CME OnDemand: Small Incisions, Big Results: MIS to the MAX-Symposium 3: Rapid Fire Round Table

Video Transcription

Video Summary

This video transcript captures a dynamic roundtable session featuring experts discussing minimally invasive surgery (MIS) in foot and ankle practice, highlighting personal experiences, teaching strategies, research, and clinical challenges. Andrew Hanselman from Duke University shares his journey beginning MIS later in practice, emphasizing gradual adoption through education, hands-on courses, and starting with simpler cases. Dr. David Thorson, an experienced surgeon, discusses his late-career adoption of MIS focusing on proximal phalangeal osteotomies, appreciating their simplicity and effectiveness without intensive precision. James Toussaint from the University of Florida addresses teaching MIS, acknowledging barriers such as complex techniques, equipment needs, and steep learning curves, advocating for simulation, structured curricula, and collaboration to overcome these challenges. Peter Lam from Australia discusses conducting MIS research amid limited formal support, stressing data quality, validated outcomes, patient compliance, and international collaboration.<br /><br />The panel also engages in candid Q&A on MIS learning curves, patient management, radiation risks, coding concerns, procedure-specific techniques, and clinical decision-making, reflecting differing perspectives and practical tips. Key themes include the importance of post-operative care, cautious introduction of complex MIS procedures (like bunion corrections), techniques to mitigate radiation exposure, and adapting patient positioning for optimal surgical access. The discussion underscores balancing innovation with patient safety, managing staff education, and customizing MIS use based on patient needs. Ultimately, the session illustrates MIS’s evolving role, emphasizing gradual mastery, comprehensive teaching, thorough research, and collaborative learning within diverse clinical environments.

Asset Subtitle

Moderators: Tyler A. Gonzalez, MD, MBA, and Jonathan R.M. Kaplan, MD

Starting MIS While Starting a Practice
Andrew E. Hanselman, MD

You CAN Teach an Old DAWG New Tricks: My Key Pearls for Starting Later on in Practice
David B. Thordarson, MD

Effectively Teaching MIS
R. James Toussaint, MD

Doing Research in MIS
Peter Lam, MD, MBBS

Panel Discussion (Includes A. Holly Johnson, MD)

Keywords

minimally invasive surgery

foot and ankle surgery

MIS teaching strategies

surgical education

clinical research in MIS

surgical techniques

patient safety in surgery

radiation risk management

post-operative care

collaborative learning