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https://www.readbyqxmd.com/read/29133649/is-pediatric-ophthalmology-a-popular-subspecialty-in-india-present-scenario-and-future-remedies
#1
Sucheta Parija, Preetam Mahajan
PURPOSE: The aim of the study was to assess the attitude and perceptions of residents regarding Pediatric Ophthalmology and Strabismus (POS) subspecialty training. We also explored the possible barriers and solutions to promoting POS in India. METHODS: A questionnaire consisting of 20 items, with a 5-point Likert scale, was provided to all postgraduate residents of Ophthalmology in the year 2013-2014. Semistructured interview of a selected panel of experts was carried out to understand the challenges, barriers, and opportunities for developing POS subspecialty in India...
November 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29132786/outcomes-following-acute-metacarpophalangeal-joint-arthroplasty-dislocation-an-analysis-of-37-cases
#2
Nathan Wanderman, Eric Wagner, Steven Moran, Marco Rizzo
PURPOSE: There remains a paucity of information regarding the treatment outcomes of dislocation after metacarpophalangeal (MCP) joint arthroplasty. The purpose of this study was to assess the outcomes of surgical and nonsurgical treatment modalities of MCP arthroplasty dislocations. METHODS: Of 816 MCP joint arthroplasties over a 14-year period, there were 37 (4%) acute MCP joint dislocations that required intervention by a health care professional. Implants involved included 28 nonconstrained implants including pyrocarbon (n = 17) and surface replacement arthroplasty (n = 11), and 9 silicone implants...
November 11, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29130872/a-retrospective-comparative-analysis-of-the-use-of-implantable-bone-stimulators-in-nonunions
#3
J Ryan Martin, George Vestermark, Brian Mullis, Jeffrey Anglen
This study details the use of implantable bone stimulators in the setting of nonunion. A retrospective comparative analysis was used to evaluate the efficacy of implantable bone stimulators in achieving union in the setting of atrophic or oligotrophic nonunion by two fellowship-trained orthopaedic trauma surgeons. Initially, 72 patients underwent surgical intervention for nonunion. Twenty-one patients had an implantable bone stimulator placed at the time of nonunion surgery. Thirty-eight patients had a minimum of 1-year follow-up...
October 2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29121158/opioid-use-by-patients-after-rhinoplasty
#4
Sagar Patel, Angela Sturm, Michael Bobian, Peter F Svider, Giancarlo Zuliani, Russell Kridel
Importance: Given the increase in opioid addiction and overdose in the United States, reasoned opioid use after outpatient surgery may affect prescription medication abuse. Objectives: To examine patient use of opioids after rhinoplasty and establish an optimal postrhinoplasty pain management regimen. Design, Setting, and Participants: In this case series, opioid use was evaluated in 62 patients who underwent rhinoplasty performed by 3 fellowship-trained facial plastic surgeons, 2 in private practice in Texas and 1 in an academic setting in Michigan, from February 2016 to September 2016...
November 9, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29102016/editorial-commentary-arthroscopic-simulation-training-need-not-be-expensive-to-be-effective
#5
EDITORIAL
Aman Dhawan
In a randomized controlled trial of arthroscopic training tools, the low-cost/low-fidelity Cigar Box Arthroscopy Trainer demonstrated equivalent efficacy to the validated, and more expensive, Anatomic Knee Arthroscopy Trainer (AKAT) in the training of novice arthroscopists using a validated scoring system, the Basic Arthroscopic Knee Skill Scoring System. As simulation training and formal surgical skills training is now mandatory, residency and fellowship programs are required to incorporate training modules and equipment to maximize learning while minimizing potential for patient harm...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29099401/gender-and-specialty-influences-on-personal-and-professional-life-among-trainees
#6
Ailín C Rogers, Sherry M Wren, Deborah A McNamara
OBJECTIVE: This study aimed to determine the impact of surgical training on lifestyle and parenthood, and to assess for gender-based workplace issues. BACKGROUND: The effects of a surgical career on lifestyle are difficult to quantify and may vary between male and female doctors. A gender gap is present in the highest tiers of the profession, and reasons why women do not attain senior positions are complex but likely relate to factors beyond merit alone. METHODS: An anonymous Web-based survey was distributed to Irish surgical and nonsurgical trainees...
November 2, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/29094009/digital-blinding-of-radiographs-to-mask-allocation-in-a-randomized-control-trial
#7
Gerard P Slobogean, Lukasz Soswa, Giuliana Rotunno, Peter J O'Brien, Kelly A Lefaivre
AIM: To demonstrate the effectiveness of a digital radiographic altering technique in concealing treatment allocation to blind outcome assessment of distal femur fracture fixation. METHODS: Digital postoperative anteroposterior and lateral radiographs from a sample of 33 randomly-selected patients with extra-articular distal femur fractures treated by surgical fixation at a Level 1 trauma center were included. Using commercially available digital altering software, we devised a technique to blind the radiographs by overlaying black boxes over the implant hardware while preserving an exposed fracture site for assessment of fracture healing...
