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Biomedical subjects

Keith D Cook

Publications and source records attributed to Keith D Cook.

5 recordsLinked to original sources

Teaching during rounds.

Teaching rounds are a vital part of every residency program. Patient rounds provide an avenue to incorporate evidence-based medicine, current literature, and personal experiences into daily teaching while allowing residents to experience the doctor-patient relationship. Although time consuming, daily in-patient rounds are invaluable to any physician's training. This article discusses how to conduct well-organised, efficient patient rounds with maximum learning benefits for the residents. The daily protocol followed by the Podiatry Service at University Hospital, University of Medicine and Dentistry of New Jersey is also described. Conducting beneficial teaching rounds is an important aspect of a residency program when developing highly competent physicians.

Evidence-Based Medicine↗

In-training examinations.

In-training are one way to evaluate the residents during their training. Currently, the American Board of Podiatric Surgery supplies the examination. Various residency directors were questioned regarding its use and importance.

Educational Measurement↗

Tendon balancing in pedal amputations.

Pedal amputations are necessary procedures performed by a foot and ankle surgeon that may lead to gross positional deformities of the foot. To achieve a plantigrade foot, proper balancing of the foot is required often through the use of tendon transfers and lengthening. This article describes the basic tendon transfers needed to achieve a successful outcome when performing various pedal amputations. A case is presented in which Achilles tendon lengthening was used to heal a forefoot ulcer. A full understanding of tendon function and transfer techniques is paramount for surgeons performing pedal amputations. By rebalancing the foot, patients are able to ambulate with custom shoes or bracing, and more proximal amputations, which can be physically and psychologically devastating, are prevented.

Amputation, Surgical↗

Perioperative management of pedal amputations.

When performing a pedal amputation, proper preoperative, intraoperative, and postoperative care is essential for a successful outcome. This article outlines proper perioperative management for the amputation patient. All patients require appropriate medical management and testing before any surgical procedure; however, preoperative planning specific for the amputation patient also is required to determine the appropriate level of amputation and to provide an optimal result. The surgeon always must remember that patients with more distal amputations have a decreased energy expenditure and better functional outcome compared with their more proximal counterparts. Appropriate psychological counseling and physical rehabilitation also should be initiated as early as possible for the patient to recover fully in a timely fashion.

Amputation, Surgical↗

Capsular interposition for the Keller bunionectomy with the use of soft-tissue anchors.

The Keller procedure has been used during the past century for the treatment of first metatarsophalangeal joint pathology. Many modifications to the procedure have been made, including interposition of the joint capsule into the first metatarsophalangeal joint space. Capsular interposition is often the most difficult step in performing the Keller bunionectomy. This article describes a new, simplified technique for capsular interposition with the use of a dorsal capsular flap and soft-tissue anchors.

Hallux Valgus↗