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Review Cutting Edge Orthopaedic Information Enhancing Resident Education PEDIATRIC ORTHOPAEDIC SOCIETY OF NORTH AMERICA’S March 2013 ResidentReview Cutting Edge Orthopaedic Information Enhancing Resident Education From the Editor, Technology Corner: Steven L. Frick, MD POSNA Educational Resources Review By Orrin Franko, MD Welcome to the Winter 2013 edition of the POSNA Resident This column will review the most useful online Review. This edition features educational resources for orthopaedic trainees. Most an interview with Lori Karol, of these websites are probably familiar to residents, who has been a stalwart in the but I hope to identify unique features that can help excellent clinical, educational expand your education. and academic pediatric orthopaedic programs at the Wheeless’ Textbook or Orthopaedics Texas Scottish Rite Children’s (www.wheelessonline.com) Hospital in Dallas that have For many residents, Wheeless is their first exposure Steven L. Frick, MD transformed our profession. to online orthopaedic reference material. As an online Typical for many pediatric orthopaedic surgeons, “textbook” and reference source, this comprehensive she is an expert in many areas of children’s listing of orthopaedic conditions benefits from an easy orthopaedics and her clinical practice covers a search function and expansive cross-referencing. In wide spectrum. As medical director of the gait lab addition to providing bullet-point information for the at TSRH, she has helped apply this technology most commonly tested and pimped questions, each and knowledge to studying the effects of our page includes a list of references for “classic” articles interventions on function in children, making and additional reading. Generally speaking, Wheeless substantial scholarly contributions. In addition is most useful as a point-of-care reference source to her academic contributions, she has been while on call or during last-minute case preparations. involved heavily in volunteering for orthopaedic However, the website lacks any form of quiz feature, professional societies. Dr. Karol also balances her does not include the ability to discuss topics, and the professional and personal/family life well, and is frequency and accuracy of updates is unverified. an excellent role model for residents and fellows. We are appreciative of the time she devoted for this Cautions: Explanations are brief, important details edition’s interview. are often missing, and references may be outdated The clinical focus of this edition is pediatric VuMedi sports medicine, a growing subspecialty area. (www.vumedi.com) As our society continues to value and promote participation in youth sports, and glorify those VuMedi advertises itself as the “YouTube” for who are successful later at the highest levels, our specialist physicians. Although originally only patients and their parents will experience injuries for orthopaedics, their video library now includes and conditions that limit sports participation, and cardiology, neurosurgery, primary care, plastic also seek out our counsel to help them maximize surgery and radiology and currently boasts over 2,000 their musculoskeletal function. Managing patient videos. The appeal of VuMedi for residents is the and especially parental expectations in this patient price (free) and the ability to watch entire lectures or population can be challenging, but rewarding. surgical procedures on very specific topics (i.e.: Direct As our knowledge and surgical capabilities have Anterior Approach Total Hip Arthroplasty). However, expanded, we have seen individuals who dedicate the site is not without controversy. While many “well their practice to pediatric sports medicine extend the known” surgeons have posted technique videos and age range of their patients beyond the traditional 18 lectures, other videos have been criticized for teaching year old boundary, and continue to care for patients poor technique. Although the site does allow users continued on page 2 continued on page 2 From the Editor (from page 1) through the high school and college in North America are readying for a to discuss better ways to help our years when they are most active in bolus of new scientific information patients. I hope you will be able to sports. about our specialty. The POSNA take advantage of these opportunities The Editorial Board hopes you enjoy annual meeting in Toronto this May to learn- if you are unable to attend, the information about our specialty is always the highlight of the year for much of the educational content is in this edition, at a time of year when learning about the latest studies and available after the meetings on the those of us in pediatric orthopaedics techniques, and an opportunity to society website, www.posna.org. catch up with friends and colleagues Technology Corner: POSNA Educational Resources Review (from page 1) to “thumbs up” videos they like and addition, unlike other websites, residents and surgeons. The portal post comments, this may not prevent Orthobullets has teamed up with