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Surgery
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When Surgery Requires a Physician Assistant

In collaboration with 15 specialty surgical organizations, the American College of Surgeons (ACS) has published and released its seventh edition of Physicians as Assistants at Surgery. The report is meant to provide guidance to CMS and third-party payors on how often an operation might require the use of a physician as an assistant.…

Knee & Hip Arthroplasties: Analyzing the Obesity Effect

The growth in total knee arthroplasty volume has outpaced that of total hip arthroplasty among Americans who are obese and overweight. If obesity rates continue to climb, the magnitude of this effect will become increasingly problematic.

A Question About Today’s Standard of Care

"Is it acceptable for postop care to be handled by the surgical PA with medical management by the Hospitalist?"

“Doctor Shopping” After Orthopedic Trauma

Postoperative “doctor shopping” for narcotic providers appears to be common among orthopedic trauma patients. Surgeons are recommended to prescribe these potent drugs with great care and vigilance to minimize risks for abuse, dependence, and other adverse events.

Touch

"The value of the therapeutic touch is being marginalized by the pressures of time and the diffusion of responsibility through the emphasis on team care."

Predicting Home Discharge After Surgery

Most surgical patients want to know whether or not they will need to prepare for care at a rehabilitation facility. “If prolonged postoperative care will be required, it’s helpful for patients to anticipate this so they can make arrangements in advance for their needs after surgery,” says Joseph A.…


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A Question About Today’s Standard of Care

"Is it acceptable for postop care to be handled by the surgical PA with medical management by the Hospitalist?"

Touch

"The value of the therapeutic touch is being marginalized by the pressures of time and the diffusion of responsibility through the emphasis on team care."

Judgments

"Sometimes we have to accept that the risk of our actions will be high but that the patient has no other option. When the consequences of inaction are not acceptable, we (and our patients) must accept the risk and do our best."

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