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https://www.readbyqxmd.com/read/27916362/effectiveness-of-a-mental-skills-curriculum-to-reduce-novices-stress
#1
Nicholas E Anton, Lisa D Howley, Manuel Pimentel, Cameron K Davis, Charles Brown, Dimitrios Stefanidis
BACKGROUND: Stress has been shown to negatively impact surgical performance, and surgical novices are particularly susceptible to its effects. Mental skills are psychological strategies designed to enhance performance and reduce the impact of stress to consistently facilitate the ideal mental conditions that enable performers to perform their best. Mental skills have been used routinely in other high-stress domains (e.g., with Navy SEALs, military pilots, elite athletes, and so forth) to facilitate optimal performance in challenging situations...
November 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27909087/stand-up-and-be-counted-measuring-and-mapping-the-rheumatology-workforce-in-canada
#2
Claire E H Barber, Lauren Jewett, Elizabeth M Badley, Diane Lacaille, Alfred Cividino, Vandana Ahluwalia, Henry Averns, Cory Baillie, Janet Ellsworth, Janet Pope, Deborah Levy, Christine Charnock, Claire McGowan, J Carter Thorne, Cheryl Barnabe, Michel Zummer, Katie Lundon, Robert S McDougall, John G Thomson, Elaine A Yacyshyn, Dianne Mosher, Julie Brophy, Thanu Nadarajah Ruban, Deborah A Marshall
OBJECTIVE: To characterize the practicing rheumatologist workforce, the Canadian Rheumatology Association (CRA) launched the Stand Up and Be Counted workforce survey in 2015. METHODS: The survey was distributed electronically to 695 individuals, of whom 519 were expected to be practicing rheumatologists. Demographic and practice information were elicited. We estimated the number of full-time equivalent rheumatologists per 75,000 population from the median proportion of time devoted to clinical practice multiplied by provincial rheumatologist numbers from the Canadian Medical Association...
December 1, 2016: Journal of Rheumatology
https://www.readbyqxmd.com/read/27903203/prevalence-of-bullying-discrimination-and-sexual-harassment-among-trainees-and-fellows-of-the-college-of-intensive-care-medicine-of-australia-and-new-zealand
#3
Bala Venkatesh, Charlie Corke, Raymond Raper, Mary Pinder, Dianne Stephens, Gavin Joynt, Peter Morley, Rinaldo Bellomo, Rob Bevan, Ross Freebairn, Benoj Varghese, Michael Ashbolt, Felicity Hawker, Stephen Jacobe, Sarah Yong
BACKGROUND: Anecdotal reports about bullying behaviour in intensive care emerged during College of Intensive Care Medicine (CICM) hospital accreditation visits. Bullying, discrimination and sexual harassment (BDSH) in the medical profession, particularly in surgery, were widely reported in the media recently. This prompted the College to formally survey its Fellows and trainees to identify the prevalence of these behaviours in the intensive care workplace. METHODS: An online survey of all trainees (n = 951) and Fellows (n = 970) of the CICM...
December 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27903015/neurosurgical-resident-training-in-germany
#4
Martin N Stienen, Jens Gempt, Oliver P Gautschi, Andreas K Demetriades, David Netuka, Dominique E Kuhlen, Karl Schaller, Florian Ringel
Introduction Efficient neurosurgical training is of paramount importance to provide continuing high-quality medical care to patients. In this era of law-enforced working hour restrictions, however, maintaining high-quality training can be a challenge and requires some restructuring. We evaluated the current status of resident training in Germany. Methods An electronic survey was sent to European neurosurgical trainees between June 2014 and March 2015. The responses of German trainees were compared with those of trainees from other European countries...
November 30, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27893012/surgeons-and-trauma-care-physicians-perception-of-the-impact-of-the-globalization-of-medical-education-on-quality-of-care-in-lima-peru
#5
Lacey N LaGrone, Leah N Isquith-Dicker, Eduardo Huaman Egoavil, Manuel J A Rodriguez Castro, Alfredo Allagual, Fernando Revoredo, Charles N Mock
Importance: The globalization of medical education-the process by which trainees in any region gain access to international training (electronic or in-person)-is a growing trend. More data are needed to inform next steps in the responsible stewardship of this process, from the perspective of trainees and institutions at all income levels, and for use by national and international policymakers. Objective: To describe the impact of the globalization of medical education on surgical care in Peru from the perspective of Peruvian surgeons who received international training...