October 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29089810/training-oncoplastic-breast-surgeons-the-canadian-fellowship-experience
#8
J Maxwell, A Arnaout, R Hanrahan, M Brackstone
BACKGROUND: Oncoplastic breast surgery combines traditional oncologic breast conservation with plastic surgery techniques to achieve improved aesthetic and quality-of-life outcomes without sacrificing oncologic safety. Clinical uptake and training remain limited in the Canadian surgical system. In the present article, we detail the current state of oncoplastic surgery (ops) training in Canada, the United States, and worldwide, as well as the experience of a Canadian clinical fellow in ops...
October 2017: Current Oncology
https://www.readbyqxmd.com/read/29079108/reap-what-you-sow-which-rural-surgery-training-programs-currently-exist-and-do-medical-students-know-of-their-existence
#9
Isolina R Rossi, Aaron L Wiegmann, Pat Schou, David C Borgstrom, Matthew B Rossi
BACKGROUND: There exists an acute need to recruit and train general surgeons for rural communities. To assist medical students interested in rural surgery, the American College of Surgeons (ACS) website lists general surgery residencies, which are tailored to train the rural surgeon by providing exposure to endoscopy, gynecology, urology, orthopedics, and otolaryngology. Another available reference is the American Medical Association Fellowship and Residency Electronic Database (FREIDA)...
October 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29078886/residents-surgical-performance-during-the-laboratory-years-an-analysis-of-rule-based-errors
#10
Jay N Nathwani, Brett J Wise, Margaret E Garren, Hossein Mohamadipanah, Nicole Van Beek, Shannon M DiMarco, Carla M Pugh
BACKGROUND: Nearly one-third of surgical residents will enter into academic development during their surgical residency by dedicating time to a research fellowship for 1-3 y. Major interest lies in understanding how laboratory residents' surgical skills are affected by minimal clinical exposure during academic development. A widely held concern is that the time away from clinical exposure results in surgical skills decay. This study examines the impact of the academic development years on residents' operative performance...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29059043/the-urology-residency-program-in-israel-results-of-a-residents-survey-and-insights-for-the-future
#11
Gilad Amiel, Arnon Lavi, Sharon Tzemah, Anan Hussein, Ibrahim Bishara, Nikolay Shcherbakov, Genady Zelichenko, Alon Mashiah, Michael Gross, Michael Cohen
OBJECTIVE: Urology practice has undergone several changes in recent years mainly related to novel technologies introduced. We aimed to get the residents' perspective on the current residency program in Israel and propose changes in it. METHODS: A web-based survey was distributed among urology residents. RESULTS: 61 residents completed the survey out of 95 to whom it was sent (64% compliance). A total of 30% replied that the 9 months of mandatory general surgery rotation contributed to their training, 48% replied it should be shortened/canceled, and 43% replied that the Step A exam (a mandatory written certifying exam) in general surgery was relevant to their training...
October 16, 2017: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/29051902/trends-in-surgical-practices-for-lateral-epicondylitis-among-newly-trained-orthopaedic-surgeons
#12
Dean Wang, Ryan M Degen, Christopher L Camp, Michael H McGraw, David W Altchek, Joshua S Dines
BACKGROUND: Much controversy exists regarding the optimal surgical intervention for lateral epicondylitis because of a multitude of options available and the lack of comparative studies. Knowledge of the current practice trends would help guide the design of comparative studies needed to determine which surgical technique results in the best outcome. PURPOSE: To review the latest practice trends for the surgical treatment of lateral epicondylitis among newly trained surgeons in the United States utilizing the American Board of Orthopaedic Surgery (ABOS) database...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29046090/is-the-number-of-new-trauma-and-orthopaedic-consultant-posts-increasing-or-decreasing
#13
S Wilson, Npm Jain, D S Johnson
Introduction Trauma and orthopaedics is a popular surgical specialty in the UK. Recent changes to the National Health Service have suggested an imbalance with fewer jobs yet more trainees. Furthermore, subspecialisation is emerging within all surgical disciplines. The aim of this study was to examine whether there were decreasing numbers of trauma and orthopaedic (T&O) consultant appointments in the UK, and to determine the frequency of subspecialisation. Methods All 51 issues of the British Medical Journal (BMJ) careers supplement from the year 2000 were reviewed as well as the 51 issues from 2010...
