Abstract
Aging of Population – Baby Boomers, Millennials, Generation X
Burden of TJR in USA – Estimated ∼ 4 million US adults currently live with TKR (4.2% of the population aged 50 or older) – Females (4.8%); Males (3.4%)
Prevalence increased with increasing age
Estimated lifetime risk of primary TKR – 7.0% for males, 9.5% for females
Changes in Resident Education – Resident Work Hour Restrictions
Changes in Fellowship Education – Presumed shortage of fellowship trained arthroplasty surgeons, BWH Data
Changes in Healthcare Paradigm – Hospital – Margin/Mission, Efficiency, Contribution Margin, Ambulatory Centers
Academic/Community Practice – Revenue Driven, Diminished Education/Research Incentive
Arthroplasty Education – Time Restraints, Surgical Volume, Exposure to Options – CR/CS TKR, Revision TKR/THR, Femoral Cementing in THR
“Mind's EYE”
CME Training/Evidence-Based Medicine
Learn Basic Principles of Arthroplasty
“Be Neither the First nor Last to Embrace a New Technology”
“Always Act in the Best Interests of Your Patient”
