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Surgery education

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https://www.readbyqxmd.com/read/29243298/local-anesthesia-in-pediatric-dermatologic-surgery-evaluation-of-a-patient-centered-approach
#1
May El Hachem, Claudia Carnevale, Andrea Diociaiuti, Cristiana De Ranieri, Simona Giancristoforo, Giovanna Zambruno, Marta L Ciofi Degli Atti
BACKGROUND/OBJECTIVES: A few studies have documented the effect of local anesthesia for minor dermatologic surgical procedures on children and their parents. Our objective was to evaluate the psychological effect and global satisfaction of a patient-centered approach to dermatologic surgery under local anesthesia. METHODS: Two self-administered questionnaires were used to evaluate the distress and global satisfaction of 388 children who underwent dermatologic surgery under local anesthesia, accompanied by oral and written therapeutic education measures (structured information and a cartoon brochure illustrating the procedure) addressed to children and parents...
December 15, 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/29242045/defining-the-applicant-pool-for-postgraduate-year-2-categorical-general-surgery-positions
#2
Weston Stover, Sujata Gill, Kim Schenarts, A Alfred Chahine
OBJECTIVE: In the spring of 2010, a categorical general surgery postgraduate year (PGY)-2 position became available at our academic medical center secondary to attrition of a PGY-1 resident. We sought to study the unique characteristics of applicants to that position and to describe the selection process with hopes to stimulate additional studies about the unique challenges of recruiting applicants into advanced standing positions. DESIGN: Applications were received via e-mail and reviewed to characterize the applicant pool...
December 11, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29241992/educational-content-and-the-use-of-social-media-at-us-departments-of-surgery
#3
Vahagn C Nikolian, Meredith Barrett, Valeria S Valbuena, Andrew M Ibrahim, Hassan Eidy, Mohamed H Ghandour, Amir A Ghaferi
BACKGROUND: The growth of the social media platform Twitter has prompted many to consider its potential as an educational tool. Little is known about how surgery training programs are utilizing this resource and whether this platform can provide educational content effectively. We sought to determine national utilization of Twitter by departments of surgery in the United States and evaluate if educationally driven content heightened engagement with the Twitter followers. METHODS: We conducted a cross-sectional analysis of social media presence for all Accreditation Council for Graduation Medical Education accredited general surgery training programs between October 1, 2016 and December 31, 2016...
December 11, 2017: Surgery
https://www.readbyqxmd.com/read/29241528/the-care-dependency-of-patients-after-laparoscopic-abdominal-surgery-and-associated-factors-in-china
#4
Guangyan Li, Xiangfeng Wang, Lei Liu, Weidong Tong
PURPOSE: The outcome after laparoscopic surgery is dependent on self-care behaviors. Whether or not the patients after laparoscopic abdominal surgery in China are care-dependent is still unclear. Thus, the studies try to analyze influence factors of care dependence on patients with laparoscopic abdominal surgery, to provide reference for personalized care for the patient. METHODS: In our study, two hundreds and forty-two cases were selected and investigated by using the exercise of self-care agency scale and care dependency scale...
December 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29241512/development-of-post-hip-replacement-comfort-scale
#5
Hulya Saray Kilic, Sevinc Tastan
AIM: To develop and psychometrically test the Post Hip Replacement Comfort Scale (PHRCS). BACKGROUND: Evaluation of the patient comfort after hip replacement surgery is highly important in order to increase the quality of patient care. The review of the relevant literature shows that a scale that specifically measures the patient comfort after hip replacement surgery is absent. DESIGN: Methodological design was used. This study included the development of the scale and tested the psychometric properties of the scale...
December 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29241472/-health-advocacy-in-medical-student-education
#6
R A M J Damoiseaux, M B M Soethout
The introduction of the CanMEDS method to qualify training and ongoing education for healthcare providers in terms of competencies has provided a clear framework for medical schools' curricula. Different roles are outlined, and one of these is health advocacy. Physicians are accountable to society to use their knowledge and expertise to improve health. Even before the introduction of CanMEDS, physicians took responsibility for improving health by tackling issues in society that negatively affected the health of many; one obvious example is the provision of clean water and sewage systems to prevent epidemics of infectious diseases such as cholera...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29241171/virtual-reality-surgical-simulation-implications-for-resection-of-intracranial-gliomas
#7
Ayoub Dakson, Murray Hong, David B Clarke
Surgical simulation has the potential to play important roles in surgical training and preoperative planning. The advent of virtual reality (VR) with tactile haptic feedback has revolutionized surgical simulation, creating a novel environment for residents to learn manual skills without compromising patient safety. This concept is particularly relevant in neurosurgical training where the acquired skill set demands performance of technically challenging tasks under pressure and where the consequences of error are significant...
