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https://www.readbyqxmd.com/read/28913506/comparison-of-the-long-term-outcomes-of-resident-versus-attending-performed-trabeculectomy
#1
Naveed Nilforushan, Maryam Yadgari, Arezoo Astaraki, Arezoo Miraftabi
PURPOSE: To compare the long-term outcomes obtained by residents and attending surgeons performing trabeculectomy. METHODS: After reviewing medical records of the patients, 41 residents performing trabeculectomy under supervision of attendings were compared to 41 attendings performing trabeculectomy. The primary outcome measure was the surgical success defined in terms of intraocular pressure (IOP) ≤ 21 mmHg (criterion A) and IOP ≤ 16 mmHg (criterion B), with at least 20% reduction in IOP, either with no medication (complete success) or with no more than 2 medications (qualified success)...
September 2017: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/28901176/an-evaluation-of-the-effectiveness-of-the-national-aeronautics-and-space-administration-mission-x-child-health-promotion-program-in-the-united-states
#2
Jungwon Min, Zhengqi Tan, Laurie Abadie, Scott Townsend, Hong Xue, Youfa Wang
PURPOSE: To examine the effects of the National Aeronautics and Space Administration Mission-X: Train Like an Astronaut program (MX) on children's health-related knowledge and behaviors of a sample of US participants. DESIGN: A nonexperimental pilot intervention study in 5 cities with a pre-post comparison of children's health-related knowledge and behaviors in the United States in 2014 and 2015. SAMPLE: Children (n = 409) with a mean age (standard deviation) of 10...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28893711/supervised-exercise-therapy-for-intermittent-claudication-is-increasingly-endorsed-by-dutch-vascular-surgeons
#3
David Hageman, Gert-Jan Lauret, Lindy N M Gommans, Mark J W Koelemay, Marc R H M van Sambeek, Marc R M Scheltinga, Joep A W Teijink
INTRODUCTION: Although supervised exercise therapy (SET) is generally accepted as an effective noninvasive treatment for intermittent claudication (IC), Dutch vascular surgeons were initially somewhat hesitant as reported by a 2011 questionnaire study. Later on, a nationwide multidisciplinary network for SET was introduced in the Netherlands. The aim of this questionnaire study was to determine possible trends in conceptions among Dutch vascular surgeons regarding the prescription of SET...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28890063/the-value-of-carotid-endarterectomy-as-a-learning-tool-for-trainees
#4
L M Cacioppa, R Pini, M Longhi, A Vacirca, E Gallitto, G L Faggioli, M Gargiulo, A Stella
INTRODUCTION: Carotid endarterectomy (CEA) intervention needs a specific training and a sufficient learning curve to obtain optimal results in terms of outcome. A formative program was settled up in a single academic center in order to optimize training of standard CEA procedures. This study aims to evaluate the 11-year results of the teaching CEA program. METHODS: The trainees CEA teaching program is carried on during the 5-year vascular surgery residency period and it is stratified as follows: learning theory and intervention assistance (minimum 50 procedures per-year) in the first and second residency-year; performing CEA as second operator in the third and fourth residency-year (minimum 50 procedures per-year); CEA execution as first operator with attending supervision in the last residency-year...
September 7, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28886562/support-of-supervised-injection-facilities-by-emergency-physicians-in-canada
#5
Noam Katz, Lynne Leonard, Lorne Wiesenfeld, Jeffrey J Perry, Venkatesh Thiruganasambandamoorthy, Lisa Calder
BACKGROUND: Despite evidence supporting the implementation of supervised injection facilities (SIFs) by multiple stakeholders, no evaluation of emergency physicians' attitudes has ever been documented towards such facilities in Canada or internationally. The primary goal of our study was to determine the opinions and perceptions of emergency physicians regarding the implementation of SIFs in Canada. METHODS: We conducted a national electronic survey of staff and resident emergency physicians in Canada using an iteratively designed survey tool in consultation with content experts...
