federation of orthopaedic trainees in europedear member on behalf of forte i have just attended a meeting held by the european union of medical specialists (uems). the orthopaedic section of the uems hold two meetings per year and representatives from each country within the european union attend. much of the discussions involve training, the ebot exam and manpower planning, and therefore it is important that trainees are represented at these meetings. each european country aims to train and produce suitably qualified orthopaedic surgeons able to work independently in a manner that is safe and professional. one of the founding principles of the uems was that in order for specialists to move between eu countries there has to be a mutual recognition between these countries and this has created a strong incentive for the harmonisation of education. clearly it would be wrong to expect each country to train in an identical manner. however, some believe that issuing a certificate of completion of training and entrance onto the specialist register should be via a process that is transparent and accepted across europe. currently we have a situation in which each country has its own method of regulation that varies enormously. whilst some countries have a system of yearly in-training assessments, logbook evaluation and compulsory final exams others rely on individual mentoring and voluntary exams. in some countries the final exam is set and marked by the university in which the training occurred whilst in other countries the exam is set nationally and has a standards setting committee. sometimes the pass mark is determined purely by a flat pass rate (e.g. 50%) whilst others set a pass mark determined by a standards committee. results of a survey presented at the uems meeting illustrated the overall situation: 60% of countries have a compulsory exam, 70% have a specialist exit exam and 90% do some form of evaluation of surgical skills. on this basis i believe that it is very difficult to assess standards of training across europe when sometimes there aren't even standards within the same country! we mustn't forget that at the heart of this are our patients,
federation of orthopaedic trainees in europedear member on behalf of forte i have just attended a meeting held by the european union of medical specialists (uems). the orthopaedic section of the uems hold two meetings per year and representatives from each country within the european union attend. much of the discussions involve training, the ebot exam and manpower planning, and therefore it is important that trainees are represented at these meetings. each european country aims to train and produce suitably qualified orthopaedic surgeons able to work independently in a manner that is safe and professional. one of the founding principles of the uems was that in order for specialists to move between eu countries there has to be a mutual recognition between these countries and this has created a strong incentive for the harmonisation of education. clearly it would be wrong to expect each country to train in an identical manner. however, some believe that issuing a certificate of completion of training and entrance onto the specialist register should be via a process that is transparent and accepted across europe. currently we have a situation in which each country has its own method of regulation that varies enormously. whilst some countries have a system of yearly in-training assessments, logbook evaluation and compulsory final exams others rely on individual mentoring and voluntary exams. in some countries the final exam is set and marked by the university in which the training occurred whilst in other countries the exam is set nationally and has a standards setting committee. sometimes the pass mark is determined purely by a flat pass rate (e.g. 50%) whilst others set a pass mark determined by a standards committee. results of a survey presented at the uems meeting illustrated the overall situation: 60% of countries have a compulsory exam, 70% have a specialist exit exam and 90% do some form of evaluation of surgical skills. on this basis i believe that it is very difficult to assess standards of training across europe when sometimes there aren't even standards within the same country! we mustn't forget that at the heart of this are our patients,
federation of orthopaedic trainees in europewe would be interested to hear about your thoughts on training within your country and would appreciate your time in completing a short survey - please see the details on page 14. in addition, if you have any particular questions or views on how training should across europe please feel free to contact us. it is your views that forte would like to represent at these meetings and would be instrumental if any changes were implemented. the journal of bone and joint surgery [br] is a useful resource for trainees and as well as peer reviewed articles offers practice questions for exams, reading lists written by specialists and a comprehensive lists of fellowships available. trainees from europe are provided with a 50% discount on subscription rates and a free iphone app. we are pleased to announce that the forte fellowship sponsored by depuy at the karloinska university hospital in sweden has proved very popular and the first fellow has been selected and will start in september. fellowships are of three months duration and the deadline for starting in jan 2012 is the 15th june 2011. please see our website for further details. the efort annual congress in copenhagen (1st 4th june) stands to be the biggest yet and undoubtedly will be an outstanding scientific meeting for trainees. i hope that many of you will attend and look forward to speaking with you at our stand. we will also be hosting a session entitled "an update for residents and trainees in orthopaedic surgery" on thursday 2nd june at 1400 in jupiter 5. please come and support your training organisation's annual meeting. there will be presentations about the karolinska fellowship, a look at orthopaedic training in portugal and an open discussion forum. there will be voting for the new committee, so if you want to get involved please come along. best wishes enis guryel, president forte forte committeetranslate traduzca übersetzen sie
