Journal of Trauma & Orthopaedics – Vol 5 / Issue 4

From the Editor

As we approach the end of 2017 we face a world of uncertainty. The Christmas break is a time for reflection and also a time for looking forward. I hope that the articles we publish give some reasons for optimism.

The BOA Annual Congress in Liverpool reflected the breadth and diversity of our profession. Our reporters clearly took inspiration from their positive experiences and I hope that Congress 2018 in Birmingham is even bigger and better.

Two of the greatest challenges to a career in our specialty are selection and the Intercollegiate Examination. Applicants for ST3 posts should be reassured by the transparency of the process outlined by Lawrence Moulton. The examination is a particular challenge to those who are not working in a recognised training scheme. Kebba Marenah gives some sound advice on how to overcome this hurdle.

The orthopaedic curriculum has been criticised for being too centred on process and ticking boxes. We hope that the new version due for publication in August 2018 will correct this by focusing on a trainee’s capabilities and the expert trainer’s judgment on progression. Lisa Hadfield-Law explains the changes.

Our clinical articles look at two areas of concern and controversy. Spinal surgery is under the microscope as never before. Lee Breakwell and Michael Foy explain the particular problems this specialty is facing. The anxiety of dealing with potential malignant disease is never far away from our minds whatever our subspecialty interest. Paul Cool as our guest editor covers soft tissue sarcoma, metastatic bone disease and primary bone tumours in a way that is relevant to all of our readership.

In this issue we publish the obituaries of two of the giants of contemporary arthroplasty practice. Whilst it is sad to report the passing of Robin Ling and Michael Freeman, we should take heart and inspiration from their drive, innovation and leadership.

Finally, we have the distraction of our Christmas quiz to test you and your family.

I also take this opportunity to thank Fred Robinson for his enthusiasm, skill, knowledge and support as our co-editor over the last two years.

With very best wishes for the New Year from me, Fred and the JTO Team.

Phil Turner – BOA Vice President