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Surgery education

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https://www.readbyqxmd.com/read/29467980/a-prospective-multicenter-evaluation-of-the-value-of-the-on-call-orthopedic-resident
#1
J Benjamin Jackson, Scott Vincent, James Davies, Kevin Phelps, Chris Cornett, Greg Grabowski, Brian Scannell, Alan Stotts, Miranda Bice
Background : Funding for graduate medical education is at risk despite the services provided by residents. Objective : We quantified the potential monetary value of services provided by on-call orthopedic surgery residents. Methods : We conducted a prospective, cross-sectional, multicenter cohort study design. Over a 90-day period in 2014, we collected data on consults by on-call orthopedic surgery residents at 4 tertiary academic medical centers in the United States...
February 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29467977/mytipreport-and-training-for-independent-practice-a-tool-for-real-time-workplace-feedback-for-milestones-and-procedural-skills
#2
AnnaMarie Connolly, Alice Goepfert, Anita Blanchard, Elizabeth Buys, Nicole Donnellan, Cindy L Amundsen, Shelley L Galvin, Kimberly Kenton
Background : Few tools currently exist for effective, accessible delivery of real-time, workplace feedback in the clinical setting. Objective : We developed and implemented a real-time, web-based tool for performance-based feedback in the clinical environment. Methods : The tool (myTIPreport) was designed for performance-based feedback to learners on the Accreditation Council for Graduate Medical Education (ACGME) Milestones and procedural skills...
February 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29466349/-it-s-like-we-don-t-exist-tailoring-education-for-young-women-undergoing-surgery-for-early-stage-breast-cancer
#3
Alejandra Recio-Saucedo, Anthony W Gilbert, Sue Gerty, Ramsey I Cutress, Diana Eccles, Claire Foster
PURPOSE: The implications of a diagnosis and consequent surgical treatment for breast cancer may be different for young women compared to older women. This study investigated the information requirements of young women to support their treatment decision making at diagnosis.
. PARTICIPANTS & SETTING: A purposeful sample of 20 women diagnosed with breast cancer aged 40 years or younger who had undergone surgery and had participated in a large cohort study in the United Kingdom...
March 1, 2018: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29465283/augmented-reality-in-dentistry-a-current-perspective
#4
Ho-Beom Kwon, Young-Seok Park, Jung-Suk Han
Augmentation reality technology offers virtual information in addition to that of the real environment and thus opens new possibilities in various fields. The medical applications of augmentation reality are generally concentrated on surgery types, including neurosurgery, laparoscopic surgery and plastic surgery. Augmentation reality technology is also widely used in medical education and training. In dentistry, oral and maxillofacial surgery is the primary area of use, where dental implant placement and orthognathic surgery are the most frequent applications...
February 21, 2018: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/29464301/outcomes-of-minimally-invasive-abdominal-sacrocolpopexy-with-resident-operative-involvement
#5
Emily A Slopnick, Adonis K Hijaz, J Welles Henderson, Sangeeta T Mahajan, Carvell T Nguyen, Simon P Kim
INTRODUCTION AND HYPOTHESIS: Resident involvement in complex surgeries is under scrutiny with increasing attention paid to health care efficiency and quality. Outcomes of urogynecological surgery with resident involvement are poorly described. We hypothesized that resident surgical involvement does not influence perioperative outcomes in minimally invasive abdominal sacrocolpopexy (ASC). METHODS: Using the 2006-2012 National Surgical Quality Improvement Program database, we identified 450 cases of laparoscopic or robotic ASC performed with resident involvement...
