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Surgical resident

Louise M Stewart, Katrina Spilsbury, Susan Jordan, Colin Stewart, C D'Arcy J Holman, Aime Powell, Joanne Reekie, Paul Cohen
BACKGROUND: Ovarian carcinoma is not a single disease, but rather a collection of subtypes with differing molecular properties and risk profiles. The most common of these, and the subject of this work, is high-grade serous ovarian carcinoma (HGSC). METHODS: In this population-based study we identified a cohort of 441,382 women resident in Western Australia who had ever been admitted to hospital in the State. Of these, 454 were diagnosed with HGSC. We used Cox regression to derive hazard ratios (HRs) comparing the risk of disease in women who had each of a range of medical diagnoses and surgical procedures with women who did not...
June 20, 2018: Cancer Epidemiology
Dietmar Dammerer, David Putzer, Alexander Wurm, Michael Liebensteiner, Michael Nogler, Martin Krismer
OBJECTIVE: Knee arthroscopies are very common orthopedic procedures. For a number of reasons, including increased public awareness for medical errors, patient safety, strict regulations governing duty-hours for residents, surgeons' liability, and an increasing emphasis on the efficient use of operating room time, interest in simulator training is on the rise. It was the purpose of this study to analyze learning curves of medical students and orthopedic resident surgeons using a virtual knee arthroscopy simulator...
June 18, 2018: Journal of Surgical Education
Tovy Haber Kamine, Ashraf A Sabe, Bharath Nath, Kelly Barnes, Tara S Kent
OBJECTIVE: Recent surgical education literature has focused on means of improving structured educational experience in residency, particularly in the context of limited working hours. In addition, prior studies have illustrated a void in training regarding leadership. Learning teams have been adopted in several medical schools with an aim to improve the educational experience. We instituted resident learning teams with a goal of improving resident education. DESIGN: In the 2015 to 2016 academic year, we implemented a team-based learning (TBL) system of 5 teams each led by 1 to 2 chief residents and containing an approximately equal number of residents from postgraduate year (PGY)1-4...
June 18, 2018: Journal of Surgical Education
Benjamin D Carr, Niki Matusko, Gurjit Sandhu, Oliver A Varban
OBJECTIVE: Bile duct injury remains a serious complication of laparoscopic cholecystectomy despite established criteria for the critical view of safety (CVS). Using surgical videos, we compared surgeons' willingness to divide critical structures based on their assessment of the CVS dissection. DESIGN: Participants reviewed 20 operative videos lasting 1 minute each, edited at various points of the CVS dissection. Participants stated whether the structures were safe to divide, and if not, what steps they would take to achieve an adequate dissection...
June 19, 2018: Journal of Surgical Education
Bernadette J Goudreau, Taryn E Hassinger, Traci L Hedrick, Craig L Slingluff, Anneke T Schroen, Lynn T Dengel
BACKGROUND: Identifying factors that impact progression of surgery trainees into academic versus non-academic practices may permit tailoring residency experiences to promote academic careers in institutions charged with the training of future surgeon scientists. The aim of this study was to identify factors associated with progression of surgery trainees into academic versus non-academic practice. METHODS: A survey was distributed to 135 surgeons graduating from the University of Virginia residency program from 1964-2016, a single academic institution...
June 18, 2018: Surgery
Alexander R Cortez, Gianna D Katsaros, Vikrom K Dhar, F Thurston Drake, Timothy A Pritts, Jeffrey J Sussman, Michael J Edwards, R Cutler Quillin
BACKGROUND: Although overall operative volume has remained stable since the implementation of duty hours, more detailed analyses suggest shifts in the resident operative experience. Understanding these differences allows educators to better appreciate the impact of the current training environment on resident preparation for practice. METHODS: National Accreditation Council for Graduate Medical Education case logs from 1990 to 2016 were reviewed. Statistical analysis was performed using analysis of variance and linear regression analysis...
June 18, 2018: Surgery
Stephen J Wolf, Tai M Lockspeiser, Jennifer Gong, Gretchen Guiton
BACKGROUND: We aimed to identify foundational non-clinical attributes expected of medical school graduates to be successful in residency. METHODS: We conducted a three-round modified Delphi study with snowball sampling of experienced medical educators. In Round 1, respondents rated 28 attributes identified from a literature search. Additional attributes were proposed through invited comments. In Round 2, respondents expressed their agreement with advanced attribute definitions and examples...
