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https://www.readbyqxmd.com/read/29436726/molecular-testing-practices-and-perceptions-among-dermatopathologists
#1
Kristin Torre, Preeti Jhorar, Rong Wu, John Pfeifer, Zendee Elaba, Michael Murphy
BACKGROUND: We evaluated how dermatopathologists are employing molecular testing in the setting of neoplastic skin diseases, and assess their opinions of the broader role and utility of molecular technologies in clinical practice. METHODS: A 15-question online survey was sent to Fellows of the American Society of Dermatopathology in April 2017. RESULTS: One hundred and thirty-six dermatopathologists completed the survey (response rate = 16%)...
February 13, 2018: Journal of Cutaneous Pathology
https://www.readbyqxmd.com/read/29428432/supporting-doctors-as-healthcare-quality-and-safety-advocates-recommendations-from-the-associations-of-surgeons-in-training-asit
#2
C A Fleming, G Humm, J R Wild, H M Mohan, S T Hornby, R L Harries, J E F Fitzgerald, A J Beamish
BACKGROUND: As front-line healthcare staff, doctors in surgical training occupy a unique organisational space rotating through hospitals and services in which they witness first hand both good and bad practice. This puts trainees in a clear position to identify and raise patient safety issues, and to contribute to discussions regarding quality and safety improvement. However, there are a number of real and perceived barriers to trainees doing so. These include concerns about the impact on training assessments and career progression, and uncertainty about the appropriate route...
February 8, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29428359/laparoscopic-simulator-for-pediatric-ureteral-reimplantation-lap-spur-following-the-lich-gregoir-technique
#3
Carolina Millán, Mercedes Rey, Manuel Lopez
OBJECTIVE: Acquiring surgical skills requires regular practice. Medical evidence supports that these skills can be learned outside the operating room (OR). The aim of the current study was to describe the first laparoscopic simulator for ureteral reimplantation (LAP-SPUR) following Lich- Gregoir technique. MATERIALS AND METHODS: LAP-SPUR was manufactured using reusable and disposable materials. The technique can be summarized in the following five steps: (1) a transperitoneal approach; (2) extra-vesical ureteral dissection; (3) detrusor division until exposing the mucosa; (4) reimplanting ureter into the new tunnel; and (5) reapproximation and suturing of the detrusor...
January 31, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29424757/survey-of-core-trainees-confidence-in-electroconvulsive-therapy
#4
Gillian Scott, David M Semple
OBJECTIVES: The objective of the survey was to assess confidence in electroconvulsive therapy (ECT) in core psychiatry trainees across Scotland, looking at both theoretical and practical aspects of ECT. METHODS: A link to a 14-item electronic questionnaire was distributed to core trainees via deanery administrators. Most questions were based on the Royal College of Psychiatry's ECT guidelines. RESULTS: A total of 85 responses were analyzed from trainees at all 3 levels of core training and from all health boards across Scotland...
February 7, 2018: Journal of ECT
https://www.readbyqxmd.com/read/29424650/factors-associated-with-burnout-among-us-neurosurgery-residents-a-nationwide-survey
#5
Frank J Attenello, Ian A Buchanan, Timothy Wen, Daniel A Donoho, Shirley McCartney, Steven Y Cen, Alexander A Khalessi, Aaron A Cohen-Gadol, Joseph S Cheng, William J Mack, Clemens M Schirmer, Karin R Swartz, J Adair Prall, Ann R Stroink, Steven L Giannotta, Paul Klimo
OBJECTIVE Excessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees. METHODS An 86-item questionnaire was disseminated to residents in the American Association of Neurological Surgeons database between June and November 2015...
February 9, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29421009/how-well-does-early-career-investigators-cardiovascular-outcomes-research-training-align-with-funded-outcomes-research
#6
Matthew J Crowley, Sana M Al-Khatib, Tracy Y Wang, Prateeti Khazanie, Nancy R Kressin, Harlan M Krumholz, Catarina I Kiefe, Barbara L Wells, Sean M O'Brien, Eric D Peterson, Gillian D Sanders
BACKGROUND: Outcomes research training programs should prepare trainees to successfully compete for research funding. We examined how early-career investigators' prior and desired training aligns with recently funded cardiovascular (CV) outcomes research. METHODS: We (1) reviewed literature to identify 13 core competency areas in CV outcomes research; (2) surveyed early-career investigators to understand their prior and desired training in each competency area; (3) examined recently funded grants commonly pursued by early-career outcomes researchers to ascertain available funding in competency areas; and (4) analyzed alignment between investigator training and funded research in each competency area...
February 2018: American Heart Journal
https://www.readbyqxmd.com/read/29411293/port-insertion-for-minimally-invasive-surgery-a-report-of-practices-in-the-irish-republic
#7
Cuan M Harrington, Dara O Kavanagh, Sean Tierney, Richard Deane, Dermot Hehir
BACKGROUND: With rapidly evolving surgical technologies, minimally invasive surgery (MIS) has become the mainstay approach for many surgeons worldwide. As laparoscopic surgery was introduced in Ireland over two decades ago, we may be encountering a higher prevalence of related complications. AIMS: This study aimed to gather data pertaining to risk factors for port-site herniation in MIS. METHODS: A 14-point anonymous questionnaire was distributed electronically between January and May 2017 to consultant and trainee laparoscopists in the Republic of Ireland...
