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Peter C. Janes, M.D.
4.923075
Verified Patient Rating: 4.9 (13 patient reviews and ratings)
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Specialties: 
Hand, Knee, Orthopaedic Trauma, Sports Medicine, Wrist

Principles of Practice - May 1987

Every man has a philosophy of life in thought, in word, or in deed, worked out in himself unconsciously.10

As I near the completion of my residency training and contemplate the private practice of orthopaedic surgery, I will attempt to define my principles of practice. Knowing that much of medical training has deliberately been made stressful, defensive, and negative to fulfill the rite de passage and in light of the entrepreneurial environment fostered in my residency, I find it necessary to clearly define my personal feelings of what constitutes the practice of good medicine.

Responsibility:
My primary responsibility is to my patients who I will care for with kindness, understanding, dignity, and respect, no matter if they are men, women, or children, of whatever race, creed, color, or financial circumstance. What occurs between us will be confidential and my patients have the right to be fully informed of any and all available diagnoses, treatments, possible risks, and expectations of cost of their care. I will treat people and patients not consumers, clients, voters, beneficiaries, or constituents, and my patients will be my equal, no matter their status or position in society. I will communicate with my patients sincerely, honestly, and in terms that are familiar to them.

Limitations: 
It is much better to know that one is not perfect, (then one feels much better).8

I realize that I will make mistakes, and I will manage them. I will quickly recognize a complication, promptly seek appropriate assistance, extract a general lesson from the clinical experience, and attempt to never make the same error. I humbly recognize my limitations and my need for the knowledge, support, and inspiration of others.

Ethics/ Professionalism:
Medical ethics… a code of fundamental morality and justice between medicine and the people.1

Medical ethics and professionalism are my responsibility not my obligation. These ideals are something that I wish to nurture and maintain, not to which I am compelled to obey the law or peer pressure. Ethical principles of practice will demand a higher standard than by law, which requires only the minimum.14 I will not let medical ethics and my own professionalism become abstractions.

Education:
The master word is discipline. 7

Learning does not terminate with the cessation of formal training.3 I will strive to be an educator of my patients, my colleagues, and myself. I will honor my profession, seeking to improve it both by scholarly inquiry and thoughtful consultation. I will review each and every case for possible improvement in the diagnosis, treatment, surgical procedure, or technique. I will accurately follow my patients as long as necessary to reassess my surgical procedures in a scientific manner, and alter my practice of medicine accordingly. Ideally, part of choosing a specific therapy is an exercise in science.3

If possible, I intend to foster my “divergent thinking”;14 to remain curious, sensitive, persistent, and to tolerate ambiguity while maintaining the capacity for intense concentration.

I contend that some questions have many answers while other questions have none. Uncertainty and anxiety are therefore inevitable but acceptable emotions.

Economics:
I believe that there is a growing conflict between the economics and the ethics of medicine which challenges medicine as a genuine profession. When a physician becomes the investor, the corporate employee, or the entrepreneur and his performance is measured by productivity and profit rather than excellence of care, there is a serious conflict between his economic self-interest and his moral obligation to protect the patient’s best self interest.

I have witnessed such a process and take away from my residency some very vivid memories of the distortion of academic values, the altering of clinical data, and the whole-hearted acceptance of blatant self interests as a desirable and protected quality necessary for advancement in the academic community. It is clearly the reason that I have become so disenchanted with academic orthopaedic surgery. I can only hope that I do not follow such an economic and distorted creed.

Work: 
The failure to cultivate the power of peaceful concentration is the greatest single cause of mental breakdown.10

Much of my training has required a certain disregard for personal needs and, I’m sure, an alteration of some of my beliefs and values. Although I have found it more and more difficult to find those who I consider to be true mentors – those wise, experienced, and trusted advisors – I hope to be a “pathfinder” and not a “follower” of opinions and values of my teachers. To adopt a particular system of thought, action, or values is to lose one’s individuality.

I recognize the importance of my family in my life. This has strongly influenced where and how I have chosen to practice orthopaedics. Having been raised the son of a research oriented Mayo Clinic physician, I am acutely aware of the possible conflicts between my work and my time spent with my family. My goal is to strike the medium between practicing the best medicine that I know how to and being the best father and husband that I can possibly be while admitting to my hypertrophied work ethic – a characteristic of those in medicine whether in private practice or in academia.

Dr. Peter Janes of Vail-Summit Orthopaedics and a medical team traveled to Rwanda July 22 – August 11, 2013 on a medical missionary trip. The group provided no-cost surgical, medical, and community health programs, education, training and relief in an area where health care is often limited or difficult to obtain. Dr. Janes says since most surgeons fled the African country or were killed during the major genocide in 1994, his team focuses on orthopaedic surgeries because the people of Rwanda must rely on their limbs not only everyday life, but for income.

