JTO - March 2019
Volume 7 Issue 1
From the Executive Editor
In this edition of the JTO the articles have grown together as stepping stones to form a pathway through a T&O life.
The journey needs to be started; Chris Thornhill (page 30) describes how as a medical student a chance exposure to a subject met with enthusiasm may be the first step. However, the first line of the Emotional Side of Surgery (page 26) describes a stereotype of a surgeon, with declining competition for training posts we need to be wary of subconscious barriers and strive to change them.
Once surgical ambition is apparent we should be able to nurture it, in potential changes to T&O training the opportunity and importance of early commitment by both trainee and the training system is recognised. The Updated CCT guidelines (page 24) then then give us the framework to produce a day one consultant in T&O.
CCT completed and appointment gained we may prefer to ‘just get on with our job’, but change will continue. The discussion of the NICE VTE guideline (page 16) highlights how we may put ourselves in a position of having to accept change in a particular area of practice, but more importantly how by appropriate engagement we can influence and direct it. Phil Turner then looks in a stepwise fashion at how we may transform a whole service.
Reflection and assessment of self should always have been part of a professional life. The formalisation of this process into revalidation seemed a logical step to provide a structure for the benefit of patients and profession. Whether these objectives have been or are likely to be achieved is explored in general and in relation to T&O (pages 44-53).
The final step on the career pathway has been taken by some, and in this issue we pay our respects to them. One of those, Roger Checketts (page 54) takes us back to the first step on the path. He was the epitome of the orthopaedic enthusiast who if he spotted a spark of ability and desire in student or trainee could help ignite a career.
Bob Handley, Vice President Elect
Subspecialty Section
- Revalidation: an evidence-based intervention? (A personal view)
- The Role of the Responsible Officer in the Independent Sector
- Revalidation in Orthopaedics
Reference Lists
The Emotional Side of Surgery
References
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2. Knaus M. The surgeon stereotype. AAS Blog. 2018 (Accessed September 2018)(Available from: http://www.aasurg.org/blog/the-surgeon-stereotype/).
3. Grossman R. The surgical personality: does it matter? RCS Bulletin. 2018; 100(3):130-132.
4. Oxtoby K. Do the classic specialty stereotypes still hold true for today’s doctors? BMJ. 2013; 347.
5. Arnold-Forster A. Operating with feeling: emotions in contemporary surgery. RCS Bulletin. 2018; 100 (1):12-14.
6. Marsh H. Do no harm: stories of life, death and brain surgery, London, Weidenfeld & Nicolson. 2014.
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11. Stacey M, Russ E, McCann A. Baker’s dozen of mental toughness: your stress management and resilience toolkit. (Accessed September 2018)(Available from: https://www.rcsed.ac.uk/media/415474/bakers-dozen-of-mental-toughness-stress-management-and-resilience-toolkit.pdf).
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Operations I no longer do… Lumbar disc replacement
References
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replacement for lumbar degenerative disc disease: a systematic review. J Orthop Surg Res. 2018 Dec 26;13(1):326. doi: 10.1186/s13018-018-1032-6.
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8. Sasso RC, Foulk DM, Hahn M. Prospective, randomized trial of metal-on-metal artificial lumbar disc replacement: initial results for treatment of discogenic pain. Spine. 2008; 33(2):123-131
Assessing the quality of training delivered in Trauma and Orthopaedic training posts
References
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3. Gill S, Campbell D. Promoting quality training and improving morale through a trainer-trainee dialogue and partnership. JTO 2018; 6(1): 76-77.
4. GMC. Promoting excellence: standards for medical education and training. London, GMC, 2015.
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6. Conference of Postgraduate Medical Deans (COPMeD). Gold Guide Seventh Edition. A Reference Guide for Postgraduate Specialty Training in the UK. COPMeD 2018.
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Early Diagnosis of Pyogenic Spinal Infection
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3. Arko L, Quach E, Nguyen V, Chnag D, Sukul V, Kim BS: Medical and surgical management of spinal epidural abscess: A systematic review. Neurosurg Focus 37(2):E4,2014
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Revalidation: an evidence-based intervention?
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