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https://www.readbyqxmd.com/read/28324050/transgender-health-in-endocrinology-current-status-of-endocrinology-fellowship-programs-and-practicing-clinicians
#1
Caroline Davidge-Pitts, Todd B Nippoldt, Ann Danoff, Lauren Radziejewski, Neena Natt
Context: The transgender population continues to face challenges in accessing appropriate health care. Adequate training of endocrinologists in this area is a priority. Objectives: 1) Assess the status of transgender healthcare education in United States (US) endocrinology fellowship training programs, and 2) assess knowledge and practice of transgender health amongst practicing US endocrinologists. Design: Mayo Clinic and Endocrine Society developed and administered a web-based anonymous survey to 104 endocrinology fellowship program directors (PDs) and 6,992 US MD members of Endocrine Society...
January 10, 2017: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28304002/influence-of-free-drug-samples-on-prescribing-by-physicians-a-cross-sectional-survey
#2
Samina Rafique, Waseem Sarwar, Asima Rashid, Fatima Sheerin
Free drug samples are distributed among doctors as a promotional tool. We investigated the effects of dispensing samples on prescriptions by the doctors and their opinion about samples through a cross-sectional survey. A questionnaire was distributed among the doctors in the Department of Medicine, Nishtar Hospital Multan. It contained drug choices for two hypothetical scenarios, options and reasons for using free samples and doctors' views about them. Response rate remained 83% (166/198). In scenario 1 (rheumatoid arthritis), 100 % and in scenario 2 (acid peptic disease), 13% of sample users dispensed against their preference while in both cases 78 % prescribed the same brand afterwards...
March 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28302612/difficult-lumbar-puncture-pitfalls-and-tips-from-the-trenches
#3
REVIEW
P A Hudgins, A J Fountain, P R Chapman, L M Shah
Lumbar puncture has, for many years, been the responsibility of the internal medicine physician or the neurologist. As more patients have undergone spine surgery and with the current increase in body mass index of the general population, the radiologist has been consulted with increasing frequency to perform lumbar puncture with fluoroscopic guidance. Radiology, in fact, is now the dominant overall provider of lumbar puncture procedures. The procedure is more difficult when the needle length increases, and if fluoroscopy is used, landmarks are more difficult to visualize with increasing subcutaneous fat...
March 16, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28302329/the-high-performing-radiology-residency-a-case-study
#4
Lu Anne V Dinglasan, Mary H Scanlon
The primary goal of any radiology residency program is to train clinically competent radiologists. However, some radiology programs go above and beyond basic ACGME requirements and produce highly productive radiologists who contribute to the field in research, education and technology. At the core of such residencies are the people who comprise it, including self-motivated, personable residents and faculty who can facilitate excellence from their trainees. Indeed, radiology residencies which create unique programs in response to evolving resident interests can help foster resident-driven research, advocacy, technological innovation and early leadership...
January 14, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28299774/working-hours-of-obstetrics-and-gynaecology-trainees-in-australia-and-new-zealand
#5
Jade Acton, Paige E Tucker, Max K Bulsara, Paul A Cohen
BACKGROUND: The importance of doctors' working hours has gained significant attention with evidence suggesting long hours and fatigue may compromise the safety and wellbeing of both patients and doctors. This study aims to quantify the working hours of The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) specialist trainees in order to better inform discussions of working hours and safety within our region. METHODS: An anonymous, online survey of RANZCOG trainees was conducted...
March 15, 2017: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28299561/america-competes-at-5%C3%A2-years-an-analysis-of-research-intensive-universities-rcr-training-plans
#6
Trisha Phillips, Franchesca Nestor, Gillian Beach, Elizabeth Heitman
This project evaluates the impact of the National Science Foundation's (NSF) policy to promote education in the responsible conduct of research (RCR). To determine whether this policy resulted in meaningful RCR educational experiences, our study examined the instructional plans developed by individual universities in response to the mandate. Using a sample of 108 U.S. institutions classified as Carnegie "very high research activity", we analyzed all publicly available NSF RCR training plans in light of the consensus best practices in RCR education that were known at the time the policy was implemented...
March 15, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28299354/an-international-survey-of-polypectomy-training-and-assessment
#7
K Patel, A Rajendran, O Faiz, M D Rutter, C Rutter, R Jover, I Koutroubakis, W Januszewicz, M Ferlitsch, E Dekker, D MacIntosh, S C Ng, T Kitiyakara, H Pohl, S Thomas-Gibson
Background and study aims Colonic polypectomy is acknowledged to be a technically challenging part of colonoscopy. Training in polypectomy is recognized to be often inconsistent. This study aimed to ascertain worldwide practice in polypectomy training. Patients and methods An electronic survey was distributed to endoscopic trainees and trainers in 19 countries asking about their experiences of receiving and delivering training. Participants were also asked about whether formal polypectomy training guidance existed in their country...
