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Surgical board exams

Michael S Crowell, Erik A Dedekam, Michael R Johnson, Scott C Dembowski, Richard B Westrick, Donald L Goss
BACKGROUND: While advanced diagnostic imaging is a large contributor to the growth in health care costs, direct-access to physical therapy is associated with decreased rates of diagnostic imaging. No study has systematically evaluated with evidence-based criteria the appropriateness of advanced diagnostic imaging, including magnetic resonance imaging (MRI), when ordered by physical therapists. The primary purpose of this study was to describe the appropriateness of magnetic resonance imaging (MRI) or magnetic resonance arthrogram (MRA) exams ordered by physical therapists in a direct-access sports physical therapy clinic...
October 2016: International Journal of Sports Physical Therapy
Hamid Reza Abbasi, Mitra Amini, Shahram Bolandparvaz, Shahram Paydar, Jameel Ali, Sepideh Sefidbakht
OBJECTIVE: To evaluate the effect of advance trauma life support (ATLS®) training on general surgery residents clinical reasoning skills using the national boards-style objective structured clinical examination (OSCE). METHODS: This cross-sectional single-center study was conducted in Shiraz University of Medical Sciences including 51 surgery residents that participated in a mandatory national board style OSCE between May 2014 and May 2015. OSCE scores of two groups of general surgery residents including 23 ATLS® trained and 28 non-ATLS® trained were compared using Mann-Whitney U test...
April 2016: Bulletin of Emergency and Trauma
Mary E Klingensmith, John R Potts, Walter H Merrill, Timothy J Eberlein, Robert S Rhodes, Stanley W Ashley, R James Valentine, John G Hunter, Steven C Stain
BACKGROUND: The Early Specialization Program (ESP) in surgery was designed by the American Board of Surgery, the American Board of Thoracic Surgery, and the Residency Review Committees for Surgery and Thoracic Surgery to allow surgical trainees dual certification in general surgery (GS) and either vascular surgery (VS) or cardiothoracic surgery (CTS) after 6 to 7 years of training. After more than 10 years' experience, this analysis was undertaken to evaluate efficacy. STUDY DESIGN: American Board of Surgery and American Board of Thoracic Surgery records of VS and CTS ESP trainees were queried to evaluate qualifying exam and certifying exam performance...
April 2016: Journal of the American College of Surgeons
Mininder S Kocher, Frances A Tepolt, Patrick Vavken
UNLABELLED: Meniscal pathology in skeletally immature patients includes meniscal tears and discoid lateral meniscus. Total or subtotal meniscectomy may occur in patients with discoid lateral meniscus or severe meniscal tears. Meniscal transplantation may be an option in skeletally immature patients status after total or subtotal meniscectomy with knee symptoms or dysfunction. This study focuses on the surgical technique and short-term outcomes of meniscus transplantation in skeletally immature patients...
July 2016: Journal of Pediatric Orthopedics. Part B
Jason Silvestre, Benjamin Chang, Joseph M Serletti
OBJECTIVE: To facilitate knowledge acquisition during plastic surgery residency, we analyzed the breast curriculum on the Plastic Surgery In-Service Training Exam (PSITE). DESIGN: Breast-related questions on 6 consecutive PSITEs were analyzed (2008-2013). Topics were categorized by the content outline for the American Board of Plastic Surgery written board examination. Question vignettes were classified by taxonomy and clinical setting. References for correct answer choices were categorized by source and publication lag...
March 2016: Journal of Surgical Education
Pranav Moudgil, Ranjith Vellody, Amer Heider, Ethan A Smith, Jason J Grove, Marcus D Jarboe, Steven W Bruch, Jonathan R Dillman
BACKGROUND: The role of US-guided fine-needle aspiration biopsy (US-FNAB) of thyroid nodules is not well-established in children. OBJECTIVE: To retrospectively assess the utility of US-FNAB of pediatric thyroid nodules. MATERIALS AND METHODS: We reviewed Department of Radiology records to identify children who underwent US-FNAB of the thyroid between 2005 and 2013. Two board-certified pediatric radiologists reviewed pre-procedural thyroid US exams and documented findings by consensus...
