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https://www.readbyqxmd.com/read/28453350/prognostic-variables-for-patient-return-to-work-interval-following-carpal-tunnel-release-in-a-workers-compensation-population
#1
Jenniefer Y Kho, Michael P Gaspar, Patrick M Kane, Sidney M Jacoby, Eon K Shin
BACKGROUND: We hypothesize that depressive and anxiety disorders, chronic pain conditions, and work-related factors are significant determinants of the time interval for return to work (RTW) in the workers' compensation (WC) population following carpal tunnel release (CTR) surgery. METHODS: We retrospectively reviewed records of all WC patients who underwent open CTR surgery over a 5-year period by 1 of 3 fellowship-trained hand surgeons. One hundred fifty-two wrists in 108 patients (64 unilateral, 44 bilateral) met the inclusion criteria...
May 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28446925/ethical-legal-and-clinical-aspects-of-live-surgery-in-urology-contemporary-issues-and-a-glimpse-of-the-future
#2
REVIEW
Alin Adrian Cumpanas, Ovidiu Catalin Ferician, Silviu Constantin Latcu, Catalin Pricop, Razvan Tiberiu Bardan
Beside dry and wet lab training, simulators, video tapes, fellowships and clinical visits, live surgery has gained popularity during the last years, being an attraction point at large scientific meetings and at postgraduate courses as well. This type of surgical training raises both ethical and legal issues. Thus, there are professional societies that have banned such meetings, mainly due to safety reasons for the patient. The current article aims to identify and to discuss ethical and legal issues related to the topic, advantages, disadvantages and weak points of this emerging challenge for modern medicine, trying to analyze the issues from all relevant points of view: those of the patient, the surgeon and the session attendant...
2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/28437224/structure-process-and-culture-of-intensive-care-units-treating-patients-with-severe-traumatic-brain-injury-survey-of-centers-participating-in-the-american-college-of-surgeons-trauma-quality-improvement-program
#3
Aziz S Alali, Victroia McCredie, Todd G Mainprize, David Gomez, Avery B Nathens
Outcome after severe traumatic brain injury (TBI) differs substantially between hospitals. Explaining this variation begins with understanding the differences in structures and processes of care, particularly at intensive care units (ICUs) where acute TBI care takes place. We invited trauma medical directors (TMDs) from 187 centers participating in the American College of Surgeons Trauma Quality Improvement Program to complete a survey. The survey domains included ICU model, type, availability of specialized units, staff, training programs, standard protocols and order sets, approach to withdrawal of life support, and perceived level of neurosurgeons' engagement in the ICU management of TBI...
February 15, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28429056/prognostic-significance-of-supradiaphragmatic-lymph-nodes-at-initial-presentation-in-patients-with-stage-iii-high-grade-serous-ovarian-cancer
#4
L J McIntosh, A C O'Neill, S Bhanusupriya, S A Matalon, A D Van den Abbeele, N H Ramaiya, A B Shinagare
PURPOSE: To identify the optimal size threshold and to assess the prognostic significance of supradiaphragmatic lymph nodes at initial presentation of patients with high-grade serous ovarian cancer (HGSC). METHODS: This IRB-approved, HIPAA-compliant retrospective study included baseline pretreatment staging abdominal CTs of 88 women (mean age 62 years, SD 10.4, range 29-85) with FIGO stage III HGSC. Patients with stage IV disease were excluded due to worse prognosis and management guided by distant metastases...
April 20, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28427944/creating-a-global-acute-care-surgery-fellowship-to-meet-international-need
#5
Amina I Merchant, Camila B Walters, Julie Valenzuela, Kelly A McQueen, Addison K May
INTRODUCTION: Existing Acute Care Surgery (ACS) fellowships are positioned to develop well-trained surgeons with specific skills to facilitate improvements in care delivery in Global ACS. Many resident and fellowship programs offer clinical electives that expose trainees to operative experiences, exposing trainees to the needs in resource-challenged settings. However, most lack a focus on long-term development and research designed to enhance the country's local skills, capability, and capacity...
April 17, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28410284/european-surgical-education-and-training-in-gynecologic-oncology-the-impact-of-an-accredited-fellowship
#6
Luis M Chiva, Jose Mínguez, Denis Querleu, David Cibula, Andreas du Bois
OBJECTIVE: The aim of this study was to understand the current situation of surgical education and training in Europe among members of the European Society of Gynecological Oncology (ESGO) and its impact on the daily surgical practice of those that have completed an accredited fellowship in gynecologic oncology. METHODS: A questionnaire addressing topics of interest in surgical training was designed and sent to ESGO members with surgical experience in gynecologic oncology...
