If you're fortunate enough to have attended the best arthroplasty meeting in the world, CCJR (Current Concepts in Joint Replacement), either in Las Vegas or Orlando, you may in the past have had the pleasure of hearing Richard Rothman speak.
Rothman is the founder of the Rothman Institute in Philadelphia, a very successful place and in my view, a very high quality one, despite some detractors concerned about "multi-million dollar orthopods". If only.
It's Rothman's take on a very long career. I draw your attention to the following 5 rules:
1. If in doubt, wait (which fits with Leo Gordon's admonition of 'listen to the surgical gods')
2. Consider what you would do if you were the patient
3. Ask yourself who is best for the job
4. Encourage patients to minimise their risk
5. Avoid jumping from fad to fad. Stick with what works for you
It's worth digesting the whole thing, plenty of it applies to NHS practice.
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