2018: Progress in Neurological Surgery
https://www.readbyqxmd.com/read/29239885/the-present-state-of-neurointensivist-training-in-the-united-states-a-comparison-to-other-critical-care-training-programs
#8
Evie G Marcolini, David B Seder, Jordan B Bonomo, Thomas P Bleck, J Claude Hemphill, Lori Shutter, Fred Rincon, Shelly D Timmons, Paul Nyquist
OBJECTIVE: This manuscript describes the state of neurocritical care fellowship training, compares its written standards to those of other critical care fellowship programs, and discusses how programmatic oversight by the United Council for Neurological Subspecialties should evolve to meet American College of Graduate Medical Education standards. This review is a work product of the Society of Critical Care Medicine Neuroscience section and was reviewed and approved by the Council of the Society of Critical Care Medicine...
December 12, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29239871/integrative-medicine-as-an-adjunct-to-orthopaedic-surgery
#9
James R Ficke, Nathan M Moroski, Steven D Ross, Ranjan Gupta
Patients often seek nontraditional forms of treatment, including alternative/complementary medical options, such as chiropractic care and acupuncture, to meet their personal needs. In the United States, interest has grown in methods to reduce pain and improve function through Ayurvedic medicine, which uses plant-based supplements, such as turmeric. Traditional allopathic medicine attempts to provide patients with evidence-based therapeutic regimens for their musculoskeletal conditions. Integrative medicine often is used to prevent and manage the sequelae associated with injuries and illnesses; however, competitive athletes and military personnel use complementary medicine for performance enhancement...
December 11, 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29238794/the-veterans-affairs-medical-center-s-contribution-to-plastic-surgery-education
#10
Sarah E Sasor, Michael W Chu, Tyler A Evans, Julia A Cook, William A Wooden, Adam C Cohen, Sunil S Tholpady
No abstract text is available yet for this article.
December 13, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29238645/the-effectiveness-of-bioskills-training-for-simulated-open-lumbar-laminectomy
#11
Barrett S Boody, Brett D Rosenthal, Tyler J Jenkins, Alpesh A Patel, Jason W Savage, Wellington K Hsu
Study Design: Randomized, prospective study within an orthopedic surgery resident program at a large urban academic medical center. Objectives: To develop an inexpensive, user-friendly, and reproducible lumbar laminectomy bioskills training module and evaluation protocol that can be readily implemented into residency training programs to augment the clinical education of orthopedic and neurosurgical physicians-in-training. Methods: Twenty participants comprising senior medical students and orthopedic surgical residents...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29238637/spinal-instability-neoplastic-score-sins-reliability-among-spine-fellows-and-resident-physicians-in-orthopedic-surgery-and-neurosurgery
#12
Shandy Fox, Michael Spiess, Luke Hnenny, Daryl R Fourney
Study Design: Reliability analysis. Objectives: The Spinal Instability Neoplastic Score (SINS) was developed for assessing patients with spinal neoplasia. It identifies patients who may benefit from surgical consultation or intervention. It also acts as a prognostic tool for surgical decision making. Reliability of SINS has been established for spine surgeons, radiologists, and radiation oncologists, but not yet among spine surgery trainees. The purpose of our study is to determine the reliability of SINS among spine residents and fellows, and its role as an educational tool...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29238570/impact-of-asa-score-misclassification-on-nsqip-predicted-mortality-a-retrospective-analysis
#13
Alex Helkin, Sumeet V Jain, Angelika Gruessner, Maureen Fleming, Leslie Kohman, Michael Costanza, Robert N Cooney
Background: The ASA physical classification score has a major impact on the observed/expected (O/E) mortality ratio in the NSQIP General Vascular Mortality Model. The difference in predicted mortality is greatest between ASAs 3 and 4. We hypothesized under-classified ASA scores significantly affect the O/E mortality. Methods: We conducted a retrospective review of NSQIP essential surgery cases from January 2014 to December 2014 (n = 1264) with mortality sub-analysis (n = 33) at our institution...
2017: Perioperative Medicine
https://www.readbyqxmd.com/read/29237221/-the-medical-examination-between-desire-and-reality-analysis-of-consensus-between-the-second-part-of-the-medical-licensing-exam-impp-and-the-national-catalogue-of-expertise-based-learning-goals-in-surgery-nklc
#14
Jasmina Sterz, Miriam Rüsseler, Vanessa Britz, Christina Stefanescu, Sebastian H Hoefer, Farzin Adili, Teresa Schreckenbach, Iris Schleicher, Roxane Weber, Hans-Stefan Hofmann, Friedericke Voß, Sarah König, Markus K Heinemann, Martina Kadmon
Background The working party of the German Society for Surgery (DGCH) on undergraduate surgical education has developed a national expertise-based catalogue of learning goals in surgery (NKLC). This study analyses the extent to which the questions of the German second medical licensing examination compiled by the IMPP are congruent with the NKLC and which thematic focus is emphasised. Materials and Methods Firstly, a guideline and evaluation sheet were developed in order to achieve documentation of the individual examination questions of the second licensing examination with respect to the learning goals of the NKLC...
