Using Emergency Department Data to Inform Specialty Strategy: Analyzing the Distribution of 13,777 Consecutive Immediate Orthopaedic Consults in an Urban Community Emergency Department

Silverman, Ariel; Broome, Jalen N.; Jarvis, Richard C.; Plassche, Grace C.; Kirschenbaum, Ira H.

doi:10.5435/jaaosglobal-d-20-00005

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…Although difficult to quantify, there is evidence to suggest that an orthopaedic resident's success on their written boards and potentially their career as a practicing orthopaedic surgeon is correlated with their OITE scores. 27 Thus, the analysis of past OITEs may be of great importance for residents seeking to excel on the OITE. The goal of this study was to synthesize available studies that analyzed individual sections of the OITE, which may be used as a reference for orthopaedic residents who are studying for their examination.…”

Section: Discussionmentioning

confidence: 99%

“…Topics related to trauma and fracture were similarly among the most tested in other test sections such as hand, foot and ankle, pediatrics, hip and knee reconstruction, and shoulder and elbow. A 2020 study by Silverman et al 28 analyzed the distribution of over 13,000 consecutive orthopaedic consultations in a large health system's emergency department. The researchers of this study concluded that most consultations were related to fractures.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of Questions in Sections of the Orthopaedic In-Training Examination: A Scoping Review

Constantinescu

Pavlis

Lizardi

et al. 2023

J Am Acad Orthop Surg

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Purpose: The purpose of this review was to assess all available studies that analyzed the types of questions in individual sections of the Orthopaedic In-Training Examination, which may be used as a reference for residents studying for their examination. Methods: Following the Providing Innovative Service Models and Assessment extension for Scoping Reviews guidelines, a systematic review was conducted on studies that report on sections or question categories of the Orthopaedic In-Training Examination using PubMed, MEDLINE, and Web of Science databases. Two reviewers and an arbitrator reviewed and extracted relevant data from 20 included studies which made up the systematic review. Results: All 20 studies in the review reported the mean number of questions per section, with the highest coming from musculoskeletal trauma (18.9% to 19.0%). 18 studies reported the Buckwalter taxonomic classification; 42.0% of questions were T1, 18.2% were T2, and 39.5% were T3 with a wide range from section to section. Primary sources were nearly three times more likely to be cited when compared with textbook sources. There were 12 journals that were commonly cited with the most being the Journal of Bone and Joint Surgery: American Volume (17/18). Discussion: This study accurately portrays the characteristics of each section of the Orthopaedic In-Training Examination over the past 10 years. These data suggest that orthopaedic residents may be inclined to focus on musculoskeletal trauma, topics related to clinical management, and primary journal sources for studying. In addition, residency programs may choose to focus on higher yield sources or material to prepare their residents for the examination.T he Orthopaedic In-Training Examination (OITE), administered by the American Academy of Orthopaedic Surgeons, is a standardized test taken by all orthopaedic surgery residents in the United States. The purpose of the examination is to assess resident knowledge and provide

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of Questions in Sections of the Orthopaedic In-Training Examination: A Scoping Review

Constantinescu

Pavlis

Lizardi

et al. 2023

J Am Acad Orthop Surg

View full text Add to dashboard Cite

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“…In fact, it has been found that up to 66% of EDs had insufficient subspecialty coverage. 1,19 Furthermore, insufficient subspecialty coverage was coupled with increased interfacility transfers to another ED. 19 With an…”

Section: Implications For Research and Practicementioning

confidence: 99%

“…A substantial number of patients with fractures initially present to the emergency department (ED) with an estimated 20% of all ED visits attributed to musculoskeletal diagnoses 1 . The ED serves patients from all demographics and insurance statuses and is a crucial entry point for many patients into the healthcare system for the treatment of orthopaedic trauma.…”

Section: Introductionmentioning

confidence: 99%

Hospitalization Trends of Fractures Presenting to the Emergency Room From 2009 to 2021

Albers,

Brown,

Dolorit

et al. 2023

JOrthoBusiness

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Purpose Assessing trends in hospitalization rates due to fractures may be used as an indirect epidemiologic metric to predict future patient volumes, staffing needs, revenue, expenditures, and allocation of resources. The aim of this study is to analyze the trend of hospitalizations for patients who presented to Emergency Departments (EDs) with fractures from 2009 to 2021. Methods We extracted data from the National Electronic Injury Surveillance System (NEISS) database. All consecutive patients with a primary injury of fracture in the years 2009 to 2021 were eligible for inclusion in this study. The Cochran-Armitage test was used to assess the trend in fracture-related hospitalization rates over the years studied. Results This study showed a significant increase in hospitalizations due to fractures from 2009 to 2021 (p<0.001). This increase in hospitalizations was observed consistently across various factors, including sex, fracture location, age categories, and the pre- and post- COVID-19 pandemic period. From 2009 to 2021, the mean age of patients presenting to EDs was increased from 34 to 40 (p<0.001) and the percentage of women increased from 45% to 48%. There was a significant increase in hospitalizations across five fracture regions including the upper trunk, proximal and distal upper extremity, and proximal and distal lower extremity. Conclusions Our findings show hospitalization trends due to fractures have been increasing across the U.S. While reasons for this increased trend are multifactorial, increased utilization of urgent care for less severe injuries may be artificially driving these trends.

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Guideline-Based Telemedicine Assessment of Orthopedic Low-Risk Conditions by General Practitioners is Not Inferior to that of Face-to-Face Consultations with Specialists in the Emergency Department: A Randomized Trial

Foni,

Accorsi,

Correia

et al. 2024

Telemedicine and e-Health

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Using Emergency Department Data to Inform Specialty Strategy: Analyzing the Distribution of 13,777 Consecutive Immediate Orthopaedic Consults in an Urban Community Emergency Department

Cited by 3 publications

References 11 publications

Analysis of Questions in Sections of the Orthopaedic In-Training Examination: A Scoping Review

Analysis of Questions in Sections of the Orthopaedic In-Training Examination: A Scoping Review

Hospitalization Trends of Fractures Presenting to the Emergency Room From 2009 to 2021

Guideline-Based Telemedicine Assessment of Orthopedic Low-Risk Conditions by General Practitioners is Not Inferior to that of Face-to-Face Consultations with Specialists in the Emergency Department: A Randomized Trial

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