February 6, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29409553/diagnostic-errors-in-paediatric-cardiac-intensive-care
#8
Priya N Bhat, John M Costello, Ranjit Aiyagari, Paul J Sharek, Claudia A Algaze, Mjaye L Mazwi, Stephen J Roth, Andrew Y Shin
Introduction Diagnostic errors cause significant patient harm and increase costs. Data characterising such errors in the paediatric cardiac intensive care population are limited. We sought to understand the perceived frequency and types of diagnostic errors in the paediatric cardiac ICU. METHODS: Paediatric cardiac ICU practitioners including attending and trainee physicians, nurse practitioners, physician assistants, and registered nurses at three North American tertiary cardiac centres were surveyed between October 2014 and January 2015...
February 7, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29407251/variability-in-the-prescribing-of-intravenous-fluids-a-cross-sectional-multicentre-analysis-of-clinical-practice
#9
G Ramsay, A Baggaley, P G Vaughan Shaw, E Soltanmohammadi, N Ventham, Ng Guat Shi, R Pearson, S R Knight, C T Forde, N Moore, J Kilkenny, K D Clement, M Kumar
AIMS: Intravenous (IV) fluid administration continues to be a mainstay of care in General Surgery. Yet if they are prescribed incorrectly significant morbidity including electrolyte abnormalities, renal impairment and cardiac failure can develop. Despite this, it is frequently the responsibility of the most junior staff to prescribe IV fluids. We aim to analyse the understanding of IV fluid prescribing amongst junior doctors and to describe variability in clinical practice. METHODS: We undertook a multicentre questionnaire study...
January 31, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29405100/the-impact-of-a-fogarty-international-center-supported-tuberculosis-research-training-program-in-the-country-of-georgia
#10
Russell R Kempker, Nestani Tukvadze, Lisa Sthreshley, Lisa Sharling, Dawn Comeau, Matthew J Magee, Carlos Del Rio, Zaza Avaliani, Henry M Blumberg
In 2004, there existed limited tuberculosis (TB) research capacity in the country of Georgia. In response, a collaborative research training program (RTP) supported by a National Institutes of Health Fogarty International Center Global Infectious Diseases grant was formed between a U.S. academic institution and the National Center for Tuberculosis and Lung Disease (NCTLD) and other institutions in Georgia. We sought to assess outcomes of this RTP. The TB RTP combined didactic and mentored research training for Georgian trainees...
February 5, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29404198/sleep-quality-perceived-stress-and-caffeinated-drinks-intake-in-psychiatry-residents-a-cross-sectional-study
#11
Carmen Concerto, Claudio Conti, Maria R Muscatello, Maria S Signorelli, Rocco Zoccali, Diego Coira, Eugenio Aguglia, Fortunato Battaglia
Background: Medical residencies are highly demanding and stressful and have been associated with mental and emotional problems. Studies that evaluated this relationship in Italian psychiatry residents are scarce. In this study, we examined sleep quality and its association with perceived stress and caffeinated beverages consumption in Italian psychiatry residents. Methods: Seventy-two PGY1-5 psychiatry residents at two University Hospitals in Italy were asked to complete an anonymous questionnaire. The Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale were used to determine the sleep quality and the level of daytime sleepiness (EDS)...
March 1, 2017: Journal of Caffeine Research
https://www.readbyqxmd.com/read/29398630/a-program-for-promoting-clinical-scholarship-in-general-surgery
#12
Madhukar S Patel, David Tomich, Tara S Kent, Elliot L Chaikof, James R Rodrigue
OBJECTIVE: The Accreditation Council for Graduate Medical Education mandates resident physician training in the principles and applications of research. To provide a robust early foundation for effective engagement in scholarship, we designed a novel clinical scholarship program (CSP) for PGY1 general surgery residents. SETTING, DESIGN AND OUTCOMES: In a general surgery residency training program, we assessed resident academic productivity (i.e., presentations, publications, and sustained engagement in clinical research) and self-efficacy to conduct clinical research, as well as the overall satisfaction of both residents and faculty mentors...
February 2, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29397914/non-interpretive-radiology-an-irish-perspective
#13
A N Murphy, N P Sheehy, P V Kavanagh
AIM: To describe and quantify the range of non-interpretive tasks engaged in by consultant radiologists in Ireland today. MATERIALS AND METHODS: A multiple-choice electronic survey was circulated to over 200 Irish consultant radiologists and results were analysed. RESULTS: Responses were received from approximately 40% of the 267 full-time equivalent consultants in Ireland at the time of the survey. There was a wide sub-specialty mix, and responses from both clinical directors and those without designated administrative responsibility...
