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[PMID]:28453827
[Au] Autor:Gagliardi AR; Lehoux P; Ducey A; Easty A; Ross S; Bell CM; Trbovich P; Takata J; Urbach DR
[Ad] Endereço:Toronto General Hospital Research Institute, University Health Network, 200 Elizabeth Street, Toronto, M5G2C4, Canada.
[Ti] Título:Factors constraining patient engagement in implantable medical device discussions and decisions: interviews with physicians.
[So] Source:Int J Qual Health Care;29(2):276-282, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: Patient engagement (PE) is warranted when treatment risks and outcomes are uncertain, as is the case for higher risk medical devices. Previous research found that patients were not engaged in discussions or decisions about implantable medical devices. This study explored physician views about engaging patients in such discussions. Design: Qualitative interviews using a basic descriptive approach. Setting: Canada. Participants: Practicing cardiovascular and orthopaedic physicians. Main outcome measures: Level, processes and determinants of PE in medical device discussions and decisions. Results: Views were largely similar among 10 cardiovascular and 12 orthopaedic physicians interviewed. Most said that it was feasible to inform and sometimes involve patients in discussions, but not to partner with them in medical device decision-making. PE was constrained by patient (comfort with PE, technical understanding, physiologic/demographic characteristics, prognosis), physician (device preferences, time), health system (purchasing contracts) and device factors (number of devices on market, comparative advantage). A framework was generated to help physicians engage patients in discussions about medical devices, even when decisions may not be preference sensitive due to multiple constraints on choice. Conclusions: This study identified that patients are not engaged in discussions or decisions about implantable medical devices. This may be due to multiple constraints. Further research should establish the legitimacy, prevalence and impact of constraining factors, and examine whether and how different levels and forms of PE are needed and feasible.
[Mh] Termos MeSH primário: Tomada de Decisões
Participação do Paciente/métodos
Médicos/psicologia
Próteses e Implantes
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Canadá
Cardiologistas/psicologia
Seres Humanos
Cirugiões Ortopédicos/psicologia
Relações Médico-Paciente
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx013


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[PMID]:29257016
[Au] Autor:Duchman KR; Westermann RW; Glass NA; Bedard NA; Mather RC; Amendola A
[Ad] Endereço:Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
[Ti] Título:Who Is Performing Hip Arthroscopy?: An Analysis of the American Board of Orthopaedic Surgery Part-II Database.
[So] Source:J Bone Joint Surg Am;99(24):2103-2109, 2017 Dec 20.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hip arthroscopy utilization has increased dramatically over the last decade. However, the lack of a formal training curriculum raises concern that inconsistent technical performance may be an issue for early-career hip arthroscopists. The purpose of the present study was to investigate hip arthroscopy utilization by early-career orthopaedic surgeons while focusing on fellowship training status to better guide future development of a hip arthroscopy training curriculum. METHODS: The American Board of Orthopaedic Surgery (ABOS) Part-II database was used to identify candidates who had performed ≥1 hip arthroscopy procedures between 2006 and 2015. Procedures were categorized using Common Procedural Terminology (CPT) codes, and candidates were categorized by fellowship training experience. Trends in hip arthroscopy utilization were evaluated using univariate and regression analyses while stratifying by fellowship training experience. RESULTS: Overall, 9.2% (643) of 6,987 ABOS candidates had performed ≥1 hip arthroscopy procedures. Over the study period, both the proportion of candidates performing hip arthroscopy and the proportion of hip arthroscopy procedures performed (relative to all procedures performed, of any type) increased (p < 0.001). Candidates performing hip arthroscopy most frequently reported sports medicine fellowship training (74.5%; 479 of 643). Also, among the candidates who performed hip arthroscopy, the proportion who had sports medicine fellowship training increased over the study period (p = 0.001). The majority of candidates performing hip arthroscopy (67.2%; 432 of 643) performed ≤5 hip arthroscopy procedures, while a small number of high-volume hip arthroscopists (6.5%; 42 of 643) performed 34.6% (1,403 of 4,054) of all hip arthroscopy procedures. CONCLUSIONS: The increase in hip arthroscopy utilization in this cohort appears to have been driven primarily by the increased number of candidates performing hip arthroscopy and less by an increasing number of hip arthroscopy procedures being performed by individual candidates. The majority of candidates performing hip arthroscopy were sports-medicine-fellowship trained. This information is valuable for both trainees and educators interested in improving education and defining a curriculum for future hip arthroscopy training.
[Mh] Termos MeSH primário: Artroscopia/educação
Artroscopia/estatística & dados numéricos
Competência Clínica
Cirugiões Ortopédicos/estatística & dados numéricos
Ortopedia/educação
[Mh] Termos MeSH secundário: Bases de Dados Factuais
Seres Humanos
Incidência
Internato e Residência
Cirugiões Ortopédicos/educação
Padrões de Prática Médica
Estudos Retrospectivos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.17.00342


