OrthoInfo.org—the authoritative, trusted consumer website on bone and joint health—has a new design that is easier to navigate, access and view, the American Academy of Orthopaedic Surgeons (AAOS) announced November 15, 2017. OrthoInfo, which receives approximately 42 million page visits each year, provides more than 525 consumer articles, videos and interactive learning modules on symptoms, causes and treatment options for a broad range of musculoskeletal conditions. The website offers new illustrations and multi-media resources, is more optimally organized—by body part and popular topics—and the responsive mobile design makes viewing on a phone or table more convenient than ever.
"The new OrthoInfo empowers patients by helping them to better understand their conditions, find answers to questions and prepare for surgical procedures-anytime, anywhere," said AAOS President William J. Maloney, MD. "In addition, OrthoInfo is an important in-office resource and tool for our orthopaedic surgeon members, reflecting the Academy's commitment to providing optimal patient care.
“Our goal is to provide clear and accurate orthopaedic information in a way that patients, families and caregivers can easily understand,” said OrthoInfo Editor-in-Chief Stuart J. Fischer, MD. “We have added new illustrations, animations and videos to supplement the articles. The new responsive design will allow viewers to access orthopaedic information on many platforms—desktop, mobile, table and smart TV.”
At OrthoInfo.org, visitors can:
Enlarge X-rays, images, illustrations and photographs.
Share content and resources via email or social media.
Easily search for and access related articles, patient stories and other multimedia resources, providing visitors with a complete picture of their musculoskeletal condition, treatment and/or recovery.
For orthopaedic surgeons, physician assistants, nurses and other health care staff. OrthoInfo is a valuable took in aiding and enhancing patient care. The site offers images, articles and learning modules on a variety of topics-from arthritis and sports injuries, to preparing for surgery, pain management, and recovery-that can be viewed on a laptop, phone or tablet during the office visit. Staff also can email specific OrthoInfo links, or direct patients and caregivers to the website, for more information.
All OrthoInfo articles and resources are rigorously reviewed by orthopaedic surgeon experts, ensuring that content is accurate and reflective of the latest orthopaedic research, and treatment and care standards. Many of the articles and resources are available in Spanish and Portuguese.
ABOS Survey Results
By David F. Martin, MD, ABOS Executive Medical Director
Almost 11,000 American Board of Orthopaedic Surgery (ABOS) Diplomates participated in a recent Maintenance of Certification (MOC) survey that the ABOS conducted with RTI International. The ABOS appreciates each response and RTI was amazed that we had over a 60% response rate to the survey. This article will give you a snapshot of the results and discuss the next steps being considered by the ABOS.
While the survey had many questions, the one of most interest to many orthopaedic surgeons was, “Of the four MOC Part III Knowledge Assessment options, which one would you prefer to complete when your next Knowledge Assessment is due?
” Two current options (Computer and Oral Examinations) and two possible future options (Longitudinal Assessment and Virtual Practice Assessment) were provided. Here are the results for Knowledge Assessment preferences of ABOS Diplomates:
Computer-Based Examination 41.2%
Longitudinal Assessment 39.8%
Virtual Practice Assessment 14.2%
Oral Recertification Examination 3.9%
As you can see, the top two preferences of ABOS Diplomates responding to the survey were Computer-Based Examination and Longitudinal Assessment at approximately 40% preference for each option. This distribution remained consistent among subgroups of respondents. There was a slightly higher level of support for a Longitudinal Assessment program for those who had earned their initial Certification in the last decade as compared to those who have participated in several recertification cycles. However, both groups showed significant interest in both a newly developed Longitudinal Assessment program and the current Computer-Based Practice-Profiled Examinations.
A similar question was asked about Diplomates’ comfort level with each of the Knowledge Assessment options. Most Diplomates indicated that they were at least moderately comfortable with each of the assessment options. Here is how comfortable (cumulative of responses of “moderately”, “very”, or “extremely”) Diplomates felt with each option:
Computer-Based Examination 91.4%
Longitudinal Assessment 83.6%
Virtual Practice Assessment 71.2%
Oral Recertification Examination 64.8%
Based on the results of the survey, the ABOS Board of Directors voted unanimously to have the ABOS MOC Committee formulate a plan to add a Longitudinal Assessment program as an alternative Knowledge Assessment option in the ABOS MOC Program. The MOC Committee will work with RTI to solicit input from Diplomates on the design of the ABOS Longitudinal Assessment process.
