Relations with Industry and Hospitals Acceptable standards of professionalism practicing orthopedic surgeons may accept tuition, travel, and modest hospitality (including meals and receptions) to attend an industry sponsored non-CME course given at a local convention center industry relationships must be disclosed to patients, colleagues, and institution gifts must have a market value under $100 no direct kick-backs can be given to a physician or hospital systems from an industry physicians cannot refer patients to centers in which they have a financial interest (Stark II laws) Patient Satisfaction & Complaints Patient complaints formal written patient complaints regarding quality of care require letters of response to patients from the surgeon Communication leading cause of medical litigation on average, most doctors interrupt patients during an interview within 23 seconds orthopedic surgeons are described by patients and colleagues as "high tech but low touch" orthopedic surgeons are described as having poor communication skills and empathy for patients translation services can be provided by employees fluent in the language, commercially available telephonic services, professional interpreters, and volunteer translators inappropriate for family members to act as translators unless patients offer/agree Medical Innovation Royalties surgeons receiving royalties for implants used in surgery must be disclosed to patients Research must disclose any financial conflicts of interest and should ethically remove any possible bias from funded studies Patient Transfer The Emergency Medical Treatment and Active Labor Act (EMTALA) all patients must be appropriately screened and stabilized in the original emergency room/hospital risk of patient transfer must be less than the risk of keeping patient accepting hospital/center must know of and accept patient Physician Advertising Physician advertising is becoming more common AMA and AAOS cannot prevent physicians from advertising services FTC, AAOS, state medical boards can sanction for false advertising things to avoid using terms such as "cure" if no cure truly exists using terms such as "painless" or "bloodless" to describe surgery overstating credentials such as "board certified in joint replacement" if no such qualification exists using terms such as "world renowned" Diversity Understanding cultural differences leads to enhanced patient-physician relationships minimized disparities in health care optimized access to orthopaedic care Implicit biases present when unconscious prejudices or stereotypes influence care delivered to patients determinant of health disparities Access to Healthcare Type of health insurance has been shown to be a determinant of healthcare access in the pediatric population Physician burnout Consist of loss of enthusiasm for work, feelings of cynicism, and diminished feelings of personal accomplishment Affects 45-55% of all US physicians
QUESTIONS 1 of 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Previous Next Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (OBQ14.247) Your colleague, a general surgeon in your practice, brings his mother-in-law to see you for hip pain. You diagnose her with end-stage hip osteoarthritis and wish to discuss surgical options. She does not speak English. Interpretation should be provided by QID: 5657 Type & Select Correct Answer 1 certified translator 86% (2451/2847) 2 patient's husband 1% (21/2847) 3 your colleague 2% (54/2847) 4 patient care advocate fluent in the same language as the patient 9% (252/2847) 5 nurse fluent in the same language as the patient 2% (51/2847) L 1 Question Complexity B Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 1 Review Tested Concept Review Full Topic Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (OBQ11.85) Which of the following complaints is most often reported by patients receiving care from an orthopaedic surgeon? QID: 3508 Type & Select Correct Answer 1 Long waits for patient visits 14% (390/2797) 2 Refusal to refill narcotic prescriptions 4% (98/2797) 3 Lack of technical skills by provider 0% (12/2797) 4 Lack of medical knowledge of provider 1% (15/2797) 5 Lack of empathy by provider 81% (2276/2797) L 1 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 5 Review Tested Concept Review Full Topic (OBQ09.145) An orthopaedic surgeon wishes to initiate advertising in a local newspaper to increase awareness of the medical services he provides. Which of the following can be used without being at risk of being deemed unfair, false, misleading or deceptive and subject to heavy penalties by the Federal Trade Commission? QID: 2958 Type & Select Correct Answer 1 "Bloodless arthroscopic surgery" 2% (13/843) 2 "Board Certified in Joint Replacement Surgery" 59% (497/843) 3 "New carpal tunnel release with relatively little pain" 33% (282/843) 4 "Injections to Cure Your Arthritis" 4% (36/843) 5 "Patients can return to all sports activity following joint replacement surgery" 1% (12/843) L 4 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 3 Review Tested Concept Review Full Topic (OBQ09.75) The Emergency Medical Treatment and Active Labor Act (EMTALA) requires which of the following? QID: 2888 Type & Select Correct Answer 1 Insurance level must be discussed with the accepting facility 2% (32/1610) 2 All appropriate laboratory workup must be completed 4% (58/1610) 3 The patient must be medically stable for transfer 41% (655/1610) 4 Exiting facility must not have resources to properly treat 52% (833/1610) 5 Cost(s) of transportation must be within reason 1% (21/1610) L 4 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic (OBQ08.107) A 55-year-old patient presents with to your clinic with long-standing knee pain. Radiographs reveal severe tricompartmental osteoarthritis and you discuss total knee arthroplasty with the patient. You review risks and benefits of the procedure and obtain informed consent before proceeding. Six weeks after surgery, the patient presents to the ED with purulent drainage noted to be coming from his incision. You discuss the need for irrigation and debridement and the patient becomes very angry that he needs another surgery. Several weeks later you find out that the patient has filed a formal complaint accusing you of malpractice. Which of the following is true regarding formal complaints filed against a physician? QID: 493 Type & Select Correct Answer 1 Malpractice investigations are governed by federal regulations 2% (23/1006) 2 A physician's license is automatically suspended until the formal complaint can be resolved 