Peter M. Waters
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View article: Handling Risky Situations, Especially the Unexpected, With Elite Performance
Handling Risky Situations, Especially the Unexpected, With Elite Performance Open
Surgery is stressful and carries real risk for patients, surgeons, operating room professionals, and healthcare organization. To achieve the safest and best possible outcomes, surgeons need to execute a surgical plan based on evidence-base…
View article: Work-Life Balance in Pediatric Orthopaedics: The Role of the Leaders
Work-Life Balance in Pediatric Orthopaedics: The Role of the Leaders Open
This article describes the intersection of two POSNA initiatives, leadership development and professional well-being, highlighting the role of orthopaedic leaders in helping themselves (by deliberate actions and role modeling) and others (…
View article: Building High-performance Teams in Pediatric Orthopaedic Surgery: The Importance of Psychological Safety and Creating a Trusting Environment
Building High-performance Teams in Pediatric Orthopaedic Surgery: The Importance of Psychological Safety and Creating a Trusting Environment Open
Pediatric orthopaedic surgeons are the central figures in the delivery of specialized musculoskeletal care for children. Our work transcends individual skills, relying heavily on high-performance teams (HPTs) of professionals who deliver c…
View article: The Anatomy of Leadership: From Aspirational to Dark Side Leadership Traits
The Anatomy of Leadership: From Aspirational to Dark Side Leadership Traits Open
(1)Like all leaders, surgeons have preferred leadership styles. Learning about, expanding, and adapting leadership style(s) to specific situations is important and impactful.(2)The most effective leaders are humble, have high integrity, th…
View article: Use of Hyperselective Neurectomy in the Management of the Pediatric Spastic Upper Extremity
Use of Hyperselective Neurectomy in the Management of the Pediatric Spastic Upper Extremity Open
In children, upper extremity spasticity is a complex clinical finding with functional deficits and social implications that can be substantial. It can create significant challenges and cause distress in both the patients and their caregive…
View article: REAL and SCOPE: Evolution from Simulation Team Training to Leadership Curriculum Development for Residents and Fellows
REAL and SCOPE: Evolution from Simulation Team Training to Leadership Curriculum Development for Residents and Fellows Open
Postgraduate medical training and post-training career continuing medical education in surgical subspecialty fields focus predominately on developing and mastering technical expertise and voluminous educational content, all of which are im…
View article: Surgical Management of Distal Clavicle Fractures in Skeletally Immature Athletes
Surgical Management of Distal Clavicle Fractures in Skeletally Immature Athletes Open
Background: Distal clavicle fractures account for a significant proportion of clavicle fractures in the pediatric and adolescent age groups, but clinical decision making to date has largely been informed by adult studies. However, surgical…
View article: Broadband Futures Forum: The Australian Broadband Advisory Council Agri-Tech Expert Working Group Report
Broadband Futures Forum: The Australian Broadband Advisory Council Agri-Tech Expert Working Group Report Open
On 21 October 2021, TelSoc hosted the tenth Broadband Futures Forum, held online, to discuss a report by the Australian Broadband Advisory Council (ABAC) on the future of Agricultural Technology (Agri-Tech). After an introduction by the ch…
View article: Extensor Retinaculum Reconstruction of the Distal Radioulnar Joint in Adolescents
Extensor Retinaculum Reconstruction of the Distal Radioulnar Joint in Adolescents Open
Background This study characterizes the outcomes and complications of surgical reconstruction of distal radioulnar joint (DRUJ) instability using the extensor retinaculum (Herbert sling). Our hypothesis was that extensor retinaculum recons…
View article: John Emmett Hall, MD A Great Surgeon and Even Better Man
John Emmett Hall, MD A Great Surgeon and Even Better Man Open
Dr. John Hall was a preemminent surgeon, leader and man who's life lessons personally and professionally guided his patients, their families, his trainees and faculty and the societies he led and contributed to life long learning.
View article: Optimizing the Implementation of Surgical Coaching Through Feedback From Practicing Surgeons
Optimizing the Implementation of Surgical Coaching Through Feedback From Practicing Surgeons Open
These exit interviews with practicing surgeons offer critical insights for addressing cultural barriers and practical challenges for successful implementation of peer coaching programs focused on surgical performance improvement. With empi…
View article: Education Disrupted by COVID-19? An Opportunity to Improve and Engage
Education Disrupted by COVID-19? An Opportunity to Improve and Engage Open
The COVID-19 pandemic has touched every community and every part of the healthcare system, including the introduction of several new challenges for the healthcare providers and trainees. Studies have examined some of the difficulties that…
View article: Severe Consequences of the Misclassification and Subsequent Undertreatment of ‘Type 1' Open Fractures
Severe Consequences of the Misclassification and Subsequent Undertreatment of ‘Type 1' Open Fractures Open
Operative treatment with formal irrigation and debridement has classically been considered the standard of care for open forearm fractures. Considerable debate exists regarding the management of type 1 open forearm fractures in the pediatr…
View article: Tips for Achieving Success in Life and Work
Tips for Achieving Success in Life and Work Open
"Tips for Achieving Success in Life and Work" by Peter M. Waters, MD, MSSc(Ed) from Boston Children's Hospital, Boston, MA.
View article: Conscious sedation and reduction of fractures in the paediatric population: An orthopaedic perspective
Conscious sedation and reduction of fractures in the paediatric population: An orthopaedic perspective Open
Purpose Closed reduction under conscious sedation in the emergency department (ED) has been demonstrated to provide cost-effective, timely care. There has been little research into the efficacy of conscious sedation and reduction from an o…
View article: Implementation of an Orthopedic Trauma Program to Safely Promote Resident Autonomy
Implementation of an Orthopedic Trauma Program to Safely Promote Resident Autonomy Open
Background There is ongoing tension in graduate medical education between progressive resident autonomy with entrustable professional activities and the need for supervision to ensure patient safety. Objective We implemented a pediatric or…
View article: Early Predictors of Microsurgical Reconstruction in Brachial Plexus Birth Palsy.
Early Predictors of Microsurgical Reconstruction in Brachial Plexus Birth Palsy. Open
In patients with BPBP, early physical examination findings independently predict microsurgical intervention. These factors can be used to provide counseling in early infancy for families regarding injury severity and plan for potential mic…
View article: Fingertip Injuries in Children: Epidemiology, Financial Burden, and Implications for Prevention
Fingertip Injuries in Children: Epidemiology, Financial Burden, and Implications for Prevention Open
Background: Although fingertip injuries are common, there is limited literature on the epidemiology and hospital charges for fingertip injuries in children. This descriptive study reports the clinical features of and hospital charges for f…
View article: Complications and Cost of Syndactyly Reconstruction in the United States: Analysis of the Pediatric Health Information System
Complications and Cost of Syndactyly Reconstruction in the United States: Analysis of the Pediatric Health Information System Open
Background: Syndactyly is one of the most common congenital differences of the upper extremity and offers an exceptional opportunity to evaluate value-based care in pediatric orthopedic surgery. We designed a study to characterize complica…
View article: Imaging assessment of glenohumeral dysplasia secondary to brachial plexus birth palsy
Imaging assessment of glenohumeral dysplasia secondary to brachial plexus birth palsy Open
Objective: To assess imaging parameters related to the morphology of the glenohumeral joint in children with unilateral brachial plexus birth palsy (BPBP), in comparison with those obtained for healthy shoulders. Materials and Methods: We …