The Board has also tasked the ABOS MOC Committee to continue to investigate the Virtual Practice Assessment program. This is a program that involves a virtual practice evaluation, performed without the examinee present at the time of the assessment. The ABOS piloted the Virtual Practice Assessment during the 2017 Oral Examination Sessions held in July of 2017. The feedback from Oral Examiners was positive and based on the comments that we received, the ABOS is looking to refine and implement this program with another round of testing being carried out next July. If this program is found to be valid and feasible then it could potentially be launched in the next two to three years.
More than 5,800 ABOS Diplomates left comments on the survey. The ABOS is reviewing these comments and will provide a full report on the survey to our Diplomates in the coming months.
The ABOS will continue to partner with RTI to help us conduct surveys and consider forming focus groups of Diplomates to gain further input. The ABOS values the feedback we receive from our Diplomates and we look forward to continuing to work with them. With their help and input, we look forward to continuing to improve ABOS programs and processes to minimize burden and add value to ABOS Board Certification.
American Chiropractic Association Releases Choosing Wisely® List of Tests, Procedures to Question
The American Chiropractic Association (ACA) released a list of five tests and procedures commonly ordered but not always necessary in chiropractic care. The list is part of the Choosing Wisely® campaign, an initiative of the ABIM Foundation and Consumer Reports®, which encourages conversations between patients and their clinicians about what care is really necessary and appropriate.
To date, nearly 100 health care groups have participated in the Choosing Wisely® campaign to create lists identifying specific tests and procedures that evidence indicates may not always be necessary. ACA is the first chiropractic group to join the campaign.
“The ACA and its members support evidence-informed care as well as shared decision-making between patients and their doctors. For this reason, we are proud to partner with Choosing Wisely® in this effort to encourage important conversations between patients and chiropractors that may reduce unneeded or overused services, yielding the best possible patient care," said ACA President David Herd, DC.
ACA’s list features the following five recommendations:
- In the absence of red flags, do not obtain spinal imaging (X-rays) for patients with acute low-back pain during the six weeks after the onset of pain.
- Do not perform repeat spinal imaging to monitor patients’ progress.
- Avoid prolonged or ongoing use of passive or palliative physical therapeutic modalities for low back pain disorders unless they support the goal(s) of an active treatment plan.
- Do not provide long-term pain management without psychosocial screening or assessment for possible related psychological disorders, most notably depression and anxiety.
- Do not prescribe lumbar supports or braces for the long-term treatment or prevention of low-back pain.
ACA’s Choosing Wisely® recommendations were developed by the association's Committee on Quality Assurance and Accountability, and approved by the ACA Board of Governors, after an extensive search of the most current scientific evidence on management and treatment options and months of careful review and consideration.
“Conversations about what care patients truly need is a shared responsibility among all members of the health care team,” said Richard J. Baron, MD, president and CEO of the ABIM Foundation. “The American Chiropractic Association’s Choosing Wisely® list will help chiropractors across the country engage their patients in a dialogue about what care is best for them, and what we can do to reduce waste and overuse in our health care system.”
Using a non-drug approach, chiropractors focus on disorders of the musculoskeletal system, most often treating complaints such as back pain, neck pain, pain in the joints of the arms or legs and headaches. Widely known for their expertise in spinal manipulation, chiropractors are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling. According to a recent Gallup survey, about 35 million Americans visit a chiropractor each year.
To view details about ACA’s list of recommendations, visit www.acatoday.org/ChoosingWisely. To learn more about the Choosing Wisely campaign and to view all lists, visit www.ChoosingWisely.org.
Throughout 2017, the National Association of Orthopaedic Nurses (NAON) worked to analyze and improve numerous aspects of orthopaedics. Since the last association update in July, we released new products, hosted a successful inaugural event, and provided tremendous networking opportunities for Nurse Navigators.
