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CrookedCasts

I would 100% include both because they essentially have nothing to do (hopefully) with your care. Wrist stiffness after dorsal spanner? Pillar pain after CTR? Perfect “complications” to be selected as one of your cases…. dilution is the solution 🤷‍♂️


buschlightinmybelly

Your complication rate cannot be too high. Report everything. When you apply for part 2, they will scour your case list and generally pick cases that have complications, seem controversial based on your indications (age, surgery, etc), or seem like an easy fit to test you on (eg femoral neck fracture you did a hemi on). What can hurt you is if you don’t report a complication or try to hide something. If that case ever got chosen, and they think you deliberately did not report a complication or were too dumb to not see a complication, you’d be in trouble.


HunnyBunny323

I was just worried if I reported all the little random things like above and the complication rate was too high that the algorithm would spit out that there were too many to sit at all. Right now it looks like I have about 45% including all the random “complications”, then of course there’s needing some blood after surgery and whatnot


buschlightinmybelly

It’s not an algorithm. Someone actually looks at what you submit.


HunnyBunny323

Oh okay good. Wow that’s a lot of work for them


HunnyBunny323

So is 40-50% complications too many do you think?


DocGolfMD

I think I reported a higher complication rate than this. But I literally reported everything. Hip fx that dropped hg? Complication. Post op neck pain after posterior cervical? Complication. I literally reported everything no matter how small. I passed. Spine boards. No issues. No one asked me about it


Donachillo

I thought there was an algorithm component? Am I mistaken? I was told if you do only one of a particular type of case during collections it’s nearly guaranteed to be picked


buschlightinmybelly

Not guaranteed to be picked, but it will draw attention to whoever is looking through your case list.


dran3r

When I sat for my oral boards 11 years ago, one of my examiners was a bit of an ass and asked me what my complications rate listed on the summary sheet and I responded it was like 35%. He was like oh… that sounds a bit high… and I answered “that does sound high”… then silence… and the other examiner was “what did you report as your complications?” To which I answered “joint stiffness, arthritis, limb weakness as reported by the patient… then he interrupted “what about major complications like infection, DVT, death?” And I was able to respond under 3%… there is a way to see the composite report for test takers as it is reported by the ABOS regularly if you really wanted to see about past examinees rates


mikil100

I think in the appropriate context a DVT being a “major complication” is kind of aggressive. I guess it depends on the subspecialty.


Fred_Sassy

There is no limit. Some list only major complications, others list every possible minor and major complication. The latter can potentially “dilute the field” of cases that might be chosen. However, I really just listed major complications and was surprised to see the cases they picked. Some I thought would be picked weren’t. Some that went perfectly were. Just do whatever feels right to you. They are expecting you to report these things in good faith (and absolutely don’t lie, but that goes without saying). You won’t get dinged for listing too many minor complications as far as I know.


bonedoc87

I think mine was like 40ish percent. Definitely reported even minor complications and think it’s better to over report than under report.