Orthopaedic Surgery

Dr Anant Johri | Senior Resident | AIIMS Rishikesh

What is Orthopaedic Surgery?

A Career in Orthopaedic Surgery is very intriguing. Understanding Why one wants to choose a Career in Orthopaedic Surgery is phenomenally more important than figuring out How to get into Orthopaedic Surgery. The internet is a great source of information on Orthopaedic Surgery, but it is second best to learning about the same from a real professional.

Senior Resident Dr Anant Johri is an experienced professional with 1 year in Orthopaedic Surgery. Senior Resident Dr Anant Johri outlines Orthopaedic Surgery as:

Orthopaedic surgery or orthopaedics is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopaedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.

How Senior Resident Dr Anant Johri got into Orthopaedic Surgery?

Since childhood I was deeply passionate about orthopaedics since that my father and grandparents have been practising orthopaedic surgeons. After school, I pursued an MBBS degree from Manipal and a Masters in Orthopaedics and Orthopaedic Surgery from Ludhiana. Since July 2017, I have been practising as a Senior Resident in the Department of Orthopaedics at AIIMS, Rishikesh.

Senior Resident Dr Anant Johri's Talk on Orthopaedic Surgery

Exploring the Journey of an Orthopedic Surgeon: Insights from Dr. Anand Shivjori Orthopedic surgery is a fascinating and vital field within the medical profession, dedicated to diagnosing, preventing, and treating musculoskeletal disorders. As an orthopedic surgeon, Dr. Anand Shivjori has a wealth of experience, providing valuable insights for anyone considering this career path. His personal journey, combined with professional expertise, highlights the importance of dedication and continuous learning in this dynamic medical specialty. What Is Orthopedic Surgery? Orthopedic surgery focuses on the treatment of bones, joints, and related diseases. It encompasses a wide range of conditions, from fractures and dislocations to degenerative diseases such as arthritis and congenital malformations in children. The core of the practice lies in trauma care, where surgeons must assess whether to operate on various fractures or manage them conservatively. Dr. Shivjori notes that exposure to the field from a young age, particularly through family role models, has been instrumental in shaping his interest in this specialty. Understanding the musculoskeletal system is crucial, as it functions like a complex machine where every part must work in synchrony. The role of an orthopedic surgeon goes beyond just surgical intervention; it involves a holistic understanding of mechanics, biology, and patient care, showcasing the multifaceted nature of this profession. Education Physics Physics is foundational in orthopedic surgery, as it deals with biomechanics—the study of movement and mechanical structure. A solid grasp of physics allows orthopedic surgeons to understand how forces impact bones and joints, making it essential for diagnosing and treating injuries effectively. Dr. Shivjori emphasizes that principles of mechanics are applied regularly in surgical procedures, enhancing the surgeon's ability to restore normal function. For instance, when considering joint replacement surgeries, understanding the mechanical load during movement is crucial for selecting the appropriate implants, which can significantly influence patient outcomes. Chemistry Chemistry plays a pivotal role in orthopedic surgery, particularly concerning the materials used in implants. Surgeons must have knowledge of various substances, such as titanium and high-grade polymers, to ensure compatibility with the human body and long-term success of implants. Dr. Shivjori notes that ongoing advancements in materials science contribute significantly to the future of orthopedic surgery. The evolution of new compounds allows for longer-lasting implants, which can mean the difference between a patient experiencing years of pain-free mobility versus frequent replacements due to wear and tear. Biology Biology, particularly the study of the musculoskeletal system, is a cornerstone of medical education for orthopedic surgeons. It provides a comprehensive understanding of anatomy and physiology and informs the techniques used in surgery. As Dr. Shivjori mentions, mastering normal anatomy is crucial for recognizing and addressing abnormalities effectively. A direct application of biology in practice can be seen in trauma cases, where rapid evaluation of injuries—rooted in biological knowledge—is essential for timely intervention. Anatomy Anatomy is arguably the most crucial subject for an orthopedic surgeon. Without a thorough understanding of the body's structure—the bones, muscles, and their interrelationships—surgery would be both perilous and inefficient. Dr. Shivjori highlights that a sound knowledge of anatomy is imperative for performing operations, as it directly influences a surgeon's ability to navigate during procedures. Consider a scenario where a patient requires repair of a fractured limb close to vital nerves; an in-depth understanding of human anatomy may prevent potential nerve damage, preserving the patient's motor function. Traumatology and General Surgery Traumatology is at the heart of orthopedic training, giving surgeons the skills to manage fractures and dislocations daily. Additionally, knowledge of general surgery is essential as many orthopedic procedures require manipulation of surrounding tissues. Dr. Shivjori articulates that surgeons must be adept at navigating both bone and soft tissue structures, ensuring thorough care for patients with complex injuries. These areas of education ensure that orthopedic surgeons can handle a variety of emergency cases and elective surgeries, preparing them for diverse clinical scenarios. Skills Stamina Stamina is a fundamental skill for orthopedic surgeons, as they often endure long hours in the operating room. Dr. Shivjori points out that surgical procedures can extend over several hours, requiring the capacity to remain focused and physically capable throughout. Building stamina not only benefits surgical performance but also helps manage the demanding nature of orthopedic practice. As a seasoned professional, he advises that it’s essential to maintain physical fitness to support the rigorous demands of the job. Precision Precision in surgical technique is critical in orthopedic surgery. A small miscalculation could lead to severe consequences, such as nerve damage or compromised mobility. Dr. Shivjori underscores the necessity for surgical precision, particularly during procedures involving delicate structures like nerves adjacent to the bones being operated on. For example, during the repair of a fractured humerus, precise dissection is required to avoid injuring the radial nerve, which could otherwise result in loss of hand function. Communication Effective communication is another essential skill for orthopedic surgeons. Clear dialogue with patients about their conditions and treatment options can significantly influence their experience and outcomes. Dr. Shivjori shares that managing patient expectations is paramount; educating them on the realistic results of surgeries ensures their understanding and satisfaction. A skilled communicator not only fosters trust with patients but also facilitates teamwork among healthcare professionals, ultimately enhancing patient care. Availability Availability is a prerequisite in this field, especially for trauma surgeons who must be on-call for emergency cases. Dr. Shivjori emphasizes that being available to patients is