My name is Matthew Diltz. I am a fourth year resident at UC Irvine. I have been working on a textbook since my second year with my chairman, Dr Skinner. The concept is a text that will serve as a primer for medical students and young residents. There is a need for a quick reference before entering an operative case. There are a lot of textbooks that describe the intricacies but leave out the basics. This text will provide information for the consent, what to request for the case, how to position the patient, procedure in detail formatted for easy conversion into an operative report, tips that are often quizzed, dangers to keep in mind during the case, and standard post operative care. I signed a contract with McGraw Hill to edit the text. The plan is for 150-200 procedures. I have written 30 myself. Many of these are based on dictations from cases that I saved. I am looking to recruit additional contributors. I do not mind sharing recognition for the contributions. This would be an opportunity to add additional publications to a CV. There is a large illustration budget. Just describe or provide an example and the illustrators will take it from there. Here is the basic outline:
Title/Procedure with CPT:
CPT codes will be supplied for orthopaedic physicians, for billing and documentation purposes
Indications with ICD9:
This section will include indications for the operations being performed as well as ICD9 codes to reference this with. (It will be helpful to have a section in the index that references the operation by diagnosis so that the reference manual will provide surgical options for varying diagnosis.)
Contraindications/tolerances
When evaluating a case as a surgeon it is important to not only know what the diagnosis is and what surgical options there are for correction, but also important to know when not to perform a case. In the case of Orthopaedic Surgery, there are accepted degrees of displacement and angulation that will resolve without surgical correction.
Equipment (for the case/to bring to bedside)
When filling out the request for surgery a major mistake that can be made is not having the appropriate equipment to start the case. This can cost the hospital and surgeon precious time and money.
Risks with stats:
This section will be useful for the consent. The surgeon should have an idea of the complications and incidence of these complications before discussing the procedure with the patient. This instills confidence in the surgeon and is useful medically and legally. It is important for the patient to have realistic expectations about surgery and results.
Tips
This section will contain small tips that can simplify an often complex case, as well as, information that is often quizzed by attending surgeons.
Patient Positioning
Once again incorrect positioning can lead to a much more difficult case. This portion of the case is often left to the young surgeon. This section will provide guidance.
Procedure in detail:
This section will be written for easy conversion to an operative dictation. It will include each step of the procedure, emphasizing the portions of the case that are essential to note. There may be some variance like types of closure, but the fundamental components of the case remain the same.
Dangers during surgery:
Potential complications. It is important to keep in mind potential dangers during surgery both from the standpoint of a quick review as well as documentation during the dictation that these were avoided.
Patient Follow-Up / Weight Bearing Status
Once again, this is another component of the surgery that can be overlooked. Placing weight on an ankle too soon or starting range of motion on a finger tendon repair before the appropriate amount of time can lead to a needless surgical complication. This section of the text will provide the accepted post surgical limitations and follow up.
Bedside procedures (includes what to bring to bedside, skeletal traction, and splints):
In addition to standard OR cases, there will be a section of the book devoted to procedures performed at the bedside. This section of the book will also provide a list of essential tools to bring to the bedside.
For example, when applying skeletal traction, there is a large amount of time lost in gathering additional supplies that are forgotten. Also, there are few texts that describe procedure in detail. This book will provide both a list of supplies to bring to the bedside as well as a description of how to apply traction.
I came upon the idea while performing dictations. I had the realization that number one there was not a template for these dictations and number two I should save them for later reference. Each procedure only takes a couple of days to complete. Please contact me if you interested in contributing.
email: mdiltz@gmail.com
cell: (949)923-1518
Title/Procedure with CPT:
CPT codes will be supplied for orthopaedic physicians, for billing and documentation purposes
Indications with ICD9:
This section will include indications for the operations being performed as well as ICD9 codes to reference this with. (It will be helpful to have a section in the index that references the operation by diagnosis so that the reference manual will provide surgical options for varying diagnosis.)
Contraindications/tolerances
When evaluating a case as a surgeon it is important to not only know what the diagnosis is and what surgical options there are for correction, but also important to know when not to perform a case. In the case of Orthopaedic Surgery, there are accepted degrees of displacement and angulation that will resolve without surgical correction.
Equipment (for the case/to bring to bedside)
When filling out the request for surgery a major mistake that can be made is not having the appropriate equipment to start the case. This can cost the hospital and surgeon precious time and money.
Risks with stats:
This section will be useful for the consent. The surgeon should have an idea of the complications and incidence of these complications before discussing the procedure with the patient. This instills confidence in the surgeon and is useful medically and legally. It is important for the patient to have realistic expectations about surgery and results.
Tips
This section will contain small tips that can simplify an often complex case, as well as, information that is often quizzed by attending surgeons.
Patient Positioning
Once again incorrect positioning can lead to a much more difficult case. This portion of the case is often left to the young surgeon. This section will provide guidance.
Procedure in detail:
This section will be written for easy conversion to an operative dictation. It will include each step of the procedure, emphasizing the portions of the case that are essential to note. There may be some variance like types of closure, but the fundamental components of the case remain the same.
Dangers during surgery:
Potential complications. It is important to keep in mind potential dangers during surgery both from the standpoint of a quick review as well as documentation during the dictation that these were avoided.
Patient Follow-Up / Weight Bearing Status
Once again, this is another component of the surgery that can be overlooked. Placing weight on an ankle too soon or starting range of motion on a finger tendon repair before the appropriate amount of time can lead to a needless surgical complication. This section of the text will provide the accepted post surgical limitations and follow up.
Bedside procedures (includes what to bring to bedside, skeletal traction, and splints):
In addition to standard OR cases, there will be a section of the book devoted to procedures performed at the bedside. This section of the book will also provide a list of essential tools to bring to the bedside.
For example, when applying skeletal traction, there is a large amount of time lost in gathering additional supplies that are forgotten. Also, there are few texts that describe procedure in detail. This book will provide both a list of supplies to bring to the bedside as well as a description of how to apply traction.
I came upon the idea while performing dictations. I had the realization that number one there was not a template for these dictations and number two I should save them for later reference. Each procedure only takes a couple of days to complete. Please contact me if you interested in contributing.
email: mdiltz@gmail.com
cell: (949)923-1518