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https://www.readbyqxmd.com/read/28116017/emergency-medicine-resident-orientation-how-training-programs-get-their-residents-started
#1
Jillian McGrath, Michael Barrie, David P Way
INTRODUCTION: The first formal orientation program for incoming emergency medicine (EM) residents was started in 1976. The last attempt to describe the nature of orientation programs was by Brillman in 1995. Now almost all residencies offer orientation to incoming residents, but little is known about the curricular content or structure of these programs. The purpose of this project was to describe the current composition and purpose of EM resident orientation programs in the United States...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28115430/program-chief-resident-introducing-a-new-leadership-role-for-residency-programs
#2
Laura Shoots, Karen Schultz
No abstract text is available yet for this article.
January 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28062819/maternity-care-services-provided-by-family-physicians-in-rural-hospitals
#3
Richard A Young
BACKGROUND: The purpose of this study was to describe how many rural family physicians (FPs) and other types of providers currently provide maternity care services, and the requirements to obtain privileges. METHODS: Chief executive officers of rural hospitals were purposively sampled in 15 geographically diverse states with significant rural areas in 2013 to 2014. Questions were asked about the provision of maternity care services, the physicians who perform them, and qualifications required to obtain maternity care privileges...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28057292/impact-of-integrated-programs-on-general-surgery-operative-volume
#4
Amanda R Jensen, Brianne L Nickel, Scott C Dolejs, David F Canal, Laura Torbeck, Jennifer N Choi
BACKGROUND: Integrated residencies are now commonplace, co-existing with categorical general surgery residencies. The purpose of this study was to define the impact of integrated programs on categorical general surgery operative volume. METHODS: Case logs from categorical general, integrated plastics, vascular, and thoracic surgery residents from a single institution from 2008 to 2016 were collected and analyzed. RESULTS: Integrated residents have increased the number of cases they perform that would have previously been general surgery resident cases from 11 in 2009-2010 to 1392 in 2015-2016...
December 27, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28049392/chondroitin-sulfate-cs-lyases-structure-function-and-application-in-therapeutics
#5
Aruna Rani, Seema Patel, Arun Goyal
Glycosaminoglycans (GAGs) such as chondroitin sulfate (CS) are the chief natural polysaccharides which reside in biological tissues mainly in extracellular matrix. These CS along with adhesion molecules and growth factors are involved in central nervous system (CNS) development, cell progression and pathogenesis. The chondroitin lyases are the enzyme that degrade and alter the CS chains and hence modify various signalling pathways involving CS chains. These CS lyases are substrate specific, can precisely manipulate the CS polysaccharides and have various biotechnological, medical and therapeutic applications...
January 2, 2017: Current Protein & Peptide Science
https://www.readbyqxmd.com/read/28025234/disparities-in-aesthetic-procedures-performed-by-plastic-surgery-residents
#6
Jason Silvestre, Joseph M Serletti, Benjamin Chang
BACKGROUND: Operative experience in aesthetic surgery is an important issue affecting plastic surgery residents. OBJECTIVES: This study addresses the variability of aesthetic surgery experience during plastic surgery residency. METHODS: National operative case logs of chief residents in independent/combined and integrated plastic surgery residency programs were analyzed (2011-2015). Fold differences between the bottom and top 10th percentiles of residents were calculated for each aesthetic procedure category and training model...
December 26, 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28012887/-the-actualized-neurosurgeon-a-proposed-model-of-surgical-resident-development
#7
Nir Lipsman, Osaama Khan, Abhaya V Kulkarni
Modern neurosurgical training is both physically and emotionally demanding, posing significant challenges, new and old, to residents, as well as programs attempting to train safe, competent surgeons. Models to describe resident development, such as the ACGME competencies and milestones, address the acquisition of specific skills, but largely ignore the stresses and pressures unique to each stage of resident training. We propose an alternative model of resident development adapted from the developmental psychology literature...
December 21, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27998548/do-errors-and-critical-events-relate-to-hernia-repair-outcomes
#8
Katherine Law Forsyth, Shannon M DiMarco, Caitlin G Jenewein, Rebecca D Ray, Anne-Lise D D'Angelo, Elaine R Cohen, Douglas A Wiegmann, Carla M Pugh
BACKGROUND: The study aimed to validate an error checklist for simulated laparoscopic ventral hernia (LVH) repair procedures. We hypothesize that residents' errors can be assessed with a structured checklist and the results will correlate significantly with procedural outcomes. METHODS: Senior residents' (N = 7) performance on a LVH simulator were video-recorded and analyzed using a human error checklist. Junior residents (N = 38) performed two steps of the same simulated LVH procedure...
