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Orthopaedic Resident Education—It’s a Whole New Game“If I’m Going to Be a Spine Surgeon, Why Do I Need to Learn How to Reconstruct an Anterior Cruciate Ligament?”
AOA Critical Issues
Kevin P. Black, MD1; Benjamin A. Alman, MD2; William N. Levine, MD3; Steven P. Nestler, PhD4; Stephen J. Pinney, MD5
1 Department of Orthopaedics and Rehabilitation, Penn State Hershey Medical Center, 30 Hope Drive, Hershey, PA 17033. E-mail address: kblack@hmc.psu.edu
2 Hospital for Sick Children, 555 University Avenue, 5107, Toronto, ON M5G 1X8, Canada
3 Columbia University Medical Center, 622 West 168th Street, PH-1117, New York, NY 10032
4 Accreditation Council for Graduate Medical Education, 515 North State Street, Suite 200, Chicago, IL 60610
5 Division of Distal Extremity Surgery, St. Paul’s Hospital, 1081 Burrard Street, Vancouver BC V6Z 1Y6, Canada
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Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Jul 03;94(13):e96 1-8. doi: 10.2106/JBJS.K.01214
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The evolving paradigm of orthopaedic resident education is a frequent area of discussion among those responsible for resident training. Although the body of knowledge and treatment options for patients with musculoskeletal disease steadily expand, the work-hour restrictions implemented within the past decade limit the actual experiential opportunity for residents. In addition, new expectations, based on the “core competencies”1 in the United States and the “CanMEDS”2 Physician Competency Framework in Canada, have been established for the educator. We appreciate the differences between these two philosophies of resident education but believe extensive common ground exists among the challenges.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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