March 2016: Pediatric Radiology
Husni Alakkad, Richelle Kruisselbrink, Ki Jinn Chin, Ahtsham U Niazi, Sherif Abbas, Vincent W S Chan, Anahi Perlas
PURPOSE: Pulmonary aspiration of gastric contents is a major cause of anesthesia morbidity and mortality. Point-of-care gastric ultrasound provides information regarding the type and volume of gastric content. The hypothesis of this prospective cohort study was that the addition of point-of-care gastric ultrasound to standard patient assessment results in changes in anesthetic management in at least 30% of elective surgical patients who do not follow fasting instructions. METHODS: Following Research Ethics Board approval and informed consent, elective surgical patients who did not follow fasting instructions were included in this prospective study...
November 2015: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
David Y Lee, Devin C Flaherty, Briana J Lau, Gary B Deutsch, Daniel D Kirchoff, Kelly T Huynh, Ji-Hey Lee, Mark B Faries, Anton J Bilchik
BACKGROUND: With the first qualifying examination administered September 15, 2014, complex general surgical oncology (CGSO) is now a board-certified specialty. We aimed to assess the attitudes and perceptions of current and future surgical oncology fellows regarding the recently instituted Accreditation Council for Graduate Medical Education (ACGME) accreditation. METHODS: A 29-question anonymous survey was distributed to fellows in surgical oncology fellowship programs and applicants interviewing at our fellowship program...
November 2015: Annals of Surgical Oncology
Myung Sb Kim, Mi Sung Kim, Dong Hyun Kim, Hae Won Park, Hee-Jin Park, Hyun Pyo Hong, Heon-Ju Kwon
PURPOSE: To retrospectively evaluate pre-operative CT predictors that are associated with 30-day adverse events in patients who underwent immediate appendectomies for appendiceal inflammatory masses. METHODS: This retrospective study was approved by our institutional review board, and the requirement for informed consent was waived. One hundred forty-four consecutive patients who underwent immediate appendectomies and were diagnosed with appendiceal inflammatory masses by pre-operative CT from January 2005 to December 2013 at a tertiary hospital were included...
October 2015: Abdominal Imaging
William Moore, Yair Chaya, Ammar Chaudhry, Britney Depasquale, Samantha Glass, Susan Lee, James Shin, George Mikhail, Priya Bhattacharji, Bong Kim, Thomas Bilfinger
INTRODUCTION: Stereotactic ablative radiotherapy (SABR) offers a curative treatment for lung cancer in patients who are marginal surgical candidates. However, unlike traditional surgery the lung cancer remains in place after treatment. Thus, imaging follow-up for evaluation of recurrence is of paramount importance. MATERIALS AND METHODS: In this retrospective designed Institutional Review Board-approved study, follow-up contrast-enhanced computed tomography (CT) exams were performed on sixty one patients to evaluate enhancement pattern in the ablation zone at 1, 3, 6, and 12 months after SABR...
September 2015: Journal of Computer Assisted Tomography
Stamatia V Destounis, Andrea L Arieno, Renee C Morgan
OBJECTIVE: To demonstrate the importance of presurgical bilateral breast Magnetic Resonance Imaging (MRI) in women 60 years of age and older. MATERIALS AND METHODS: Institutional review board approval was obtained with waiver of informed consent for this retrospective review. From December 2003 to December 2011, all patients 60 years and older who had presurgical bilateral breast MRI were reviewed, revealing 1268 presurgical MRI examinations; 310 had a new lesion identified by MRI...
2014: Journal of Clinical Imaging Science
Daniel Chang, Stefan Kenel-Pierre, Johanna Basa, Alexander Schwartzman, Lisa Dresner, Antonio E Alfonso, Gainosuke Sugiyama
PURPOSE: The American Board of Surgery In-Training Exam (ABSITE) is administered to all general surgery residents annually. Given the recent changes in the format of the examination and in the material being tested, it has become increasingly difficult for residents to prepare for the ABSITE. This is especially true for incoming postgraduate year (PGY) 1 residents because of the respective variability of the surgical clerkship experience. There have been many studies in the past that support the use of weekly assigned readings and examinations to improve ABSITE scores...
November 2014: Journal of Surgical Education
Mara B Antonoff, Edward D Verrier, Stephen C Yang, Jules Lin, Daniel T DeArmond, Mark S Allen, Thomas K Varghese, Darcy Sengewald, Ara A Vaporciyan
BACKGROUND: Cardiothoracic surgical education faces numerous challenges, including reduced duty hours and diminishing prioritization of teaching, in the setting of rapidly advancing knowledge, skills, and case complexity. Pass rates on the American Board of Thoracic Surgery exam remain suboptimal, and new training formats are being evaluated. We hypothesize that Internet-based courses can be developed and implemented to supplement learning of basic topics in cardiothoracic surgery. METHODS: After a needs assessment, 4 online self-study courses were developed by content experts using a Moodle [modular object-oriented dynamic learning environment] platform...