February 20, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29464153/sset-project-cost-effectiveness-analysis-of-surgical-specialty-emergency-trays-in-the-emergency-department
#6
Laura S Humphries, Deana S Shenaq, Chad M Teven, Julie E Park, David H Song
Background: We hypothesize that reusable, on-site specialty instrument trays available to plastic surgery residents in the emergency department (ED) for bedside procedures are more cost-effective than disposable on-site and remote re-usable operating room (OR) instruments at our institution. Methods: We completed a cost-effectiveness analysis comparing the use of disposable on-site kits and remote OR trays to a hypothetical, custom, reusable tray for ED procedures completed by PRS residents...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29463161/should-information-about-sexual-health-be-included-in-education-directed-toward-men-with-cardiovascular-diseases
#7
Dariusz Kałka, Romuald Zdrojowy, Krzysztof Womperski, Jana Gebala, Ryszard Smoliński, Alicja Dulanowska, Karolina Stolarczyk, Jakub Dulanowski, Witold Pilecki, Lesław Rusiecki
BACKGROUND: Modifiable risk factors contribute to the pathogenesis of cardiovascular disease (CVD) and erectile dysfunction (ED). We aimed to compare the knowledge about the contribution of modifiable risk factors to the pathogenesis of CVD and ED. The impact of patients' having modifiable risk factors on the awareness of their negative influence on the development of CVD and ED was examined. METHODS: To this multicenter cohort study, we included 417 patients with CHD who had been hospitalized in the cardiology or cardiac surgery department during the previous six weeks and underwent cardiac rehabilitation in one of the five centers...
February 20, 2018: Aging Male: the Official Journal of the International Society for the Study of the Aging Male
https://www.readbyqxmd.com/read/29462739/pre-surgery-beliefs-about-pain-and-surgery-as-predictors-of-acute-and-chronic-post-surgical-pain-a-prospective-cohort-study
#8
Yang Wang, Zejun Liu, Shuanghong Chen, Xiaoxuan Ye, Wenyi Xie, Chunrong Hu, Tony Iezzi, Todd Jackson
BACKGROUND: chronic pain post-surgical pain (CPSP) is common and has far-reaching negative consequences for patients, yet relatively few studies have evaluated the impact of both deficit- and resource-based beliefs about pain and surgery on subjective intensities of acute and chronic post-surgical pain. METHOD: To address this issue, a prospective cohort study was performed. 259 consecutive surgery patients from general surgery, gynecology, and thoracic departments completed a self-report battery of demographics, pain experiences, and psychological factors 24 h before surgery (T1) and provided follow-up pain intensity ratings 48 h-72 h after surgery (T2), and at a 4-month follow-up (T3)...
February 17, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29462175/effect-of-cataract-surgery-on-cognitive-function-in-elderly-results-of-fujiwara-kyo-eye-study
#9
Kimie Miyata, Tadanobu Yoshikawa, Masayuki Morikawa, Masashi Mine, Nozomi Okamoto, Norio Kurumatani, Nahoko Ogata
PURPOSE: To determine whether there is a significant association between prior cataract surgery and cognitive function in an elderly Japanese cohort. SETTING: Nara Medical University, Nara, Japan. DESIGN: The Fujiwara-kyo Eye Study was a cross-sectional epidemiological study. METHODS: The subjects were ≥ 68-years who lived in the Nara Prefecture and responded to recruitment notices. All of the subjects received comprehensive ophthalmological examinations, and answered questionnaires on their socio-demographic and medical history including prior cataract surgery...
2018: PloS One
https://www.readbyqxmd.com/read/29462084/physician-training-in-critical-care-in-the-united-states-update-2018
#10
Lena M Napolitano, Venkatakrishna Rajajee, Kyle J Gunnerson, Michael D Maile, Michael Quasney, Robert C Hyzy
Critical care fellowship training in the United States differs based on specific specialty, and includes medicine, surgery, anesthesiology, pediatrics, emergency medicine and neurocritical care training pathways. We provide an update regarding the number and growth of U.S. critical care fellowship training programs, on-duty residents and certified diplomates, and review the different critical care physician training pathways available to residents interested in pursuing a fellowship in critical care. Data were obtained from the Accreditation Council for Graduate Medical Education (ACGME) and specialty boards [American Board of Internal Medicine (ABIM), American Board of Surgery (ABS), American Board of Anesthesiology (ABA), American Board of Pediatrics (ABP), American Board of Emergency Medicine (ABEM)] and the United Council for Neurologic Subspecialties (UCNS) for the last 16 years (2001-2017)...