November 23, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27891391/identification-and-cost-of-disposable-endourological-devices-for-nephrolithiasis-a-cross-sectional-study-among-urological-trainees
#6
Eoin D Mac Craith, Niall F Davis, Cliodhna Browne, David J Galvin, David M Quinlan, Gerald M Lennon, David W Mulvin
INTRODUCTION: Knowledge on health economics among urology trainees is not formally assessed. The cost of commonly utilised endourological devices may not be considered by trainees. AIM: The present study was conducted with the aim to assess whether urology trainees were knowledgeable on identification and cost of commonly used disposable devices in the management of nephrolithiasis. MATERIALS AND METHODS: Forty urology trainees in Ireland were invited to complete a visual online questionnaire on the identification of 10 frequently utilised disposable endourological devices...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27890781/promoting-early-brain-and-child-development-perceived-barriers-and-the-utilization-of-resources-to-address-them
#7
Andrew S Garner, Amy Storfer-Isser, Moira Szilagyi, Ruth E K Stein, Cori M Green, Bonnie D Kerker, Karen G O'Connor, Kimberly E Hoagwood, Sarah McCue Horwitz
OBJECTIVE: Efforts to promote early brain and child development (EBCD) include initiatives to support healthy parent-child relationships, tools to identify family social-emotional risk factors, and referrals to community programs to address family risk factors. We sought to examine if pediatricians perceive barriers to implementing these activities, and if they utilize resources to address those barriers. METHOD: Data were analyzed from 304 non-trainee pediatricians who practice general pediatrics and completed a 2013 American Academy of Pediatrics Periodic Survey...
November 24, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/27887998/the-intricacies-of-the-renin-angiotensin-system-in-metabolic-regulation
#8
REVIEW
Erin B Bruce, Annette D de Kloet
Over recent years, the renin-angiotensin-system (RAS), which is best-known as an endocrine system with established roles in hydromineral balance and blood pressure control, has emerged as a fundamental regulator of many additional physiological and pathophysiological processes. In this manuscript, we celebrate and honor Randall Sakai's commitment to his trainees, as well as his contribution to science. Scientifically, Randall made many notable contributions to the recognition of the RAS's roles in brain and behavior...
November 22, 2016: Physiology & Behavior
https://www.readbyqxmd.com/read/27886971/the-feasibility-of-real-time-intraoperative-performance-assessment-with-simpl-system-for-improving-and-measuring-procedural-learning-early-experience-from-a-multi-institutional-trial
#9
REVIEW
Jordan D Bohnen, Brian C George, Reed G Williams, Mary C Schuller, Debra A DaRosa, Laura Torbeck, John T Mullen, Shari L Meyerson, Edward D Auyang, Jeffrey G Chipman, Jennifer N Choi, Michael A Choti, Eric D Endean, Eugene F Foley, Samuel P Mandell, Andreas H Meier, Douglas S Smink, Kyla P Terhune, Paul E Wise, Nathaniel J Soper, Joseph B Zwischenberger, Keith D Lillemoe, Gary L Dunnington, Jonathan P Fryer
PURPOSE: Intraoperative performance assessment of residents is of growing interest to trainees, faculty, and accreditors. Current approaches to collect such assessments are limited by low participation rates and long delays between procedure and evaluation. We deployed an innovative, smartphone-based tool, SIMPL (System for Improving and Measuring Procedural Learning), to make real-time intraoperative performance assessment feasible for every case in which surgical trainees participate, and hypothesized that SIMPL could be feasibly integrated into surgical training programs...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27885240/incidence-and-characteristics-of-needlestick-injuries-among-medical-trainees-at-a-community-teaching-hospital-a-cross-sectional-study
#10
Ben Ouyang, Lucy Dx Li, Joanne Mount, Alainna J Jamal, Lauren Berry, Carmine Simone, Marcus Law, R W Melissa Tai
ObjectivesThis field study aimed to determine the incidence and distribution of needlestick injuries among medical trainees at a community teaching hospital in Toronto, Canada.MethodsThe study was performed during the 2013-2015 academic years at Toronto East General Hospital (TEGH), a University of Toronto-affiliated community-teaching hospital during the 2013-2015 academic years. Eight-hundred and forty trainees, including medical students, residents, and post-graduate fellows, were identified and invited via email to participate in an anonymous online fluidsurveys...
