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Surgeon In Brief With Issaq Ahmed, SpR, (Trauma and Orthopaedics) OPN: What made you choose Orthopaedics? IA: I am attracted by the hands-on approach and the overall mechanical nature of the job. I wanted a job which would present a challenge to me whilst also allowing plenty of opportunities to carry out research.OPN: Where did you train? IA: I did my basic surgical training at Ninewells Hospital, Dundee as part of the Tayside basic surgical rotation. Currently I am on the South East Scotland Orthopaedic rotation based mostly at Edinburgh Royal Infirmary.OPN: What are your specialist areas? IA: At the present time I am in general orthopaedic training. However I hope to pursue an interest in orthopaedic oncological surgery and complex lower limb reconstruction.OPN: What are the best and worst aspects of your job? IA: Best – working in one of the longest established Orthopaedic and Trauma Centres in the UK and the variety and challenges this brings with it.Worst – the ever growing demands placed on hospital staff by managers and politicians who often have hidden agenda’s rather than patient care as their priority. OPN: Are there any developments in orthopaedics that excite you? IA: There are many new developments in orthopaedics that continue to amaze me - these mostly involve the role of tissue engineering and prosthetic reconstruction and their use in various subspecialties in orthopaedics particularly in oncological orthopaedic surgery. Such advances include engineered musculoskeletal tissue, the use of bone graft substitutes, recent advances in prosthetic design including expandable implants, and the current development of new materials that permit solid attachment of host soft tissues to these implants.OPN: What are your thoughts on surgeons who receive financial benefits for using a company’s products? IA: I think no surgeon should receive any form of financial reward for using a company’s product.
However, in the UK the government will not fund essential quality assurance, yet it’s a big issue in the NHS. I believe if a company has sponsored a surgeon to carryout some form of quality assurance then this is acceptable as long as it is carried out accurately and any competing interests are declared. OPN: Are patients becoming too knowledgeable on joint replacement and the implants that are used? IA: I don’t think patients can ever be too knowledgeable about the various joint replacement and implants that are out there. This is mainly because of the overwhelming amount of information that is available on various web sites. However I do believe that internet has helped patients to become more informed about their surgery and what it involves.OPN: Is it right that surgeons are rated and reviewed by patients on the website www.iwantgreatcare.org? IA: NoOPN: What aspect of the industry would you change, if you could? IA: Ideally I would shift the emphasis on trainees from service provision to promote a protected training environment. This would require closer ties between postgraduate training and the orthopaedic product industry.
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