Students attend operating room sessions throughout their medical school training and are often given the opportunity to scrub and assist during the surgery. Many students have no or very little formal teaching in operating room etiquette, which leads to last minute on the job training from operating room staff. This study aimed to identify if there was any difference between the students knowledge, technique and competency in operating room etiquette skills between two groups of students who received different methods of teaching. Thirty three 2nd year medical students, that had no previous exposure to operating room etiquette, were recruited for this study. There was variation in their age 18 to 27 years (mean SD years; 19.7 1.9). All students were initially observed scrubbing, gowning and gloving using their baseline knowledge. Their technique was scored using the Dundee University Assessment Sheet and each students knowledge was tested using a spot the mistake quiz. The students were ranked on initial competency then using randomised stratification, separated into two groups. Group One received traditional teaching by operating room staff. Group Two was taught using the new operating room etiquette course, which includes a power point presentation, a video and a practical session. Both groups knowledge and practical skills were reassessed following their teaching. The assessment was repeated at 3 months using the same method, to measure longer-term learning.Purpose
Method
The use of all pedicle screw constructs for the management of spinal deformities has gained widespread popularity. However, the placement of pedicle screws in the deformed spine poses unique challenges for the spinal surgeon. The purpose of this study was to evaluate the complications and radiological outcomes of surgery in 124 consecutive patients with spinal deformity. These patients underwent correction of coronal and sagittal imbalance with segmental pedicle screw fixation only. All pedicle screw constructs have been associated with improved correction in all three planes. In patients with severe deformity, such constructs can obviate the need for anterior surgeries, and the higher implant cost is offset by the avoidance of dual anterior and posterior approaches. Pedicle screw fixation enables enhanced correction of spinal deformities, but the technique is still not widely applied for thoracic deformities for fear of neurological complications. This is a retrospective study that was carried out on 124 patients who underwent segmental screw fixation for coronal and sagittal spinal deformities. The purpose of this study was to evaluate the complications and outcomes of this technique and also assess the evidence of enhanced correction.Objective
Background