  1. Bethune, H.N. ; Sword and Scalpel, p. 95, p. 280.
  2. Bosk, C.L. ; Superior Surgical residents – Who are they? Res. Staff Phys. 30:3, 1984, p. 73-76.
  3. Cooper, R.R. ; AAOS Presidential Address, San Francisco, 1987.
  4. Coury, J.J. ; Physicians’ Fundamental Responsibility. JAMA 256:8, 1986, p. 1005-6.
  5. Enneking, W.F. ; The Quality of Orthopedic Education. AAOS Bulletin, April, 1987.
  6. Fairbanks, A. ; Five Smooth Stones.
  7. Janes, J.M. ; De Populo, p. 61.
  8. Jung, C.G. ; Analytical Psychology, p. 108.
  9. Oath for New Physicians – written by the graduating class of 1982, University of Minnesota.
  10. Osler, W. ; A Way of Life. Oxford U. Press, 1958, p. 237, p. 246.
  11. Pellegrino, E.D. ; Medical Ethics. JAMA 256:15, 1986, p. 2122-2124.
  12. Pfifferling, J.; Anidote to Effects of the M.D. Training System. Prep. For Practice, p. 4-5.
  13. Sullivan, A.W.; Personal communication, 1986.
  14. Wilson, F.C.; Creativity of Medicine – A Faculty Perspective. Perspective in Biology and Medicine, vol 29, 1986, p. 310-315.

Education & Training

  • High School: Trinity College School, Port Hope, Ontario
  • Gustavus Adolphus College, St. Peter, MN
  • Bachelor of Arts in Biology: University of Minnesota, Minneapolis, MN
  • Doctor of Medicine: University of Minnesota Medical School, Minneapolis, MN
  • Internship: Presbyterian/St. Luke’s Medical Center, Denver, CO
  • Orthopaedic Surgery Residency: University of Utah School of Medicine, Salt Lake City, UT

Certification

  • Board Certification: American Board of Orthopaedic Surgery

Professional Associations

  • American Academy of Orthopaedic Surgeons
  • Colorado Orthopaedic Society
  • Colorado Medical Society

Team Affiliations

  • Summit High School

Hospital Affiliations

  • St. Anthony Summit Medical Center
  • Vail Valley Medical Center

Articles

  • Global Health Initiatives, Dr. Janes Medical Mission, CGHI Develops Club Foot Treatment Program in Rwanda
  • The American Journal of Sports Medicine, Dynamic Impact Response of Human Cadaveric Forearms Using a Wrist Brace
  • Bio Mechanics, Snowboarding: The Injury and the Ecstasy
  • The American Journal of Sports Medicine, The Snowboarder’s Foot and Ankle
  • Skiing Trauma and Safety 10th volume, The Snowboarder’s Talus Fracture
  • Phenotypic Characterization of Plasmid Cured Strains of Pseudomonas Putida HS-1, P.C. Janes, Summa Thesis, 1979
  • TOL Plasmid-Encoded Degradation of 1,2,4-Trimethylbenzene and 3-Ethyltoluene; D.A. Kunz, P.C. Janes and P.J. Chapman. Abstract to the American Society of Microbiology, 1979
  • Total Hip Arthoplasty in Renal Transplant Recipients; D.S. Bradford, P.C. Janes, R.S. Simmons and J.S. Najarian CORR, 181:107-144, 1983
  • Extracutaneou Sporotrichosis of the Wrist; A Case Report and Review of the Literature; P.C. Janes and R.J. Mann. J. Hand Surgery - May, 1987
  • Grice Subtalar Arthrodesis Followed to Skeletal Maturity; S.M. Scott, P.C. Janes, and P.M. Stevens. J. Pediat. Ortho., 8:176-183, 1988
  • Submuscular Transposition of the Ulnar Nerve; P.C. Janes, R.J. Mann and T.K. Farnworth. CORR, 238:255-232, 1989.
  • Snowboarding Injuries; P.C. Janes and G.T. Fincken, Skiing Trauma and Safety, ASTM, Mote/Johnson, Editors, 1992.
  • Snowboarder's Fracture; Fracture of the Lateral Process of the Talus; R. Nicholas, J. Hadley, C. Paul, and P.C. Janes. JABFP 7:130-133, 1994.
  • The Snowboarder's Talus Fracture; C.C. Paul and P.C. Janes. Skiing Trauma and Safety, Volume 10, ASTM, Mote/Johnson, Editors, 1996.
  • Snowboarding; The Injury and the Ecstasy; Peter Janes and Terrell Joseph. Biomechanics, Volume 3, No. 10, December, 1996.
  • The Snowboarder's Foot and Ankle; D.P. Kirkpatrick, R.E. Hunter, P.C. Janes, J. Mastragelo and R.A. Nidroals. The American Journal of Sports Medicine, Volume 26, No. 2.
  • Dynamic Impact Response of Human Cadavaric Forearms Using a Wrist Brace; R.M. Greenwald, P.C. Janes, S.C. Swanson, and T.R. McDonald. The American Journal of Sports Medicine, Volume 26, No. 6, Pages 825-830, 1998.
  • The Colorado Snowboarding Injury Study; Eight Year Results; P.C. Janes and P.J. Abbott. Skiing Trauma and Safety, ASTM, Pages 141-149, 1999.
  • Upper Extremity Snowboarding Injuries; J. Idzikowski and P.C. Janes. The American Journal of Sports Medicine, Volume 28, Pages 825-832, 2000.
  • ABSTRACTS
  • The Effect of Underwater Treadmill Exercise in Rehabilitation of Anterior Cruciate Ligament Repair, to Medicine and Science in Sports and Exercise, 1992.