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[PMID]:29189856
[Au] Autor:Lozic S; Aravena PC; Martínez N; Proboste C; Pinto N; Albornoz G; Larraguibel P
[Ad] Endereço:Hospital Base de Valdivia. Instituto de Aparato locomotor, Facultad de Medicina, Universidad Austral de Chile, Chile.
[Ti] Título:[The impact of the orthopedic surgeons' attire on patient preferences].
[Ti] Título:¿La imagen importa? Influencia de la vestimenta del traumatólogo en la elección y confianza del paciente..
[So] Source:Rev Med Chil;145(8):987-995, 2017 Aug.
[Is] ISSN:0717-6163
[Cp] País de publicação:Chile
[La] Idioma:spa
[Ab] Resumo:BACKGROUND: The formal appearance of health care professionals may influence their trustworthiness. AIM: To determine the effect of the orthopedic surgeon's attire on patients' perceptions of credibility and reliability of professionals. MATERIAL AND METHODS: In a cross-sectional design, 351 patients (mean age 43 ± 17 years, 62% males) from the Department of Orthopedics and Traumatology of a Chilean regional hospital in southem of Chile were chosen to complete a questionnaire of attire preferences, in which five photographs with male and female orthopedic surgeons appeared (executive, formal attire, informal attire, scrubs and casual clothing). The influence of attire in the perception of physicians' trustworthiness to resolve medical situations was analyzed. RESULTS: Forty four percent of patients had no physician gender predilection (p = 0.32). Forty three percent of male and 38% of female patients preferred the use of formal attire. In situations of credibility or confidence, all patients chose mostly the use of white coats with formal attire by professionals. The probability of choosing an orthopedic surgeon with a formal attire was significantly higher among patients who considered the attire and appearance of the professional to be very important (Odds ratio = 3.74; p < 0.01). CONCLUSIONS: Patients prefer orthopedic surgeons wearing white coats and formal attire, which improves credibility of these professionals to correctly solve medical situations.
[Mh] Termos MeSH primário: Vestuário/psicologia
Cirugiões Ortopédicos
Preferência do Paciente/estatística & dados numéricos
Relações Médico-Paciente
Confiança/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Chile
Vestuário/normas
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores Sexuais
Fatores Socioeconômicos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:28470377
[Au] Autor:Page AE
[Ad] Endereço:Musculoskeletal Health Care Solutions, 3750 Convoy Street, Suite 116, La Jolla, CA, 92111, USA. alexe.page@gmail.com.
[Ti] Título:Gendered Innovations in Orthopaedic Science: Standing on the Shoulders of iGIANTs.
[So] Source:Clin Orthop Relat Res;475(7):1786-1788, 2017 07.
[Is] ISSN:1528-1132
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Procedimentos Ortopédicos
Cirugiões Ortopédicos
Ortopedia
Médicas
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Difusão de Inovações
Publicidade Direta ao Consumidor
Feminino
Identidade de Gênero
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Masculino
Marketing de Serviços de Saúde
Cirugiões Ortopédicos/psicologia
Relações Médico-Paciente
Médicas/psicologia
Fatores Sexuais
Sexismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1007/s11999-017-5373-y