November 17, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27932029/implementing-a-resident-acute-care-surgery-service-improving-resident-education-and-patient-care
#9
Olga Kantor, Andrew B Schneider, Marko Rojnica, Andrew J Benjamin, Nancy Schindler, Mitchell C Posner, Jeffrey B Matthews, Kevin K Roggin
BACKGROUND: To simulate the duties and responsibilities of an attending surgeon and allow senior residents more intraoperative and perioperative autonomy, our program created a new resident acute care surgery consult service. METHODS: We structured resident acute care surgery as a new admitting and inpatient consult service managed by chief and senior residents with attending supervision. When appropriate, the chief resident served as a teaching assistant in the operation...
December 5, 2016: Surgery
https://www.readbyqxmd.com/read/27924665/behind-closed-doors
#10
Kevin Duan, Leslie Sheu
This Personal View about feedback culture is based on our personal experiences as internal medicine chief residents with attendings, residents, and interns who came into our office to discuss concerns about team members. Our unique perspective as chief residents revealed a tendency amongst physicians at all levels of training to first raise these concerns behind closed doors, instead of with the learner directly. We highlight the need to shift feedback culture in medical training away from this practice towards a clinical "micro-coaching" approach...
December 7, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27908501/prospective-evaluation-of-surgical-palliative-care-immersion-training-for-general-surgery-residents
#11
Mustafa Raoof, Lisa O'Neill, Leigh Neumayer, Mindy Fain, Robert Krouse
BACKGROUND: Palliative care competencies in surgical training are recognized to improve the care of surgical patients with advanced or life-threatening illnesses. Formal programs to teach these competencies are lacking. The study aims to assess the feasibility and utility of a unique surgical palliative care immersion training program. STUDY DESIGN: A half-day Surgical Palliative Care Immersion Training (SPCIT) was developed using the American College of Surgeon's manual titled "Surgical Palliative Care: A Resident's Guide" as a framework...
November 27, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27906760/improving-the-quality-of-ward-based-surgical-care-with-a-human-factors-intervention-bundle
#12
Maximilian J Johnston, Sonal Arora, Dominic King, Ara Darzi
OBJECTIVE: This study aimed to explore the impact of a human factors intervention bundle on the quality of ward-based surgical care in a UK hospital. SUMMARY OF BACKGROUND DATA: Improving the culture of a surgical team is a difficult task. Engagement with stakeholders before intervention is key. Studies have shown that appropriate supervision can enhance surgical ward safety. METHODS: A pre-post intervention study was conducted. The intervention bundle consisted of twice-daily attending ward rounds, a "chief resident of the week" available at all times on the ward, an escalation of care protocol and team contact cards...
November 30, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27866650/evidence-based-and-personalized-medicine-it-s-and-not-or
#13
REVIEW
Sahar Mokhles, Johanna Jm Takkenberg, Tom Treasure
Good clinical practice is an amalgamation of personalized medicine with evidence-based medicine in the best interests of patient. Hence, our title uses Boolean operators to indicate that it is [AND] not [OR]. This is the syntax of formal searching for systematic reviews, ensuring that all the evidence is found. Comprehensive evidence-based guidance can thus be formulated. Many residents and fellows around the world, and their chiefs, are now exposed to consensus documents, white papers, levels of appropriateness, and guidelines and are in many jurisdictions expected to comply with them...
January 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27777673/evaluating-the-evaluators-implementation-of-a-multi-source-evaluation-program-for-graduate-medical-education-program-directors
#14
Mary Ellen J Goldhamer, Keith Baker, Amy P Cohen, Debra F Weinstein
BACKGROUND: Multi-source evaluation has demonstrated value for trainees, but is not generally provided to residency or fellowship program directors (PDs). OBJECTIVE: To develop, implement, and evaluate a PD multi-source evaluation process. METHODS: Tools were developed for PD evaluation by trainees, department chairs, and graduate medical education (GME) leadership. Evaluation questions were based on PD responsibilities, including Accreditation Council for Graduate Medical Education (ACGME) requirements...
