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How I Avoid Prescribing Strong Opioids

 

How I Avoid Prescribing Strong Opioids

I haven’t prescribed any opiate stronger than codeine in over 3 years. Before that, my routine post-operative prescription was hydrocodone, which was fairly standard for U.S. orthopaedic surgeons. But after learning of the gross disparity in postoperative narcotic prescriptions here compared to other countries and given the changing attitudes in America regarding post injury/postoperative pain control, I was able to significantly reduce the strength of my opioid prescriptions.

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Spring Has Sprung!

 

Spring Has Sprung!

As the weather warms up, it is only natural that we all head outside for sunshine and fun, especially our kids. So, this seems like a good time to quickly review safety regarding a warm-weather favorite: trampolines.

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The Western Orthopaedic Foundation Announces Latest Resident Research Grant Recipient

 

The Western Orthopaedic Foundation Announces Latest Resident Research Grant Recipient

The Western Orthopaedic Foundation (WOF) is pleased to announce its first 2018 Resident Research Grant Recipient, Caitlin Rugg, MD of UC San Francisco. Dr. Rugg has been awarded a grant to study “The Impact of Early Sport Specialization on the Collegiate Athlete.” With young athletes participating in organized sports at an ever-increasing pace, there has been a growing number of injures as well as “specialization” in sports played year-round. This continuous activity may lead to injury patterns and biomechanical changes in the musculoskeletal system, warranting in-depth study of major clinical significance to orthopaedists.

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Maintenance of Certification - The Saga Continues

 

Maintenance of Certification – The Saga Continues

At the urging of state societies, such as the California Orthopaedic Association (COA), and regional societies, such as the Western Orthopaedic Association (WOA), the American Academy of Orthopaedic Surgeons (AAOS) has been working diligently with the American Board of Orthopaedic Surgery (ABOS) to push for changes to the unpopular Maintenance of Certification (MOC) program.

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Finding Gratitude

 

Finding Gratitude

The lecture assignment was for a Grand Rounds’ presentation entitled, “Lessons Learned – Pelvic Ring Disruptions.” It seemed simple enough, but as I assembled the example slides to demonstrate the modern treatment evolution, I was overwhelmed with gratitude.

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Three Hundred and Forty-Eight

 

Three Hundred and Forty-Eight

•    George Foster’s career home run total… it took him 17 big league seasons.
•    Don Shula’s 328 career coaching wins are 20 short… it took him 33 seasons.
•    Alex English pulled down 348 defensive rebounds for the ’81-‘82 Denver Nuggets.
•    Eleven more Americans would have to go into space to reach 348.
•    Forty-eight fewer Spartans fought beside King Leonidas at the Battle of Thermopylae.
•    A 1995 Ferrari 348 will cost you approximately $60,000… WOA’s 82nd Annual Meeting Registration will not.




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Benefits of Membership: Through the Eyes of a Resident

 

Benefits of Membership: Through the Eyes of a Resident

As a fourth-year resident, there are many demands on my time. Nonetheless, when presented with an opportunity to serve the WOA, I wasted no time applying. I'm one of two residents currently serving on the WOA’s Board of Directors; I am in my second year on the Board.

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Membership Has Its Privileges!

Membership Has Its Privileges!

The Western Orthopaedic Association (WOA) recently announced a new member benefit – a discounted subscription to a comprehensive bundle of Journal of Bone and Joint Surgery (JBJS) products. As you may know, the AAOS no longer offers its active members a complimentary subscription to JBJS. A subscription to the print journal alone is currently over $250.

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Maintenance of Certification Changes Announced

Maintenance of Certification Changes Announced

The Western Orthopaedic Association (WOA) has been advocating on your behalf for improvements to the Maintenance of Certification (MOC) process.

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The Western Orthopaedic Foundation: Strength In Numbers

The Western Orthopaedic Foundation: Strength In Numbers

The Western Orthopaedic Foundation (WOF) is a bold, ambitious extension of the Western Orthopaedic Association (WOA).

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The Resident’s Decision - Hospital or Private Practice

The Resident’s Decision - Hospital or Private Practice*

For residents, one of the biggest decisions to be made when completing medical education is whether to join a private practice or accept a hospital position.

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Burnout—What Can We Do to Combat Burnout? (Part II)

Burnout—What Can We Do to Combat Burnout? (Part II)

Burnout needs to be addressed jointly—both at the institutional and the individual level. Leaders need to be chosen who can work with the system and the physicians to promote engagement and wellness. Included are some ideas for both parties to work on.

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Burnout—What Is It? (Part I)

Burnout—What Is It? (Part I)

Burnout is a significant issue throughout the healthcare system and physicians are not exempt. In fact, up to 50% of physicians suffer from burnout. In 2014, at the Mayo Clinic, the burnout rate among orthopedic surgeons was 59.6%, up from 48.3% in 2011.

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WOA: A Place for Growth

WOA: A Place for Growth

Our generation of surgeons is fortunate to have many sources from which to obtain our ongoing education including meetings, online, and publications. The Western Orthopaedic Association (WOA) is an extraordinary star in the ever-expanding galaxy of orthopaedic organizations.

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The 81st WOA Annual Meeting - Content, Collegiality and So Much More

The 81st WOA Annual Meeting
Content, Collegiality and So Much More

The 81st WOA Annual Meeting highlighted a variety of aspects that are unique to the WOA. The Meeting’s content included multispecialty panel discussions focused on current and controversial issues as well as informative “rapid fire” research presentation modules.

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Leadership

Leadership

As physicians, we are looked up to and expected to be leaders – leaders of our teams, leaders within the hospital, and even leaders within the community.  There are a variety of things we can do to help ourselves become better leaders including listening, respecting others and their ideas, and slowing down for self-reflection and mindfulness.

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Richard Haynes MD to be Honored with Filler Award

Richard Haynes MD to be Honored with Filler Award

The 2017 WOA Blair Filler Lifetime Achievement Award will honor Richard (Dick) Haynes MD for his distinguished career of leadership, service, and education. Dr. Haynes and Sherri, his wife, will be honored Saturday, August 5th at our WOA Annual Meeting gala dinner in Kauai.

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Lessons From The Summit

Lessons From The Summit

It is a privilege to serve the WOA in any capacity; the greatest honor for me personally has been serving as President. Many lessons drawn from this experience can be translated into general teaching points for all.

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WOA Advocates New MOC Pathway

WOA Advocates New MOC Pathway

As your BOC representative, I submitted a WOA Board-approved AAOS Advisory Opinion at the April NOLC to abolish the ABOS high stakes exams for recertification.  This Advisory Opinion was approved and has been sent to the AAOS BOD.

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My Return To The Garden Island

My Return To The Garden Island

The 2017 WOA Annual Meeting (August 2-5) on Kauai is fast approaching and the resort rooms are nearly filled.  While it marks the Association’s ‘every third year’ return to Hawaii, this meeting is particularly exciting for me and my family.

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