September 5, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28882683/structured-operative-autonomy-an-institutional-approach-to-enhancing-surgical-resident-education-without-impacting-patient-outcomes
#6
Brandon M Wojcik, Zhi Ven Fong, Madhukar S Patel, David C Chang, Dustin R Long, Haytham Ma Kaafarani, Emil Petrusa, John T Mullen, Keith D Lillemoe, Roy Phitayakorn
BACKGROUND: Though barriers to granting surgical residents autonomy in the operating room are well described, few have proposed practical strategies to overcome them. Our department adopted a multidisciplinary approach to develop a rotation that aimed to grant chief residents structured operative autonomy. In this study, we assess the feasibility of implementation, impact on patient safety and educational benefit to residents following the program's pilot year. STUDY DESIGN: During a one-month rotation, chief residents began cases alone using their own operative block time...
September 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28882492/assessing-the-effort-associated-with-teaching-residents
#7
Kelli R Aibel, Tracy Truong, Ronnie L Shammas, Eugenia H Cho, Kate J Buretta, Gina-Maria Pomann, Scott T Hollenbeck
BACKGROUND: Intraoperative resident education is an integral mission of academic medical centers and serves as the basis for training the next generation of surgeons. The actual effort associated with teaching residents is unknown as it pertains to additional operative time. Using a large validated multi-institutional dataset, this study aims to quantify the effect of having a resident present in common plastic surgery procedures on operative time. Future directions for developing standardized methods to record and report teaching time are proposed, which can help inform prospective studies...
August 5, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28864172/do-patients-understand-the-role-of-resident-physicians-in-the-operating-room-a-survey-of-gynaecology-patients
#8
Arielle Cantor, Catherine Flood, Savanna Boutin, Shauna Regan, Sue Ross
OBJECTIVE: Studies from disciplines outside gynaecology have found that most patients do not understand the clinical responsibilities allocated to physicians-in-training. No research on this topic has been published in gynaecology, despite litigation against gynaecological surgeons regarding the role of residents in surgery. The goal of this research was to explore what gynaecological surgery patients understand about the role of resident doctors. METHODS: A questionnaire was distributed to female patients in gynaecological surgery pre-admission clinics in Edmonton, Alberta...
August 29, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28863019/pediatric-anesthesiology-fellows-perception-of-quality-of-attending-supervision-and-medical-errors
#9
Hubert A Benzon, John Hajduk, Gildasio De Oliveira, Santhanam Suresh, Sarah L Nizamuddin, Robert McCarthy, Narasimhan Jagannathan
BACKGROUND: Appropriate supervision has been shown to reduce medical errors in anesthesiology residents and other trainees across various specialties. Nonetheless, supervision of pediatric anesthesiology fellows has yet to be evaluated. The main objective of this survey investigation was to evaluate supervision of pediatric anesthesiology fellows in the United States. We hypothesized that there was an indirect association between perceived quality of faculty supervision of pediatric anesthesiology fellow trainees and the frequency of medical errors reported...
August 31, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28860228/anterior-transversalis-fascia-approach-versus-preperitoneal-space-approach-for-inguinal-hernia-repair-in-residents-in-northern-china-study-protocol-for-a-prospective-multicentre-randomised-controlled-trial
#10
Qing Fan, De-Wei Zhang, Da-Ye Yang, Hong-Wu Li, Shi-Bo Wei, Liang Yang, Fu-Quan Yang, Shao-Jun Zhang, Yao-Qiang Wu, Wei-de An, Zhong-Shu Dai, Hui-Yong Jiang, Fu-Rong Wang, Shi-Feng Qiao, Hang-Yu Li
INTRODUCTION: Many surgical techniques have been used to repair abdominal wall defects in the inguinal region based on the anatomic characteristics of this region and can be categorised as 'tension' repair or 'tension-free' repair. Tension-free repair is the preferred technique for inguinal hernia repair. Tension-free repair of inguinal hernia can be performed through either the anterior transversalis fascia approach or the preperitoneal space approach. There are few large sample, randomised controlled trials investigating the curative effects of the anterior transversalis fascia approach versus the preperitoneal space approach for inguinal hernia repair in patients in northern China...
