David M. Bennett MD (FAAOS, FPOSNA, DABOS)
@davembmd.bsky.social
1.9K followers
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820 posts
Pediatric Orthopaedic and Spine Surgeon In Phoenix Arizona. Father of 4. Grandad. Surgical innovation. Additive prototyping. Woodwork. Applied regression analysis. Author. Curious.
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![A night on call for an orthopaedic surgeon is one of the most uniquely demanding experiences a physician can face [1, 2]. Call coverage is an exchange in which the hospital secures the presence of a surgeon ready for emergencies and the surgeon accepts a night of fractured rest often interrupted with bouts of physical labor while assuming heavy risk at the very real cost to health and family [2]. The unique blend of high risk orthopaedic physical labor is projected on a backdrop of logistic, cognitive and often emotional load 3]. On a call night in orthopaedics, each encounter represents potential career-ending consequences if an error in judgement is made [4-6].
This increased professional exposure and decision density is further complicated by unpredictability [7], sleep deprivation [8], lack of reliable dedicated next-day OR availability [9-11], transfer economics [12], patient satisfaction metrics [13] complex social dynamics [14], complex radiological interpretations [15, 16], cryptic communication [17] and high-stakes surgical decisions all while leading a care team professionally [18]. The on call physician is fully accountable and must answer for all of high risk decisions when charged with call regardless of these factors. Increasingly the value of this work is being buried in base salary contractual agreements as "just part of the job" or valued based only from the highly variable case volume obtained therefrom [19, 20].](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:f4no6nzyhlzqpxju6a6awtic/bafkreievc4jdwgir23cmidmvfqbg7dcxcinrvtayagfp4h5mfl2w2rseia@jpeg)
Reposted by David M. Bennett MD (FAAOS, FPOSNA, DABOS)
Reposted by David M. Bennett MD (FAAOS, FPOSNA, DABOS)
Reposted by David M. Bennett MD (FAAOS, FPOSNA, DABOS)
Reposted by David M. Bennett MD (FAAOS, FPOSNA, DABOS)