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[PMID]:28880500
[Ti] Título:Hip resurfacing.
[So] Source:Clin Privil White Pap;(244):1-17, 2017 Aug.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Artroplastia de Quadril/educação
Artroplastia de Quadril/normas
Credenciamento/normas
Educação Médica Continuada/normas
Cirugiões Ortopédicos/educação
[Mh] Termos MeSH secundário: Seres Humanos
Joint Commission on Accreditation of Healthcare Organizations
Privilégios do Corpo Clínico
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170908
[St] Status:MEDLINE


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[PMID]:28763418
[Au] Autor:Gausden EB; Christ AB; Zeldin R; Lane JM; McCarthy MM
[Ad] Endereço:1Departments of Orthopaedics (E.B.G., A.B.C., J.M.L., and M.M.M.) and Radiology (R.Z.), Hospital for Special Surgery, New York, NY.
[Ti] Título:Tracking Cumulative Radiation Exposure in Orthopaedic Surgeons and Residents: What Dose Are We Getting?
[So] Source:J Bone Joint Surg Am;99(15):1324-1329, 2017 Aug 02.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to determine the amount of cumulative radiation exposure received by orthopaedic surgeons and residents in various subspecialties. We obtained dosimeter measures over 12 months on 24 residents and 16 attending surgeons. METHODS: Monthly radiation exposure was measured over a 12-month period for 24 orthopaedic residents and 16 orthopaedic attending surgeons. The participants wore a Landauer Luxel dosimeter on the breast pocket of their lead apron. The dosimeters were exchanged every rotation (5 to 7 weeks) for the resident participants and every month for the attending surgeon participants. Radiation exposure was compared by orthopaedic subspecialty, level of training, and type of fluoroscopy used (regular C-arm compared with mini C-arm). RESULTS: Orthopaedic residents participating in this study received monthly mean radiation exposures of 0.2 to 79 mrem/month, lower than the dose limits of 5,000 mrem/year recommended by the United States Nuclear Regulatory Commission (U.S. NRC). Senior residents rotating on trauma were exposed to the highest monthly radiation (79 mrem/month [range, 15 to 243 mrem/month]) compared with all other specialty rotations (p < 0.001). Similarly, attending orthopaedic surgeons who specialize in trauma or deformity surgery received the highest radiation exposure of their peers, and the mean exposure was 53 mrem/month (range, 0 to 355 mrem/month). CONCLUSIONS: Residents and attending surgeons performing trauma or deformity surgical procedures are exposed to significantly higher doses of radiation compared with all other subspecialties within orthopaedic surgery, but the doses are still within the recommended limits. CLINICAL RELEVANCE: The use of ionizing radiation in the operating room has become an indispensable part of orthopaedic surgery. Although all surgeons in our study received lower than the yearly recommended dose limit, it is important to be aware of how much radiation we are exposed to as surgeons and to take measures to further limit that exposure.
[Mh] Termos MeSH primário: Internato e Residência
Exposição Ocupacional/estatística & dados numéricos
Cirugiões Ortopédicos/estatística & dados numéricos
Ortopedia/educação
Dose de Radiação
Exposição à Radiação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Procedimentos Ortopédicos/educação
Procedimentos Ortopédicos/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.01557


