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Time for Change

Jupiter, Jesse B. MD

Techniques in Hand & Upper Extremity Surgery: September 2019 - Volume 23 - Issue 3 - p 101
doi: 10.1097/BTH.0000000000000255

Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Weston, MA

Conflicts of Interest and Source of Funding: The author reports no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Jesse B. Jupiter, MD, 15 Nonesuch Way, Weston, MA 02493. E-mail:

With mixed emotions, I have made the decision to step down as co-editor of Techniques in Hand and Upper Extremity Surgery. Firstly, the journal is in outstanding hands with my co-editor Alexander Shin MD, and we are actively recruiting for someone to take my place. Secondly, hand and upper limb surgery continues to evolve, taking advantage of new technologies, surgical exposures, and patient outcome assessments. While I am still active in clinical and surgical practice, newer techniques are passing me by. Lastly, perspectives of what is going on in health care and the needs and interests of many younger surgeons are becoming more important even in assessing submission to this technique journal.

The position of editor has allowed me to keep abreast of many new ideas and unique and creative surgical techniques. We have an active and enthusiastic group of associate editors who are conscientious in assessing each paper’s validity and clinical applications, making Alex’s and my job much less onerous.

What came along with the position of editor is the unique opportunity to pass along my thoughts, opinions, and personal observations of many different topics, some far from the mission of this journal. Please allow me to “data mine” as I catalog many of my editorials:

“Life long learning”

“DRUJ-contemporary perspectives”

“Hand and upper extremity care in underserved locales—a wonderful opportunity”

“The train is off the track”

“Greed and fame”

“An international perspective”

“Hand surgery fellowship: a time for reconsideration”


“Face to face learning”

“Medical education—a need for change”

“Scholarship or censorship”

“To the dumpster” (my favorite)

“The contemporary EMR has made the comprehensive hand examination obsolete”

“The demise of my library”

“Surgical competency”

“Where are we going”

“Is there more to life than an evidence-based study?”

The administrative staff of Wolters Kluwer dedicated to Techniques in Hand and Upper Extremity Surgery have been wonderful for both Alex and I to work with. I will not try to name all, but it would be amiss to not acknowledge Jewel Johnson and Jonathan Kemmerer-Scovner.

In the complex world of medical publishing, I do hope that there will remain a place for this journal and others like it, offering surgical ideas and techniques that will stimulate its readers and ultimately improve their patients’ outcomes.

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