9% (92/1006) 3 The physician should provide a written response to the medical board with all relevant records 80% (808/1006) 4 Physicians should contact the patient's attorney directly to negotiate a settlement 2% (23/1006) 5 Physicians are required to retain an attorney to address formal complaints 6% (57/1006) L 1 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 3 Review Tested Concept Review Full Topic Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (OBQ08.264) You have helped develop a new total knee prosthesis and receive royalties as a result. You have a patient who you believe would benefit from this new design. What is the most appropriate action? QID: 650 Type & Select Correct Answer 1 implant the device but do not tell the patient your financial relationship 1% (7/716) 2 use a device that you feel is inferior to avoid a conflict of interest 0% (3/716) 3 disclose your financial relationship to the patient before performing surgery 96% (685/716) 4 do not bill the patient's insurance company for the surgery 0% (3/716) 5 refer the patient to another surgeon 2% (16/716) L 1 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 3 Review Tested Concept Review Full Topic (OBQ08.176) According to patients and colleagues surveyed, orthopaedic surgeons are given the highest ratings for their skills in which of the following areas? QID: 562 Type & Select Correct Answer 1 Medical knowledge 4% (32/761) 2 Social gatherings 3% (25/761) 3 Technical skills 80% (609/761) 4 Communication 9% (65/761) 5 Empathy 4% (27/761) L 1 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 3 Review Tested Concept Review Full Topic (OBQ08.88) All of the following are Standards of Professionalism relating to interactions with industry for practicing orthopaedic surgeons EXCEPT: QID: 474 Type & Select Correct Answer 1 Decline gifts from industry with a market value over $100 (unless they are medical textbooks or patient educational materials) 9% (82/901) 2 Disclose to the patient any financial arrangements with industry that relates to the patient's treatment 4% (38/901) 3 Accept no direct financial inducements from industry for utilizing a particular implant 5% (43/901) 4 Disclose any relationship with industry to colleagues who may be influenced by your work 5% (41/901) 5 Decline to participate in industry sponsored non-CME courses or conferences 76% (688/901) L 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 5 Review Tested Concept Review Full Topic This is an AAOS Self Assessment Exam (SAE) question. Orthobullets was not involved in the editorial process and does not have the ability to alter the question. If you prefer to hide SAE questions, simply turn them off in your Learning Goals. (SAE07HK.52) There is increasing concern about the ethical relationship of orthopaedists to the orthopaedic equipment industry. Which of the following describes the most appropriate relationship? QID: 6012 Type & Select Correct Answer 1 Industry-paid travel, hotel (for the surgeon and spouse), and registration at a university-sponsored CME course 27% (147/547) 2 Industry-paid travel and hotel for a faculty member at an industry-sponsored meeting that is not CME approved 34% (187/547) 3 Consultation agreement ($50,000/annum) between the surgeon and the company for evaluation of the implant system with required oral reporting of impressions 18% (99/547) 4 A restricted grant from a company to an orthopaedic residency program with the stipulation that the third year residents be sent to an industry-sponsored course 14% (79/547) 5 Industry-paid dinner at a premium restaurant ($200/person) for surgeon and office staff at which a new set of surgical instrumentation is presented 6% (35/547) L 5 Question Complexity E Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 2 Review Tested Concept Review Full Topic (OBQ05.73) Which of the following best describes the benefits of implementing diversity and cultural competency in orthopaedic training programs? QID: 959 Type & Select Correct Answer 1 Incorporating foreign languages in the residency curriculum to improve communication with members of diverse backgrounds. 0% (9/1988) 2 Teaching the social stereotypes of diverse cultures to improve the delivery of healthcare. 2% (31/1988) 3 Establishing racial and gender enrolment quotas in residency programs to better serve all members of the community. 2% (33/1988) 4 Enhancing trainees knowledge of diverse cultures to improve patient-physician relationships, optimize patient access to orthopaedic care, and enhance the quality and delivery of care. 94% (1874/1988) 5 Promoting orthopaedic trainees to travel to other countries to obtain surgical experience in different cultures. 1% (28/1988) L 1 Question Complexity C Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic (OBQ04.117) Which of the following statements is true regarding the ethical management of orthopaedic implants? QID: 1222 Type & Select Correct Answer 1 A surgeon who receives monetary gain from a device he/she has developed may not use this device on his/her own patients. 2% (13/799) 2 Only studies with positive results should be published. Studies with negative findings should be dismissed. 0% (2/799) 3 It is acceptable to rely on the word of the industry sales representative when choosing an orthopaedic implant during preoperative planning. 2% (14/799) 4 It is the responsibility of the surgeon to be aware of the implant's clinical track record. 92% (734/799) 5 Only implants with support from peer-reviewed clinical literature may be used in the operating room. 4% (32/799) L 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic
All Videos (13) Podcasts (1) Login to View Community Videos Login to View Community Videos 2020 Tampa Shoulder - Arthroplasty & Sports Innovation: How Do We Improve Patient Care? - William N. Levine, MD William Levine Basic Science - Ethics in Orthopaedic Practice 8/24/2022 3 views 0.0 (0) Login to View Community Videos Login to View Community Videos 2019 Tampa Shoulder - Arthroplasty & Sports Why Are So Many of Our Young Athletes Getting Injured? - James Andrews, MD James Andrews Basic Science - Ethics in Orthopaedic Practice 8/18/2022 11 views 0.0 (0) Login to View Community Videos Login to View Community Videos 2021 ICJR 10th Annual Direct Anterior Approach Hip Course ICJR '21 The Strategy Behind Practice Aggregation Basic Science - Ethics in Orthopaedic Practice 7/26/2022 13 views 0.0 (0) Basic Science | Ethics in Orthopaedic Practice Basic Science - Ethics in Orthopaedic Practice Listen Now 12:46 min 1/18/2022 135 plays 5.0 (1) See More See Less