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https://www.readbyqxmd.com/read/29929816/use-of-learning-teams-to-improve-the-educational-environment-of-general-surgery-residency
#1
Tovy Haber Kamine, Ashraf A Sabe, Bharath Nath, Kelly Barnes, Tara S Kent
OBJECTIVE: Recent surgical education literature has focused on means of improving structured educational experience in residency, particularly in the context of limited working hours. In addition, prior studies have illustrated a void in training regarding leadership. Learning teams have been adopted in several medical schools with an aim to improve the educational experience. We instituted resident learning teams with a goal of improving resident education. DESIGN: In the 2015 to 2016 academic year, we implemented a team-based learning (TBL) system of 5 teams each led by 1 to 2 chief residents and containing an approximately equal number of residents from postgraduate year (PGY)1-4...
June 18, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29929755/narrowing-of-the-surgical-resident-operative-experience-a-27-year-analysis-of-national-acgme-case-logs
#2
Alexander R Cortez, Gianna D Katsaros, Vikrom K Dhar, F Thurston Drake, Timothy A Pritts, Jeffrey J Sussman, Michael J Edwards, R Cutler Quillin
BACKGROUND: Although overall operative volume has remained stable since the implementation of duty hours, more detailed analyses suggest shifts in the resident operative experience. Understanding these differences allows educators to better appreciate the impact of the current training environment on resident preparation for practice. METHODS: National Accreditation Council for Graduate Medical Education case logs from 1990 to 2016 were reviewed. Statistical analysis was performed using analysis of variance and linear regression analysis...
June 18, 2018: Surgery
https://www.readbyqxmd.com/read/29877915/chief-resident-immersion-training-in-the-care-of-older-adults-a-successful-national-replication-of-an-interspecialty-educational-intervention
#3
Sharon A Levine, Serena H Chao, Lisa B Caruso, Angela H Jackson, Matthew L Russell, Megan E Young, Belle Brett
PURPOSE: Nongeriatricians must acquire skills and knowledge in geriatric medicine to ensure coordinated care of older adults' complex conditions by interspecialty and interprofessional teams. Chief residents (CRs) are an ideal target for an educational intervention. This study examined whether the Boston Medical Center (BMC) Chief Resident Immersion Training (CRIT) in the Care of Older Adults was replicable at diverse medical institutions. METHOD: Between 2008 and 2010, 12 institutions in 11 states received funding, technical support, and a common program model...
June 5, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29876155/integrating-telehealth-emergency-department-follow-up-visits-into-residency-training
#4
Dimitrios Papanagnou, Danica Stone, Shruti Chandra, Phillip Watts, Anna Marie Chang, Judd E Hollander
Introduction Given the rapid expansion of telehealth (TH), there is an emerging need for trained professionals who can effectively deliver TH services. As there is no formal TH training program for residents, the Department of Emergency Medicine (DEM) at Thomas Jefferson University (TJU) developed a pilot training program for senior post-graduate-year three (PGY-3) residents that exposed them to TH practices. The objective of the study was to determine the feasibility of developing a resident-led, post-Emergency-Department (ED) visit TH follow-up program as an educational opportunity to 1) address patient satisfaction; and 2) expose senior residents to TH delivery...
