#JHSJC

September #JHSJC Transcript

We’ll be posting all #JHSJC transcripts from here on out (including past conversations!), so be sure to check back in case you miss a discussion! You can read the transcripts for June #JHSJC here and July #JHSJC here! September’s #JHSJC was a lively discussion addressing two articles from Volume 44, Issue 9 of The Journal of Hand Surgery: The Effects of…
#JHSJC

July #JHSJC Transcript

We’ll be posting all #JHSJC transcripts from here on out (including past conversations!), so be sure to check back in case you miss a discussion! You can read the June #JHSJC here! July’s #JHSJC was a spirited conversation addressing two articles from Volume 44, Issue 7 of The Journal of Hand Surgery: The Relationship Between Pain-Related Psychological Factors and Postoperative Opioid…
#JHSJC

June #JHSJC Transcript

We'll be posting all #JHSJC transcripts from here on out (including past conversations!), so be sure to check back in case you miss a discussion! The June #JHSJC was a lively discussion on two articles from Volume 44, Issue 6 of The Journal of Hand Surgery: An In-Depth Review of Physician Reimbursement for Digit and Thumb Replantation by Rachel C.…
Career Path

“Don’t It Always Seem to Go, That You Don’t Know What You’ve Got Till It’s Gone”

I have recently been thinking about this old Joni Mitchell song. I tried to retire last year and succeeded in stopping clinical practice after 30 great years of hand surgery. For better or worse, I ended up immediately running against 7 other people (including 2 other doctors) for an open Georgia State Senate seat. The seat became vacant due to…
Patient Communication

Chief Complaints

One of my senior partners tells a story where he is called out of a patient room to take an urgent phone call. The patient in the room was in his mid-60s and had spent the last 15 minutes describing the 10/10 severity of his lateral epicondylitis symptoms. On the phone was a former fellow, now practicing in a remote…
Community

Mentoring in Orthopaedics

Over 3,000 years ago, Odysseus entrusted his friend Mentor to educate and guide his son Telemachos when he left to fight in the Trojan War (Homer. Odyssey, Book II). Thus, was the birth of the word ‘mentor,’ which has evolved to mean trusted advisor, friend, teacher, and wise person. I have had the tremendous opportunity to mentor dozens of undergraduate…
Education

Absolute vs Relative Risk Reduction: Number Needed to Treat in Hand Surgery

I recently read Overdosed America: The Broken Promise of American Medicine by John Abramson.  The story of the COX-2 inhibitor, Vioxx, is one of the prime examples used in the book to show how pharmaceutical marketing and publication bias can result in disastrous outcomes for the public.  However, the part of the book that I found most interesting was when…
Community

You Get What You Celebrate

It is a well-known business principle that “you get what you measure.” Any of us involved in pay-for-performance and complying with the various hospital metrics can relate to that. But recently I heard an interesting variation on this theme. On his podcast “The Tim Ferriss Show”, Tim Ferriss interviewed Frank Blake, former CEO of Home Depot. Blake’s version was “You…
Education

Life Long Learning

In a field of medicine such as hand surgery, although some fundamental entities stay the same (pathology, anatomy, etc), there are inevitable changes and advancements as time passes.  Even if the underlying anatomy remains unchanged, a surgical approach may be refined over time to hopefully improve outcomes and minimize time and risk. New technology and implants are constantly being proposed,…