federation of orthopaedic trainees in europewe would be interested to hear about your thoughts on training within your country and would appreciate your time in completing a short survey - please see the details on page 14. in addition, if you have any particular questions or views on how training should across europe please feel free to contact us. it is your views that forte would like to represent at these meetings and would be instrumental if any changes were implemented. the journal of bone and joint surgery [br] is a useful resource for trainees and as well as peer reviewed articles offers practice questions for exams, reading lists written by specialists and a comprehensive lists of fellowships available. trainees from europe are provided with a 50% discount on subscription rates and a free iphone app. we are pleased to announce that the forte fellowship sponsored by depuy at the karloinska university hospital in sweden has proved very popular and the first fellow has been selected and will start in september. fellowships are of three months duration and the deadline for starting in jan 2012 is the 15th june 2011. please see our website for further details. the efort annual congress in copenhagen (1st 4th june) stands to be the biggest yet and undoubtedly will be an outstanding scientific meeting for trainees. i hope that many of you will attend and look forward to speaking with you at our stand. we will also be hosting a session entitled "an update for residents and trainees in orthopaedic surgery" on thursday 2nd june at 1400 in jupiter 5. please come and support your training organisation's annual meeting. there will be presentations about the karolinska fellowship, a look at orthopaedic training in portugal and an open discussion forum. there will be voting for the new committee, so if you want to get involved please come along. best wishes enis guryel, president forte forte committeetranslate traduzca übersetzen sie
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key forthcoming events and coursesextracts courtesy of www.medicourse.co.uk the rsced orthopaedic symposium 2011 course date: 28th october 2011 location: symposium hall, royal college surgeons, edinburgh price: £165.00 consultant; £135.00 rcsed fellow/member £115.00 trainees; £95.00 rcsed pre-membership affiliate £75.00 allied professionals; £50.00 nurses contact: lyndsay smythe, 0131 527 4636 email: l.smythe@rsced.ac.uk oswestry foot & ankle course course date: 5th december 2011 location: the robert jones and agnes hunt orthopaedic hospital price: £550 plus vat contact: alison whitelaw , 01691 404661 email: alison.whitelaw@rjah.nhs.uk oswestry intensive course in basic science date: 8th january 2012 location: the robert jones and agnes hunt orthopaedic hospital price: £940 plus vat objectives: this popular intensive course covers basic science in orthopaedics and is aimed at all levels of trainees and for those who will be taking the intercollegiate board examination in orthopaedic surgery. the focus of the course is on the basic principles of the orthopaedic sciences and aims to provide knowledge of the importance in decision making for patient care. contact: alison whitelaw , 01691 404661 email: alison.whitelaw@rjah.nhs.uk
key forthcoming events and coursesextracts courtesy of www.medicourse.co.uk the rsced orthopaedic symposium 2011 course date: 28th october 2011 location: symposium hall, royal college surgeons, edinburgh price: £165.00 consultant; £135.00 rcsed fellow/member £115.00 trainees; £95.00 rcsed pre-membership affiliate £75.00 allied professionals; £50.00 nurses contact: lyndsay smythe, 0131 527 4636 email: l.smythe@rsced.ac.uk oswestry foot & ankle course course date: 5th december 2011 location: the robert jones and agnes hunt orthopaedic hospital price: £550 plus vat contact: alison whitelaw , 01691 404661 email: alison.whitelaw@rjah.nhs.uk oswestry intensive course in basic science date: 8th january 2012 location: the robert jones and agnes hunt orthopaedic hospital price: £940 plus vat objectives: this popular intensive course covers basic science in orthopaedics and is aimed at all levels of trainees and for those who will be taking the intercollegiate board examination in orthopaedic surgery. the focus of the course is on the basic principles of the orthopaedic sciences and aims to provide knowledge of the importance in decision making for patient care. contact: alison whitelaw , 01691 404661 email: alison.whitelaw@rjah.nhs.uk
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visionairetotal knee arthoplastrysmith & nephew uses the patient's mri and x-ray to create customized cutting blocks that save time and instruments in the or and achieve optimal mechanical axis alignment. this technology can potentially improve the patient's outcome by extending implant longevity and helping the patient regain an active lifestyle. benefits eliminate as many as 22 steps in your surgical procedure with patient match alignment that potentially can achieve a better outcome for your patient. use 2-3 instrument trays instead of six with patient match instrumentation, reducing the cost, time and labor of sterilization and set up patient specific alignment may lead to better patient outcomes and lowered risk of complications such as dvt due to lack of violation of the im canal. there are potential risks with any surgery. efficiency shorten procedures by eliminating sizing and alignment surgical steps with patient matched instrumentation. improve productivity with reduced instrumentation, requiring less set-up and turnover time.
