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Related Experiment Videos

Orthopedic trauma: a family practice perspective.

E G Manusov1, D Pearman, S Ross

  • 1David Grant USAF Medical Center, Travis Air Force Base, CA 94535-5300.

Military Medicine
|July 1, 1990
PubMed
Summary

Family physicians can effectively manage most acute orthopedic injuries, reducing the need for specialist consultations. Implementing a dedicated cast clinic can further enhance resident training in managing nonsurgical orthopedic trauma.

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Area of Science:

  • Orthopedic Medicine
  • Family Medicine Education

Background:

  • Family physicians are documented to effectively manage most nonsurgical acute orthopedic injuries.
  • Orthopedic consultation rates are generally low for these conditions.

Purpose of the Study:

  • To highlight the unique comprehensive management and training in a family practice residency program.
  • To emphasize the importance of interdepartmental collaboration between family practice and orthopedics.
  • To propose the implementation of a specialized clinic for enhanced resident training.

Main Methods:

  • Review of cases managed by residency-trained family physicians.
  • Comparison of fracture locations and orthopedic review rates with historical data.
  • Description of a unique 3-year continuous training and multidimensional educational experience.

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Main Results:

  • Fracture locations and orthopedic review frequencies in the series were similar to a 1981 study.
  • The program offers comprehensive management and a multidimensional educational experience.
  • An excellent working relationship exists between family practice and orthopedic departments.

Conclusions:

  • Residency-trained family physicians can effectively manage the majority of nonsurgical acute orthopedic injuries.
  • A dedicated cast clinic, similar to existing models, could significantly improve family practice resident training in orthopedic trauma management.
  • Interdepartmental collaboration is a critical element for successful training programs.