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https://www.readbyqxmd.com/read/29126406/perceptions-of-the-2011-acgme-duty-hour-requirements-among-residents-in-all-core-programs-at-a-large-academic-medical-center
#1
Benjamin J Sandefur, Diana M Shewmaker, Christine M Lohse, Steven H Rose, James E Colletti
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) implemented revisions to resident duty hour requirements (DHRs) in 2011 to improve patient safety and resident well-being. Perceptions of DHRs have been reported to vary by training stage and specialty among internal medicine and general surgery residents. The authors explored perceptions of DHRs among all residents at a large academic medical center. METHODS: The authors administered an anonymous cross-sectional survey about DHRs to residents enrolled in all ACGME-accredited core residency programs at their institution...
November 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29098048/time-is-of-the-essence-an-observational-time-motion-study-of-internal-medicine-residents-while-they-are-on-duty
#2
Cameron W Leafloor, Erin Yiran Liu, Catherine C Code, Heather A Lochnan, Erin Keely, Deanna M Rothwell, Alan J Forster, Allen R Huang
Background: The effects of changes to resident physician duty hours need to be measureable. This time-motion study was done to record internal medicine residents' workflow while on duty and to determine the feasibility of capturing detailed data using a mobile electronic tool. Methods: Junior and senior residents were shadowed by a single observer during six-hour blocks of time, covering all seven days. Activities were recorded in real-time. Eighty-nine activities grouped into nine categories were determined a priori...
June 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29097172/beyond-250-a-comprehensive-strategy-to-maximize-the-operative-experience-for-junior-residents
#3
James M Healy, Mark W Maxfield, Daniel G Solomon, Walter E Longo, Peter S Yoo
OBJECTIVES: Among surgical educators, duty-hour restrictions led to concern regarding the adequacy of operative experience during residency, especially for junior residents. The American Board of Surgery recently instituted guidelines mandating "a minimum of 250 operations by the end of the PGY-2 year". A series of programmatic and institutional changes were implemented at our institution to augment the junior resident operative experience and to exceed compliance with this mandate. METHODS: Operative data from Accreditation Council for Graduate Medical Education case logs for categorical and nondesignated preliminary interns from our large academic surgical residency were identified for 5 consecutive academic years, 2011 until 2016...
October 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29081080/pediatric-resident-perceptions-of-shift-work-in-ward-rotations
#4
Osamu Nomura, Hiroki Mishina, Harish Jasti, Hirokazu Sakai, Akira Ishiguro
Although the long working hours of physicians are considered to be a social issue, no effective policies such as duty hour regulations have so far been proposed in Japan. We implemented an overnight call shift (OCS) system for ward rotations to improve the working environment for residents in a pediatric residency program. We later conducted a cross-sectional questionnaire asking the residents to compare this system with the traditional overnight call system. Forty-one pediatric residents participated in this survey...
October 2017: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/29076933/can-clinical-simulation-increase-confidence-levels-in-performing-postpartum-care-in-a-diverse-group-of-baccalaureate-nursing-students
#5
Michelle Germain, Colleen O'Leary-Kelley, Deepika Goyal, Sulekha Anand
Nursing duties are often sensitive in nature and may contribute to feelings of inadequacy for students, especially when providing postpartum care. Our study assessed confidence levels among 61 junior baccalaureate nursing students before and after a simulation workshop with a follow-up survey administered after completion of two full clinical days on a postpartum unit. The four-hour simulation included stations for breast, fundus, and lochia exam skills. Overall confidence and confidence in performing patient assessments were significantly increased at postsimulation and follow-up (p < ...
October 26, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29073389/impact-of-extended-duty-hours-on-medical-trainees
#6
Pnina Weiss, Meir Kryger, Melissa Knauert
Many studies on resident physicians have demonstrated that extended work hours are associated with a negative impact on well-being, education, and patient care. However, the relationship between the work schedule and the degree of impairment remains unclear. In recent years, because of concerns for patient safety, national minimum standards for duty hours have been instituted (2003) and revised (2011). These changes were based on studies of the effects of sleep deprivation on human performance and specifically on the effect of extended shifts on resident performance...
December 2016: Sleep Health
https://www.readbyqxmd.com/read/29066315/surgery-website-as-a-24-7-adjunct-to-a-surgical-curriculum
#7
Apram Jyot, Mohamed S Baloul, Eric J Finnesgard, Samuel J Allen, Nimesh D Naik, Miguel A Gomez Ibarra, Eduardo F Abbott, Becca Gas, Francisco J Cardenas-Lara, Muhammad H Zeb, Rachel Cadeliña, David R Farley
OBJECTIVE: Successfully teaching duty hour restricted trainees demands engaging learning opportunities. Our surgical educational website and its associated assets were assessed to understand how such a resource was being used. DESIGN: Our website was accessible to all Mayo Clinic employees via the internal web network. Website access data from April 2015 through October 2016 were retrospectively collected using Piwik. SETTING: Academic, tertiary care referral center with a large general surgery training program...
