Shoulder surgeon perspective of surgical device representatives: a multinational survey

Background: This study aimed to determine the working relationships of shoulder surgeons and surgical device representatives, and benefits or detractors to the operating environment. Methods: An electronic survey was distributed to all members of the Codman Shoulder Society, an international group o...

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Main Authors: Ryan Lohre, MD, Jon J.P. Warner, MD, Danny P. Goel, MD, MSc, MBA, FRCSC
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:JSES International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666638320301572
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author Ryan Lohre, MD
Jon J.P. Warner, MD
Danny P. Goel, MD, MSc, MBA, FRCSC
author_facet Ryan Lohre, MD
Jon J.P. Warner, MD
Danny P. Goel, MD, MSc, MBA, FRCSC
author_sort Ryan Lohre, MD
collection DOAJ
description Background: This study aimed to determine the working relationships of shoulder surgeons and surgical device representatives, and benefits or detractors to the operating environment. Methods: An electronic survey was distributed to all members of the Codman Shoulder Society, an international group of fellowship-trained shoulder surgeons. Results: The response rate was 44% (59 of 134). Mean yearly case volume was estimated as 253.3 ± 126.7, with 205.7 ± 119.6 cases having a surgical device representative present (81.2%). Among respondents, 41.1% (23 of 56) expressed wishes for the increased presence of device representatives during cases. A majority, 78.6% (44 of 56), felt that the presence of a device representative improved the efficiency of the operating room, with 7.3% (4 of 55) identifying an inability to use certain equipment without instruction. Valued qualities of device representatives were identified as attentiveness, organized, knowledgeable, honest, and available, whereas qualities not valued were pushiness/salesmanship, unpreparedness, disengagement, and disorganized. Median working time with the same representative was 5 years (0.5-20 years) with 94.4% (53 of 56) of respondents identifying desire for familiarity. A large proportion, 42.9% (24 of 56), identified changing their implants based on qualities of device representatives. Only 26.8% (15 of 56) felt that the presence of a device representative should be disclosed to a patient. Conclusions: High-volume shoulder surgeons partially dictate the use of surgically implanted devices and make decisions based on valued or disvalued surgical device representative traits. Working relationships between the shoulder surgeon and device representatives proceed longitudinally and are significant in establishing long-term company relationships.
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spelling doaj.art-5f49f1162ca84a63a50a97f4e4793fce2022-12-21T22:41:22ZengElsevierJSES International2666-63832021-01-0151158164Shoulder surgeon perspective of surgical device representatives: a multinational surveyRyan Lohre, MD0Jon J.P. Warner, MD1Danny P. Goel, MD, MSc, MBA, FRCSC2Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada; Corresponding author: Ryan Lohre, MD, Department of Orthopaedics, University of British Columbia, 11299-2775 Laurel Street, Vancouver, BC V5Z1M9, Canada.Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston Shoulder Institute, Boston, MA, USADepartment of Orthopaedics, University of British Columbia, Vancouver, BC, CanadaBackground: This study aimed to determine the working relationships of shoulder surgeons and surgical device representatives, and benefits or detractors to the operating environment. Methods: An electronic survey was distributed to all members of the Codman Shoulder Society, an international group of fellowship-trained shoulder surgeons. Results: The response rate was 44% (59 of 134). Mean yearly case volume was estimated as 253.3 ± 126.7, with 205.7 ± 119.6 cases having a surgical device representative present (81.2%). Among respondents, 41.1% (23 of 56) expressed wishes for the increased presence of device representatives during cases. A majority, 78.6% (44 of 56), felt that the presence of a device representative improved the efficiency of the operating room, with 7.3% (4 of 55) identifying an inability to use certain equipment without instruction. Valued qualities of device representatives were identified as attentiveness, organized, knowledgeable, honest, and available, whereas qualities not valued were pushiness/salesmanship, unpreparedness, disengagement, and disorganized. Median working time with the same representative was 5 years (0.5-20 years) with 94.4% (53 of 56) of respondents identifying desire for familiarity. A large proportion, 42.9% (24 of 56), identified changing their implants based on qualities of device representatives. Only 26.8% (15 of 56) felt that the presence of a device representative should be disclosed to a patient. Conclusions: High-volume shoulder surgeons partially dictate the use of surgically implanted devices and make decisions based on valued or disvalued surgical device representative traits. Working relationships between the shoulder surgeon and device representatives proceed longitudinally and are significant in establishing long-term company relationships.http://www.sciencedirect.com/science/article/pii/S2666638320301572Surveyshouldersurgical device representativesurgeon perspectiveindustry relationsfinancial
spellingShingle Ryan Lohre, MD
Jon J.P. Warner, MD
Danny P. Goel, MD, MSc, MBA, FRCSC
Shoulder surgeon perspective of surgical device representatives: a multinational survey
JSES International
Survey
shoulder
surgical device representative
surgeon perspective
industry relations
financial
title Shoulder surgeon perspective of surgical device representatives: a multinational survey
title_full Shoulder surgeon perspective of surgical device representatives: a multinational survey
title_fullStr Shoulder surgeon perspective of surgical device representatives: a multinational survey
title_full_unstemmed Shoulder surgeon perspective of surgical device representatives: a multinational survey
title_short Shoulder surgeon perspective of surgical device representatives: a multinational survey
title_sort shoulder surgeon perspective of surgical device representatives a multinational survey
topic Survey
shoulder
surgical device representative
surgeon perspective
industry relations
financial
url http://www.sciencedirect.com/science/article/pii/S2666638320301572
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