June 22, 2018: BMC Medical Education
C de Baat, R S T Modderman
The behaviour of a 78-year-old, edentulous female resident of a care home, suffering from dementia indicated to her care providers that she was experiencing oral pain. At the left (pre)molar region of the mandibular residual alveolar ridge, an irritated, red-coloured, sharply restricted mucosal area was seen, extending in width from the buccal to the lingual border of the ridge. Eventually it was identified as mucosal irritation, apparently due to hydroxylapatite cones that had previously been inserted to augment the residual alveolar ridge...
June 2018: Nederlands Tijdschrift Voor Tandheelkunde
H Oh, S Yoon, M Seo, E Oh, H Yoon, H Lee, J Lee, H G Ryu
BACKGROUND: The cricothyroid membrane is the most commonly accessed location for invasive surgical airway. Although the laryngeal handshake method is recommended for identifying the cricothyroid membrane, there is no clinical data regarding the utility of the laryngeal handshake method in cricothyroid membrane identification. The objective of this study was to compare the accuracy of cricothyroid membrane identification between the laryngeal handshake method and simple palpation. METHODS: After anaesthesia induction, the otorhinolaryngology resident and anaesthesia resident identified and marked the needle insertion point for cricothyroidotomy using simple palpation and the laryngeal handshake method, respectively...
June 21, 2018: Acta Anaesthesiologica Scandinavica
James J Jung, Peter Jüni, Gerald Lebovic, Teodor Grantcharov
OBJECTIVE: To characterize intraoperative errors, events, and distractions, and measure technical skills of surgeons in minimally invasive surgery practice. BACKGROUND: Adverse events in the operating room (OR) are common contributors of morbidity and mortality in surgical patients. Adverse events often occur due to deviations in performance and environmental factors. Although comprehensive intraoperative data analysis and transparent disclosure have been advocated to better understand how to improve surgical safety, they have rarely been done...
June 18, 2018: Annals of Surgery
Caiwen Huang, Horace Cheng, Yves Bureau, Hanif M Ladak, Sumit K Agrawal
OBJECTIVES: The objectives of this study were: 1) to develop and implement a set of automated performance metrics into the Western myringotomy simulator, and 2) to establish construct validity. STUDY DESIGN: Prospective simulator-based assessment study. SETTING: The Auditory Biophysics Laboratory at Western University, London, Ontario, Canada. PARTICIPANTS: Eleven participants were recruited from the Department of Otolaryngology-Head & Neck Surgery at Western University: four senior otolaryngology consultants and seven junior otolaryngology residents...
June 15, 2018: Otology & Neurotology
Brittany O Dulmage, Lisa Akintilo, Leah J Welty, Matthew M Davis, Maria Colavincenzo, Shuai Xu
IMPORTANCE: Residency applicants often use social media to discuss the positive and negative features of prospective training programs. An examination of the content discussed by applicants could provide guidance for how medical education faculty can better engage with prospective trainees and adapt to meet the educational expectations of a new generation of digital-native physicians. OBJECTIVE: To identify unstructured social media data submitted by residency applicants and categorize positive and negative statements to determine key themes DESIGN: Qualitative analysis of a retrospective cohort SETTING: Publically available data sets PARTICIPANTS: Anonymized medical trainees applying to residency training positions in nine specialties: dermatology, general surgery, internal medicine, obstetrics/gynecology, plastic surgery, otolaryngology, physical medicine and rehabilitation, pediatrics, and radiology from 2007 to 2017...
June 14, 2018: American Journal of Medicine
Ida Giurin, Jean Bréaud, Virginie Rampal, Olivier Rosello, Federico Solla
BACKGROUND: Wounds of the finger nail bed represent a frequent injury, especially in children. Residents often learn nail bed repair on patients without prior training. We aimed to develop and evaluate a "low-fidelity" simulation model of nail bed repair. METHODS: The model consists of a false nail on a plastic finger and a hydrocolloid dressing, which is pasted on the nail bed site and cut horizontally. This model allows nail bed suture and nail fixation...