October 21, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29064570/effects-of-scaffold-microstructure-and-low-intensity-pulsed-ultrasound-on-chondrogenic-differentiation-of-human-mesenchymal-stem-cells
#8
Mitra Aliabouzar, Se-Jun Lee, Xuan Zhou, Grace Lijjie Zhang, Kausik Sarkar
The effects of low intensity pulsed ultrasound (LIPUS) on proliferation and chondrogenic differentiation of human mesenchymal stem cells (hMSCs) seeded on 3D printed poly-(ethylene glycol)-diacrylate (PEG-DA) scaffolds with varying pore geometries (square and hexagonal channels) were investigated. The scaffold with square pores resulted in higher hMSC growth and chondrogenic differentiation than a solid or a hexagonally porous scaffold. The optimal LIPUS parameters at 1.5 MHz were found to be 100 mW/cm(2) and 20% duty cycle...
October 24, 2017: Biotechnology and Bioengineering
https://www.readbyqxmd.com/read/29064297/updating-the-risk-index-a-systematic-review-and-meta-analysis-of-occupational-injuries-and-work-schedule-characteristics
#9
Dorothee Fischer, David A Lombardi, Simon Folkard, Joanna Willetts, David C Christiani
Fatigue is a major risk factor for occupational 'accidents' and injuries, and involves dimensions of physical, mental, and muscular fatigue. These dimensions are largely influenced by temporal aspects of work schedules. The "Risk Index" combines four fatigue-related components of work schedules to estimate occupational 'accident' and injury risk based on empirical trends: shift type (morning, afternoon/evening, night), length and consecutive number, and on-shift rest breaks. Since its first introduction in 2004, several additional studies have been published that allow the opportunity to improve the internal and external validity of the "Risk Index"...
October 24, 2017: Chronobiology International
https://www.readbyqxmd.com/read/29059986/energy-efficient-lora-gps-tracker-for-dementia-patients
#10
Tim Hadwen, Vanessa Smallbon, Qing Zhang, Matthew D'Souza
Continuous GPS tracking devices always suffer short battery life when used by caregivers to reduce the risk of wandering to dangerous areas by dementia patients. Currently the best existing tracker for dementia patients on the market only supports less than 10 hours battery life with a gigantic battery. It not only requires daily battery charging from patients/caregivers, but also becomes a very restrictive device. In this paper we inspected individual energy consumption of the components in a GPS tracker and proposed a novel energy efficient, small wristband by integrating the latest LoRa communication and GPS duty cycling technologies...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29055744/the-acgme-case-log-system-may-not-accurately-represent-operative-experience-among-general-surgery-interns
#11
Nimesh D Naik, Eduardo F Abbott, Johnathon M Aho, T K Pandian, Cornelius A Thiels, Stephanie F Heller, David R Farley
OBJECTIVE: To assess if the Accreditation Council for Graduate Medical Education (ACGME) case log system accurately captures operative experience of our postgraduate year 1 (PGY-1) residents. DESIGN: ACGME case log information was retrospectively obtained for 5 cohorts of PGY-1 residents (2011-2015) and compared to the number of operative cases captured by an institutional automated operative case report system, Surgical Access Utility System (SAUS). SAUS automatically captures all surgical team members who are listed in the operative dictation for a given case, including interns...
October 18, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29049716/bone-marrow-derived-cell-recruitment-to-the-neurosensory-retina-and-retinal-pigment-epithelial-cell-layer-following-subthreshold-retinal-phototherapy
#12
Sergio Caballero, David L Kent, Nilanjana Sengupta, Sergio Li Calzi, Lynn Shaw, Eleni Beli, Leni Moldovan, James M Dominguez, Ramana S Moorthy, Maria B Grant
Purpose: We investigated whether subthreshold retinal phototherapy (SRPT) was associated with recruitment of bone marrow (BM)-derived cells to the neurosensory retina (NSR) and RPE layer. Methods: GFP chimeric mice and wild-type (WT) mice were subjected to SRPT using a slit-lamp infrared laser. Duty cycles of 5%, 10%, 15%, and 20% (0.1 seconds, 250 mW, spot size 50 μm) with 30 applications were placed 50 to 100 μm from the optic disc. In adoptive transfer studies, GFP+ cells were given intravenously immediately after WT mice received SRPT...
October 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29049076/fatigue-risk-management-the-impact-of-anesthesiology-residents-work-schedules-on-job-performance-and-a-review-of-potential-countermeasures
#13
Lily R Wong, Erin Flynn-Evans, Keith J Ruskin
Long duty periods and overnight call shifts impair physicians' performance on measures of vigilance, psychomotor functioning, alertness, and mood. Anesthesiology residents typically work between 64 and 70 hours per week and are often required to work 24 hours or overnight shifts, sometimes taking call every third night. Mitigating the effects of sleep loss, circadian misalignment, and sleep inertia requires an understanding of the relationship among work schedules, fatigue, and job performance. This article reviews the current Accreditation Council for Graduate Medical Education guidelines for resident duty hours, examines how anesthesiologists' work schedules can affect job performance, and discusses the ramifications of overnight and prolonged duty hours on patient safety and resident well-being...
