Description
In this session led by Fergal Monsell, various aspects of BOASTs (Best Practice Guidelines for Orthopedic Surgery) are discussed. Monsell begins by outlining the importance of these guidelines, which first emerged in 2007, and their impact on improving care within orthopedics. The acronym 'BOAST' is noted for its origins and its role in standardizing patient care practices. He explains the journey of BOASTs from a single document addressing hip fractures in older patients to a wide range of topics in orthopedic care by 2022, emphasizing the clarity and accessibility of these documents for clinicians.
Monsell details the evolution of the Clinical Standards Committee responsible for the development and updating of BOASTs, shedding light on the organizational challenges faced as demand for new guidelines increases. He talks about maintaining the quality and relevance of these documents, emphasizing the meticulous nature of their creation, as even minor details like punctuation can significantly impact clarity and comprehension.
Further, he introduces the restructuring of BOASTs to BOASt, where 'St' stands for 'Standards,' allowing the inclusion of elective topics alongside emergency care guidelines. He emphasizes the collaborative nature of creating these documents, involving various specialists to ensure all relevant information and perspectives are included.
Questions from the audience address the medico-legal implications of BOASTs, their practical applications in real-world scenarios, and the challenges of aligning them with existing guidelines like NICE. Monsell reassures that though these documents serve as guidance, they remain flexible for professional judgement in acute situations. The session concludes with an appreciation for the collaborative efforts in the creation of BOASTs, acknowledging that their continued success hinges on acceptance and consistency in practices across the orthopedic community.