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The Journal of Bone and Joint Surgery 82:1356 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

The Orthopaedic Forum

Ethics in Practice

Residency Training

James D. Capozzi, M.D. and Rosamond Rhodes, Ph.D.

R. C. is an orthopaedic resident in a teaching program. At the orthopaedic clinic, he examines an elderly, otherwise healthy patient who requires a total hip replacement. He presents the patient to his covering attending physician, who agrees to supervise the joint replacement surgery. The resident discusses the surgery with the patient. The procedure, risks, goals, benefits, and alternatives are presented. The patient agrees to proceed with the surgery.

The resident performs the surgical procedure with the attending physician's assistance. The surgery lasts forty minutes longer than the attending physician's usual surgical time, and the blood loss is 300 milliliters greater. Postoperative radiographs demonstrate a well positioned press-fit acetabular component and a cemented femoral component in 6 degrees of varus.

Whenever a resident who is at the beginning of a learning curve performs a procedure that could have been done better by someone else with more experience, the learner and . . . [Full Text of this Article]


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J. D. Capozzi and R. Rhodes
Decisions Regarding Resident Advancement and Dismissal
J. Bone Joint Surg. Am., October 1, 2005; 87(10): 2353 - 2355.
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