October 19, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29033272/graduating-surgical-residents-lack-competence-in-critical-care-ultrasound
#14
Renuka Tripu, Margaret H Lauerman, Daniel Haase, Syeda Fatima, Jacob Glaser, Cassandra Cardarelli, Thomas M Scalea, Sarah Murthi
OBJECTIVE: Ultrasound provides accessible imaging for bedside diagnostics and procedural guidance, but may lead to misdiagnosis in untrained users. The main objective of this study was to determine observed and self-perceived competence with critical care ultrasound in graduated general surgery residents. DESIGN: The design of this study was a retrospective review. Ultrasound training program records were reviewed for number of prior ultrasound examinations performed, self-perceived competence, observed competence on faculty examinations, and intended future use of individual critical care ultrasound examinations...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29031521/surgical-thoracic-transplant-training-super-fellowship-is-it-super
#15
George Makdisi, Tony Makdisi, Christiano C Caldeira, I-Wen Wang
OBJECTIVE: The quality of training provided to thoracic transplant fellows is a critical step in the care of complex patients undergoing transplant. The training varies since it is not an accreditation council for graduate medical education accredited fellowship. METHOD: A total of 104 heart or lung transplant program directors throughout the United States were sent a survey of 24 questions focusing on key aspects of training, fellowship training content and thoracic transplant job satisfaction...
October 11, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28985875/safety-considerations-in-learning-new-procedures-a-survey-of-surgeons
#16
Todd A Jaffe, Steven J Hasday, Meghan Knol, Jason Pradarelli, Sudha R Pavuluri Quamme, Caprice C Greenberg, Justin B Dimick
BACKGROUND: There exists a tension between surgical innovation and safety. The learning curve associated with the introduction of new procedures/technologies has been associated with preventable patient harm. Surgeon's perceptions regarding the safety of methods for learning new procedures/technologies are largely uncharacterized. MATERIALS AND METHODS: A survey was designed to evaluate surgeons' perceptions related to learning new procedures/technologies. This included clinical vignettes across two domains: (1) experience with an operation (e...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28985865/personality-traits-within-a-pediatric-surgery-fellowship-applicant-pool
#17
Rajaie Hazboun, Samuel Rodriguez, Arul Thirumoorthi, Joanne Baerg, Donald Moores, Edward P Tagge
BACKGROUND: The Big Five framework examines five factors that represent a description of human personality. These factors correlate with success measures and job satisfaction. The Big Five Inventory is a 44-item instrument designed to measure the Big Five framework. Our aim was to document the distribution of Big Five personality traits among Pediatric Surgery fellowship applicants, compare with community norms, surgical residents, between genders, and correlate to the fellowship match results...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28985864/ultrasonography-training-and-utilization-in-surgical-critical-care-fellowships-a-program-director-s-survey
#18
Brian K Yorkgitis, Elizabeth A Bryant, Gabriel A Brat, Edward Kelly, Reza Askari, Jin H Ra
BACKGROUND: Intensivist-performed ultrasound (IPUS) is an adjunctive tool used to assist in resuscitation and management of critically ill patients. It allows clinicians real-time information through noninvasive methods. We aimed to evaluate the types of IPUS performed and the methods surgical critical care (SCC) fellows are trained along with challenges in training. METHODS: One hundred SCC fellowship directors were successfully sent an email inviting them to participate in a short Web-based survey...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28985581/postpartum-tubal-ligation-a-retrospective-review-of-anesthetic-management-at-a-single-institution-and-a-practice-survey-of-academic-institutions
#19
Christine McKenzie, Seden Akdagli, Gillian Abir, Brendan Carvalho
STUDY OBJECTIVE: The primary aim was to evaluate institutional anesthetic techniques utilized for postpartum tubal ligation (PPTL). Secondarily, academic institutions were surveyed on their clinical practice for PPTL. DESIGN: An institutional-specific retrospective review of patients with ICD-9 procedure codes for PPTL over a 2-year period was conducted. Obstetric anesthesia fellowship directors were surveyed on anesthetic management of PPTL. SETTING: Labor and delivery unit...
October 3, 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/28968478/the-direct-anterior-approach-does-not-increase-return-to-function-following-hemiarthroplasty-for-femoral-neck-fracture
#20
Victor R Carlson, Alvin C Ong, Fabio R Orozco, Rex W Lutz, Andres F Duque, Zachary D Post
The purpose of this study was to evaluate functional outcomes for hemiarthroplasty using a direct anterior approach or a direct lateral approach for femoral neck fracture. This retrospective review used data collected from a single institution between 2006 and 2016. Eighty-five and 75 consecutive patients who underwent hemiarthroplasty via a direct anterior approach and a direct lateral approach, respectively, met inclusion criteria. All patients with femoral neck fractures were treated by 1 of 2 fellowship-trained orthopedic surgeons using the direct anterior approach or the direct lateral approach to hemiarthroplasty...
October 2, 2017: Orthopedics
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