{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:40:57Z","timestamp":1790109657633,"version":"4.0.1"},"reference-count":20,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>\n            The resident curriculum of the American Board of Orthopaedic Surgery emphasizes radiation safety. Gendelberg showed that, immediately after a program on fluoroscopic safety, residents used less radiation when using the mini C-arm to reduce pediatric fractures. The current study evaluated whether this effect lasted. Residents underwent a new annual 3-hour session on mini C-arm use and radiation. Group A included 53 reductions performed before training. Group B included 45 reductions performed immediately after training. Group C included 46 reductions performed 11 months later. For distal radius fractures, exposure time and amount were 38.1 seconds and 83.1 mR, respectively, for group A; 26.7 seconds and 32.6 mR, respectively, for group B; and 24.1 seconds and 40.0 mR, respectively, for group C. When radiation time and amount were compared between group B and group C,\n            <jats:italic>P<\/jats:italic>\n            values were .525 and .293, respectively. When group C and group A were compared,\n            <jats:italic>P<\/jats:italic>\n            values were &lt;.05 and &lt;.01, respectively. For both bone forearm fractures, exposure time and amount were 41.2 seconds and 90.9 mR, respectively, for group A; 28.9 seconds and 30.4 mR, respectively, for group B; and 31.2 seconds and 43.6 mR, respectively, for group C. When radiation time and amount were compared between group B and group C,\n            <jats:italic>P<\/jats:italic>\n            values were .704 and .117, respectively. When group C and group A were compared,\n            <jats:italic>P<\/jats:italic>\n            values were .183 and .004, respectively. No significant difference in radiation exposure was noted immediately after training vs 11 months later. A sustained decrease in radiation exposure occurred after an educational program on safe mini C-arm use. [\n            <jats:italic>Orthopedics.<\/jats:italic>\n            2017; 40(5):e788\u2013e792.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20170531-04","type":"journal-article","created":{"date-parts":[[2017,6,9]],"date-time":"2017-06-09T14:57:25Z","timestamp":1497020245000},"source":"Crossref","is-referenced-by-count":13,"title":["Decreased Radiation Exposure Among Orthopedic Residents Is Maintained When Using the Mini C-Arm After Undergoing Radiation Safety Training"],"prefix":"10.3928","volume":"40","author":[{"given":"David","family":"Gendelberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William L.","family":"Hennrikus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carissa","family":"Sawyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Armstrong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"King","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00407"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01052"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70284-5"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199908000-00003"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20120426-11"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/13739950"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0260"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqi048"},{"key":"e_1_3_1_10_2","unstructured":"Occupational dose limits for adults. Fed Regist . 1991. To be codified as 10 CFR \u00a720.1201. https:\/\/www.nrc.gov\/reading-rm\/doc-collections\/cfr\/part020\/part020-1201.html. Accessed April 19 2017."},{"key":"e_1_3_1_11_2","unstructured":"Carpenter J Hurwitz SR James MA et al. ABOS surgical skills modules for PGY-1 residents. https:\/\/www.abos.org\/abos-surgical-skills-modules-for-pgy-1-residents.aspx. Accessed June 23 2016."},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000422"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4631-0"},{"key":"e_1_3_1_14_2","unstructured":"McCarthy JJ. POSNA puts quality safety value in action. AAOS Now . http:\/\/www.aaos.org\/AAOSNow\/2013\/Dec\/research\/research6\/?ssopc=1. Accessed June 23 2016."},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004032-200212000-00014"},{"key":"e_1_3_1_16_2","unstructured":"British Columbia CDC. Occupational exposures during mini C-arm medical procedures. http:\/\/www.bccdc.ca\/resource-gallery\/Documents\/Guidelines%20and%20Forms\/Guidelines%20and%20Manuals\/EH\/RPS\/Occ_Exp_MiniCarm_Med_Proc.pdf. Accessed April 19 2017."},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.otsm.2011.10.002"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02162"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00733"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200501000-00009"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3182840de2"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20170531-04","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T12:09:18Z","timestamp":1683115758000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20170531-04"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.3928\/01477447-20170531-04"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20170531-04","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9]]}}}