March 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28290953/chief-of-residents-for-quality-improvement-and-patient-safety-a-recipe-for-a-new-role-in-graduate-medical-education
#8
Kelly Ferraro, Randall Zernzach, Stephen Maturo, Christopher Nagy, Rebecca Barrett
INTRODUCTION: The San Antonio Uniformed Services Health Education Consortium (SAUSHEC) is the largest group of residency programs in the Department of Defense. In an effort to provide improved Quality Improvement and Patient Safety (QI/PS) training for its residents, SAUSHEC created the position of Chief of QI/PS for Residents in the academic year 2014-2015. The Chief of QI/PS for Residents was based in the Internal Medicine residency program but also assisted with SAUSHEC-wide QI/PS projects...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28287827/intensive-care-unit-educators-a-multicenter-evaluation-of-behaviors-residents-value-in-attendings
#9
Lekshmi Santhosh, Snigdha Jain, Anna Brady, Michelle Sharp, W Graham Carlos
RATIONALE: It is important for attendings to know which behaviors influence learner perceptions. To date, two studies focusing on general medicine attendings have been published addressing internal medicine residents' perceptions of attendings; there are no data on intensive care unit (ICU) attendings. OBJECTIVES: We sought to expand the evidence regarding this topic through a multicenter study at four geographically diverse academic medical centers. Our study focused on identifying the teaching behaviors of ICU physicians that learners observe in attendings they value as effective educators...
March 13, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28281910/orthodontic-cost-awareness-amongst-orthodontic-trainees-in-a-university-teaching-hospital
#10
Nicholas Hemmings, Jamie Gwilliam, Gurprit K Bhamrah
INTRODUCTION: After successful completion of orthodontic membership examinations, post-graduate specialty trainees are deemed proficient to work independently in primary care, where some understanding of the costs of providing treatment may be required. Financial management forms part of Module 33 of the Specialty Advisory Committee (SAC) curriculum for orthodontic training. OBJECTIVES: Establish knowledge levels of the cost of orthodontic items by King's College Hospital (KCH) Orthodontic trainees...
March 10, 2017: Journal of Orthodontics
https://www.readbyqxmd.com/read/28274216/primary-care-physicians-educational-needs-and-learning-preferences-in-end-of-life-care-a-focus-group-study-in-the-uk
#11
Lucy Ellen Selman, Lisa Jane Brighton, Vicky Robinson, Rob George, Shaheen A Khan, Rachel Burman, Jonathan Koffman
BACKGROUND: Primary care physicians (General Practitioners (GPs)) play a pivotal role in providing end of life care (EoLC). However, many lack confidence in this area, and the quality of EoLC by GPs can be problematic. Evidence regarding educational needs, learning preferences and the acceptability of evaluation methods is needed to inform the development and testing of EoLC education. This study therefore aimed to explore GPs' EoLC educational needs and preferences for learning and evaluation...
March 9, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28271279/an-international-assessment-of-trainee-experience-confidence-and-comfort-in-operative-vaginal-delivery
#12
D A Crosby, A Sarangapani, A Simpson, R Windrim, A Satkunaratnam, M F Higgins
AIM: The aim of this study was to assess Irish and Canadian obstetricians in training ("trainees") experience, confidence, and comfort in performing operative vaginal delivery (OVD). STUDY DESIGN: Trainees in Obstetrics and Gynaecology in the University of Toronto and the Royal College of Physicians of Ireland (RCPI) were invited to participate in an anonymous online survey reviewing experience as primary operator of OVD. Trainee confidence and comfort was self-assessed based upon their last few OVDs...
March 7, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28268011/hands-on-surgical-training-of-congenital-heart-surgery-using-3-dimensional-print-models
#13
Shi-Joon Yoo, Thomas Spray, Erle H Austin, Tae-Jin Yun, Glen S van Arsdell
OBJECTIVE: Patient-based congenital heart surgery (CHS) training is opportunity-based and difficult. Three-dimensional (3D) print models of the heart were used for hands-on surgical training (HOST) at the 2015 AATS and subsequently in 2 local institutions. We aim to introduce the process of 3D printing for surgical simulation and to present the attendee's responses. METHODS: Using CT or MR angiograms, the models of congenital heart disease were created and printed with flexible rubberlike material...