August 2018: Journal of Surgical Research
Sara P Myers, Katherine A Hill, Kristina J Nicholson, Matthew D Neal, Megan E Hamm, Galen E Switzer, Leslie R M Hausmann, Giselle G Hamad, Matthew R Rosengart, Eliza B Littleton
BACKGROUND: Women surgeons continue to face unique challenges to professional advancement. Higher attrition rates and lower confidence among female surgical residents suggest that experiences during residency differ by gender. Few studies have investigated gender-specific experiences during training. This study identifies gender-based differences in the experiences of general surgery residents that could affect professional development. MATERIALS AND METHODS: Male and female general surgery residents at the University of Pittsburgh Medical Center participated in a semi-structured interview study exploring the significance of gender in training...
August 2018: Journal of Surgical Research
Peter F Johnston, Anthony Scholer, Joanelle A Bailey, Gregory L Peck, Shahid Aziz, Ziad C Sifri
BACKGROUND: Surgical residents increasingly seek global surgery (GS) experiences during training. Understanding their motives and goals is important to develop the optimal educational programs. A survey for surgical residents was developed to explore this interest. MATERIALS AND METHODS: A survey administered in 2016 to residents in three surgical programs within the same academic institution assessed interest, prior global health experience, preferred training opportunities, and career goals in GS...
August 2018: Journal of Surgical Research
Jialiang Zhao, Xiao Xu, Leon B Ellwein, Huaijin Guan, Mingguang He, Ping Liu, Jianhua Lv, Xunlun Sheng, Peizeng Yang, Jinglin Yi, Ning Cai, Mei Yang, Guangming Jin, Fei Leng, Fengrong Li, Yanping Li, Hong Lu, Wenqiang Shao, Shengfang Song, Yuansheng Yuan, Wenjuan Zhuang, Lei An
PURPOSE: Estimate surgical coverage of cataract-related vision impairment and blindness and visual acuity outcomes in operated eyes in rural China in 2014 with comparisons with the 2006 Nine-Province Survey. DESIGN: Population-based, cross-sectional study. METHODS: Geographical cluster sampling was used in randomly selecting residents from a rural county or semi-rural district within 9 provinces: Beijing, Jiangsu, Guangdong, Heilongjiang, Jiangxi, Hebei, Ningxia, Chongqing and Yunnan...
June 12, 2018: American Journal of Ophthalmology
Bassel Bashjawish, Shreya Patel, Suat Kılıç, Wayne D Hsueh, James K Liu, Soly Baredes, Jean Anderson Eloy
BACKGROUND: Our aim in this study was to assess the impact of the turnover of residents in July on patients undergoing pituitary surgery. METHODS: This work was a retrospective cohort study of cases from the National Inpatient Sample (NIS). Patients who underwent pituitary surgery from 2005 to 2012 were selected in the NIS. Patients undergoing surgery in July and in non-July months were compared to determine differences in demographics, comorbidities, and complications...
June 15, 2018: International Forum of Allergy & Rhinology
Daniel M Koehler, Ramji Balakrishnan, Ericka A Lawler, Apurva S Shah
PURPOSE: In order to effectively improve value in health care delivery, providers must thoroughly understand cost drivers. Time-driven activity-based costing (TDABC) is a novel accounting technique that may allow for precise characterization of procedural costs. The purpose of the present study was to use TDABC to characterize costs in a high-volume, low-complexity ambulatory procedure (endoscopic vs open carpal tunnel release [CTR]), identify cost drivers, and inform opportunities for clinical improvement...
June 11, 2018: Journal of Hand Surgery
Corey Georgesen, Shari R Lipner
BACKGROUND: Although many dermatologic surgeons are aware of the risks of surgical smoke, many do not employ hazard reduction strategies. OBJECTIVE: To identify the infectious, inhalational, chemical, and mutagenic risks of surgical smoke in dermatologic procedures and suggest evidence based hazard reduction strategies. METHODS: A review of articles indexed for MEDLINE on PubMed using keywords "surgical smoke", "dermatology", "surgical mask", "respirator", "smoke evacuator", and "guidelines" was performed in 13 combinations using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocols...
June 11, 2018: Journal of the American Academy of Dermatology
Eddie Blay, Kathryn E Engelhardt, D Brock Hewitt, Allison R Dahlke, Anthony D Yang, Karl Y Bilimoria
No abstract text is available yet for this article.
June 13, 2018: JAMA Surgery
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