Tag Archive | NP
PA and Nurse Practitioners Shortages Looming
According to an article on Forbes.com, over the next 10 months, millions of newly insured Americans will be seeking medical care. Many experts are concerned that there won’t be enough doctors, internists, and pediatricians to handle the huge volume of new patients. According to StaffCare, a physician staffing company, 10% of all staffing requests from hospitals and clinics were for temporary physician assistants and registered nurses, up from 2% of similar requests in 2010. According to Sean Ebner, StaffCare’s president, “there are not enough PAs and NPs to make up for provider shortages in primary care and other areas.” Read more.
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My TweetsChad Krueger, MD discusses the article "generational Differences in Grit, Self-Control, and Conscientiousness Among Orthopaedic Surgeons" in the July 17th issue of The Journal.
This article can be found at jbjs.org
#jbjs #orthopedics #orthopedicsurgery #ortho #orthosurgery #surgery #medicine #grit #education #evidencebasedmedicine #orthopedicresidency #orthoresidency #medicalschool
How are cementless TKAs doing?
In the July 3rd issue of The Journal, Nam et al. report on their RCT comparing cemented versus uncemented TKAs at a single institution. Selected patients were randomized to receive a cemented cruciate-retaining TKA or a cementless, highly porous cruciate-retaining TKA of the same design. Patients were followed for an average of 2 years post op and Oxford Knee, Knee Society, and Forgotten Joint Scores were collected.
A total of 141 patients were ultimately included in the final review. There were no differences in any clinical outcome measures at 6 weeks, 1 year, or an average of 2 years post op (p = 0.1 to 0.9). Operative times were different between the two groups with the cementless TKA having slightly decreased OR times (82.1 min vs 93.7; p = 0.001). The cementless group showed no evidence of implant loosening or osteolysis 2 year follow up.
This study seems to support the use of cementless TKAs. Patient reported outcomes and radiographic outcomes appear to be similar between the two TKA designs. While the study is well designed, it only evaluates short term (2 years) outcomes and more studies will be needed to assess the durability and longevity of these early satisfactory outcomes seen at 2 years post op.
#jbjs #orthopedics #orthopedicsurgery #ortho #orthosurgery #surgery #medicine #arthroplasty #totaljointreplacement #kneereplacement #kneearthroplasty #totalkneearthroplasty #evidencebasedmedicine #orthopedicresidency #orthoresidency #medicalschool
Assessing racial/ethnic disparities in THA outcomes among patients enrolled in an integrated health-care system.
In the July 3rd issue of The Journal, Okike et al. evaluated the Kaiser Permanente Total Joint Replacement Registry to identify all patients who underwent a THA and collected demographic, surgical, and outcome data. Racial/ethnic differences in outcome were then analysed using multiple regression.
The authors found that minority patients had similar or lower rates of lifetime revision and 90-day post operative events compared to white patients. A higher rate of 90-day emergency department visits were seen among black (OR 1.15) and Hispanic (OR 1.18) patients.
This article concludes that, contrary to previous literature, minority patients enrolled in a managed health-care system had similar or lower rates of reoperation and 90-day complications compared to white patients.
This article can be found on jbjs.org in the July 3rd issue of The Journal.
#jbjs #orthopedics #orthopedicsurgery #ortho #orthosurgery #surgery #medicine #arthroplasty #totaljointreplacement #hipreplacement #hiparthroplasty #totalhiparthroplasty #evidencebasedmedicine #orthopedicresidency #orthoresidency #medicalschool
Need an update on Orthopedic Trauma!? In the July 3rd issue of The Journal, Dehgahn and McKee review the most recent, high-impact articles on Orthopedic Trauma.
Topics include: AC joint injuries, proximal humerus fractures, elbow trauma, distal radius fractures, pelvic fractures, hip trauma, ankle injuries, pediatric fractures, and geriatric trauma.
And as always, this excellent review is open access and can be found on jbjs.org
Enjoy!
#jbjs #orthopedics #orthopedicsurgery #ortho #orthosurgery #surgery #medicine #orthopedictrauma #trauma #aclinjury #traumasurgery #fracture #evidencebasedmedicine #orthopedicresidency #orthoresidency #medicalschool
Chad Krueger, MD discusses two articles in the July 3rd issue of The Journal investigating the use of Iodine to prevent infection in total joint arthroplasty.
Both articles can be found at jbjs.org in the July 3rd issue of The Journal.
#jbjs #orthopedics #orthopedicsurgery #ortho #orthosurgery #surgery #medicine #arthroplasty #revisionarthroplasty #totaljointreplacement #kneereplacement #kneearthroplasty #totalkneearthroplasty #totalhiparthroplasty #infection #evidencebasedmedicine #orthopedicresidency #orthoresidency #medicalschool
Happy 4th of July!! If you haven't already signed up for JBJS Classroom, now is a perfect time to check it out.
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Use the code CCL180 at checkout to access our 4th of July special.
#jbjs #orthopedics #orthopedicsurgery #ortho #orthosurgery #surgery #medicine #evidencebasedmedicine #orthopedicresidency #orthoresidency #medicalschool
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