Releasing New Products
The brand new Orthopaedic Pain Management Review Course was launched in September. This course tests your management knowledge and provides the most up-to-date information on managing pain in orthopaedic patients. The 2017 revision is streamlined into three sections: In-depth Overview of Pain Management in Relation to Orthopaedics; Pharmacology Review; and Medication Administration and Patient Safety Considerations for Orthopaedic Patients. Participants who successfully complete this course are awarded 3.6 Category A Contact Hours as well as Pharmacology Hours.
A Successful Inaugural Event
In October, NAON hosted its first ever Orthopaedic Symposium in Rosemont, IL. Over 250 orthopaedic professionals attended this two-day event filled with educational sessions, informative panels, and hands-on labs. With additional support of numerous exhibitors and sponsors, the event was a tremendous success. We would like to thank everyone who attended for contributing towards a fruitful inaugural event.
Networking with Nurse Navigators
Every month, NAON’s Director of Education, Tandy Gabbert, MSN, RN, ONC, leads an informational networking call for a network of nurse navigators in multiple settings. During this call, various topics ranging from developing a mentor program to implementing best practices for outpatient joint replacement patients are discussed. Since its inception earlier this year, the group has grown to include over 100 individuals who are interested in learning more about the navigator role and how it functions in various settings.
NAON has had a very busy – and very successful – year thus far. We look forward to continuously supporting orthopaedic nurses in their diverse roles as we end 2017 and head in to 2018.
Study in JBJS Examines Impact of OREF Grants on NIH Funding
A study published in the August 16th issue of The Journal of Bone and Joint Surgery (JBJS) concluded that investigators who received an OREF grant were more likely to be successful in applying for funding from the National Institutes of Health (NIH) than were other investigators. The study, “The Relationship Between OREF Grants and Future NIH Funding Success,” analyzed data for OREF grants awarded between 1994 and 2014.
The authors calculated an overall NIH funding rate of 22.3% for OREF grant recipients versus an average national rate of 18% for other NIH applicants. OREF Career Development Grant recipients achieved a conversion rate of 46.3%, far surpassing the national rate.
Researchers from certain subspecialties, including arthroplasty, sports medicine, oncology, trauma and pediatrics, were more likely to achieve both OREF and NIH funding.
The authors concluded that, “Grants awarded by the OREF are not only important for supporting orthopaedic surgeons during the years they are funded, but also achieve their purpose of identifying and supporting young researchers with the Career Development Award, leading to an NIH funding rate that is nearly triple the 18% national average of successful NIH funding applications.”
To read more about the study and its findings, please see the following resources.
Selected study highlights
Commentary by John J. Callaghan, MD
OREF awards $800,000 grant honoring James R. Urbaniak, MD to Christopher L. Mendias, PhD, of Hospital for Special Surgery (HSS)
Dr. Mendias received the OREF Clinical Research Grant in Cellular Therapy in Honor of James Urbaniak, MD, which provides funding for clinical research to advance breakthroughs in adult stem cell therapies. Dr. Mendias is an associate scientist at HSS in New York.
The study, SVFC Therapy to Improve Rotator Cuff Tears: A Phase II Clinical Trial, will examine the ability of stromal vascular fraction stem cells to enhance the regeneration of musculoskeletal tissues, and seeks to determine if autologous stem cell therapy can improve outcomes for patients with chronic rotator cuff tears who undergo surgical repair.
Funding for the grant, which is the largest in OREF’s history, was provided by generous support from individual donors, including many of the residents and fellows who trained under Dr. Urbaniak and who have contributed to the OREF James R. Urbaniak, MD Mentor campaign, and by the National Stem Cell Foundation (NSCF).
OREF President David G. Lewallen, MD, expressed his gratitude to the many donors who contributed to the OREF James R. Urbaniak, MD Mentor Campaign, which has raised over $1 million, including gifts of approximately $700,000 from more than 80 orthopaedic surgeons. “OREF’s origins are firmly rooted in the philosophy that the orthopaedic community must come together to advance our knowledge of musculoskeletal diseases and injuries. We are pleased that through the generosity of these donors, OREF is able to provide funding for research which may provide improved quality of life for millions of patients suffering from chronic rotator cuff tears.”
Visit www.oref.org/grants for more information about OREF’s grant programs.