Surgery/Specialties 
Editor's Note Physical activity in total joint patients did not change at 6 months after surgery and small-moderate improvement was found at 12 months, despite large improvements in pain and quality of life, this meta-analysis finds. A total of seven studies (336 patients) were analyzed. Reasons for the lack of…
Editor's Note Primary care physicians spend more than half of their workday typing data on a computer screen and completing other electronic health record (EHR) tasks, this study from the University of Wisconsin and the American Medical Association finds. During a typical 11.4-hour workday, physicians spent nearly 6 hours on…
Perioperative staff complete a thorough orientation to ease their transition into a new job, but what about surgeons? How are they onboarded into a new OR? This isn’t an academic question—effective onboarding is key to the success, including financial success, of the OR. “To have someone walk through the door…
Editor's Note The transoral endoscopic thyroidectomy vestibular approach can be safe for select patients, with outcomes similar to those of the open approach, this study finds. Of 425 patients analyzed, the operative time for the transoral approach was longer than the open approach (100.8 vs 79.4 minutes) but transoral patients…
Editor's Note This database review of malpractice lawsuits against surgical residents highlights the importance of perioperative management, particularly among junior residents, and the importance of appropriate supervision by attending physicians as targets for education on litigation prevention. During a 10-year period, 87 malpractice cases involving surgical residents were identified. Results…
Editor's Note In this study, a half-day faculty development course designed to equip surgical educators with frameworks shown to promote learning in the OR helped faculty members deliver improved instruction as perceived by surgical residents. A total of 19 faculty members completed the course. Associate professors demonstrated improved briefing, debriefing,…
Editor's Note Wide variation was found in 90-day coronary artery bypass grafting (CABG) episode payments for Medicare and private payer patients in this study. The differences were driven by increased use of evaluation and management services, higher utilization of inpatient rehabilitation, and patients with multiple readmissions. In the analysis of…
Editor's Note In this pilot trial, surgeons used a pair of magnets (ie, Harrison rings) to create an intestinal anastomosis without sutures or staples in five patients. For each procedure, one Harrison ring was placed in the lumen of each intestinal segment, and then the rings were brought together and…
Editor's Note In this meta-analysis of the effectiveness of nonpharmacological interventions for pain after total knee arthroplasty, electrotherapy and acupuncture were associated with reduced and delayed opioid consumption, but there was low or very low certainty that they improved pain. Continuous passive motion and preoperative exercise did not improve pain…
Editor's Note In this study using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), concurrent surgical procedures were not found to increase the risk for adverse outcomes. The analysis included 1,430 surgeons from 390 hospitals who performed 12,010 concurrent surgical procedures from 2014 to…
