{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:08:46Z","timestamp":1789153726787,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Orthopaedic surgical education is changing as robotics, artificial intelligence, digital planning, advanced imaging and data\u2010driven decision\u2010making reshape clinical practice. At the same time, residency training is increasingly influenced by duty\u2010hour regulations, well\u2010being initiatives, burnout prevention and evolving expectations regarding work\u2013life balance. This editorial reflects on the challenge of protecting trainees from fatigue and exploitation without protecting them from the clinical experience required to develop surgical excellence. Exceptional orthopaedic surgeons are not formed by technology or minimum exposure alone, but through deliberate practice, curiosity, reflection, responsibility, mentorship and sustained professional commitment. As digital technologies increasingly support routine tasks, human qualities such as judgement, empathy, leadership, communication and the ability to manage uncertainty will become even more important. The future of orthopaedics will therefore depend not only on innovation, but also on how surgical training cultivates professional identity, passion, purpose and excellence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70596","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:36:26Z","timestamp":1789151786000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Orthopaedic surgery beyond working hours: Passion, purpose and the pursuit of excellence\u2014Do you want to become somebody, or just anybody?"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4014-424X","authenticated-orcid":false,"given":"Michael T.","family":"Hirschmann","sequence":"first","affiliation":[{"name":"University Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland Bruderholz Switzerland"},{"name":"Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine and Biomechanics, University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Herbst","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University of Muenster Muenster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Milano","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health University of Brescia Brescia Italy"},{"name":"Department of Bone and Joint Surgery Spedali Civili Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastien","family":"Lustig","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Croix Rousse Hospital Claude Bernard Lyon University Lyon Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berte","family":"Boe","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Oslo University Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Becker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Center of Joint Replacement University of Brandenburg upon Havel Brandenburg\/Havel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Haverkamp","sequence":"additional","affiliation":[{"name":"Xpert Clinics Orthopedie Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Zaffagnini","sequence":"additional","affiliation":[{"name":"2nd Orthopedics and Trauma Unit IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etienne","family":"Cavaignac","sequence":"additional","affiliation":[{"name":"Clinique Universitaire du Sport, CHU de Toulouse Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Prill","sequence":"additional","affiliation":[{"name":"Center of Orthopaedics and Traumatology, University Hospital Brandenburg\/Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Enes Kayaalp","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul Fatih Sultan Mehmet Training and Research Hospital, University of Health Sciences Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hantes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology University Hospital of Larissa, University of Thessaly Larissa Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Seil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Centre Hospitalier de Luxembourg Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrej","family":"Nowakowski","sequence":"additional","affiliation":[{"name":"University Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland Bruderholz Switzerland"},{"name":"Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine and Biomechanics, University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Clinic for Orthopaedics and Traumatology Krankenhaus Barmherzige Br\u00fcder M\u00fcnchen Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas M.","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University Basel Hospital Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Stockholm South Hospital, Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12627"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12723"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12499"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70304"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12618"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12595"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jeo2.70677"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70126"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12523"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70419"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70168"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70596","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.70596","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:36:27Z","timestamp":1789151787000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.70596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":11,"alternative-id":["10.1002\/ksa.70596"],"URL":"https:\/\/doi.org\/10.1002\/ksa.70596","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]},"assertion":[{"value":"2026-07-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ksa.70596"}}