February 17, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29462022/3d-modeling-and-mohs-surgery-a-novel-approach-to-medical-and-patient-education
#11
Daniel V DeMarco, Jeffrey Ellis
No abstract text is available yet for this article.
February 15, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29461407/-the-jackson-table-is-a-pain-in-the%C3%A2-a-qualitative-study-of-providers-perception-toward-a-spinal-surgery-table
#12
Gladys B Asiedu, Bethany R Lowndes, Paul M Huddleston, Susan Hallbeck
OBJECTIVE: The aim of this study was to define health care providers' perceptions toward prone patient positioning for spine surgery using the Jackson Table, which has not been hitherto explored. METHODS: We analyzed open-ended questionnaire data and interviews conducted with the spine surgical team regarding the current process of spinal positioning/repositioning using the Jackson Table. Participants were asked to provide an open-ended explanation as to whether they think the current process of spinal positioning/repositioning is safe for the staff or patients...
March 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29460557/-errors-in-medicine-perceptions-of-nursing-students-in-rome
#13
Massimiliano Chiarini, Emilia De Vita, Angela Meggiolaro, Silvia Miccoli, Gaetana Maria Grazia Stricchiola, Giuseppe Alberto Grande, Maria Luisa Veneziano, Anna Santa Guzzo, Giuseppe La Torre
INTRODUCTION: The error in medicine has long been discussed in scientific debates. The purpose of this study is to evaluate the degree knowledge, attitude and behavior of students in Nursing for the failure in the health sector. METHODS: It was administered to 231 students of Nursing of the Sapienza University of Rome (171 females and 60 males), aged between 21 and 45 years, a structured questionnaire in three questions that explore the experiences and opinions about the errors found in medical practice, the causes underlying them and the mistakes that should never be committed...
October 2017: Professioni Infermieristiche
https://www.readbyqxmd.com/read/29458183/age-dependent-attitudes-of-ischemic-patients-towards-disability-after-decompressive-hemicraniectomy-for-malignant-middle-cerebral-artery-infarction
#14
Byoung-Joon Kim, Yeon Ran Hong, Youngmin Han, Yang-Ha Hwang, Boram Ohk, Jaechan Park
OBJECTIVE: To improve the process of surgical informed consent, patient attitudes towards acceptable levels of disability after decompressive surgery for malignant middle cerebral artery infarction are investigated, including the impact of patient age. METHODS: Patients who had experienced a recent minor stroke were asked to complete a questionnaire comprised of 2 parts: 1) demographic information, including patient age, gender, years of education, working status, religion, and economic status and 2) acceptable level of disability based on a modified Rankin Scale (mRS) with corresponding illustrations to explain the mRS levels...
February 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29456840/mixed-methods-evaluation-of-the-impact-of-a-short-term-training-program-on-sterile-processing-knowledge-practice-and-attitude-in-three-hospitals-in-benin
#15
Olive Fast, Christina Fast, Dan Fast, Suzanne Veltjens, Zouliha Salami, Michelle White
Background: Proper sterile processing is fundamental to safe surgical practice and optimal patient outcomes. Sterile processing practices in low and middle-income countries often fall short of recommended standards. The impact of education and training on sterile processing practices in low and middle-income countries is unknown. We designed a sterile processing education course, including mentoring, and aimed to evaluate the impact on participants' personal knowledge, skills, and practices...
2018: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/29456118/simulation-in-paediatric-urology-and-surgery-part-2-an-overview-of-simulation-modalities-and-their-applications
#16
REVIEW
R M Nataraja, N Webb, P J Lopez
Surgical training has changed radically in the last few decades. The traditional Halstedian model of time-bound apprenticeship has been replaced with competency-based training. In our previous article, we presented an overview of learning theory relevant to clinical teaching; a summary for the busy paediatric surgeon and urologist. We introduced the concepts underpinning current changes in surgical education and training. In this next article, we give an overview of the various modalities of surgical simulation, the educational principles that underlie them, and potential applications in clinical practice...