crucial, particularly during nights when accidents often occur. This commitment ensures timely care for those with urgent needs. It reflects a dedication to patient welfare that extends beyond standard office hours and emphasizes the unique responsibilities carried by orthopedic surgeons. Interpersonal Relationships Interpersonal skills are vital for developing strong relationships within the healthcare team and with patients. Dr. Shivjori highlights that collaboration with nurses, physiotherapists, and administrative staff is necessary to provide cohesive patient care. Creating a positive work environment facilitates better outcomes for patients and enhances the overall experience. For instance, effective teamwork in a surgical setting can minimize complications and streamline recovery efforts, to the benefit of patient care. Perseverance The journey to becoming an orthopedic surgeon is long and demanding. Dr. Shivjori emphasizes that perseverance is essential for overcoming the challenges faced throughout medical education and training. The road often includes intense competition and numerous years of study. Understanding that dedication leads to mastery in surgical skills can motivate aspiring surgeons to persist through the rigors of their training. Positives Making a Contribution One of the most rewarding aspects of orthopedic surgery is the significant positive impact on patients' lives. Dr. Shivjori finds personal satisfaction in helping patients regain mobility and alleviate their pain. Every successful surgery can translate to a patient walking again or returning to their daily activities, which is profoundly fulfilling. It’s a reminder that orthopedic surgeons play a critical role in fostering quality of life, making their contribution invaluable to society. High Demand The demand for orthopedic surgeons remains consistently high due to the frequency of traumatic injuries and degenerative conditions. Dr. Shivjori points out that fractures and other orthopedic issues are common, ensuring a steady flow of patients needing care. This aspect not only provides job security but also indicates that orthopedic surgeons are always in need. The ongoing necessity for specialists in this field reflects the inherent challenges in maintaining musculoskeletal health. End Branch Upon completing their specialization, orthopedic surgeons can begin practicing independently without the need for further exams, unlike many other medical specialties. According to Dr. Shivjori, this aspect is particularly appealing as it allows practitioners to establish their careers without immense pressure of additional testing. This autonomy enables surgeons to forge their paths in the profession, further enhancing job satisfaction. Constant Growth The field of orthopedic surgery is continually evolving, with advancements in technology and surgical techniques. Dr. Shivjori notes that ongoing research leads to innovative solutions for existing challenges. For instance, minimally invasive surgical techniques and cutting-edge implant designs are paving the way for improved outcomes. This constant growth provides orthopedic surgeons with opportunities for lifelong learning, catering to those who enjoy staying abreast of medical advances. Flexible Job While flexibility in work hours can vary depending on the specialization, certain areas of orthopedics afford surgeons more control over their schedules. Dr. Shivjori highlights that specialties such as sports medicine may allow surgeons to manage elective cases at their convenience, promoting a better work-life balance. However, subspecialties that involve trauma may require immediate availability, demonstrating that flexibility can come in varying degrees within the field. Challenges Long Gestation Becoming an orthopedic surgeon involves a lengthy educational trajectory. Dr. Shivjori illustrates that the initial ten years often entail comprehensive study and exposure to various medical aspects before one can perform surgeries independently. The long gestation period may deter some but is essential for cultivating the necessary expertise. This investment of time helps ensure that orthopedic surgeons are well-prepared for the complexities of their profession. Competition The competition for orthopedic training programs is fierce. Dr. Shivjori elucidates that aspiring surgeons must outshine their peers in entrance exams for MBBS and specialty training. This competitive landscape can be daunting and requires full commitment from those pursuing this path. Developing resilience and a strategic approach to study is essential for overcoming this challenge. Stress Managing high-risk patients can introduce significant stress into an orthopedic surgeon’s work life. Dr. Shivjori explains that geriatric patients, in particular, often have multiple comorbidities that require constant attention and monitoring post-operation. This responsibility can weigh heavily on surgeons, as the stakes are high, and complications may arise suddenly. Stress management becomes an essential skill for ensuring the well-being of both the surgeon and their patients. Demanding Job The demanding nature of orthopedic surgery can lead to challenges in maintaining work-life balance. Dr. Shivjori notes that long hours in surgery and an unexpected surge in emergency cases can interfere with personal time. The reality of variable patient demands often means that personal life takes a back seat. Establishing healthy boundaries and prioritizing self-care are necessary strategies for sustaining a long and fulfilling career. Lack of Infrastructure Effective orthopedic practice requires access to adequate infrastructure, including state-of-the-art facilities and equipment. Dr. Shivjori highlights that hospitals must be equipped with resources like imaging technology, modular operating theaters, and skilled support staff to ensure safety and success in surgeries. The lack of proper infrastructure can hinder the quality of patient care, leading to complications that may otherwise have been avoided. A Day In The Life Of An Orthopedic Surgeon A typical day for Dr. Shivjori begins early in the morning. After mentally preparing for the day ahead, his routine includes physical activity to maintain stamina. By 8:00 AM, he arrives at the hospital to conduct rounds, checking on post-operative and pre-operative patients, which sets the stage for the day’s procedures or consultations. In outpatient days, Dr. Shivjori interacts with around 50 to 60 patients during consultations, sharing insights and treatment plans that impact their journeys to recovery. On days designated for surgeries, he navigates through multiple procedures, engaging in complex surgeries that can last several hours. Follow-up rounds in the evening allow him to ensure his patients are recovering well. Emergency nights are unpredictable and can alter the pace of his life, highlighting the demands and challenges of the profession. Ultimately, the blend of surgery, patient care, and ongoing research culminates in a fulfilling yet demanding career. Conclusion Orthopedic surgery is a rewarding and challenging field that offers significant opportunities for making a positive impact on patients' lives. Dr. Anand Shivjori’s insights illustrate that while this profession demands a great deal of education, resilience, and dedication, the personal satisfaction derived from restoring mobility and improving quality of life is unparalleled. For those with a passion for helping others through surgical expertise, orthopedic surgery presents a compelling career choice rich in possibility and contribution.

