The Core Competencies for General Orthopaedic Surgeons.

Background: With the changing delivery of orthopaedic surgical care, there is a need to define the knowledge and competencies that are expected of an orthopaedist providing general and/or acute orthopaedic care. This article provides a proposal for the knowledge and competencies needed for an orthopaedist to practice general and/or acute care orthopaedic surgery.

Methods: Using the modified Delphi method, the General Orthopaedic Competency Task Force consisting of stakeholders associated with general orthopaedic practice has proposed the core knowledge and competencies that should be maintained by orthopaedists who practice emergency and general orthopaedic surgery.

Musculoskeletal education in medical school: deficits in knowledge and strategies for improvement.

➤ Improvements in medical student physical examination skills and performance on validated musculoskeletal competency examinations correspond with undergraduate curricular reform.➤ Curricular reform success in the United States has been achieved by multidisciplinary collaboration.➤ International efforts are focused on improving medical student physical examination skills through patient partners and structured clinical examinations.

Resident self-assessment of operative experience in primary total knee and total hip arthroplasty: Is it accurate?

Background: A prerequisite for a valuable surgical case log is the ability to perform an accurate self-assessment. Studies have shown mixed results when examining residents' ability to self-assess on varying tasks. We sought to examine the correlation between residents' self-assessment and staff surgeons' evaluation of surgical involvement and competence in performing primary total knee (TKA) and hip arthroplasty (THA).

Spinal surgery fellowship education in Canada: evaluation of trainee and supervisor perspectives on cognitive and procedural competencies.

Study Design: A cross-sectional survey of spine surgery fellowship educators and trainees.

Objective: To determine educator and trainee perspectives on the relative importance of core cognitive and procedural competencies in fellowship training. To determine perceptions of confidence in competencies by trainees near the end of their fellowship.

Orthopedic surgery core curriculum hip and knee reconstruction.

Objective: To develop a core curriculum for orthopedic surgery and to conduct a national survey to assess the importance of 281 curriculum items. Attention was focused on 55 topics pertaining to hip and knee reconstruction.

Methods: A 281-item curriculum was developed.

What orthopaedic surgery residents need to know about the hand and wrist?

Background: To develop a Core Curriculum for Orthopaedic Surgery; and to conduct a national survey to assess the importance of curriculum items as judged by orthopaedic surgeons with primary affiliation non-academic. Attention for this manuscript was focused on determining the importance of topics pertaining to adult hand and wrist reconstruction.

Methods: A 281-item questionnaire was developed and consisted of three sections: 1) Validated Musculoskeletal Core Curriculum; 2) Royal College of Physician and Surgeons of Canada (RCPSC) Specialty Objectives and; 3) A procedure list.

Orthopaedic surgery core curriculum: foot and ankle reconstruction.

Background: The purpose of this study was to develop a core curriculum for orthopaedic surgery and to conduct a national survey to assess the importance of 281 curriculum items. Attention was focused on 45 items pertaining to the foot and ankle.

Methods: A 281-item curriculum was developed.

Positive predictive value of maximal posterior joint-line tenderness in diagnosing meniscal pathology: a pilot study.

Objective: The purpose of this prospective study was to determine the positive predictive value (PPV) of the point of maximal posterior joint line tenderness (JLT), as a clinical sign, to diagnose underlying meniscal tears.

Methods: We conducted a prospective study of patients requiring arthroscopic surgery, who consecutively presented to the University of Calgary's Sport Medicine Centre. The femurotibial joint line was palpated for the point of maximal tenderness.

Orthopaedic surgery core curriculum: the spine.

Objective: To develop a core curriculum for orthopaedic surgery and to conduct a national survey to assess the importance of 281 items in the curriculum. Attention was focused specifically on 24 items pertaining to the curriculum that are pertinent to the spine.

Study Design: A cross-sectional survey of a random sample of orthopaedic surgeons whose primary affiliation was non-academic, representing the provinces and territories of Canada

Methods: A questionnaire containing 281 items was developed.

Canadian multidisciplinary core curriculum for musculoskeletal health.

Objective: To determine the level of agreement among the Bone and Joint Decade Undergraduate Curriculum Group (BJDUCG) core curriculum recommendations for musculoskeletal (MSK) conditions targeted for undergraduate medical education and what the physicians and surgeons of Canada thought to be important at the postgraduate level of education.

Methods: An 80-item questionnaire was developed. A cross-sectional survey of educators representing 77 Canadian accredited academic programs representing 6 disciplines in medicine that manage patients with MSK conditions was completed.

Management of acetabular bone loss.

Acetabular bone loss is a common complication associated with revision total joint replacement. Successful surgical management is enhanced by a systematic classification of bony defects. A variety of implants, fixation strategies, surgical techniques, and graft materials are required to address the spectrum of reconstructive complications encountered at revision surgery.

Removal of well-fixed cementless components.

Removal of stable, osseointegrated cementless components can be a challenge for the orthopaedic surgeon. Careful preoperative planning to assess the location and extent of the bone ingrowth or ongrowth as well as ensuring that the appropriate instrumentation is available in the operating room can help minimize complications when performing these procedures.