May 2017: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/28400069/diagnostic-accuracy-of-a-novel-software-technology-for-detecting-pneumothorax-in-a-porcine-model
#7
Shane M Summers, Eric J Chin, Michael D April, Ronald D Grisell, Joshua A Lospinoso, Bijan S Kheirabadi, Jose Salinas, Lorne H Blackbourne
INTRODUCTION: Our objective was to measure the diagnostic accuracy of a novel software technology to detect pneumothorax on Brightness (B) mode and Motion (M) mode ultrasonography. METHODS: Ultrasonography fellowship-trained emergency physicians performed thoracic ultrasonography at baseline and after surgically creating a pneumothorax in eight intubated, spontaneously breathing porcine subjects. Prior to pneumothorax induction, we captured sagittal M-mode still images and B-mode videos of each intercostal space with a linear array transducer at 4cm of depth...
April 1, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28391627/designing-implementing-and-assessing-a-new-formative-osce-for-ent-higher-surgical-trainees-our-experience-in-the-north-west-region
#8
Sadie Khwaja, Nadeem Khwaja, Nirmal Kumar, Nicola Stobbs
Currently Otolaryngology trainees have a six or seven year gap between formal summative assessments, which comprise of the Membership of the Royal College if Surgeons exams (MRCS) during core training and the Fellowship of the Royal Colleges of Surgeons exams (FRCS) at the end of higher surgical training. In between these examinations, trainees undergo formative Work-Place Based Assessments (WPBA) and a summative Annual Review of Competency and Progression (ARCP) however there are no other tests or formal assessments of knowledge and skills to ensure that they are developing and progressing at the required rate...
April 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28386393/what-are-the-associations-between-the-quantity-of-faculty-evaluations-and-residents-perception-of-quality-feedback
#9
Joseph M Blankush, Brijen J Shah, Scott H Barnett, Gaber Badran, Amanda Mercado, Reena Karani, David Muller, I Michael Leitman
OBJECTIVES: To determine if there is a correlation between the numbers of evaluations submitted by faculty and the perception of the quality of feedback reported by trainees on a yearly survey. METHOD: 147 ACGME-accredited training programs sponsored by a single medical school were included in the analysis. Eighty-seven programs (49 core residency programs and 38 advanced training programs) with 4 or more trainees received ACGME survey summary data for academic year 2013-2014...
April 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28384005/outcomes-after-arthroscopic-bankart-repair-patients-with-first-time-versus-recurrent-dislocations
#10
Tyler Marshall, Jose Vega, Marcelo Siqueira, Robert Cagle, Jonathan D Gelber, Paul Saluan
BACKGROUND: The young athletic population makes up the largest portion of shoulder instability and, when treated nonoperatively, has a recurrent dislocation rate as high as 71%. It is unknown how the outcomes of those who have a recurrent dislocation are affected versus those who have a stabilization procedure after a first-time dislocation. PURPOSE: To report the postoperative outcomes of patients with first-time dislocations versus patients with recurrent dislocations before surgery...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28363439/patient-satisfaction-and-informed-consent-for-surgery
#11
Jennifer L Hallock, Rebeca Rios, Victoria L Handa
BACKGROUND: Informed consent is a process that necessitates time and effort. Underlying this investment is the belief that informing patients about the surgery promotes patient satisfaction with the decision for surgery and potentially satisfaction more broadly. OBJECTIVE: The objective of the study was to investigate the extent to which preoperative satisfaction with a decision to pursue surgery is associated with understanding after an informed consent discussion...
March 28, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28358767/academic-productivity-of-faculty-associated-with-craniofacial-surgery-fellowship-programs
#12
Qing Zhao Ruan, Joseph A Ricci, Jason Silvestre, Olivia A Ho, Oren Ganor, Bernard T Lee
BACKGROUND: The H-index is increasingly being used as a measure of academic productivity and has been applied to various surgical disciplines. Here the authors calculate the H-index of craniofacial surgery fellowship faculty in North America in order to determine its utility for academic productivity among craniofacial surgeons. METHODS: A list of fellowship programs was obtained from the website of the American Society of Craniofacial Surgery. Faculty demographics and institution characteristics were obtained from official program websites and the H-index was calculated using Scopus (Elsevier, USA)...
March 29, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28352147/minimally-invasive-hysterectomy-for-uteri-greater-than-one-kilogram
#13
Traci E Ito, Maria V Vargas, Gaby N Moawad, Jessica Opoku-Anane, Michael K M Shu, Cherie Q Marfori, James K Robinson
BACKGROUND AND OBJECTIVES: To assess the feasibility and safety of minimally invasive hysterectomy for uteri >1 kg. METHODS: Clinical and surgical characteristics were collected for patients in an academic tertiary care hospital. Included were patients who underwent minimally invasive hysterectomy by 1 of 3 fellowship-trained gynecologists from January 1, 2009, to July 1, 2015 and subsequently had confirmed uterine weights of 1 kg or greater on pathology report...