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Orthopaedic Surgery?

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Links for this Talk

Senior Resident Dr Anant Johri's LifePage:

[LifePage]
https://www.lifepage.in/page/dranantjohri

LifePage Career Talk on Orthopaedic Surgery

[Career]
https://www.lifepage.in/careers/orthopaedic-surgery

[Full Talk]
https://lifepage.app.link/20180415-0001

[Trailer]
https://www.youtube.com/watch?v=rQUDzR6DjcM

(Orthopaedic Surgery, Dr Anant Johri, AIIMS Rishikesh, Orthopaedics, Medicine, Surgery, Surgeon, Bones, Trauma, Hospital, Clinic, Medical, Science)

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General & Laparoscopic Surgery

Dr Puneet Tyagi
Consultant Surgeon | VelMed Hospital

[ 3 years Experience ]

Laparoscopic surgery is also known as a key-hole surgery or minimally invasive surgery. It is widely used in gynaecology, gastroenterology and urology. Patients receive specialised assessment, latest treatments along with clinical post-operative care, medications and a regular follow-up.

"After completing my education, I started practicing as a Consultant Surgeon and in 2018, I joined Velmad Hospital as a Consultant Surgeon (General & Laparoscopic Surgery)."

Plastic Surgery

Dr Yogi Aeron
Director | Outreach Centre of Resurge Int

[ 48 years Experience ]

Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic (or aesthetic) surgery aims at improving the appearance of it.

"After completing my specialization in plastic surgery, I started working as a Plastic Surgeon. I have been working since 1967, treating various patients for burns and other problems. I am currently the director of the outreach centre of Resurge International as well."

