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The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States

Personalized care models are dominating modern medicine. These models are rooted in teaching future physicians the skill set to keep up with innovation. In orthopedic surgery and neurosurgery, education is increasingly influenced by augmented reality, simulation, navigation, robotics, and in some ca...

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Autores principales: Lewandrowski, Kai-Uwe, Elfar, John C., Li, Zong-Ming, Burkhardt, Benedikt W., Lorio, Morgan P., Winkler, Peter A., Oertel, Joachim M., Telfeian, Albert E., Dowling, Álvaro, Vargas, Roth A. A., Ramina, Ricardo, Abraham, Ivo, Assefi, Marjan, Yang, Huilin, Zhang, Xifeng, Ramírez León, Jorge Felipe, Fiorelli, Rossano Kepler Alvim, Pereira, Mauricio G., de Carvalho, Paulo Sérgio Teixeira, Defino, Helton, Moyano, Jaime, Lim, Kang Taek, Kim, Hyeun-Sung, Montemurro, Nicola, Yeung, Anthony, Novellino, Pietro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10221956/
https://www.ncbi.nlm.nih.gov/pubmed/37241022
http://dx.doi.org/10.3390/jpm13050852
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author Lewandrowski, Kai-Uwe
Elfar, John C.
Li, Zong-Ming
Burkhardt, Benedikt W.
Lorio, Morgan P.
Winkler, Peter A.
Oertel, Joachim M.
Telfeian, Albert E.
Dowling, Álvaro
Vargas, Roth A. A.
Ramina, Ricardo
Abraham, Ivo
Assefi, Marjan
Yang, Huilin
Zhang, Xifeng
Ramírez León, Jorge Felipe
Fiorelli, Rossano Kepler Alvim
Pereira, Mauricio G.
de Carvalho, Paulo Sérgio Teixeira
Defino, Helton
Moyano, Jaime
Lim, Kang Taek
Kim, Hyeun-Sung
Montemurro, Nicola
Yeung, Anthony
Novellino, Pietro
author_facet Lewandrowski, Kai-Uwe
Elfar, John C.
Li, Zong-Ming
Burkhardt, Benedikt W.
Lorio, Morgan P.
Winkler, Peter A.
Oertel, Joachim M.
Telfeian, Albert E.
Dowling, Álvaro
Vargas, Roth A. A.
Ramina, Ricardo
Abraham, Ivo
Assefi, Marjan
Yang, Huilin
Zhang, Xifeng
Ramírez León, Jorge Felipe
Fiorelli, Rossano Kepler Alvim
Pereira, Mauricio G.
de Carvalho, Paulo Sérgio Teixeira
Defino, Helton
Moyano, Jaime
Lim, Kang Taek
Kim, Hyeun-Sung
Montemurro, Nicola
Yeung, Anthony
Novellino, Pietro
author_sort Lewandrowski, Kai-Uwe
collection PubMed
description Personalized care models are dominating modern medicine. These models are rooted in teaching future physicians the skill set to keep up with innovation. In orthopedic surgery and neurosurgery, education is increasingly influenced by augmented reality, simulation, navigation, robotics, and in some cases, artificial intelligence. The postpandemic learning environment has also changed, emphasizing online learning and skill- and competency-based teaching models incorporating clinical and bench-top research. Attempts to improve work–life balance and minimize physician burnout have led to work-hour restrictions in postgraduate training programs. These restrictions have made it particularly challenging for orthopedic and neurosurgery residents to acquire the knowledge and skill set to meet the requirements for certification. The fast-paced flow of information and the rapid implementation of innovation require higher efficiencies in the modern postgraduate training environment. However, what is taught typically lags several years behind. Examples include minimally invasive tissue-sparing techniques through tubular small-bladed retractor systems, robotic and navigation, endoscopic, patient-specific implants made possible by advances in imaging technology and 3D printing, and regenerative strategies. Currently, the traditional roles of mentee and mentor are being redefined. The future orthopedic surgeons and neurosurgeons involved in personalized surgical pain management will need to be versed in several disciplines ranging from bioengineering, basic research, computer, social and health sciences, clinical study, trial design, public health policy development, and economic accountability. Solutions to the fast-paced innovation cycle in orthopedic surgery and neurosurgery include adaptive learning skills to seize opportunities for innovation with execution and implementation by facilitating translational research and clinical program development across traditional boundaries between clinical and nonclinical specialties. Preparing the future generation of surgeons to have the aptitude to keep up with the rapid technological advances is challenging for postgraduate residency programs and accreditation agencies. However, implementing clinical protocol change when the entrepreneur–investigator surgeon substantiates it with high-grade clinical evidence is at the heart of personalized surgical pain management.