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[PMID]:28730987
[Au] Autor:Robarts S; Stratford P; Kennedy D; Malcolm B; Finkelstein J
[Ad] Endereço:From the Department of Rehabilitation, Sunnybrook Holland Orthopaedic and Arthritic Centre, Toronto, Ont. (Robarts, Kennedy); the School of Rehabilitation Science, McMaster University, Hamilton, Ont. (Stratford, Kennedy); the Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ont. (M
[Ti] Título:Evaluation of an advanced-practice physiotherapist in triaging patients with lumbar spine pain: surgeon-physiotherapist level of agreement and patient satisfaction.
[So] Source:Can J Surg;60(4):266-272, 2017 Aug.
[Is] ISSN:1488-2310
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Surgery for lumbar spine pain is indicated for specific etiologies. Given the majority of individuals referred to spine surgeons are not surgical candidates, care delivery is inefficient, with consultations being of limited value for most. Using specially trained physiotherapists in triage is a human resource strategy that may optimize surgeons' time and the patient experience. METHODS: An advanced-practice physiotherapist (APP) and a surgeon assessed consecutive patients with lumbar spine pain presenting at an academic health centre's spine surgery clinic. The second assessor was blinded to the outcome of the first. We used the κ statistic to evaluate surgeon-APP level of chance-corrected agreement concerning patients' need for a surgical consultation. To assess satisfaction with the APP, patients completed a modified version of the validated Visit-specific Questionnaire. RESULTS: The sample included 102 participants (54 women) with a mean age of 54.3 ± 14.3 years and a mean Oswestry Disability Index score of 35.4 ± 16.6. The assessors' overall agreement was 86%. The κ coefficient for the need for a surgical consultation was 0.69 (95% confidence interval 0.54-0.84). The APP identified that 77% of patients did not require a surgical consultation. Twenty-one patients underwent surgery. Satisfaction scores for the APP were very high (mean score 92 out of 100). CONCLUSION: In triaging patients with lumbar spine pain, the APP and surgeon had a high level of agreement. An APP performing triage at a surgical centre can effectively reduce wait lists by 70%, reserving surgical consultations for those patients in whom they are indicated.
[Mh] Termos MeSH primário: Dor Lombar/diagnóstico
Cirugiões Ortopédicos/normas
Satisfação do Paciente
Fisioterapeutas/normas
Triagem/normas
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Dor Lombar/cirurgia
Masculino
Meia-Idade
Método Simples-Cego
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170722
[St] Status:MEDLINE


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[PMID]:28719565
[Au] Autor:Ames SE; Cowan JB; Kenter K; Emery S; Halsey D
[Ad] Endereço:1Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington, Vermont 2Stanford University School of Medicine, Stanford, California 3Department of Orthopaedics, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan 4Department of Orthopaedics, West Virginia University School of Medicine, Morgantown, West Virginia.
[Ti] Título:Burnout in Orthopaedic Surgeons: A Challenge for Leaders, Learners, and Colleagues: AOA Critical Issues.
[So] Source:J Bone Joint Surg Am;99(14):e78, 2017 Jul 19.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Burnout, depression, suicidal ideation, and dissatisfaction with work-life balance have been reported in all medical specialties and at all stages of medical education and practice experience. Burnout consists of progressive emotional, attitudinal, and physical exhaustion. Physicians with burnout may treat patients as objects and feel emotionally depleted. Burnout is characterized by a loss of enthusiasm for work (emotional exhaustion), feelings of cynicism (depersonalization), and a low sense of personal accomplishment. The most complete study of emotional burnout among different medical specialties demonstrated that orthopaedic surgery is one of the specialties with the highest burnout rate. Qualitative descriptive studies are available. There was a 45.8% burnout rate among physicians in the U.S. in 2012, and a 2014 update suggested even higher rates. Burnout has a correlation with medical education. Burnout rates are similar to those in the general population when medical students enter school, and increase steadily through medical education prior to residency. Burnout rates in residents are high, reported to be between 41% and 74% across multiple specialties. This impacts our young physician workforce in orthopaedics. The purpose of this review is to provide the available information that characterizes burnout and addresses the issues inherent to preventing burnout, and to build awareness in orthopaedic surgeons. Wellness "goes beyond merely the absence of distress and includes being challenged, thriving, and achieving success in various aspects of personal and professional life." The challenge for the orthopaedic community is to develop interventions and strategies that are personalized to the individuals in this specialty.
[Mh] Termos MeSH primário: Esgotamento Profissional/etiologia
Cirugiões Ortopédicos/psicologia
[Mh] Termos MeSH secundário: Esgotamento Profissional/prevenção & controle
Escolha da Profissão
Educação em Saúde
Seres Humanos
Internato e Residência
Satisfação no Emprego
Inabilitação do Médico/psicologia
Estudantes de Medicina/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.01215