April 5, 2018: Curēus
https://www.readbyqxmd.com/read/29851854/use-of-the-critical-care-pain-observation-tool-and-the-bispectral-index-for-the-detection-of-pain-in-brain-injured-patients-undergoing-mechanical-ventilation-a-strobe-compliant-observational-study
#5
Kai Shan, Wei Cao, Yuan Yuan, Jing-Jing Hao, Xiu-Mei Sun, Xuan He, Gui-Yun Li, Yu-Mei Wang, Jian-Xin Zhou
The assessment of pain in patients with brain injury is challenging due to impaired ability to communicate. We aimed to test the reliability and validity of the critical-care pain observation tool (CPOT) and the bispectral index (BIS) for pain detection in critically brain-injured patients.This prospective observational study was conducted in a neurosurgical intensive care unit in a University-Affiliated Hospital. Adult brain-injured patients undergoing mechanical ventilation were enrolled. Nociceptive (endotracheal suctioning) and non-nociceptive (gentle touching) procedures were performed in a random crossover fashion...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29793472/realization-of-the-right-to-adequate-food-and-the-nutritional-status-of-land-evictees-a-case-for-mothers-caregivers-and-their-children-in-rural-central-uganda
#6
Aziiza Nahalomo, Per Ole Iversen, Peter Milton Rukundo, Archileo Kaaya, Joyce Kikafunda, Wenche Barth Eide, Maritha Marais, Edward Wamala, Margaret Kabahenda
BACKGROUND: In developing countries like Uganda, the human right to adequate food (RtAF) is inextricably linked to access to land for households to feed themselves directly through production or means for its procurement. Whether RtAF is enjoyed among Ugandan land evictees, is unknown. We therefore explored this among land evictees (rights-holders) in Wakiso and Mpigi districts in rural Central Uganda. We assessed food accessibility and related coping strategies, diet quality and nutritional status of children 6-59 months old, and their caregivers...
May 24, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29721362/career-paths-of-pathology-informatics-fellowship-alumni
#7
Joseph W Rudolf, Christopher A Garcia, Matthew G Hanna, Christopher L Williams, Ulysses G Balis, Liron Pantanowitz, J Mark Tuthill, John R Gilbertson
Background: The alumni of today's Pathology Informatics and Clinical Informatics fellowships fill diverse roles in academia, large health systems, and industry. The evolving training tracks and curriculum of Pathology Informatics fellowships have been well documented. However, less attention has been given to the posttraining experiences of graduates from informatics training programs. Here, we examine the career paths of subspecialty fellowship-trained pathology informaticians. Methods: Alumni from four Pathology Informatics fellowship training programs were contacted for their voluntary participation in the study...
2018: Journal of Pathology Informatics
https://www.readbyqxmd.com/read/29713780/quantitative-parameters-of-ct-texture-analysis-as-potential-markersfor-early-prediction-of-spontaneous-intracranial-hemorrhage-enlargement
#8
Qijun Shen, Yanna Shan, Zhengyu Hu, Wenhui Chen, Bing Yang, Jing Han, Yanfang Huang, Wen Xu, Zhan Feng
OBJECTIVE: To objectively quantify intracranial hematoma (ICH) enlargement by analysing the image texture of head CT scans and to provide objective and quantitative imaging parameters for predicting early hematoma enlargement. METHODS: We retrospectively studied 108 ICH patients with baseline non-contrast computed tomography (NCCT) and 24-h follow-up CT available. Image data were assessed by a chief radiologist and a resident radiologist. Consistency analysis between observers was tested...
April 30, 2018: European Radiology
https://www.readbyqxmd.com/read/29697635/trends-in-accreditation-council-for-graduate-medical-education-accreditation-for-subspecialty-fellowship-training-in-plastic-surgery
#9
Jason Silvestre, Joseph M Serletti, Benjamin Chang
BACKGROUND: The purposes of this study were to (1) determine the proportion of plastic surgery residents pursuing subspecialty training relative to other surgical specialties, and (2) analyze trends in Accreditation Council for Graduate Medical Education accreditation of plastic surgery subspecialty fellowship programs. METHODS: The American Medical Association provided data on career intentions of surgical chief residents graduating from 2014 to 2016. The percentage of residents pursuing fellowship training was compared by specialty...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29696101/curriculum-design-and-implementation-of-the-emergency-medicine-chief-resident-incubator
#10
Michael A Gisondi, Adaira Chou, Nikita Joshi, Margaret K Sheehy, Fareen Zaver, Teresa M Chan, Jeffrey Riddell, Derek P Sifford, Michelle Lin
Background Chief residents receive minimal formal training in preparation for their administrative responsibilities. There is a lack of professional development programs specifically designed for chief residents. Objective In 2015, Academic Life in Emergency Medicine designed and implemented an annual, year-long, training program and virtual community of practice for chief residents in emergency medicine (EM). This study describes the curriculum design process and reports measures of learner engagement during the first two cycles of the curriculum...
