February 1998 Bulletin

Live surgery to be telecast at Annual Meeting

Symposium to feature hip revision, knee replacement

By Laura Pelehach

Annual Meeting attendees will have front-row seats to a live surgery, and they will not even have to don surgical garb. On Friday, March 20, from 1 to 3 p.m., two live surgical procedures on hip and knee revision will be telecast from Tulane University Hospital and Clinic to the La Lousianne Ballroom of Morial Convention Center, New Orleans. The telecast demonstration will be the first of its kind to be presented at an Academy Annual Meeting. It will be part of a symposium, "Selective Exposures for Revision Hip and Knee Replacement: A Video Symposium With Live Telecast Surgery."

Clive P. Duncan, MD, chair of the Hip and Knee Arthritis Committee, will present a videotaped introduction of specialized hip exposures, which will be followed by a live surgical demonstration of standard proximal femoral osteotomy by Wayne G. Paprosky, MD. Cecil H. Rorabeck, MD, will present a similar videotaped introduction of specialized knee exposures, which will be followed by a live surgical demonstration of exposure of stiff failed knee replacement for revision by Robert L. Barrack, MD. Miguel E. Cabanela, MD, will be the moderator.

Dr. Duncan was inspired to propose the symposium after witnessing the enthusiastic feedback to a telecast of a live surgical demonstration on hip revision that was presented at the Orthopaedic Learning Center two years ago.

He believes that the live demonstrations provide a unique, compelling approach to surgical skills education. "You're able to see in real time how a surgeon works through difficult problems," he says. "There's something honest and risky about live surgery. You're never sure what's going to happen."

Richard D. Coutts, MD, Annual Meeting Program Committee chair, says the Academy gave the green light to the project because the Academy "is in the business of education. We're looking for better ways of fulfilling our educational mandate. We think that showing a live performance will have a better learning value than a slide or videotape presentation. There are more opportunities for interaction between the audience and the surgeon and questions can be answered immediately."

As resources become more constrained and surgeons have less time to attend CME courses, Dr. Duncan believes live telecasts will gain in popularity. "We need to keep education very vital," he says. "We need to keep refreshing our methods of education and we need to pack as much information as we can into as short of a time as we can because we're paddling as fast as we can."

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