August 31, 2017: BMJ Open
https://www.readbyqxmd.com/read/28854303/medical-malpractice-lawsuits-involving-surgical-residents
#11
Cornelius A Thiels, Asad J Choudhry, Mohamed D Ray-Zack, Rachel A Lindor, John R Bergquist, Elizabeth B Habermann, Martin D Zielinski
Importance: Medical malpractice litigation against surgical residents is rarely discussed owing to assumed legal doctrine of respondeat superior, or "let the master answer." Objective: To better understand lawsuits targeting surgical trainees to prevent future litigation. Design, Setting, and Participants: Westlaw, an online legal research database containing legal records from across the United States, was retrospectively reviewed for malpractice cases involving surgical interns, residents, or fellows from January 1, 2005, to January 1, 2015...
August 30, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28852356/detection-of-retained-foreign-objects-in-upper-extremity-surgical-procedures-with-incisions-of-two-centimeters-or-smaller
#12
Josef N Tofte, Lindsey S Caldwell
BACKGROUND: While the true incidence of retained foreign bodies after surgery is unknown, it has been approximated at 1:5,500 operations overall, with substantially less frequency in hand and upper extremity procedures. Despite the rarity of foreign body retention in hand and upper extremity surgery, universal radiofrequency scanning for electronically-tagged sponges and automatic radiographic evaluation for incorrect sponge counts are employed for all surgical procedures at our institution...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852015/pitfalls-of-using-confocal-microscopy-based-automated-quantification-of-synaptic-complexes-in-honeybee-mushroom-bodies-response-to-peng-and-yang-2016
#13
Wolfgang Rössler, Johannes Spaethe, Claudia Groh
A recent study by Peng and Yang in Scientific Reports using confocal-microscopy based automated quantification of anti-synapsin labeled microglomeruli in the mushroom bodies of honeybee brains reports potentially incorrect numbers of microglomerular densities. Whereas several previous studies using visually supervised or automated counts from confocal images and analyses of serial 3D electron-microscopy data reported consistent numbers of synaptic complexes per volume, Peng and Yang revealed extremely low numbers differing by a factor of 18 or more from those obtained in visually supervised counts, and by a factor 22-180 from numbers in two other studies using automated counts...
August 29, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28833325/facilitating-the-transition-from-a-nursing-student-to-a-registered-nurse-in-the-final-clinical-practicum-a-scoping-literature-review
#14
REVIEW
Anu-Marja Kaihlanen, Elina Haavisto, Camilla Strandell-Laine, Leena Salminen
BACKGROUND: Transition from a nursing student to a Registered Nurse is a stressful and challenging process. Different postgraduate residency and orientation programmes have been developed to ease the first year of employment, but less attention has been paid to pregraduate programmes and how the final clinical practicum of nursing education should be conducted to facilitate this transition. AIM: To review the empirical studies concerning interventions that aim to facilitate the transition from nursing student to Registered Nurse in the final clinical practicum of nursing education...
August 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28814584/examining-self-reported-and-biological-stress-and-near-misses-among-emergency-medicine-residents-a-single-centre-cross-sectional-assessment-in-the-usa
#15
Bengt B Arnetz, Philip Lewalski, Judy Arnetz, Karen Breejen, Karin Przyklenk
OBJECTIVES: To examine the relationship between perceived and biological stress and near misses among Emergency Medicine residents. DESIGN: Self-rated stress and stress biomarkers were assessed in residents in Emergency Medicine before and after a day shift. The supervising physicians and residents reported numbers of near misses. SETTING: The study took place in the Emergency Department of a large trauma 1 centre, located in Detroit, USA...