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[PMID]:28640103
[Au] Autor:Alsiddiky AM; Alatassi R; Altamimi SM; Alqarni MM; Alfayez SM
[Ad] Endereço:aDepartment of Orthopaedics, College of Medicine, Department of Orthopedics, King Saud University bSecurity Forces Hospital, Riyadh, Saudi Arabia.
[Ti] Título:Occupational injuries among pediatric orthopedic surgeons: How serious is the problem?
[So] Source:Medicine (Baltimore);96(25):e7194, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this cross-sectional study, we surveyed all pediatric orthopedic surgeons in Saudi Arabia using an anonymous electronic questionnaire composed of 23 items to identify the rate of occupational injuries and obtain other relevant information. Thirty-nine participants completed the questionnaire (response rate: 83%). Participants who sustained occupational injuries throughout their careers represented 82.5%. The most injured areas were the hands, eyes, and back by 54.5%, 24.2%, and 15.2%, respectively. Approximately 11.1% were injured while operating on infected patients. Approximately 30.3% reported their injuries to their institution. We concluded that the rate of occupational injuries among pediatric orthopedic surgeons is very high and underreported.
[Mh] Termos MeSH primário: Traumatismos Ocupacionais/epidemiologia
Cirugiões Ortopédicos
Pediatras
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Internet
Masculino
Meia-Idade
Dor/epidemiologia
Dor/etiologia
Arábia Saudita
Inquéritos e Questionários
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007194


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[PMID]:28632599
[Au] Autor:Zelle BA; Weathers MA; Fajardo RJ; Haghshenas V; Bhandari M
[Ad] Endereço:1Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 2Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
[Ti] Título:Publication Productivity of Orthopaedic Surgery Chairs.
[So] Source:J Bone Joint Surg Am;99(12):e62, 2017 Jun 21.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: As academic leaders, orthopaedic chairs represent role models for scholarly activities. Despite the importance of journal publications as a measure of scholarly activity, data on the publication productivity of orthopaedic chairs remain limited. The goals of this study were to record the publication productivity of orthopaedic chairs and evaluate the extent to which they maintained their scholarly activity while serving as chairs. METHODS: The chairs of all orthopaedic residency programs in the United States were identified through the Accreditation Council for Graduate Medical Education (ACGME) web site, and were confirmed by information found on the web site of each orthopaedic program that was included in the study. University and non-university chairs were defined based on affiliation of the program with a medical school. The publication records of the program chairs were retrieved through the Scopus database. RESULTS: During the 7 years prior to their appointment to chair, the mean number of total publications was significantly higher for university chairs (n = 58.6, range 0 to 217) than for non-university chairs (n = 29.1, range 0 to 13) (p = 0.003). The mean number of publications per year during the 7 years leading up to the chair position was 4.66 (range, 0 to 25) for the university chairs, and 2.29 (range, 0 to 10.9) for the non-university group (p = 0.02). While serving as chair, the mean number of publications per year significantly decreased among the university chairs to 3.75 (range, 0 to 32.8; p = 0.015), whereas no significant change was observed among non-university chairs. The mean percentage of first authorships was not significantly different between university and non-university chairs. Both groups showed significant declines in first authorships while serving as chair. CONCLUSIONS: At the time of becoming chair, the average university chair had published approximately 60 manuscripts, whereas the average non-university chair had published approximately 30 manuscripts. While serving as chair, the number of publications per year significantly decreased for university chairs. Among all chairs, the percentage of first authorships significantly decreased while serving as chair.
[Mh] Termos MeSH primário: Cirugiões Ortopédicos/estatística & dados numéricos
Ortopedia/estatística & dados numéricos
Publicações/estatística & dados numéricos
[Mh] Termos MeSH secundário: Eficiência
Docentes de Medicina/estatística & dados numéricos
Seres Humanos
Estados Unidos
Universidades/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.00587



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