November 22, 2016: Journal of Occupational Health
https://www.readbyqxmd.com/read/27884805/utilization-and-underlying-reasons-of-duty-hour-flexibility-in-the-flexibility-in-duty-hour-requirement-for-surgical-trainees-first-trial
#11
Karl Y Bilimoria, Christopher Quinn, Allison R Dahlke, Rachel R Kelz, Judy A Shea, Ravi Rajaram, Remi Love, Lindsey Kreutzer, Thomas Biester, Anthony D Yang, David B Hoyt, Frank R Lewis
BACKGROUND: The Flexibility in Duty-Hour Requirements for Surgical Trainees (FIRST) Trial randomized surgical residency programs to either standard duty-hour policies or flexible policies that eliminated caps on shift lengths and time off between shifts. Our objectives were to assess adherence to duty-hour requirements in the Standard Policy arm and examine how often and why duty-hour flexibility was used in the Flexible Policy arm. STUDY DESIGN: A total of 3,795 residents in the FIRST Trial completed a survey in January 2016 (response rate >95%) that asked how often and why they exceeded current standard duty hour limits in both study arms...
November 10, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27876662/-views-on-careers-in-clinical-neurosciences-amongst-neurosurgeons-and-neurologists-in-china
#12
Rimas V Lukas, Chao Ma, Jingcao Chen, Hongmei Dong, Jinxin Li, Zefen Wang, Ivy Jiang, Kai Fu, Samita Satnarayan, Dara V F Albert, Renslow Sherer
BACKGROUND: China has a large and aging population. The need for physicians with training in clinical neurosciences will grow. Currently there is little known regarding the factors which lead physicians in China to pursue careers in clinical neurosciences. OBJECTIVES: The objective of this study is to garner a clearer understanding of the factors which impact physicians to pursue careers in neurosurgery and neurology in China. METHODS: We surveyed attendees at a national neuroscience conference on the factors which influence their pursuit of careers in clinical neurosciences...
November 19, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27873183/interdisciplinary-oncology-education-a-national-survey-of-trainees-and-program-directors-in-the-united-states
#13
Adil S Akthar, Christopher D Hellekson, Sabha Ganai, Olwen M Hahn, Ronald J Maggiore, Ezra E Cohen, Mitchell C Posner, Steven J Chmura, Andrew R Howard, Daniel W Golden
Oncologists must have a strong understanding of collaborating specialties in order to deliver optimal cancer care. The objective of this study was to quantify current interdisciplinary oncology education among oncology training programs across the USA, identify effective teaching modalities, and assess communication skills training. Web-based surveys were sent to oncology trainees and program directors (PDs) across the USA on April 1, 2013 and October 8, 2013, respectively. Question responses were Yes/No, five-point Likert scales (1 = not at all, 2 = somewhat, 3 = moderately, 4 = quite, 5 = extremely), or free response...
November 21, 2016: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/27867525/barriers-to-goals-of-care-discussions-with-hospitalized-patients-with-advanced-heart-failure-feasibility-and-performance-of-a-novel-questionnaire
#14
Natasha Aleksova, Catherine Demers, Patricia H Strachan, Jane MacIver, James Downar, Robert Fowler, Daren K Heyland, Heather J Ross, John J You
AIMS: Good end-of-life communication and decision-making are important to patients with advanced heart failure (HF) and their families, but their needs remain unmet. In this pilot study, we describe the feasibility and performance of a novel questionnaire aimed at identifying barriers and solutions to improve communication and decision-making about goals of care for hospitalized patients with advanced HF. METHODS: We distributed questionnaires to staff cardiologists, cardiology trainees, and cardiology nurses who provide care for HF patients at a Canadian teaching hospital...
