Diversity

Where are the Women?

by Deana Mercer, MD and Robert R. Schenck, MD The number of women in orthopedic surgery continues to be a challenge for the  specialty.  Despite the percentage of women in medical school having increased from 6.9% in 1965 to 47% in 2014, the percentage of women in orthopedic surgery residency programs is less than 15%, the lowest percentage of women…
Patient Communication

The Power of Words

A lot of our activity as providers of health care is gathering and providing information via the spoken language. I have noted through the observation of students and residents in training and critical reflection on my own experience, the power of words to create fear, anxiety, and uncertainty, or alternatively to create calm, reassurance and hope. Words, the ones chosen,…
Clinical

Clinical Practice Guidelines – Burden or Boon?

The American Academy of Orthopedic Surgeons (AAOS) has released a new Clinical Practice Guideline on the Diagnosis and Treatment of Carpal Tunnel Syndrome. This document replaces earlier ones on diagnosis, published in 2007, and treatment, which appeared in 2008. There was a widespread perception that the recommendations made in the previous guidelines were weak and did not contribute substantively to…
Ethics

Telling It Like It Is: Difficult Peer Conversations in the Outpatient Setting

Many of us have become leaders in our practices, ambulatory surgery centers (ASC’s) and hospitals by choice or circumstance. Leadership often means that difficult conversations with our fellow surgeons are part of our responsibility. Unfortunately, few of us are trained in the art of handling these conversations in a way that ends with the desired outcome, which is usually to…