William Levine, MD’s Post

A great article to read ! “ As Orthopedics surgeons, we already know how to approach a patient during a clinic visit with intentionality, how to diagnose their problem and design a treatment program specifically meeting their individual needs, involving all relevant treatment modalities. When surgery is necessary, we plan a set of procedural steps intentionally designed to solve the patient’s problems. We need to be just as intentional as educators to be successful; we already possess the skillset, we simply need to apply it to our educational endeavors.”

The use of social media has become an essential component of orthopedic surgery training and practice as a means of acquiring and disseminating information, recruiting, and networking. LinkedIn, Instagram, Twitter, and Meta are the most frequently used social media sites among patients, residency applicants, and institutions. However, additional platforms are proving to be helpful in promoting research and disseminating information. A study supporting our paper on the continued growth of social media usage anticipates that it will be crucial for institutions and individuals to establish and adhere to guidelines outlining the respectable and professional integration of social media into their daily activities. Read more: https://lnkd.in/eib26VNc Our paper: https://lnkd.in/ey_n5rnm Orthopaedic Research Society American Academy of Orthopaedic Surgeons (AAOS) North American Spine Society Scoliosis Research Society University of Rochester Medical Center University of Rochester School of Medicine and Dentistry

Is it better to see an orthopedic surgeon or a neurosurgeon for back and neck issues? Patients are often unsure, but the answer is clear... it is best to see a 𝙨𝙥𝙞𝙣𝙚 surgeon. After medical school, both orthopedic surgery and neurosurgery residents are introduced to the treatment of spine conditions. Some from both camps then seek out additional fellowship training specifically focused on the spine. There was historically a divide between the types of spinal issues ortho and neuro trainees were taught to manage and the techniques utilized to do so. These differences dissipated over time, however, and the two sub-specialties have largely coalesced into one. It would be difficult to observe spine surgeons operating today and successfully guess which route they took; and the scientific literature demonstrates that both groups have similar surgical outcomes. Much more important than any perceived ortho vs neuro divide is finding a surgeon heavily focused on spine care. Rather than seeing a general orthopedic surgeon who fixes lots of hips, shoulders, and knees along with an occasional spine or a neurosurgeon who does mostly brains but periodically dabbles below the skull, patients are well served by seeking out highly specialized spine experts. This too is borne out in research studies, which confirm that surgeons who do more of a given spine procedure have superior outcomes. One of the benefits of being surrounded by so many spine experts at Texas Back Institute is that my partners and I are able to focus on what excites each of us the most about spine care. This has afforded me the opportunity to become super-specialized in my favorite niche of spine surgery – minimally invasive and endoscopic procedures. A jack of all trades is a master of none. Ortho vs neuro isn't the issue. Find the specialist in the field. #endoscopicspinesurgery #minimallyinvasive #spinehealth #backpain #sciatica #neckpain #radiculopathy #herniateddisc #spinalstenosis #spondylolisthesis #spine #surgery #backsurgery #spinesurgeon #artificialdiscreplacement #orthopedicsurgery #neurosurgery #spinalsurgery #healthcare #medicine #wellness #esrg #endoscopicspineresearchgroup; ISASS: The International Society for Advancement of Spine Surgery; joimax; Globus Medical; NuVasive; DeGen Medical, Inc.; Accelus; HCA Healthcare; Texas Back Institute; Texas Health Resources; Texas Health Center for Diagnostics & Surgery; Return To Duty; #dallas #plano #frisco #texas; ESPINEA® Endoscopic Spine Academy; American Board of Orthopaedic Surgery; American Board of Neurological Surgery

Good article from Dr. Derman that emphasizes the importance of finding a doctor with the appropriate training for your condition. Both orthopedic surgeons and neurosurgeons may choose to pursue additional training and fellowships in spine surgery. In fact, I'm a believer that for complex or difficult spinal procedures you may be best served by having two surgeons collaborating and working together. Medicine is the ultimate team event, and you want the best team possible. In this article https://lnkd.in/gsTRw6tg published on the AANS Neurosurgeon website, an orthopedic surgeon, myself (a neurosurgeon), and a current med student collaborated to discuss the issue.

