Tuesday, November 5, 2013

2013 AAOS International Emerging Leadershio Scholarship



I have spent two weeks at the 2013 AAOS International Emerging Leadership (IEL) Scholarhip at the Mass general hospital as my base. This was an incredible experience for me that I would like to share with you.

First I would like to thank Ms Ana  Gurevich who made all the arrangements for my arrival and departure, making my trip extremely easy and confortable. This was perfectly organized, all in advance.

I would also like to express my gratitude to Ms Stefanie Madanian, assistant to Dr Rubash, who took care of my stay in Boston and helped me with the professional arrangements and life details. This made my stay stress-free and pleasant. Many thanks to Ms Madanian.

Dr Harry Rubash, the Chief or Orthopeadics at Mass General and Chair of Orthopedics at Harvard Medical, was my host during this trip. What an amassing person to work with and learn from! I expected much from my stay, but words cannot really do justice to how I felt during this experience.

The first thing that strikes me about Dr Rubash is his caring personality and kindness towards 
 
his colleagues and staff. He has an amazing organizer and educator and I admire his ability to seamlessly transfer his knowledge to his residents and fellows, showing them all tips and trick ‘of the trade’. He has incredible patience and empathy for his colleagues, and yet is tireless in guidance and moving things forward.

I am really grateful for the chance to meet and learn from Dr Rubash. It is not every day one gets an opportunity to learn from someone who’s led one of the greatest hospitals in the world for over 15 years. I was shadowing Dr Rubash during his every day routine. Except, there is nothing ‘routine’ about his day. Every day was a brand new experience. From administrative meetings with his coworkers, from which I have learned much that can be applied to my work at my Department of Orthopedic Surgery.

During my stay in Boston, in fact at the very beginning, we attended the Harvard Medical School 43rd Annual Arthroplasty Course. This was fantastic. I cannot imagine such a course be organized any better. The focus in this course was not only on education but also on the scientific content. The sessions and presenters were very mind-stimulating. The course was attended by experts from all over the world, enabling direct contact and best practice exchange among peers.

Thank you Dr Rubash! For devoting your time and attention to me! I know how valuable your time is. I will not forget this experience.
Also, thanks to AAOS for making this possible and organizing this International Emerging Leadership (IEL) Scholarship.
To all future candidates – I highly recommend this program – it will have a profound influence on your professional and personal development.

Monday, November 4, 2013

"Teaching involves much more than just telling"


The second day of the course was quite intense.

Faculty do anything to keep things up and not letting attendees become tired or bored; and speaking about faculty: they all have great expertise! (some of them have been working with ortho residents for over 30 years!).

Interactivity is intense and it is also one of the highlights of the course.

I have met people from all over the USA and also from other countries (Uganda, Israel, South Korea).. and you know what? We all have the same doubts concerning teaching and assessing residents!

I should have taken this course years ago..

Sunday, November 3, 2013

Course for Orthopaedic Educators

Hi folks!
Today is November 3rd and I'm starting the second part of the IEL Scholarship.
It is 7 pm of a freezing Sunday in Bloomingdale, Illinois (suburbs of Chicago) and we are all gathered in the main room for the course launch (I'm kind of shocked .. there are so many attendees!).
As an Ortho residency coordinator I do hope to improve my way of teaching and assessing my residents. I know I could do a lot for them, however sometimes I feel I need some advices in order to track the right path...
Let's see what happens

Friday, September 20, 2013

Is this the end? (certainly not!)

Friday has arrived way too early!
I have this feeling of unfinished things. There are so much more I would like to see, to understand, to join..
I can't put in words how much I've learned in the last two weeks. Dr. Coughlin and I were talking this morning and I told him how this experience has changed my mind in some crucial points.
I have met so many wonderful people. I'm now aware that there are peers from all over the world struggling (and sometimes literally fighting) to heal people! I have made so many friends.
It was given to me the opportunity of learning from the best! I'm now able to improve things in my institution and try to make things better for residents and patients.
And the most important.. I was taught some new strategies of spreading and multiplying knowledge (oh, I have so much to do in Brazil!)
Yes, this is the last day of my Observership, however it is also the first day of a new life of hard and improving work.
Cheers!

