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• W1946268434 abstract "I read with interest the “Symposium. Orthopaedic Workforce in the Next Millennium” (80-A: 1534–1551, Oct. 1998), by Heckman et al.18. Although important issues were addressed, the challenging field of “occupational orthopaedics” should be considered as another option for the expansion of the practice of the general orthopaedist.Heckman19 stated that the leadership of the American Academy of Orthopaedic Surgeons felt frustrated because of their inability to do much to address the situation directly. In order to obtain useful information on the orthopaedic workforce supply and demand, the Academy, together with other societies, commissioned the RAND Orthopaedic Workforce Study, which was published in the March 1998 issue of The Journal of Bone and Joint Surgery 25.The Symposium, which was published in October 1998, was divided into several areas of interest. The participants were effective in communicating their specific points of view related to the orthopaedic workforce in the next millennium.Lee et al.25 found that, using the best currently available data, the RAND model projected a surplus of orthopaedic surgeons in the year 2010 if training of orthopaedic residents continues at current levels. These results have engendered three distinct concerns in the health-care community: first, whether the modeling methods that were used were theoretically sound (that is, whether they produced reliable estimates of the demand for services); second, whether the model had the flexibility to adjust for future changes in demand; and, third, whether the data were of sufficient quality to support the analyses. The authors concluded that the model met all three conditions25.Weinstein45 commended the RAND study for breaking new methodological ground, but he questioned the use of a supply-induced demand model that does not consider practice variations in the orthopaedic workforce, evidence-based medicine, and shared decision-making. He proposed that, …" @default.
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• W1946268434 date "1999-04-01" @default.
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• W1946268434 title "Rediscovering Occupational Orthopaedics for the Next Millennium*" @default.
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• W1946268434 doi "https://doi.org/10.2106/00004623-199904000-00017" @default.
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