Are Orthopaedic Residents Competent at Performing Basic Nonoperative Procedures in an Unsupervised Setting? A "pop Quiz" of Casting, Knee Arthrocentesis, and Pressure Checks for Compartment Syndrome

Joshua M. Abzug, Robert V. O'Toole, Ebrahim Paryavi, Robert Steven Sterling

Research output: Contribution to journalArticle

Abstract

Background: Many patient care procedures are routinely performed by orthopaedic residents while not directly supervised by attending physicians. However, resident competence to perform these procedures is often presumed and not confirmed by objective measures. The purpose of this study was to formally evaluate 3 basic pediatric orthopaedic procedures commonly performed without attending supervision. Methods: All orthopaedic residents (n=20) were asked to complete 3 procedures (placement and removal of a short arm cast, aspiration of a knee joint, and compartment pressure checks of a leg) under direct attending supervision. Attending faculty developed a checklist for each procedure, listing the appropriate steps required and criteria with which to assess the final results. Scores were calculated, including means and SDs. Change in score by postgraduate year level was determined by simple linear regression. Results: The mean score for short arm cast application and removal was 6.2 of a total possible score of 8, with an average 1.1 increase in score per year of training (P

Original languageEnglish (US)
Pages (from-to)e10-e13
JournalJournal of Pediatric Orthopaedics
Volume36
Issue number1
DOIs
StatePublished - 2016
Externally publishedYes

Fingerprint

Compartment Syndromes
Orthopedics
Knee
Pressure
Arm
Orthopedic Procedures
Knee Joint
Checklist
Mental Competency
Linear Models
Leg
Patient Care
Arthrocentesis
Pediatrics
Physicians

Keywords

  • Compartment pressure check
  • Competency
  • Knee joint aspiration
  • Orthopaedic residents
  • Short arm cast

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

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AU - Sterling, Robert Steven

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