Lectures

  • International
  • Submuscular Transposition of the Ulnar Nerve
  • International Federation of Hand Surgeons, Osaka, Japan, 1986
  • Snowboarding Injuries
  • ISSS Meeting - Thredbo, Australia, 1991
  • ISSS Meeting - Zell Am Zee, Austria, 1993
  • ISSS Meeting - Voss, Norway, 1995
  • ISSS Meeting - Whistler/Blackcomb, British Columbia, Canada, 1997
  • The Snowboarder's Talus Fracture
  • ISSS Meeting - Zell Am Zee, Austria, 1993
  • National
  • Total Hip Arthroplasty in Renal Transplant Recipients
  • AAOS, New Orleans, Louisiana, 1982
  • Grice Subtala Bone Block
  • Intermountain Shrine Unit Annual Conference, 1985
  • AAOS - New Orleans, Louisiana, 1986
  • Submuscular Transposition of the Ulnar Nerve
  • Orthopedic Grand Rounds, University of Utah, 1985
  • Western Orthopedic Association, San Francisco, California 1986
  • AAOS, San Francisco, California, 1987
  • Preoperative Functional Analysis of Patients Undergoing Wagner Femoral Lengthening; Janes, Scott, Zerkel, and Coleman International Shrine Unit Silver Anniversary Conference, 1987
  • The Snowboarder's Foot and Ankle AAOS, AO Foot and Ankle Society Specialty Day, 1997

Patents

  • #5,898,936 - May 1999
  • Protective Wrist Guard Assembly

Links

  • American Academy of Orthopedic Surgeons
  • CNN Peak One Surgery Day
  • SOS Outreach International
  • Summit Daily – Haiti Article
  • Summit Daily - Rwanda Article
  • The Summit Foundation

Recognition

  • 2012 Colorado Harold E. Williamson Award, Recognizing volunteer medical services and contributions to the community by Colorado

Rwanda Medical Missionary trip: Blog post No. 16

9 August, 2012, Kigali, Rwanda

I have one more patient’s story that I would like to tell. I have returned to the capital city of Kigali,...

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Rwanda Medical Missionary trip: Blog post No. 14

7-8 August, 2012, Mugonero Hospital, Western Province, Rwanda

I’ve now told you of Joseph’s story, and I would like to tell and show you...

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Rwanda Medical Missionary trip: Blog post No. 10

I have mentioned a young Rwandan boy named Joseph to some of you. His picture rests in the corner of one my exam rooms at the Frisco VSO office....

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Rwanda Medical Missionary trip: Blog post No. 5

The first teaching day at Rilima was a great success. There are 15 providers from all over Rwanda, 3 instructors, and we have another day tomorrow...

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Rwanda Medical Missionary trip: Blog post No. 1

Dr. Peter Janes of Vail-Summit Orthopaedics and a medical team will be traveling to Rwanda July 22-August 11 on a medical missionary trip. The...

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Rwanda Medical Missionary Trip 2014 Blog #6

I have spent the last three days assisting my general physician friends Dr's. David and Justin at their small clinic located in the...

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Rwanda Medical Missionary Trip 2014 Blog #4

July 8, 2014, Mugonero, Rwanda

The brand new Pediatric Ward at the Mugonero Hospital was dedicated today by Rwandan Government officials,...

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Rwanda Medical Missionary Trip 2014 Blog #3

RIlima Hospital, Rwanda, July 3, 2014

We have just successfully completed the 2 two day courses concerning serial casting of children born...

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Rwanda Surgical Mission Blog Post #2: by Peter Janes

As our team prepares for their journey to Rwanda next week, I would like to express my sincere appreciation to the many of you who have expressed...

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Rwanda Medical Missionary Trip 2014

Dr. Peter Janes and a medical team are headed to Rwanda on June 30th on a medical missionary trip. The group will be writing about their...

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Vail-Summit Orthopaedics’ Doctors Featured on Becker’s.com

All of our doctors were recently featured in Becker’s “Orthopedic Specialist to Know” section. 

To read...

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Dr. Janes Alumni Spotlight

Dr. Peter Janes was recently profiled in his high school alma mater's alumni magazine. Dr. Janes, who specializes in hand, wrist, knee and...

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“Dr. Janes and the entire staff were great. Most of all they were thorough and caring. I had a relatively minor surgery - repairing torn meniscus in my right knee. Appointments prior to the outpatient surgery answered all my questions and prepared me well for the procedure. Follow-up was great and complemented by a good physical therapy regimen. Overall, a great experience. Thanks.”
– Ray B.