December 2016: ESC Heart Failure
https://www.readbyqxmd.com/read/27866719/endocrine-surgery-fellowship-graduates-past-present-and-future-8%C3%A2-years-of-early-job-market-experiences-and-what-program-directors-and-trainees-can-expect
#15
Vikram D Krishnamurthy, Jesse Gutnick, Rachel Slotcavage, Judy Jin, Eren Berber, Allan Siperstein, Joyce J Shin
BACKGROUND: Given the increasing number of endocrine surgery fellowship graduates, we investigated if expectations and job opportunities changed over time. METHODS: American Association of Endocrine Surgeons (AAES) fellowship graduates, surgery department chairs, and physician recruiters were surveyed. Univariate analysis was performed with JMP Pro 12 software. RESULTS: We identified 141 graduates from 2008-2015; survey response rate was 72% (n = 101)...
November 17, 2016: Surgery
https://www.readbyqxmd.com/read/27864350/grit-and-burnout-in-uk-doctors-a-cross-sectional-study-across-specialties-and-stages-of-training
#16
Laura Halliday, Abigail Walker, Stella Vig, John Hines, John Brecknell
PURPOSE OF THE STUDY: Grit is characterised by the ability to persevere during difficulties and maintain a sustained effort over an extended period of time. Throughout their careers, doctors will experience many periods of stress and difficulty. This may result in burnout, defined by the presence of exhaustion and disengagement from work. This study aims to characterise the relationship between grit and burnout in doctors and to establish whether there are differences between specialties and levels of training...
November 18, 2016: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27860254/physician-performed-chest-ultrasound-progress-and-future-directions
#17
E J Denton, L M Hannan, M Hew
BACKGROUND: Pleural ultrasound guidance reduces complications of pleural procedures, and lung ultrasound can diagnose the cause of acute respiratory failure. Yet as recently as five years ago, many respiratory physicians lacked sufficient access, training and expertise to perform chest ultrasound. AIMS: This study examines whether progress has been achieved in chest ultrasound amongst respiratory physicians in Australia and New Zealand. METHODS: We conducted a web-based chest ultrasound survey of adult respiratory physicians across Australia and New Zealand...
November 16, 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27843971/cold-burn-injuries-in-the-uk-the-11-year-experience-of-a-tertiary-burns-centre
#18
Metin Nizamoglu, Alethea Tan, Tobias Vickers, Nicholas Segaren, David Barnes, Peter Dziewulski
BACKGROUND: Guidance for the management of thermal injuries has evolved with improved understanding of burn pathophysiology. Guidance for the management of cold burn injuries is not widely available. The management of these burns differs from the standard management of thermal injuries. This study aimed to review the etiology and management of all cold burns presenting to a large regional burn centre in the UK and to provide a simplified management pathway for cold burns. METHODS: An 11-year retrospective  analysis (1 January 2003-31 December 2014)  of all cold injuries presenting to a regional burns centre in the UK was conducted...
2016: Burns and trauma
https://www.readbyqxmd.com/read/27842730/surgical-skills-curricula-in-american-college-of-surgeons-accredited-education-institutes-an-international-survey
#19
Iman Ghaderi, Shimae Fitzgibbons, Yusuke Watanabe, Alexander Lachapelle, John Paige
BACKGROUND: A clear understanding of simulation-based curricula in use at American College of Surgeons Accredited Education Institutes (ACS-AEIs) is lacking. METHODS: A 25-question online survey was sent to ACS-AEIs. RESULTS: The response rate approached 60%. The most frequent specialties to use the ACS-AEIs are general surgery and obstetrics/gynecology (94%). Residents are the main target population for programming/training (96%). Elements of the ACS/Association of Program Directors in Surgery Surgical Skills Curriculum are used by 77% of responding ACS-AEIs...
September 3, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27836238/systematic-review-of-voluntary-participation-in-simulation-based-laparoscopic-skills-training-motivators-and-barriers-for-surgical-trainee-attendance
#20
Hannah Gostlow, Nicholas Marlow, Wendy Babidge, Guy Maddern
OBJECTIVE: To examine and report on evidence relating to surgical trainees' voluntary participation in simulation-based laparoscopic skills training. Specifically, the underlying motivators, enablers, and barriers faced by surgical trainees with regard to attending training sessions on a regular basis. DESIGN: A systematic search of the literature (PubMed; CINAHL; EMBASE; Cochrane Collaboration) was conducted between May and July 2015. Studies were included on whether they reported on surgical trainee attendance at voluntary, simulation-based laparoscopic skills training sessions, in addition to qualitative data regarding participant's perceived barriers and motivators influencing their decision to attend such training...
November 8, 2016: Journal of Surgical Education
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