Obstetrics and Gynaecology

Dr Anuradha Sharma
Consultant Gynaecologist & Obstetrician | Dr. Anuradha's Clinic

[ 31 years & 11 months Experience ]

Obstetrics and Gynecology (OB/GYN) is the branch of medical science that deal with the female reproductive system. Obstetrics deals with pregnancy and Gynecology deals with all the non-pregnancy issues as well. Specialized education and training helps an obstetrician in the management of pregnancy, labour, and the time immediately following childbirth, whereas a gynecologist is a physician who is trained to diagnose and treat disorders related to the female reproductive system.

"After completing my schooling from Carmel Convent School Gwalior, I did my MBBS in 1982 & MS (Obstetrics & Gynaecology) in 1985 from Gajraj Raja Medical College. Thereafter, I did my Residency programme from Moolchand Hospital and worked for a year at AIIMS. Later, I worked as a Consultant Gynecologist & Obstetrician with various Hospitals like Sunrise Hospital, Maheshwari Clinic and others. I have expertise in High risk Obstetrics, Antenatal, Infertility Surgery, etc. In 1990, I started my own clinic in Sarita Vihar, Delhi. I am also a member of Federation of Obstetric and Gynecological Societies of India (FOGSI), Association of Obstetricians & Gynecologists of Delhi (AOGD) and Delhi Medical Association (DMA)."

ENT

Dr Anil Chauhan
ENT Consultant | VelMed Hospital

[ 16 years Experience ]

ENT Specialist deals within medicine that deals with conditions of the ear, nose, and throat and related structures of the head and neck. Doctors who specialize in this area are called otorhinolaryngologists, otolaryngologists, ENT doctors, ENT surgeons, or head and neck surgeons.

"After completing my MBBS & MS, I started working as an ENT physician. In 2018, I joined VelMed Hospital as an ENT Consultant."

Internal Medicine

Prem Narayan
Consultant | VelMed Hospital

[ 10 years & 3 months Experience ]

Internal Medicine encompasses the care of all adults, healthy and sick. Internists can be generalists or subspecialists, like cardiologists or rheumatologists. Patients with multiple problems and medications would typically be seen by an internist.

"I did my MBBS & MD from KGMC Lucknow after which I started practicing Internal Medicine. In 2018, I joined Velmed Hospital, Dehradun as an Internal Medicine Consultant."

Cardiothoracic & Vascular Surgery

Dr Manish Meswani
Senior Consultant | VelMed Hospital

[ 22 years & 1 month Experience ]

Cardiovascular surgery is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to correct congenital heart disease; or to treat valvular heart disease from various causes, including endocarditis, rheumatic heart disease, and atherosclerosis. It also includes heart transplantation.

"I worked for 8 years in Australia and New Zealand, 5 years in Gujarat and in the last 3 years I have worked in various hospitals of Uttarakhand. In 2018, I joined VelMed Hospital as a Senior Consultant of Cardiothoracic & Vascular Surgery."

Anesthesia

Harsha Bhat
Anesthesiologist | Various Hospitals

[ 6 years Experience ]

Anesthesia or anaesthesia (from Greek "without sensation") is a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), amnesia (loss of memory), and unconsciousness. A patient under the effects of anesthetic drugs is referred to as being anesthetized.

"I did MBBS from Mysore Medical College And Research Institute and MD (Anesthesia) from R&D Medical College Udaipur in 2014, since then I am practicing Anesthesia."

Reconnective Medicine

Ailane Araujo
Nutritional & Quantum Doctor | Institute of Reconnective Medicine

[ 2 years & 1 month Experience ]

Paediatric Surgery

Santosh Kumar Singh
Associate Professor | Swami Ram Himalayan University

[ 18 years Experience ]

Paediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults.

"I did graduation and post-graduation in medicine from GSVM Medical College, Kanpur. I then did Masters in Paediatric Surgery. I practised in Kanpur for over a decade before moving to Dehradun. I am Assistant Professor at Swami Ram Himalayan University."

Interventional Cardiology

Abhinav Jain
Consultant Cadiologist | CMI Hospital

[ 1 year & 1 month Experience ]

Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases. Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter.

"I did MBBS from Dr D Y Patil Medical College,Pimpri, Pune and MD (General Medicine) from Himalayan Institute of Medical Sciences. After that I have worked as an Associate Consultant at Max Superspeciality Hospital, Saket, New Delhi, Max Super Speciality Hospital, Saket, and HIMS, Dehradun. I am working as a Consultant Cardiologist at Combined Medical Institute, Dehradun since 2019."