the attempts to integrate a variety of trainees from watching videos that Miller Review Course to create an educational modules, including promote techniques unsupported by online review curriculum and emails journals (JAAOS, OKO Journal, JBJS peer-review. The website also hosts a out daily study plan guidelines for Am), CME credits, eBooks (AAOS number of live Webinars with leaders enrolled residents (free). Each email publications), eMedia (video and in the field who provide live lectures provides a link to specific topics that lectures), eStudy (resident study on particular topics, making VuMedi integrate questions and images into center), and patient education. For a resource for both residents and the topic, and even includes a “classic residents, the most valuable modules practicing surgeons alike. article” each day. Although this are in the residents’ study center. Cautions: Videos are not peer- feature is brand new, most residents OrthoQuiz is the AAOS version of reviewed and may teach unverified agree that if the study plan is strictly QBank and includes 700 questions. techniques adhered to, there is no question Unfortunately, unlike other question that board scores will significantly banks, explanations are not provided OrthoBullets improve. The website includes social for answers; however references (www.orthobullets.com) networking components, such as for additional reading are included. subscriptions to groups, interesting The site also includes the Resident Orthobullets.com entered the realm case discussions, and the ability to Practice Management Lecture Series of educational resources with the send messages. Lastly, one of the and ResStudy with 1000 questions belief that orthopaedic education most popular features is the QBank, and self-assessment examinations, can be made more efficient. In comprised of over 2000 questions, but these features are not free and that regard, the site is designed in which allows users to create tests of require a subscription. While the an integrated review format that varying lengths and topics. AAOS certainly has a reputation incorporates for peer-review and trustworthy bullet-format Cautions: Questions are based on old information, the limited number of learning points, OITE and board exams that may be of resources and high price will prevent images, tables, limited value as tests evolve. most residents from making this their questions, AAOS OrthoPortal top choice for studying. explanations, (orthoportal.aaos.org) and discussion Cautions: Limited numbers of comments. In The Academy has worked hard to questions and resources, expensive develop and maintain OrthoPortal relative to other options. as an educational resource center for 2 Interview with Lori Karol, MD: February 12, 2013 By Anthony Riccio, MD and Craig Eberson, MD 1. You have been very involved in during their career and may still they have numerous orthopaedic specialty be involved. They will put in a positions societies. What advice do you word for you, if you tell them you within the have for residents and young are interested in committee work. hospital. surgeons looking to contribute to Finally, submit your abstracts The funding organizations like POSNA? and get up on the podium at the you get for The advice that I would give is to annual meeting. This will help research never say “no” when somebody you establish a presence in your is based from an organization asks you, society. Over time, invitations on your “do you want to become involved to speak or become involved in productivity in something?” It may not be the society work groups come to - so if you first committee you would have familiar faces. are involved in research, you have chosen for yourself. On the other got to put the papers out there. hand, you will meet people and, You just need to become very particularly at POSNA, the people “...I went to medical school efficient with your time. you meet are going to be your was to take care of children 3. What is the most rewarding peers with whom you will share aspect of your practice? your career. So if someone asks and that is what brings me you to become involved, say yes. Patient care. That took about the greatest satisfaction.” two seconds to come up with The second thing is, don’t be that answer. I do a lot of things. afraid to volunteer. Not every I operate, I see clinic, I go to the young pediatric orthopaedic Gait Lab, I write papers, I serve surgeon may be familiar with 2. Has it been difficult balancing on committees at the hospital, I the people picking members a full-time clinical practice serve on committees in national for a committee. If you are in with your extensive research organizations, but the whole a location where your senior endeavors? reason I went to medical school partner or junior partners are not I always laugh that I need to be was to take care of children and that active in POSNA, it does not cloned three times over. One of that is what brings me the greatest mean that you cannot be- but my clones would be the research satisfaction.
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