visionairetotal knee arthoplastrysmith & nephew uses the patient's mri and x-ray to create customized cutting blocks that save time and instruments in the or and achieve optimal mechanical axis alignment. this technology can potentially improve the patient's outcome by extending implant longevity and helping the patient regain an active lifestyle. benefits eliminate as many as 22 steps in your surgical procedure with patient match alignment that potentially can achieve a better outcome for your patient. use 2-3 instrument trays instead of six with patient match instrumentation, reducing the cost, time and labor of sterilization and set up patient specific alignment may lead to better patient outcomes and lowered risk of complications such as dvt due to lack of violation of the im canal. there are potential risks with any surgery. efficiency shorten procedures by eliminating sizing and alignment surgical steps with patient matched instrumentation. improve productivity with reduced instrumentation, requiring less set-up and turnover time.
must readjournal abstractsreduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the hippocratic and kocher methods sayegh fe, kenanidis ei, papavasiliou ka, potoupnis me, kirkos jm and kapetanos ga j bone joint surg am. 2009;91:2775-2782. background: there are several methods to reduce anterior shoulder dislocations, but few studies have compared the efficacy, safety, and reliability of the different techniques. as a result, deciding which technique to use is seldom based on objective criteria. the aim of the present study was to introduce a new method to reduce an anterior shoulder dislocation, termed ``fares'' (fast, reliable, and safe), and to compare it with the hippocratic and kocher methods in terms of efficacy, safety, and the intensity of pain felt by the patient during reduction.methods: between september 2006 and june 2008, a total of 173 patientswith an acute anterior shoulder dislocation (with or without a fracture of the greater tuberosity) were enrolled in the study. one hundred and fifty-four patients, who met all inclusion criteria, were randomly assigned to one of the three study groups (fares, hippocratic, and kocher) and underwent reduction of the dislocation by first or second-year orthopaedic surgery residents. a visual analog scale was used to determine the intensity of the pain felt by the patient during reduction.results: demographically, the groups were comparable in terms of age,male:female ratio, the mechanism of dislocation, and the mean time between the injury and the first attempt at reduction. reduction was achieved with the fares method in 88.7% of the patients, with the hippocratic method in 72.5%, and with the kocher method in 68%. this difference was significant, in favor of the fares method (p = 0.033). the mean duration of the reduction maneuver was significantly shorter for the fares method (2.36 ± 1.24 minutes for the fares method, 5.55 ± 1.58 minutes for the hippocratic method, and 4.32 ± 2.12 minutes for the kocher method; p < 0.001), and the mean visual analog pain score was significantly lower for the fares method (1.57 ± 1.43 for the fares method, 4.88 ± 2.17 for the hippocratic method, and 5.44
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must readjournal abstractsreduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the hippocratic and kocher methods sayegh fe, kenanidis ei, papavasiliou ka, potoupnis me, kirkos jm and kapetanos ga j bone joint surg am. 2009;91:2775-2782. background: there are several methods to reduce anterior shoulder dislocations, but few studies have compared the efficacy, safety, and reliability of the different techniques. as a result, deciding which technique to use is seldom based on objective criteria. the aim of the present study was to introduce a new method to reduce an anterior shoulder dislocation, termed ``fares'' (fast, reliable, and safe), and to compare it with the hippocratic and kocher methods in terms of efficacy, safety, and the intensity of pain felt by the patient during reduction.methods: between september 2006 and june 2008, a total of 173 patientswith an acute anterior shoulder dislocation (with or without a fracture of the greater tuberosity) were enrolled in the study. one hundred and fifty-four patients, who met all inclusion criteria, were randomly assigned to one of the three study groups (fares, hippocratic, and kocher) and underwent reduction of the dislocation by first or second-year orthopaedic surgery residents. a visual analog scale was used to determine the intensity of the pain felt by the patient during reduction.results: demographically, the groups were comparable in terms of age,male:female ratio, the mechanism of dislocation, and the mean time between the injury and the first attempt at reduction. reduction was achieved with the fares method in 88.7% of the patients, with the hippocratic method in 72.5%, and with the kocher method in 68%. this difference was significant, in favor of the fares method (p = 0.033). the mean duration of the reduction maneuver was significantly shorter for the fares method (2.36 ± 1.24 minutes for the fares method, 5.55 ± 1.58 minutes for the hippocratic method, and 4.32 ± 2.12 minutes for the kocher method; p < 0.001), and the mean visual analog pain score was significantly lower for the fares method (1.57 ± 1.43 for the fares method, 4.88 ± 2.17 for the hippocratic method, and 5.44