February 1, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29395476/exploring-patient-centeredness-the-relationship-between-self-reported-empathy-and-patient-centered-communication-in-medical-trainees
#14
Marianna D LaNoue, Debra L Roter
OBJECTIVE: To explore the relationships between self-reported Empathy and the patient-centered communication patterns of physician trainees. METHODS: "Eighty-four 3rd year medical students completed the Jefferson Scale of Empathy (JSE - student version) and had recordings of a single OSCE analyzed using the Roter Interactional Analysis System (RIAS). Correlation and regression were employed to explore the relationships among JSE total score, 3 JSE subscales, 10 composite codes of provider communication, and a summary 'patient centered communication' ratio, reflecting the balance of psychosocial and emotional to biomedical communication of the simulated patient and student...
January 29, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29395411/are-we-headed-for-a-shortage-of-burn-care-providers-in-canada
#15
Sebastian Q Vrouwe, Marc G Jeschke, Joel S Fish
INTRODUCTION: Specialized burn care is categorized as an essential component in the criteria for provincial/state and regional trauma systems. Studies in the United States and New Zealand found a need for more burn surgeons and anticipated a severe shortage in the future. The purpose of this study is to describe the current active workforce of burn surgeons in Canada and forecast any perceived shortages in the future. METHODS: Burn care providers were identified from each metropolitan area across Canada...
January 29, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29395240/using-epistemic-network-analysis-to-identify-targets-for-educational-interventions-in-trauma-team-communication
#16
Sarah Sullivan, Charles Warner-Hillard, Brendan Eagan, Ryan J Thompson, A R Ruis, Krista Haines, Carla M Pugh, David Williamson Shaffer, Hee Soo Jung
BACKGROUND: Epistemic Network Analysis (ENA) is a technique for modeling and comparing the structure of connections between elements in coded data. We hypothesized that connections among team discourse elements as modeled by ENA would predict the quality of team performance in trauma simulation. METHODS: The Modified Non-technical Skills Scale for Trauma (T-NOTECHS) was used to score a simulation-based trauma team resuscitation. Sixteen teams of 5 trainees participated...
February 1, 2018: Surgery
https://www.readbyqxmd.com/read/29391377/prevalence-of-tobacco-consumption-among-young-physicians-at-a-regional-university-hospital-in-southern-spain-a-cross-sectional-study
#17
Antonio Ranchal Sánchez, Luis Ángel Pérula de Torres, Francisco Santos Luna, Roger Ruiz-Moral
INTRODUCTION: The aim of the study is to analyse the prevalence of smoking among resident physicians at a regional university hospital. In addition, we examined the trends in the smoking behaviour of physicians in relation to results obtained in other studies carried out previously at this hospital, as well as those published nationally and internationally METHOD: A cross-sectional observational study evaluating tobacco consumption in young physicians was carried out at the level of secondary healthcare in a regional university hospital in Cordoba, Spain...
February 1, 2018: BMJ Open
https://www.readbyqxmd.com/read/29389924/incidental-findings-during-a-surgical-procedure-current-practice-and-ethical-implications
#18
Rachel McKenzie, Jasper Diong, Jeanne Snelling, Lynley Anderson, André M van Rij
AIM: Sometimes during an elective surgical procedure, an abnormality is found which is unrelated to the scheduled procedure. In many instances, immediate treatment of this unexpected pathology is in the patient's medical interests, however, specific patient consent has not been obtained. This study investigates current surgical practice when confronted by an incidental finding (IF), as well as surgeons' views on informed consent in this context. METHOD: An online survey was sent to all practicing surgeons and surgical trainees within New Zealand...
February 2, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29386987/safety-aspects-of-hysteroscopy-specifically-in-relation-to-entry-and-specimen-retrieval-a-uk-survey-of-practice
#19
S H Walker, L Gokhale
Background: The purpose of this study is to evaluate current practice amongst gynaecologists across the UK, regarding safety aspects of inpatient hysteroscopy under anaesthesia, specifically in relation to entry and specimen retrieval.A survey was created using survey monkey. The first round was circulated to all registrar trainees and consultant gynaecologists across Wales. Following a good response, the survey was then circulated to all members of the British Society of Gynaecological Endoscopy (BSGE)...
2018: Gynecological Surgery
https://www.readbyqxmd.com/read/29385577/interprofessional-case-conference-impact-on-learner-outcomes
#20
Jeffrey Sordahl, India C King, Kyle Davis, Rick Tivis, Scott C Smith, Amber Fisher, Janet Willis, Timothy Gordon, William G Weppner
Transition to interprofessional team-based care is a quickly progressing healthcare model and requires changes in medical training approaches. The Department of Veteran Affairs (VA) has taken a lead role in creating such training experiences, one of which is the establishment of multiple Centers of Excellence in Primary Care Education (CoEPCE). These sites are tasked with developing teaching innovations to better facilitate interprofessional team-based care. The patient-aligned care team interprofessional care update (PACT-ICU) is an interprofessional workplace learning activity with the goals of simultaneously addressing educational and patient care needs...
January 27, 2018: Translational Behavioral Medicine
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