January 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28343700/fostering-a-culture-of-innovation-in-academic-surgery
#14
Daniel P McCarthy
Dr McCarthy is a fellow in cardiothoracic surgery at the University of Washington. During his general surgery training at Northwestern University, he completed a research fellowship in surgical innovation and obtained masters' degrees with a focus on health enterprise management, entrepreneurship, and innovation.
April 2017: Surgery
https://www.readbyqxmd.com/read/28343678/maxillofacial-prosthetics-training-and-practice-profiles-in-the-united-states
#15
James L Sheets, Judy Chia-Chun Yuan, Cortino Sukotjo, Betsy K Davis, Alvin G Wee
STATEMENT OF PROBLEM: The motivation of maxillofacial prosthodontists to go into fellowship training and specific procedures in maxillofacial prosthetics practice once they have completed training has not been previously evaluated. PURPOSE: The purpose of this study was to survey maxillofacial prosthodontists in the United States to investigate their reasons for pursuing maxillofacial prosthetic training and their practice profiles. MATERIAL AND METHODS: In June 2015, a survey was sent to all US maxillofacial prosthodontists asking for descriptive demographics, their reasoning as to what prompted entrance into a maxillofacial prosthetic program, and their practice pattern...
March 23, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/28328564/variation-in-national-acgme-case-log-data-for-pediatric-orthopaedic-fellowships-are-fellow-coding-practices-responsible
#16
Philip K McClure, Marcella Woiczik, Lori Karol, Wudbhav N Sankar
BACKGROUND: The introduction of the 80-hour work week for Accreditation Council for Graduate Medical Education (ACGME) accredited fellowship programs initiated many efforts to optimize surgical training. One particular area of interest is on recording and tracking surgical experiences. The current standard is logging cases based on Current Procedural Terminology codes, which are primarily designed for billing. Proposed guidelines from the ACGME regarding logging exist, but their implementation is unknown, as is the variation in case volume across fellowship programs...
March 21, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28326796/surgical-treatment-of-4-10%C3%A2-cm-renal-cell-carcinoma-a-survey-of-the-lions-and-gazelles
#17
Sara L Best, Michael Blute, Brian Lane, E Jason Abel
INTRODUCTION: The decision between partial nephrectomy (PN) and radical nephrectomy (RN) may be influenced by training, practice type, or location. We sought to evaluate current opinions about the optimal management of 4-10 cm renal-cell carcinoma (RCC). MATERIALS AND METHODS: A survey was emailed to ∼2500 Endourologic Society and Society of Urologic Oncology members regarding training, practice setting, and interest in clinical trials in addition to questions about four patient scenarios...
April 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28325535/age-is-just-a-number-wpath-affiliated-surgeons-experiences-and-attitudes-toward-vaginoplasty-in-transgender-females-under-18-years-of-age-in-the-united-states
#18
Christine Milrod, Dan H Karasic
BACKGROUND: A rising number of female-affirmed transgender adolescents are being treated with gonadotropin-releasing hormone analogues and subsequently cross-sex hormones at early or mid-puberty, with vaginoplasty as the presumed final step in their physical transition. But, despite the minimum age of 18 years defining eligibility to undergo this irreversible procedure, anecdotal reports have shown that vaginoplasties are being performed on minors by surgeons in the United States, thereby contravening the World Professional Association for Transgender Health (WPATH) standards of care (SOC)...
April 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28302349/influence-of-pathologist-experience-on-positive-surgical-margins-following-radical-prostatectomy
#19
Jacob E Tallman, Vignesh T Packiam, Kristen E Wroblewski, Gladell P Paner, Scott E Eggener
BACKGROUND: A positive surgical margin (PSM) following radical prostatectomy (RP) for prostate cancer is associated with increased risk of biochemical recurrence. We sought to examine whether the pathologist is an independent predictor of PSMs. METHODS: We performed a retrospective review of 3,557 men who underwent RP for localized prostate cancer at our institution from 2003 to 2015. We evaluated 29 separate pathologists. Univariate and multivariable logistic regression were used to test variables previously shown to influence PSM rates...
March 13, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28301364/effect-of-surgeon-volume-and-craniofacial-fellowship-training-on-cleft-palate-complication-rates
#20
Anna R Schoenbrunner, Cecilia L Dalle Ore, Samuel Lance, Joyce McIntyre, Marilyn Jones, Amanda Gosman
BACKGROUND: Both the general and pediatric surgical literature have evidenced an inverse relationship between surgical case volume and complications. This study seeks to ascertain the relationship between case volume and fistula rates in cleft palate patients. We also seek to determine if craniofacial fellowship training impacts fistula rates. METHODS: Charts were reviewed at a multidisciplinary cleft center in San Diego, CA. We performed chart review on 207 nonsyndromic patients with cleft lip and palate who had surgery at our institution from 1988 to 2010...
May 2017: Annals of Plastic Surgery
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