February 2, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29455920/operating-room-traffic-in-total-joint-arthroplasty-identifying-patterns-and-training-the-team-to-keep-the-door-shut
#17
William G Hamilton, Colleen B Balkam, Richard L Purcell, Nancy L Parks, Jill E Holdsworth
BACKGROUND: Surgical site infections after joint arthroplasty are devastating complications and are influenced by patient, surgical, and operating room environmental factors. METHODS: In an effort to reduce the incidence of door openings (DOs) during total joint arthroplasty cases, this prospective observational study consisted of 3 phases. Phase 1 determined the baseline incidence of DOs, followed by installation of a mechanical door counter (phase 2). Finally, an educational seminar was presented to all personnel (phase 3) regarding the implications frequent DOs have on patient and surgical outcomes...
February 15, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29455404/the-effect-of-pre-surgery-information-online-lecture-on-nutrition-knowledge-and-anxiety-among-bariatric-surgery-candidates
#18
Shiri Sherf-Dagan, Keren Hod, Limor Mardy-Tilbor, Shir Gliksman, Tair Ben-Porat, Nasser Sakran, Shira Zelber-Sagi, David Goitein, Asnat Raziel
INTRODUCTION: Best practices for patient education in bariatric surgery (BS) remain undefined. The aims of this study were to evaluate the effect of an online lecture on nutrition knowledge, weight loss expectations, and anxiety among BS candidates and present a new tool to assess this knowledge before BS. METHODS: An interventional non-randomized controlled trial on 200 BS candidates recruited while attending a pre-BS committee. The first 100 consecutive patients were assigned to the control group and the latter 100 consecutive patients to the intervention group and were instructed to watch an online lecture of 15-min 1-2 weeks prior to surgery...
February 17, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29455302/patient-experiences-of-a-physiotherapy-led-multidisciplinary-rehabilitative-intervention-after-successful-treatment-for-oesophago-gastric-cancer
#19
A E Bennett, L O'Neill, D Connolly, E M Guinan, L Boland, S L Doyle, J O'Sullivan, J V Reynolds, J Hussey
PURPOSE: To qualitatively explore the perceived impact of a 12-week rehabilitative intervention for oesophago-gastric cancer survivors on their physical, mental and social wellbeing. METHODS: Of the 21 participants who completed the intervention, 19 took part in a semi-structured focus group interview. Four audio-taped focus groups were held, ranging in size from two to eight participants. Focus groups were transcribed and analysed using a descriptive qualitative approach...
February 18, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29452685/behavioural-outcomes-of-subthalamic-stimulation-and-medical-therapy-versus-medical-therapy-alone-for-parkinson-s-disease-with-early-motor-complications-earlystim-trial-secondary-analysis-of-an-open-label-randomised-trial
#20
Eugénie Lhommée, Lars Wojtecki, Virginie Czernecki, Karsten Witt, Franziska Maier, Lisa Tonder, Lars Timmermann, Thomas D Hälbig, Fanny Pineau, Franck Durif, Tatiana Witjas, Marcus Pinsker, Maximilian Mehdorn, Friederike Sixel-Döring, Andreas Kupsch, Rejko Krüger, Saskia Elben, Stephan Chabardès, Stéphane Thobois, Christine Brefel-Courbon, Fabienne Ory-Magne, Jean-Marie Regis, David Maltête, Anne Sauvaget, Jörn Rau, Alfons Schnitzler, Michael Schüpbach, Carmen Schade-Brittinger, Gunther Deuschl, Jean-Luc Houeto, Paul Krack
BACKGROUND: Although subthalamic stimulation is a recognised treatment for motor complications in Parkinson's disease, reports on behavioural outcomes are controversial, which represents a major challenge when counselling candidates for subthalamic stimulation. We aimed to assess changes in behaviour in patients with Parkinson's disease receiving combined treatment with subthalamic stimulation and medical therapy over a 2-year follow-up period as compared with the behavioural evolution under medical therapy alone...
March 2018: Lancet Neurology
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