December 2017: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29236278/head-and-neck-surgical-reconstruction-in-operation-iraqi-freedom-and-operation-enduring-freedom-afghanistan-a-systematic-review
#15
Samantha J Mikals, Joshua M Jabaut, Art A Ambrosio
Historically, head and neck injuries constituted 16 to 20% of all nonfatal combat injuries. However, advances in body and vehicle armor in the context of the use of ambushes and improvised explosive devices by enemy combatants have resulted in fewer fatalities from head and neck wounds, and thus the incidence of nonfatal head and neck injuries has risen to as high as 52%. Despite this increase, data regarding specific injury distributions, surgical cases, and approaches to repair are lacking in the current literature...
December 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29236277/clouds-of-different-colors-a-prospective-look-at-head-and-neck-surgical-resident-call-experience
#16
Jonathan Melzer
Graduate medical education programs typically set up call under the assumption that residents will have similar experiences. The terms black cloud and white cloud have frequently been used to describe residents with more difficult (black) or less difficult (white) call experiences. This study followed residents in the department of head and neck surgery during call to determine whether certain residents have a significantly different call experience than the norm. It is a prospective observational study conducted over 16 months in a tertiary care center with a resident training program in otolaryngology...
December 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29236172/the-society-of-european-robotic-gynaecological-surgery-sergs-pilot-curriculum-for-robot-assisted-gynecological-surgery
#17
Peter Rusch, Rainer Kimmig, Fabrice Lecuru, Jan Persson, Jordi Ponce, Michel Degueldre, René Verheijen
PURPOSE: To set forth experiences in the context of the SERGS Pilot Curriculum-the first standardized educational program for robotic use in gynecological surgery-in terms of feasibility, effectiveness and potential for certification. METHODS: The Society of European Robotic Gynecological Surgery (SERGS) outlined a Pilot Curriculum for standardized education in robot-assisted laparoscopic gynecological surgery. Its feasibility and acceptance were checked in the form of a fellowship pilot program conducted at four European Centers of Excellence for robot-assisted surgery...
December 13, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29234966/efficacy-and-feasibility-of-a-collaborative-multidisciplinary-program-for-antibiotic-prophylaxis-in-clean-wound-surgery
#18
Xinyu Li, Hong Chen, Shenyin Zhu, Yu Liu, Jiadan Yang, Zhe Yuan, Gaoqun Yao, Feng Qiu
Background Despite national and international guidelines and recommendations, inappropriate prophylactic antibiotic use for clean wound surgery remains a common phenomenon in many Chinese hospitals, causing higher medical costs and bacterial resistance. Objective To improve the prescribing behavior for antibiotic prophylaxis and decrease antibiotic abuse and/or misuse in clean wound surgery. Setting The teaching hospital of a medical university in Southwest China. Methods A collaborative multidisciplinary program involving educational, technical, and administrative strategies was undertaken...
December 12, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29234943/enhanced-recovery-care-versus-traditional-care-after-laparoscopic-liver-resections-a-randomized-controlled-trial
#19
Xiao Liang, Hanning Ying, Hongwei Wang, Hongxia Xu, Minjun Liu, Haiyan Zhou, Huiqing Ge, Wenbin Jiang, Lijun Feng, Hui Liu, Yingchun Zhang, Zhiying Mao, Jianhua Li, Bo Shen, Yuelong Liang, Xiujun Cai
BACKGROUND: Enhanced recovery after surgery (ERAS), with several evidence-based elements, has been shown to shorten length of hospital stay and reduce perioperative hospital costs in many operations. This randomized clinical trial was performed to compare complications and hospital stay of laparoscopic liver resection between ERAS and traditional care. METHODS: A randomized controlled trial was performed for laparoscopic liver resection from August 2015 to August 2016...
December 12, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29233349/hassan-najafi-may-22-1930-may-20-2017
#20
David M Shahian, L Penfield Faber, Douglas J Mathisen
Dr Hassan Najafi, an immigrant from Iran who became the 18th president of The Society of Thoracic Surgeons, died on May 20, 2017. He had also served as chair of the American Board of Thoracic Surgery and the Residency Review Committee for Thoracic Surgery, and was a founding member and first president of the Thoracic Surgery Directors Association. A superb technical surgeon, educator, and investigator, Dr Najafi led the Department of Cardiovascular and Thoracic Surgery at Rush University Medical Center for 25 years...
January 2018: Annals of Thoracic Surgery
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