Background: Patient-reported outcome measures are important to determine outcomes after orthopaedic procedures. There is currently no standard for outcome measures in the evaluation of patient outcomes after proximal hamstring repair. Purpose: To identify and evaluate outcome measures used after proximal hamstring repair. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed to identify all English-language articles assessing outcomes after proximal hamstring repair in PubMed, Embase, CINAHL via EBSCOhost, MEDLINE via OvidSP, and Web of Science between 2000 and 2019. After duplicates were removed, studies were selected using eligibility criteria established by the authors. Image reviews, anatomic/histology studies, literature reviews, surgical technique reports, systematic reviews, narrative reviews, case studies, and studies with <5 patients were excluded. Extraction, synthesis, and analysis of outcome measure data were performed using Microsoft Excel. Quality assessment of included studies was performed using Methodological Index for Non-Randomized Studies criteria. Results: After duplicate articles were removed, a total of 304 unique articles were identified and 27 met the inclusion criteria. The mean number of patients with proximal hamstring repairs per study was 40. The most frequently reported outcome measures were return to sport (14/27; 51.9%), custom survey/questionnaire (13/27; 48.1%), and isokinetic hamstring strength testing (13/27; 48.1%). Six of the 10 most commonly used outcome measures were validated and included Lower Extremity Functional Scale, 12-Item Short Form Health Survey, visual analog scale for pain, Perth Hamstring Assessment Tool (PHAT), Single Assessment Numeric Evaluation, and Tegner Activity Scale. Of those, PHAT was the only validated outcome measure designed for proximal hamstring repair. Conclusion: There is currently no consensus on the best outcome measurements for the evaluation of patients after proximal hamstring repair. We recommend an increased commitment to the use of return to sport, isokinetic strength testing, Lower Extremity Functional Scale, and PHAT when assessing such injuries. Future studies should aim to define the most reliable methods of outcome measurement in this patient population through consistent use of tools that are clinically relevant and important to patients and can easily be employed in a variety of clinical scenarios.
» The use of social media by health-care professionals and medical educators has been increasing over the past decade.» Online social networks, professional networks, blogs, microblogs, forums, podcasts, and video-sharing platforms can be used effectively to communicate and engage with, as well as learn from, other residents and attending physicians worldwide.» Social media platforms and other web-based applications can serve as powerful educational tools to enhance orthopaedic resident learning, collaboration, teaching, and case discussion.
With the emergence of the COVID-19 pandemic and national personal protective equipment (PPE), the Tulane University School of Medicine (TUSOM) Student Clinic Council (SCC) pivoted their focus from community student-run clinics to organizing a PPE drive to address the urgent needs of local hospitals’ supply shortages. Entitled the TUSOM COVID Response Group, the primary goal was to collect and distribute donated personal protective equipment (PPE) to frontline healthcare providers in New Orleans, Louisiana to temporarily bridge the supply chain gap. In total, from March 20th, 2020 to May 6th, 2020, the group distributed 29,217 N95s, 181,467 surgical masks, 22,747 face shields, 1,100 goggles, 3,382 boxes of gloves, 13,446 gowns and coveralls, 4,525 sleeve, shoe, and head covers, 175 pairs of scrubs, 762 bottles of hand sanitizer, 699 bottles of cleaning supplies, and 38 tablets which were distributed to 17 local hospitals and healthcare faculties. During this time, the five student leaders oversaw 82 student volunteers and coordinated donations from 169 individual and business donors. All facets of medical education and medical student organizations have been forced to adapt to the new era of COVID-19. This PPE drive demonstrates the adaptability of medical student organizations and the ability to enact change in their communities beyond their clinic sites.
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