detection of orthopaedic implants in vivo by enhanced sensitivity, walk-through metal detectors j bone joint surg (am) 2007;89:742-746 ramirez ma, rodriguez ek, zurakowski d & richardson lc. background: since the september 11, 2001, world trade center terroristattack, airports worldwide have heightened their security standards in efforts to discourage terrorist attacks. patients have become increasingly concerned about whether their metallic implants will set off airport metal detectors. the purpose of this study was to assess rates of detection of various orthopaedic implants by airport detectors with the new security sensitivities.methods: one hundred and twenty-nine volunteers with a total of 149 implants were asked to walk through an mscope three-zone metal detector at two sensitivity settings. low sensitivity was equivalent to the united states transportation security administration setting for regular security, and high sensitivity was equivalent to its standard for high security.results: of the 149 implants in 129 patients who were screened, eighty-four(56%) were trauma hardware, including intramedullary nails, plates, screws, and kirschner wires, and sixty-five (44%) were arthroplasty implants. seventyseven (52%) of the 149 implants were detected by the metal detector at one or both settings. multivariate analysis revealed that the type (p < 0.001), material (p < 0.001), and location (p < 0.001) of the implant were independent predictors of detection. the overall rate of detection was 88% for prosthetic replacements compared with 32% for plates, with the likelihood of detection being fifteen times greater (odds ratio = 15.0, 95% confidence interval = 5.9 to 39.1) for the prosthetic replacements. all total hip replacements and 90% of the total knee replacements were detected at the low-sensitivity setting. intramedullary nails and kirschner wires were not detected. the overall detection rate was 67% for implants in the lower extremity, 17% for those in the upper extremity, and 14% for those in the spine. the detection rate for implants in the lower extremity was ten times higher than that for implants in the upper extremity and eleven times higher than that for implants in the spine.conclusions: more than half of all orthopaedic implants may be detected bymetal detectors used at commercial airports. total joint prostheses will routinely set off the detector, whereas nails, plates, screws, and wires are rarely detected. cobalt-chromium and titanium implants are more likely to be detected than stainless-steel implants.
detection of orthopaedic implants in vivo by enhanced sensitivity, walk-through metal detectors j bone joint surg (am) 2007;89:742-746 ramirez ma, rodriguez ek, zurakowski d & richardson lc. background: since the september 11, 2001, world trade center terroristattack, airports worldwide have heightened their security standards in efforts to discourage terrorist attacks. patients have become increasingly concerned about whether their metallic implants will set off airport metal detectors. the purpose of this study was to assess rates of detection of various orthopaedic implants by airport detectors with the new security sensitivities.methods: one hundred and twenty-nine volunteers with a total of 149 implants were asked to walk through an mscope three-zone metal detector at two sensitivity settings. low sensitivity was equivalent to the united states transportation security administration setting for regular security, and high sensitivity was equivalent to its standard for high security.results: of the 149 implants in 129 patients who were screened, eighty-four(56%) were trauma hardware, including intramedullary nails, plates, screws, and kirschner wires, and sixty-five (44%) were arthroplasty implants. seventyseven (52%) of the 149 implants were detected by the metal detector at one or both settings. multivariate analysis revealed that the type (p < 0.001), material (p < 0.001), and location (p < 0.001) of the implant were independent predictors of detection. the overall rate of detection was 88% for prosthetic replacements compared with 32% for plates, with the likelihood of detection being fifteen times greater (odds ratio = 15.0, 95% confidence interval = 5.9 to 39.1) for the prosthetic replacements. all total hip replacements and 90% of the total knee replacements were detected at the low-sensitivity setting. intramedullary nails and kirschner wires were not detected. the overall detection rate was 67% for implants in the lower extremity, 17% for those in the upper extremity, and 14% for those in the spine. the detection rate for implants in the lower extremity was ten times higher than that for implants in the upper extremity and eleven times higher than that for implants in the spine.conclusions: more than half of all orthopaedic implants may be detected bymetal detectors used at commercial airports. total joint prostheses will routinely set off the detector, whereas nails, plates, screws, and wires are rarely detected. cobalt-chromium and titanium implants are more likely to be detected than stainless-steel implants.
federation of orthopaedic trainees in europedear member, we are conducting a survey this month so please click on the link below and spend a couple of minutes filling it in.forte survey may 2011thanks in advance, enis
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federation of orthopaedic trainees in europedear member, we are conducting a survey this month so please click on the link below and spend a couple of minutes filling it in.forte survey may 2011thanks in advance, enis
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to view the january newsletter please click on the thumbnail aboveto view the march newsletter please click on the thumbnail aboveto see the new online product news mediapack click on thumbnail above copyright 2011 purepagesgroup all manufacturers are individually responsible for the veracity and accuracy of their material. for all enquiries please call mike phillips on 01204 375500 or email mikep@purepagesgroup.com
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