February 24, 2018: Curēus
https://www.readbyqxmd.com/read/29664825/outcomes-analysis-of-chief-cosmetic-clinic-over-13-years
#11
Nicholas J Walker, John C Crantford, Megan A Rudolph, Lisa R David
BACKGROUND: Adequate resident training in aesthetic surgery has become increasingly important with rising demand. Chief resident aesthetic clinics allow hands on experience with an appropriate amount of autonomy. The purpose of this study was to compare resident cosmetic clinic outcomes to those reported in the literature. Furthermore, we sought to assess how effective these clinics can be in preparing residents in performing common aesthetic surgery procedures. METHOD: A retrospective chart review of 326 patients and 714 aesthetic procedures in our chief cosmetic clinic over a 13-year period was performed, and complication and revision rates were recorded...
June 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29653060/tree-related-injuries-associated-with-response-and-recovery-from-hurricane-sandy-new-jersey-2011-2014
#12
Elizabeth G Marshall, Shou-En Lu, Abimbola O Williams, Daniel Lefkowitz, Marija Borjan
OBJECTIVES: Extreme weather events require extensive tree removal and disposal, tasks associated with severe injury risks among workers and residents. To help understand the risks of such activities, we evaluated the impact of a large and destructive storm (Hurricane Sandy in 2012) on the incidence of tree-related injuries. METHODS: We searched chief-complaint text fields for patients aged 18-65 from 2011-2014 emergency department visit records submitted by New Jersey hospitals through the state-based syndromic surveillance system...
May 2018: Public Health Reports
https://www.readbyqxmd.com/read/29608531/pathways-to-academic-leadership-in-plastic-surgery-a-nationwide-survey-of-program-directors-division-chiefs-and-department-chairs-of-plastic-surgery
#13
Jordan E Fishman, John Henry Y Pang, Joseph E Losee, J Peter Rubin, Vu T Nguyen
BACKGROUND: Many aspire to leadership in academic plastic surgery yet there is no well-documented pathway. METHODS: Information regarding plastic surgery residencies and program directors was obtained from the American Medical Association's FREIDA database. The division chief or department chair (academic head) of every academic plastic surgery program was identified. One Internet-based survey was distributed to academic heads; another, to program directors. RESULTS: Ninety academic heads were identified, 35 of whom also serve as program director...
June 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29607220/remember-the-drive-home-an-assessment-of-emergency-providers-sleep-deficit
#14
Brian A Ferguson, Hugh W Shoff, Jennifer E McGowan, Martin R Huecker
Objective: Sleep deprivation decreases work performance and predisposes workers to deleterious health outcomes. We sought to evaluate sleep hygiene and fatigue among emergency physicians. Methods: In March-June 2016, physicians and residents at an academic emergency medicine program were invited to complete a survey evaluating sleep and alertness. Results: Six attending physicians and 26 residents completed the survey. Among six personal priorities, sleep ranked fourth behind family, work, and leisure...
2018: Emergency Medicine International
https://www.readbyqxmd.com/read/29569683/computed-tomography-use-in-minor-head-injury-attitudes-and-practices-of-emergency-physicians-neurosurgeons-and-radiologists-in-turkey
#15
Ebru Özan, Gökçe Kaan Ataç
BACKGROUND: We aimed to determine the attitudes and practices of emergency physicians (EPs), neurosurgeons, and radiologists in Turkey regarding computed tomography (CT) use for adults with minor head injury (MHI). METHODS: This cross-sectional study was conducted between August 2015 and October 2016 after obtaining the approval of the institutional ethical committee. The purpose of this study was disclosed to the participants prior to beginning the survey. The study was performed conducting a questionnaire via e-mail on three groups of participants including EPs, neurosurgeons, and radiologists...
