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      The Past, Present, and Future of Orthopaedic Education: Lessons Learned from the COVID-19 Pandemic

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          Abstract

          The COVID-19 global pandemic has upended nearly every medical discipline, dramatically impacted patient care, and has had far-reaching effects on surgeon education. In many areas of the country, elective orthopaedic surgery has completely stopped to ensure that resources are available for the critically ill and to minimize the spread of disease. COVID-19 is forcing many around the world to reevaluate existing processes and organizations and adapt to carry out business, of which medicine and education are not immune. The majority of national and international orthopaedic conferences, training programs, and workshops have been postponed or canceled, and we are now critically evaluating the delivery of education to our colleagues as well as residents and fellows. This manuscript describes the evolution of orthopaedic education and significant paradigm shifts necessary to continue to teach ourselves and the future leaders of our noble profession.

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          Most cited references24

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          Current Technology in Advancing Medical Education: Perspectives for Learning and Providing Care

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            Is Video-Based Education an Effective Method in Surgical Education? A Systematic Review

            Visual signs draw more attention during the learning process. Video is one of the most effective tool including a lot of visual cues. This systematic review set out to explore the influence of video in surgical education. We reviewed the current evidence for the video-based surgical education methods, discuss the advantages and disadvantages on the teaching of technical and nontechnical surgical skills.
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              The value of virtual conferencing for ecology and conservation.

              The objectives of conservation science and dissemination of its research create a paradox: Conservation is about preserving the environment, yet scientists spread this message at conferences with heavy carbon footprints. Ecology and conservation science depend on global knowledge exchange-getting the best science to the places it is most needed. However, conference attendance from developed countries typically outweighs that from developing countries that are biodiversity and conservation hotspots. If any branch of science should be trying to maximize participation while minimizing carbon emissions, it is conservation. Virtual conferencing is common in other disciplines, such as education and humanities, but it is surprisingly underused in ecology and conservation. Adopting virtual conferencing entails a number of challenges, including logistics and unified acceptance, which we argue can be overcome through planning and technology. We examined 4 conference models: a pure-virtual model and 3 hybrid hub-and-node models, where hubs stream content to local nodes. These models collectively aim to mitigate the logistical and administrative challenges of global knowledge transfer. Embracing virtual conferencing addresses 2 essential prerequisites of modern conferences: lowering carbon emissions and increasing accessibility for remote, time- and resource-poor researchers, particularly those from developing countries.
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                Author and article information

                Contributors
                Journal
                J Arthroplasty
                J Arthroplasty
                The Journal of Arthroplasty
                Elsevier Inc.
                0883-5403
                1532-8406
                18 April 2020
                18 April 2020
                Affiliations
                [a ]University of Arkansas for Medical Sciences Department of Orthopaedic Surgery 4301 West Markham Street, Slot 531 Little Rock, AR 72205
                [b ]OrthoCarolina Hip & Knee Center 200 Vail Ave, Suite 200a Charlotte, NC 28207
                [c ]University of Utah Department of Orthopaedic Surgery 590 Wakara Way Salt Lake City, UT 84108
                [d ]Emory University School of Medicine Department of Orthopaedic Surgery 100 Woodruff Circle Atlanta, GA 30322
                [e ]Boston Medical Center Department of Orthopaedic Surgery Boston University School of Medicine 725 Albany St., Suite 4B Boston, MA 02118
                [f ]Rush University Medical Center Department of Orthopaedic Surgery 1611 West Harrison St. Chicago, IL 60612
                [g ]University of Missouri School of Medicine Department of Orthopaedic Surgery 1100 Virgina Ave. Columbia, MO 65212
                [h ]Albert Einstein College of Medicine Plancher Orthopaedics & Sports 1160 Park Ave New York, NY 10128
                [i ]Virginia Tech Carilion School of Medicine Department of Orthopaedic Surgery 2331 Franklin Rd SW Roanoke, VA 24014
                Author notes
                []correspondence to: Jeffrey B. Stambough, MD University of Arkansas for Medical Sciences Department of Orthopaedic Surgery 4301 West Markham Street, Slot 531 Little Rock, AR 72205 Phone: 513-479-9826 Jeffrey.stambough@ 123456gmail.com
                Article
                S0883-5403(20)30419-8
                10.1016/j.arth.2020.04.032
                7166110
                19272720-1929-41cc-982c-e214a62dd093
                © 2020 Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 13 April 2020
                : 14 April 2020
                Categories
                Article

                covid-19,arthroplasty education,pandemic,residency,fellowship,web-based learning,virtual learning,augmented reality

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