Thursday, September 19, 2013

Jet lag..

My Thursday began (at 6:30 am) with the Trauma Conference at the OTI. The residents and fellows are supposed to attend it and I was kindly invited to gather them (the 6 hours jet lag is driving me crazy!).
The conferences sponsored by OTI are such great opportunities of learning.. Questions are welcome and Dr. Coughlin is always open to discuss different options of treatment (I'm really convinced that the best way of teaching/learning is through mentorship).
After the conference the residents and I are going to the OR for a whole day of arthroscopies (wow!!).
See ya!

Wednesday, September 18, 2013

UCSF Grand Rounds

This morning we were at the UCSF Parnassus Campus for the Grand Rounds (dear Lord 6:30 am!!)
Chiefs, assistants, residents, fellows, interns and under graduation students gathered to discuss the most common and interesting Orthopaedic and Trauma cases.
It was a great opportunity to learn how the Ortho residency works around here (I had so many ideas that will certainly help us in Brazil). The conference theme was "Arthroplasty and Obesity: is there a real thread?"
Now we are heading the Pediatric Trauma conference.. (kids? really?? this early in the morning??? OK.. let's go for it! ha ha..)
See ya!

Tuesday, September 17, 2013

Back to SanFran

The SIGN course is over and I'm back to San Francisco.
My Observership has started and I couldn't be happier. Amber Caldwell and Kush Pathel have been awesome!
I spend most of my time at the San Francisco General Hospital (just love it!) in the OR. So many interesting cases and procedures, always being mentored by Dr. Coughlin (what a privilege).
Today I'll spend my day at the UCSF Parnassus Campus with Dr. Tad Vail (arthroplasty).
I want to thank the AAOS, the true responsible for all the wonderful experiences I've been living.

Friday, September 13, 2013

SIGN - Fracture Care International

The course has been a huge success!
Dr. Zirkle is such an innovative person and really opened my mind for the needs of developing countries. There are so much we can do for them as orthopaedic surgeons!
I also was introduced to a new (and so simple) orthopaedic hardware.. the SIGN intramedullary nail (there is no need of a C-arm! can you believe that? )
Pictures later..
See ya!

Wednesday, September 11, 2013

In Richland

We are in Richland (WA) for the SIGN conference..
Representatives of so many countries are gathered here to discuss the best and ultimate options of trauma treatment.
We can't wait for the hands on sessions!
I can't finish this post without saying that our hearts are still in pain for those who lost their loved ones on 09/11.

Tuesday, September 10, 2013

Last day =[

So, we've reached the end of the course and I must tell you... I'm really glad I could spend these days here!!
Yes.. I'm tired andI may have gained some weight ha ha ha... but I'm pretty sure that I'll be able to help patients more efficiently than before! And more.. I have some new strategies for sharing the acquired knowledge with my peers and residents down in Brazil.
I couldn't leave SF without thanking Ms Caldwell and Dr. Coughlin for making me feeling at home! I'm so grateful.. May the Lord reward you both for such hospitality.
Richland, here I come!

Monday, September 9, 2013

50% gone...

Well, this is Monday afternoon and 50% of the Flap Course has gone..
I can surely say that this has been the most important experience I've lived since my Orthopaedy training!
Amber Caldwell (course director) has been amazing and most of the course's success is due to her unfatigle work!
Now: gastroc flaps... back to the lab!

Hands On

Well, what to say?
If you have any doubts or concerns about soft tissue flaps.. IGOT is your place!
Faculty has been superb!! They are so enthusiastic and always free to guide and teach you how to perform a muscle flap or an ex fix in the "Hands On" lab.
This is the very first day and Im already impressed!
See you!

Sunday, September 8, 2013

Day 1

We are gathered at the IGOT for the first day of the course.
So excited! I waited almost an year for this day.. The Flap Course!
I'll keep you updated..
See ya!

