Cognitive and Psychomotor Entrustable Professional Activities: Can Simulators Help Assess Competency in Trainees?

Background: An entrustable professional activity describes a professional task that postgraduate residents must master during their training. The use of simulation to assess performance of entrustable professional activities requires further investigation.

Questions/purposes: (1) Is simulation-based assessment of resident performance of entrustable professional activities reliable? (2) Is there evidence of important differences between Postgraduate Year (PGY)-1 and PGY-4 residents when performing simulated entrustable professional activities?

Methods: Three entrustable professional activities were chosen from a list of competencies: management of the patient for total knee arthroplasty (TKA); management of the patient with an intertrochanteric hip fracture; and management of the patient with an ankle fracture.

The epidemiology of revision anterior cruciate ligament reconstruction in Ontario, Canada.

Background: Knowledge of the rate of and risk factors for re-revision, reoperation, and readmission after revision anterior cruciate ligament reconstruction (ACLR) is limited.

Purpose: To determine the rate of and risk factors for re-revision, reoperation, and readmission after revision ACLR.

Study Design: Descriptive epidemiology study.

Treatment of periprosthetic fractures around hip resurfacings with cephalomedullary nails.

We describe 2 cases of proximal femoral fractures, 1 intertrochanteric and 1 subtrochanteric, distal to hip resurfacing implants that were managed successfully via internal fixation with trochanteric start point cephalomedullary nails. Both patients had pain-free, well-functioning implants with radiographically healed fractures at their 1-year follow-up. This novel approach offers several advantages over previously described techniques for these rare and difficult-to-treat fractures.