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spelling pubmed-102219562023-05-28 The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States Lewandrowski, Kai-Uwe Elfar, John C. Li, Zong-Ming Burkhardt, Benedikt W. Lorio, Morgan P. Winkler, Peter A. Oertel, Joachim M. Telfeian, Albert E. Dowling, Álvaro Vargas, Roth A. A. Ramina, Ricardo Abraham, Ivo Assefi, Marjan Yang, Huilin Zhang, Xifeng Ramírez León, Jorge Felipe Fiorelli, Rossano Kepler Alvim Pereira, Mauricio G. de Carvalho, Paulo Sérgio Teixeira Defino, Helton Moyano, Jaime Lim, Kang Taek Kim, Hyeun-Sung Montemurro, Nicola Yeung, Anthony Novellino, Pietro J Pers Med Perspective Personalized care models are dominating modern medicine. These models are rooted in teaching future physicians the skill set to keep up with innovation. In orthopedic surgery and neurosurgery, education is increasingly influenced by augmented reality, simulation, navigation, robotics, and in some cases, artificial intelligence. The postpandemic learning environment has also changed, emphasizing online learning and skill- and competency-based teaching models incorporating clinical and bench-top research. Attempts to improve work–life balance and minimize physician burnout have led to work-hour restrictions in postgraduate training programs. These restrictions have made it particularly challenging for orthopedic and neurosurgery residents to acquire the knowledge and skill set to meet the requirements for certification. The fast-paced flow of information and the rapid implementation of innovation require higher efficiencies in the modern postgraduate training environment. However, what is taught typically lags several years behind. Examples include minimally invasive tissue-sparing techniques through tubular small-bladed retractor systems, robotic and navigation, endoscopic, patient-specific implants made possible by advances in imaging technology and 3D printing, and regenerative strategies. Currently, the traditional roles of mentee and mentor are being redefined. The future orthopedic surgeons and neurosurgeons involved in personalized surgical pain management will need to be versed in several disciplines ranging from bioengineering, basic research, computer, social and health sciences, clinical study, trial design, public health policy development, and economic accountability. Solutions to the fast-paced innovation cycle in orthopedic surgery and neurosurgery include adaptive learning skills to seize opportunities for innovation with execution and implementation by facilitating translational research and clinical program development across traditional boundaries between clinical and nonclinical specialties. Preparing the future generation of surgeons to have the aptitude to keep up with the rapid technological advances is challenging for postgraduate residency programs and accreditation agencies. However, implementing clinical protocol change when the entrepreneur–investigator surgeon substantiates it with high-grade clinical evidence is at the heart of personalized surgical pain management. MDPI 2023-05-18 /pmc/articles/PMC10221956/ /pubmed/37241022 http://dx.doi.org/10.3390/jpm13050852 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Lewandrowski, Kai-Uwe
Elfar, John C.
Li, Zong-Ming
Burkhardt, Benedikt W.
Lorio, Morgan P.
Winkler, Peter A.
Oertel, Joachim M.
Telfeian, Albert E.
Dowling, Álvaro
Vargas, Roth A. A.
Ramina, Ricardo
Abraham, Ivo
Assefi, Marjan
Yang, Huilin
Zhang, Xifeng
Ramírez León, Jorge Felipe
Fiorelli, Rossano Kepler Alvim
Pereira, Mauricio G.
de Carvalho, Paulo Sérgio Teixeira
Defino, Helton
Moyano, Jaime
Lim, Kang Taek
Kim, Hyeun-Sung
Montemurro, Nicola
Yeung, Anthony
Novellino, Pietro
The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States
title The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States
title_full The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States
title_fullStr The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States
title_full_unstemmed The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States
title_short The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States
title_sort changing environment in postgraduate education in orthopedic surgery and neurosurgery and its impact on technology-driven targeted interventional and surgical pain management: perspectives from europe, latin america, asia, and the united states
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10221956/
https://www.ncbi.nlm.nih.gov/pubmed/37241022
http://dx.doi.org/10.3390/jpm13050852
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