I second the opinion of Dr Peter B. Derman, MD, MBA Both Orthopedic Surgery and Neurosurgery have their special sauce in terms of the training. But what ultimately matters in patient care is a Surgeon who is specially trained in spine practice and has the specific knowledge for the same. Orthopedic or Neurosurgery background training will not matter in years to come, what will matter is the Specific knowledge and experience of Spine related disease that will help one to establish as a successful spine surgeon.

By 2025: Neurosurgery is expected to be down 1,200 physicians. 📉 Orthopedics overall is expected to be down 5,050 physicians. 📉 Between 2022 and 2050: The population of people 65 and older is expected to grow 47% in the U.S.📈 Becker's interviewed eight spine surgeons to discuss how practices can get ahead of the changing tides. https://lnkd.in/g-UquZyE?

Learning arthroscopic skills? "Hold a camera and scope in your hand, maintain the horizon, move your hands in the opposite direction of where you want to look, don't look down, move the limb, scope or camera as needed to optimize your view, watch the screen, triangulate, decipher 3D on a 2D screen and by the way, your view has a 30 (sometimes 70) degree tilt to it". These are only a few of the instructions my mentors would provide while learning this skill ....all while feeling the stress of doing it efficiently and effectively in the operating room.....no pressure. This is one of the many challenging skills an orthopedic resident must learn during their training (and many of us continue to master as surgeons). How do we make this type of practice accessible and affordable outside of the OR? Is there another way? Congratulations to Omar Rahman, MD, MBA Kyle Kunze, M.D. Kaisen Yao Susan Kwiecien Dr. Anil Ranawat, Michael Banffy, Bryan T. Kelly, MD, MBA and Greg Galano on their Arthroscopy Association of North America funded study demonstrating how #virtualreality may offer a solution. See their multi-centre study comparing the use of a physical simulator to the PrecisionOS system in orthopedic trainees. A big step in making orthopedic surgical education accessible. The full study here: https://lnkd.in/gZKYc6qe Lenox Hill Hospital, Hospital for Special Surgery, Cedars-Sinai, Meta, American Academy of Orthopaedic Surgeons (AAOS) American Orthopaedic Society for Sports Medicine American Shoulder and Elbow Surgeons.

As an Orthopaedic Surgeon, these days there is no escape from patients who would have researched online about their symptoms and treatment options. It makes no sense for doctors to get upset about this attitude of patients but the ideal way is to direct the patients to correct sources of information because we strongly believe that a well informed patient is actually an asset. This article gives an overview about the best sources of orthopaedic information that makes everybody's life easy. #orthopedics #google #information

Management of post-traumatic genu #valgus deformity in adolescent by proximal #tibial corticotomy with bone lengthening by Ilizarov method: a case report, published in MOJ #Orthopedics & #Rheumatology by Chowdhury Foyzur, et al. https://lnkd.in/g2cWiNrc #knee #surgery #trauma #children #limbs

Current edition of Journal of Trauma & Orthopaedics, official journal of British Orthopaedic Association has an article titled: "Ownership of removed orthopaedic implants." Some fairly sad insights in the article, which recorded the views of orthopaedic staff at an NHS unit: "...the results indicated a prevailing belief that removed implants are disposed of, with a majority presuming that hospitals own these implants." And: "57% proposed that patients should not be allowed to keep the removed implants, while 43% were in favour of patients retaining them." The journal goes out to most orthopaedic surgeons in the country, so it was a shame that the NHS Implant Analysis Service was not mentioned. This service (if patient consents) provides pick up and decontamination of removed medical devices and rapid, high tech analysis using peer reviewed methodology. Everybody wins using this service: Patients are given autonomy over what happens to their property Patients help contribute to improvement of safety of current and future medical devices NHS saves money through improved management and enhanced patient safety Surgeons not blamed for factors out of their hands Manufacturers can be provided with results +/- the components themselves (if patient consents) to fulfil their post market surveillance obligations Getting It Right First Time (GIRFT) British Association for Surgery of the Knee British Hip Society CeramTec – The Ceramic Experts Zimmer Biomet Stryker Smith+Nephew American Academy of Orthopaedic Surgeons (AAOS) Ivan Tornos