March 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29565686/networking-matters-a-social-network-analysis-of-the-association-of-program-directors-of-internal-medicine
#16
Eric Warm, Vineet M Arora, Saima Chaudhry, Andrew Halvorsen, Daniel Schauer, Kris Thomas, Furman S McDonald
THEORY: Networking has positive effects on career development; however, personal characteristics of group members such as gender or diversity may foster or hinder member connectedness. Social network analysis explores interrelationships between people in groups by measuring the strength of connection between all possible pairs in a given network. Social network analysis has rarely been used to examine network connections among members in an academic medical society. This study seeks to ascertain the strength of connection between program directors in the Association of Program Directors in Internal Medicine (APDIM) and its Education Innovations Project subgroup and to examine possible associations between connectedness and characteristics of program directors and programs...
March 22, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29548007/plastic-surgery-resident-run-cosmetic-clinics-a-survey-of-current-practices
#17
Michael J Ingargiola, Felipe Molina Burbano, Amy Yao, Saba Motakef, Paymon Sanati-Mehrizy, Nikki M Burish, Lisa R David, Peter J Taub
Background: The recently increased minimum aesthetic surgery requirements set by the Plastic Surgery Residency Review Committee of the ACGME highlight the importance of aesthetic surgery training for plastic surgery residents. Participation in resident aesthetic surgery clinics has become an important tool to achieve this goal. Yet, there is little literature on the current structure of these clinics. Objectives: The authors sought to evaluate current practices of aesthetic resident-run clinics in the United States...
March 14, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29469757/delusions-of-parasitosis-a-brief-review-of-the-literature-and-pathway-for-diagnosis-and-treatment
#18
Nicholas Laidler
A large proportion of patients seen in dermatology practices have underlying psychological issues associated with their skin diseases. One of the most flagrant examples of this are patients with delusions of parasitosis. These patients have false fixed beliefs that they are infested by parasites and experience cutaneous sensations of crawling, biting, and stinging associated with their delusions. There is no organic skin disorder and all cutaneous manifestations are self-induced. Rather than a psychiatrist, the dermatologist is often designated by the patient to handle the chief complaint, even though the main disorder is psychogenic...
January 15, 2018: Dermatology Online Journal
https://www.readbyqxmd.com/read/29452056/promoting-addiction-medicine-teaching-through-functional-mentoring-by-co-training-generalist-chief-residents-with-faculty-mentors
#19
Daniel P Alford, Brittany L Carney, Angela H Jackson, Belle Brett, Carly Bridden, Michael Winter, Jeffrey H Samet
BACKGROUND: Generalist physicians should play a vital role in identifying and managing individuals with substance use but are inadequately trained to do so. METHODS: This 5-year (2008-2012) controlled educational study assessed whether internal medicine and family medicine chief residents' (CRs) addiction medicine teaching increased by co-training with faculty mentors at a Chief Resident Immersion Training (CRIT) program in addiction medicine. All CRIT CR attendees identified a residency program faculty mentor to support addiction medicine teaching after CRIT through functional mentoring with a focus on developing and implementing an Addiction Medicine Teaching Project ("Teaching Project")...
February 16, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29398631/enhancing-confidence-in-graduating-general-surgery-residents-establishing-a-chief-surgery-resident-service-at-an-independent-academic-medical-center
#20
Benjamin T Jarman, Colette T O'Heron, Kara J Kallies, Thomas H Cogbill
OBJECTIVE: Providing opportunities for autonomy to enhance the development of independence and confidence during surgery residency remains among the greatest challenges of the current training paradigm. The objective of this study was to evaluate the implementation and outcomes of a chief resident service (CRS). DESIGN: A CRS was designed with operative, call and office responsibilities. Supervision and evaluation were consistent with institutional guidelines. CRS operative logs from 2011 to 2014 were compared with logs from the participants' first year in practice...
February 2, 2018: Journal of Surgical Education
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