Doing cases in an ASC procedure room requires anesthesia buy in and they can feel they should bil for each case. #jhsjc

@BgTalkinmanA limitation is the inability to quantify amount of smoking based in limitations of records #jhsjc

@BgTalkinmanHard to define equal - each program has its own personality, but ACGME has standards and all are accredited. So should provide adequate training #jhsjc

I am not sure virtual interviews are the answer - and less then 50% recommended, yet that was the conclusion #jhsjc

I think applicants might tell you what they think you want to hear #jhsjc

And I am not saying you are wrong - I agree that over diagnosis can be a problem, but society as a whole doesn't seem to like that approach. #jhsjc

While it would seem it should predict outcome as the article hypothesized, it was not as good as one might predict. Bud designed for diagnosis probability, so maybe we should not be surprised #jhsjc

@BgTalkinmanWhile you can use as screening with telemedicine, that misses the exam part, which is still a component. So I think good enough for screening, but not definitive dx #jhsjc

@BgTalkinmanOnly conflict is they now share in expense and profit, so better for the to keep costs down - ie tension band #jhsjc

@BgTalkinmanI think it would need to be w direct expense out of patients pocket and even then, likely dependent on how MD presents options #jhsjc

Also, seems to be more interest in changing based on TV commercial and company marketing than a RCT - unfortunately #jhsjc

@BgTalkinmanI agree bundled payments can make a difference - but hospitals and physicians have to be more aligned and to this point, not many are. #jhsjc

@BgTalkinmanI was surprised by the ruptures as well. They happen, but I am not sure why they would be more or less common in RCT #jhsjc

I know use predominantly short arc active motion with half fist and no resistance #jhsjc

@BgTalkinmanI think definitions are less clear as some consider place and hold active, but not truly active, so I like their description #jhsjc

@BgTalkinmanI have not read it, but published last year in CORR - but asked the question how satisfied are you. I wonder about the test retest reliability. #jhsjc

@BgTalkinmanI don't know if validated, but used in a lot of studies previously #jhsjc

@BgTalkinmanI think it is reasonable - similar to PRUNE and although not designed for ulnar nerve, helpful #jhsjc

@BgTalkinmanI think this is helpful in discussing wiht patients expectations following surgery #jhsjc

@RPCalfeeSTLI think there are patents that would pay if clearly better - that is the issue #jhsjc