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27774359/technical-report-of-successful-deployment-of-tandem-visual-tracking-during-live-laparoscopic-cholecystectomy-between-novice-and-expert-surgeon
#15
Yana Puckett, Benedicto C Baronia
With the recent advances in eye tracking technology, it is now possible to track surgeons' eye movements while engaged in a surgical task or when surgical residents practice their surgical skills. Several studies have compared eye movements of surgical experts and novices and developed techniques to assess surgical skill on the basis of eye movement utilizing simulators and live surgery. None have evaluated simultaneous visual tracking between an expert and a novice during live surgery. Here, we describe a successful simultaneous deployment of visual tracking of an expert and a novice during live laparoscopic cholecystectomy...
September 20, 2016: Curēus
https://www.readbyqxmd.com/read/27752600/a-survey-based-study-on-the-protocols-for-therapeutic-hypothermia-in-cardiac-arrest-patients-in-korea-focusing-on-the-differences-between-level-1-and-2-centers
#16
Tae Gwan Oh, Won Chul Cha, Ik Joon Jo, Mun Ju Kang, Dong Woo Lee
OBJECTIVE: We aimed to summarize the therapeutic hypothermia (TH) protocols used in emergency departments (EDs) in Korea and to investigate the differences between level 1 and 2 centers. METHODS: The chief residents from 56 EDs were given a structured survey containing questions on the indications for TH, methods for TH induction, maintaining, and finalizing TH treatments. The participants were divided into 2 groups based on their work place (level 1 vs. level 2 centers)...
December 2015: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/27747743/utility-of-a-near-real-time-emergency-department-syndromic-surveillance-system-to-track-injuries-in-new-york-city
#17
Kacie Seil, Jennifer Marcum, Ramona Lall, Catherine Stayton
BACKGROUND: The New York City emergency department (ED) syndromic surveillance (SS) system provides near real-time data on the majority of ED visits. The utility of ED SS for injury surveillance has not been thoroughly evaluated. We created injury syndromes based on ED chief complaint information and evaluated their utility compared to administrative billing data. METHODS: Six injury syndromes were developed: traffic-related injuries to pedal cyclists, pedestrians, and motor vehicle occupants; fall-related injuries; firearm-related injuries; and assault-related stabbings...
December 2015: Injury Epidemiology
https://www.readbyqxmd.com/read/27734077/training-patterns-and-lifetime-career-achievements-of-us-academic-cardiothoracic-surgeons
#18
Carlo Maria Rosati, Nakul P Valsangkar, Mario Gaudino, David Blitzer, Panos N Vardas, Leonard N Girardi, Mark W Turrentine, John W Brown, Leonidas G Koniaris
BACKGROUND: We aimed to investigate the impact of taking dedicated time for research (DTR) during training and/or getting a PhD on subsequent career achievements of US academic cardiothoracic surgeons. METHODS: Online resources (institutional Web sites, CTSNet, Scopus, NIH RePORTER) were queried to collect training information (timing of medical school/residency/fellowship graduation, DTR, PhD) and academic metrics (publications, citations, research funding) for 694 academic cardiothoracic surgeons practicing at 56 premiere US institutions...
October 12, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27683857/developing-leadership-competencies-among-medical-trainees-five-year-experience-at-the-cleveland-clinic-with-a-chief-residents-training-course
#19
Carol F Farver, Susan Smalling, James K Stoller
OBJECTIVES: Challenges in healthcare demand great leadership. In response, leadership training programs have been developed within academic medical centers, business schools, and healthcare organizations; however, we are unaware of any well-developed programs for physicians-in-training. METHODS: To address this gap, we developed a two-day leadership development course for chief residents (CRs) at the Cleveland Clinic, framed around the concept of emotional intelligence...
October 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/27663084/the-effect-of-patient-education-on-the-perceptions-of-resident-participation-in-surgical-care
#20
REVIEW
Jason W Kempenich, Ross E Willis, Robert J Blue, Mohammed J Al Fayyadh, Robert M Cromer, Paul J Schenarts, Kent R Van Sickle, Daniel L Dent
OBJECTIVE: To decipher if patient attitudes toward resident participation in their surgical care can be improved with patient education regarding resident roles, education, and responsibilities. DESIGN: An anonymous questionnaire was created and distributed in outpatient surgery clinics that had residents involved with patient care. In total, 3 groups of patients were surveyed, a control group and 2 intervention groups. Each intervention group was given an informational pamphlet explaining the role, education, and responsibilities of residents...
November 2016: Journal of Surgical Education
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