August 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/28810207/intermediate-care-to-intensive-care-triage-a-quality-improvement-project-to-reduce-mortality
#16
David N Hager, Pranav Chandrashekar, Robert W Bradsher, Ali M Abdel-Halim, Souvik Chatterjee, Melinda Sawyer, Roy G Brower, Dale M Needham
PURPOSE: Medical patients whose care needs exceed what is feasible on a general ward, but who do not clearly require critical care, may be admitted to an intermediate care unit (IMCU). Some IMCU patients deteriorate and require medical intensive care unit (MICU) admission. In 2012, staff in the Johns Hopkins IMCU expressed concern that patient acuity and the threshold for MICU admission were too high. Further, shared triage decision-making between residents and supervising physicians did not consistently occur...
August 3, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28808426/organisational-and-environmental-characteristics-of-residential-aged-care-units-providing-highly-person-centred-care-a-cross-sectional-study
#17
Karin Sjögren, Marie Lindkvist, Per-Olof Sandman, Karin Zingmark, David Edvardsson
BACKGROUND: Few studies have empirically investigated factors that define residential aged care units that are perceived as being highly person-centred. The purpose of this study was to explore factors characterising residential aged care units perceived as being highly person-centred, with a focus on organisational and environmental variables, as well as residents' and staff' characteristics. METHODS: A cross-sectional design was used. Residents (n = 1460) and staff (n = 1213) data from 151 residential care units were collected, as well as data relating to characteristics of the organisation and environment, and data measuring degree of person-centred care...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28767548/the-balance-between-surgical-resident-education-and-patient-safety-in-laparoscopic-colorectal-surgery-surgical-resident-s-performance-has-no-negative-impact
#18
Shigenori Homma, Futoshi Kawamata, Tadashi Yoshida, Yosuke Ohno, Nobuki Ichikawa, Susumu Shibasaki, Hideki Kawamura, Norihiko Takahashi, Akinobu Taketomi
OBJECTIVE: This study aimed to evaluate the feasibility and effectiveness of a comprehensive theoretical and hands-on training program in performing laparoscopic colonic resections under supervision of an expert surgeon. MATERIALS AND METHODS: Laparoscopic right colectomy was performed in 78 patients (10 with benign disease, 68 with carcinoma). Demographic, intraoperative, pathologic examination, and short-term outcome data were retrospectively compared between 25 patients operated by surgical residents (R group) and 53 patients operated by senior surgeons (S group)...
August 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28760802/this-much-water-a-qualitative-study-using-behavioural-theory-to-develop-a-community-service-video-to-prevent-child-drowning-in-western-australia
#19
Mel Denehy, Justine E Leavy, Jonine Jancey, Lauren Nimmo, Gemma Crawford
OBJECTIVES: Drowning in children under the age of 5 is a frequently occurring, yet preventable event. This research used behavioural theory to test the suitability and appropriateness of a drowning prevention message in a community service video. DESIGN: This qualitative study used content analysis of focus groups. Constructs from the Health Belief Model guided the data analysis. SETTING: Community organisations and playgrounds in Perth, Western Australia...
July 31, 2017: BMJ Open
https://www.readbyqxmd.com/read/28760467/resident-autonomy-in-the-operating-room-expectations-versus-reality
#20
Shari L Meyerson, Joel M Sternbach, Joseph B Zwischenberger, Edward M Bender
BACKGROUND: There is concern about graduating thoracic trainees' independent operative skills due to limited autonomy in training. This study compared faculty and trainee expected levels of autonomy with intraoperative measurements of autonomy for common cardiothoracic operations. METHODS: Participants underwent frame-of-reference training on the 4-point Zwisch scale of operative autonomy (show and tell → active help → passive help → supervision only) and evaluated autonomy in actual cases using the Zwisch Me!! mobile application...
September 2017: Annals of Thoracic Surgery
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