—or while on the go.
Each module in the 15-module video course includes pre- and post-test assessments, hour-long video-learning components, and citations to relevant literature. The full 15-module course covers all areas of the recertification exam, or you can customize a 7-module course tailored to your own needs. Plus, earn CME* and SAE credits while you study.
Those attending the AAOS Annual Meeting, March 1-5, 2016
in Orlando, and all recertification-course purchasers during the months of March and April 2016, will receive a 25% discount on the full 15-module course. Stop by the JBJS booth (#1831) during the Annual Meeting, or use the discount code AAOS2016 at checkout.