October 17, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29042335/neurosurgical-resident-error-a-survey-of-u-s-neurosurgery-residency-training-program-directors-perceptions
#14
Raghav Gupta, Justin M Moore, Nimer Adeeb, Christoph J Griessenauer, Anna M Schneider, Chirag D Gandhi, Griffith R Harsh, Ajith J Thomas, Christopher S Ogilvy
INTRODUCTION: Efforts to address resident errors and enhance patient safety have included systemic reforms such as the ACGME's mandated duty-hour restrictions and specialty-specific initiatives such as the neurosurgery Milestone Project. However, there is currently little data describing the basis for these errors or outlining trends in neurosurgical resident errors. METHODS: An online questionnaire was distributed to program directors of 108 U.S. neurosurgery residency training programs to assess the frequency, most common forms and causes of resident error, the resulting patient outcomes, and the steps taken by residency programs to address these errors...
October 14, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29033987/dietary-practices-and-nutritional-profile-of-female-nurses-from-government-hospitals-in-delhi-india
#15
Shipra Gupta
BACKGROUND: Nursing is a demanding profession and nurses face a considerable degree of stress at work that can adversely influence their dietary practices and nutritional status. The current study was designed to conduct a preliminary investigation of the dietary practices and nutritional profile of nurses from government hospitals in Delhi. MATERIALS AND METHODS: A cross-sectional descriptive study was carried out among 80 female nurses aged between 25 and 39 years from government hospitals...
September 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29031935/workplace-mental-health-training-for-managers-and-its-effect-on-sick-leave-in-employees-a-cluster-randomised-controlled-trial
#16
Josie S Milligan-Saville, Leona Tan, Aimée Gayed, Caryl Barnes, Ira Madan, Mark Dobson, Richard A Bryant, Helen Christensen, Arnstein Mykletun, Samuel B Harvey
BACKGROUND: Mental illness is one of the most rapidly increasing causes of long-term sickness absence, despite improved rates of detection and development of more effective interventions. However, mental health training for managers might help improve occupational outcomes for people with mental health problems. We aimed to investigate the effect of mental health training on managers' knowledge, attitudes, confidence, and behaviour towards employees with mental health problems, and its effect on employee sickness absence...
October 11, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28994515/role-of-pelvic-ultrasound-simulation
#17
Sushila Arya, Zuber D Mulla, Sanja Kupesic Plavsic
BACKGROUND: Pelvic ultrasound is a critical diagnostic imaging tool in obstetrics and gynaecology. Training opportunities in transvaginal ultrasound have not kept pace with the demand among learners because of the increased complexity of modern ultrasound technology and duty-hour restrictions. Ultrasound simulation training has the potential to overcome this gap. Training opportunities in transvaginal ultrasound have not kept pace with the demand OBJECTIVE: Our study aimed to determine the usefulness, applicability and attitudes toward pelvic ultrasound simulation training among residents, sonographers and practising doctors...
October 10, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28975222/an-appeal-for-evidence-based-resident-duty-hours-reform
#18
Elaine C Khoong, Anne S Linker
No abstract text is available yet for this article.
November 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28971499/restoration-of-resident-sleep-and-wellness-with-block-scheduling
#19
James Bordley, Algene G Agustin, Mohamed A Ahmed, Raeesa Khalid, Anthony M Paluso, Bethany S Kobza, Aaron W Spaugy, Jonathan Emens, Sima S Desai, Akram Khan
CONTEXT: Block scheduling during residency is an innovative model in which in-patient and ambulatory rotations are separated. We hypothesised that this format may have a positive impact on resident sleep and wellness in comparison with a traditional format. METHODS: We performed a single-centre, cross-sectional, observational study of residents rotating in the medical intensive care unit (MICU). Residents were observed for 4 weeks at a time: internal medicine (IM) residents were observed for 3 weeks in the MICU followed by 1 week in an ambulatory context, and non-IM residents were observed for 4 weeks in the MICU...
December 2017: Medical Education
https://www.readbyqxmd.com/read/28934807/development-of-report-turnaround-times-in-a-university-department-of-radiology-during-implementation-of-a-reformed-curriculum-for-undergraduate-medical-education
#20
Liane Albrecht, Martin H Maurer, Tim Seithe, Joachim Braun, Richard Gummert, Jonas Auer, Keno Sponheuer, Tobias Philipp Meyl, Bernd Hamm, Maximilian de Bucourt
Purpose The implementation of a reformed curriculum for undergraduate medical education with a problem-oriented focus and more bedside teaching in small groups increases the academic teaching workload. The aim of this study was to investigate whether this increase in teaching duties is associated with an increase in report turnaround times of radiologists or increased unplanned absence during term times compared with term breaks (lecture-free periods) and over the whole period under investigation. Materials and Methods The database of all radiological examinations performed at a large German university hospital was retrospectively analyzed for a two-year period from the winter term 2011/12 to the summer term 2013...
September 21, 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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