February 9, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28261821/a-contextual-therapy-framework-for-mft-educators-facilitating-trustworthy-asymmetrical-training-relationships
#14
Michael E Sude, Laura Eubanks Gambrel
This article provides a conceptual framework for asymmetrical relationships between family therapy educators and trainees. Our framework is based on contextual family therapy, and we apply the concepts of trust, entitlement, self-validation, and loyalty to training relationships. We highlight the value of educators modeling responsible uses of power in addition to teaching trainees clinical concepts and skills. We propose that training can be a process where trainers earn constructive entitlement through their interactions with trainees, who then give to future clients, supervisees, and trainees to continue the cycle of intergenerational trustworthiness...
March 6, 2017: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/28261406/the-impact-of-see-the-city-you-serve-field-trip-an-educational-tool-for-teaching-social-determinants-of-health
#15
Aileen Y Chang, Tracie L Bass, Monique Duwell, Jeffrey S Berger, Raksha Bangalore, Nancy S Lee, Richard L Amdur, Marcus Andrews, Esme Fahnestock, Lamek Kahsay, Jehan El-Bayoumi
BACKGROUND : There has been limited evaluation of tools for teaching social determinants of health (SDOH). OBJECTIVE : We evaluated a field trip as a tool for teaching SDOH to incoming medical interns. METHODS : Incoming interns from The George Washington University participated in a bus field trip of Washington, DC, guided by community partners. The field trip introduced trainees to local neighborhoods. Pre- and postactivity surveys developed by the authors were analyzed using a Wilcoxon signed rank test...
February 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28260480/living-donor-liver-transplant-follow-up-a-singlecenter-experience
#16
Syed Mudassir Laeeq, Farina M Hanif, Nasir Hassan Luck, Rajesh Kumar Mandhwani, Jawed Iqbal, Syed Haider Mehdi
OBJECTIVES: Liver transplant is a definite treatment of decompensated liver disease. Because of the shortage of livers from deceased donors, living-donor liver transplant is becoming more common. Here, we analyzed our clinical experience in the follow-up care of these patients. MATERIALS AND METHODS: Liver transplant recipients seen at the Sindh Institute of Urology and Transplantation (Karachi, Pakistan) were included in this analysis. Baseline characteristics and follow-up events were recorded...
February 2017: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/28259335/research-in-pediatric-residency-national-experience-of-pediatric-chief-residents
#17
Megan S McHenry, Erika L Abramson, Michael P McKenna, Su-Ting T Li
OBJECTIVE: To determine factors associated with increased research productivity, satisfaction, and perceived barriers to research within residency from the experience of pediatric chief residents. METHODS: An online cross-sectional survey was administered to academic year 2014-15 chief residents. Topics assessed included program demographic characteristics, career intentions, research productivity, satisfaction with research training and opportunities, and research barriers...
March 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28258884/a-national-needs-assessment-to-identify-technical-procedures-in-vascular-surgery-for-simulation-based-training
#18
L J Nayahangan, L Konge, T V Schroeder, C Paltved, K G Lindorff-Larsen, B U Nielsen, J P Eiberg
OBJECTIVES AND BACKGROUND: Practical skills training in vascular surgery is facing challenges because of an increased number of endovascular procedures and fewer open procedures, as well as a move away from the traditional principle of "learning by doing." This change has established simulation as a cornerstone in providing trainees with the necessary skills and competences. However, the development of simulation based programs often evolves based on available resources and equipment, reflecting convenience rather than a systematic educational plan...
March 1, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28250031/faculty-development-for-metro-new-york-city-postdoctoral-dental-program-directors-delphi-assessment-and-program-response
#19
Marcie S Rubin, Mari Millery, Burton L Edelstein
Faculty development for dental academicians is essential to cultivate a continuous faculty workforce, retain existing faculty members, enhance their teaching skill sets, and remain responsive to changing program requirements and curricular reforms. To maximize the utility of dental faculty development, it is important to systematically assess and address faculty members' perceived training needs. The aims of this study were to determine priority topics among one group of postdoctoral program directors and to translate those topics into faculty development programs as part of Columbia University's Health Resources and Services Administration (HRSA)-sponsored faculty training program for primary care educators...
March 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28249849/awareness-knowledge-and-practice-of-dyslipidaemia-management-among-postgraduate-primary-care-trainees-in-malaysia-a-cross-sectional-study
#20
Abdul Hadi Said, Yook Chin Chia
OBJECTIVES: Dyslipidaemia is one of the main risk factors for cardiovascular disease, the leading cause of death in Malaysia. This study assessed the awareness, knowledge and practice of lipid management among primary care physicians undergoing postgraduate training in Malaysia. DESIGN: Cross sectional study. SETTING: Postgraduate primary care trainees in Malaysia. PARTICIPANTS: 759 postgraduate primary care trainees were approached through email or hard copy, of whom 466 responded...
March 1, 2017: BMJ Open
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