Journal of orthopaedic trauma
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The process of finding the ideal orthopaedic practice and negotiating a satisfactory employment agreement may be arduous and stressful. The keys to success are similar to attaining proficiency in orthopaedic surgery and include having an insight into your personality, your future needs, and desires; and committing the requisite time for preparation, planning and study to accumulate sufficient knowledge for the tasks. The internet permits access to diverse sources of information, which allows for planning, retrieval of reference materials and for benchmarking contracts and job offers. ⋯ A thoughtful contract should clarify mutual understandings, expectations, and serve as a guide for resolving both anticipated and unanticipated events. A review of common employment benefits and contract provisions is listed for quick reference. If emotional involvement is a concern to the prospective employee, consider hiring an intermediary to help with the negotiations, contract evaluation, and provisions.
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To evaluate the effect of negative pressure wound therapy (NPWT) on deep infection rate in open tibial fractures. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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The trauma opportunities: The numbers are 260 verified sites (American College of Surgeons), 1100 Centers performing as Regional or Community Trauma Centers currently in the continental 48 states, and 3256 hospitals performing in-patient orthopaedic surgery. Orthopaedic trauma surgeons still represent <10% of the total national surgeon complement. ⋯ This represents the supply side that has the potential to graduate in 2013 and beyond. These individuals face a wide variety of career options not previously available to past generations, but one has to know the business model differentiators to be successful: employed-employee (most common, least sustainable historically); employed-partner; partner-contract for service; partner-private practice; private practice-hospital partner (least common, most productive).