Thursday, August 15, 2013

Check out our new Flickr page!

Click here to see the wonderful experiences of our 2013 scholarship recipients.

AAOS - Stetson-Powell International Scholarship

Dr. Semin Becirbegovic:

I received AAOS scholarship for 2013 and I am proud for it. Let me share some of my impressions from scholarship visit.

I realized that this was extremely competitive program with so many applicants from the region. Being selected as one of recipients of AAOS scholarship award means that committee members recognized my current activities, education and things presented in the essay. This really boosts my confidence.

Reception and meeting with Academy staff was great opportunity for me to present the situation in Bosnia and Herzegovina and to present myself. The meeting was so present and at this point I already felt like a member of one big and strong family which cares about me. AAOS building is so interesting because the visitor is able to make a tour and to explore some fact about founders of modern orthopedic surgery. Only then you realize that you are in fact a part of ongoing process of development of this discipline. Here, you realize how important you profession is and how big your responsibilities are. It is always good to start with history as Isaac Newton said:”…if I have seen further than others, it is by standing upon the shoulders of giants…”.

There is only one word to describe shoulder course at Orthopedic Learning Center: “Awesome”. So many interesting lectures, so many topics covered and yet high quality of covered content. The course organization was “Swiss accurate”. Course president introduced me at the beginning to auditorium. I was also given an opportunity to present Bosnian orthopedic society. Because of that so many people greeted me during the course. We shared some thoughts about not only a the topics of the course, but also about resemblance and differences of organization of orthopedic surgery in our countries. I was a special guest at faculty dinner. It is not usual so hangout with faculty in such casual atmosphere but that is one of the thing that come along with scholarship.

Most important part of my scholarship visit was a week in Dr Stetson and Dr Powell practice in Burbank, CA. It was interesting for me to see very well organized private practice which is sub specialized in sports orthopedics. This is very much different experience from everything else in my carrier. So far I was trained in big hospital throughout Europe. It was interesting to observe management of patients, electronic data capture systems, preoperative exams and observing surgeries at Surgical Center. Everything there is devoted to efficacy. Basically, I was truly interested in the things learned at OLC course in shoulder surgery. There are few things which could be implemented after this visit. That being said, Dr Stetson proposed to organize a mutual, AAOS and Bosnian society, course in Sarajevo, with topics on sports medicine. This would be major impact of my visit and receipt of AAOS scholarship. It will enable to orthopedic surgeons, which are not as lucky as I am, to attend comprehensive course led by AAOS faculty. The mission of “spreading word” will get true meaning with this event (in near future hopefully).

My hosts were exceptional. Beside, clinical work they managed my free time so good that I was able to try some of Californian “must try” cousine, visited Warner Brothers studio, visited Hollywood, attended Dodgers-Yankee baseball game. Thank you Dr Stetson and Dr Powell. Thank you Scott DiCesare .

There are two things which I will try to implement in my practice: patient education and efficacy. Dr Stetson and Dr Powell have work tremendously in educating their patient. Their webpage is very well organized, fool of precious information provided in layman’s language. Doctors generously spend their time explaining details, but really details, of the respective conditions, treatments strategies, pros cons etc. One of the first things that you observe when you come to S-P office is a bunch of interns. They are young, intelligent, ambitious, future colleagues who decided to spend one year in the practice in order to gain experience working with renowned surgeons before moving to medical school. They shadow the attending physicians and really boost efficacy of office work. It seems like win-win situation to me. Another thing which is exceptional in the office is electronic data records. However, it was too complicated for my modest orthopedic brain to understand how it works (in such short stay ate least).

Only downside of the scholarship visit is that is short. Other than that, this was amazing experience. It feels like opening of one new door in my carrier. Hopefully, this is mutual experience. I am sure that there are so many things to share in the future between AAOS, my hosts and me. This is one important wind in my sail and I will do my best to make build upon this scholarship. Hopefully, I will be able to do something good for Academy and for my mentors in the future as well. After all, we are members of one big family which cares.