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Category: September 2018

For this month’s edition, we asked members to tell us how they deal with modernity in their practice. Is technology a blessing or a curse? Our members have been successful in finding that delicate balance between evolving techniques and technology and their tried and true approaches.

Patient Safety Scenario #6: Images Incorrectly Labeled

This essay is the sixth installment of the monthly Patient Safety essays, produced by the Patient Safety Subcommittee of the Ethics and Professionalism Committee. The essays are written in the spirit of the aviation industry’s “Black Box Thinking” in order to inform and improve our medical safety record. To read earlier essays and learn how to […]

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A Dialectic Dilemma

By Thomas W. Byron, MD   Technology presents a dialectic dilemma for this mature physician. My electronic medical (EHR) experience was problematic. The EHR at Hospital #1 was inscrutable even with scribes.  Hospital #2 changed software several times. Needless to say, Hospital #1 and Hospital #2 did not use the same programs. EHR implementation has forced […]

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Technology In Hand Surgery: A Blessing Or A Curse?

By Maurizio Calcagni, MD I had the chance to train and work in a very exciting time for hand surgery. In the last 25 years we adjusted to many new technological developments that have deeply changed our practice: locking plates, wrist arthroscopy, cannulated headless screws, super microsurgery, hand transplantation, perforator flaps, ultrasound diagnostics, peripheral nerve […]

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Proximal Row Carpectomy Technique

By Ron Carneiro, MD I would like to comment on a very useful technique that I have been utilizing for about 15 years in situations where patients need a proximal row carpectomy but have a bad articular surface of the Capitate or Radius. My co-authors and I embraced the interposition of an allograft matrix and published […]

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Are We Taking Full Advantage Of Technology?

By Nickolaos A. Darlis, MD If the question is “can you escape technology in your practice?”, the answer is absolutely not. Because electronic filling, imaging, prescriptions, all the wonders that reside in our cellphones, small joint arthroscopy,modern plate technology, bedside ultrasound, they are all here to stay and have, in some instances, revolutionised our practices. The […]

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Verbal Communication In An Electronic World

By George Edwards, Jr, MD In our ever-advancing digitized world it is convenient to take call and perform consults using cell phone images of wounds and X-rays, to dictate and sign charts remotely by phone, check patient records by computer, etc, etc.  There are no more beepers, answering services, hospital medical record rooms, lost X-rays or […]

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Curses And Resolutions

By River M. Elliott, MD Early on in my training, two major technological shifts occurred in medicine: first, major health systems began widespread adoption of electronic medical records (EMR) for inpatient and outpatient use, and second, smartphones became ubiquitous. From my perspective, these developments have realized modest improvements in communication, medication safety, and management of […]

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Hands-On Doctoring Is Still The Core

By Steven Z. Glickel, MD It was suggested that I address the issue of how our “practice deals with modernity. Is technology a blessing or a curse.” I have been practicing hand surgery for 35 years and have seen significant change in the mechanisms and methodology of practice. When I started there was relatively little intersection […]

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Evolution Of Treatment Procedures For Distal Radius Fractures

By Takako Kanatani, MD The evolution and incorporation of modern technology to continually improve or replace Gold Standard procedures is an important facet of today’s practice. I would like to illustrate my views by an example that has occurred across my 28 years of practice, namely the evolution of the treatment procedures for a distal […]

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The Only Constant Is Change

By Salem Samra, MD, FACS The only constant is change. I think for hand surgeons, as well as any physician, it’s important to be aware of the changing technologies that affect health care. In our field these changes could take the form of change in surgical techniques, innovations in equipment, or new instrument designs. Technology […]

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