September 2014: Annals of Thoracic Surgery
Stamatia V Destounis, Andrea L Arieno, Renee C Morgan
OBJECTIVES: To compare the visualization and image quality of microcalcifications imaged with digital breast tomosynthesis (DBT) versus conventional digital mammography. MATERIALS AND METHODS: Patients with microcalcifications detected on full field digital mammography (FFDM) recommended for needle core biopsy were enrolled in the study after obtaining patient's consent and institutional review board approval (n = 177 patients, 179 lesions). All had a bilateral combination DBT exam, after undergoing routine digital mammography, prior to biopsy...
2013: Journal of Clinical Imaging Science
Seth D Goldstein, Brenessa Lindeman, Jorie Colbert-Getz, Trisha Arbella, Robert Dudas, Anne Lidor, Bethany Sacks
BACKGROUND: The clinical knowledge of medical students on a surgery clerkship is routinely assessed via subjective evaluations from faculty members and residents. Interpretation of these ratings should ideally be valid and reliable. However, prior literature has questioned the correlation between subjective and objective components when assessing students' clinical knowledge. METHODS: Retrospective cross-sectional data were collected from medical student records at The Johns Hopkins University School of Medicine from July 2009 through June 2011...
February 2014: American Journal of Surgery
Anna Reinert, Ana Berlin, Aubrie Swan-Sein, Roman Nowygrod, Abbey Fingeret
BACKGROUND: The Surgery Clerkship Clinical Skills Examination (CSE) is a novel written examination developed to assess the surgical knowledge, clinical decision making, communication skills, and professionalism of medical students on the surgery clerkship. This study was undertaken to determine its validity. METHODS: Data were prospectively collected from July 2011 through February 2013. Multivariate linear and logistic regression analyses were used to assess score trend; convergent validity with National Board of Medical Examiners surgery and medicine subject scores, United States Medical Licensing Examination Step 1 and Step 2 Clinical Knowledge scores, and evaluation of clinical reasoning and fund of knowledge; and the effect of clerkship order...
February 2014: American Journal of Surgery
Eric Giza, Walter Mak, Stephanie E Wong, Glade Roper, Valentina Campanelli, John C Hunter
BACKGROUND: The proportion of patients with clinical findings referable to peroneal pathology and magnetic resonance imaging (MRI)-diagnosed peroneal tendon pathology is unknown. Previous studies have correlated surgical findings with clinical data and preoperative MRI, but there are no published studies that reference clinical examination findings to imaging findings. PURPOSE: To determine the relationship between peroneal tendon pathology as diagnosed by MRI and clinical findings of peroneal tendon pathology...
December 2013: Foot & Ankle Specialist
Kevin J Bozic, Vanessa Chan, Frank H Valone, Brian T Feeley, Thomas P Vail
INTRODUCTION: The purpose of this study was to evaluate the changing incidence of hip arthroscopy procedures among newly trained surgeons in the United States, the indications for hip arthroscopy, and the reported rate of post-operative complications. METHODS: The ABOS database was used to evaluate the annual incidence of hip arthroscopy procedures between 2006-2010. Procedures were categorized by indication and type of procedure. The rate of surgical complications was calculated and compared between the published literature and hip arthroscopy procedures performed for femoroacetabular impingement (FAI)/osteoarthritis (OA) and for labral tears among the newly trained surgeon cohort taking the ABOS Part II Board exam...
September 2013: Journal of Arthroplasty
Anne M Floyd, Katherine M Whipple, Lee Hooi Lim, Bobby S Korn, Don O Kikkawa
A 43-year-old man was struck in the left orbit with his board while surfing and sustained a 3-cm laceration above his left eyebrow. The laceration was sutured closed primarily at a local emergency room. When he presented to UCSD oculoplastics for suture removal, he complained of diplopia with upgaze and was found to have hypoglobus on clinical exam. An orbital CT demonstrated a hyperintense linear signal within the orbit. The patient underwent surgical exploration. A 55-mm-length piece of fiberglass from the patient's surfboard was removed from his orbit...
October 2013: Orbit
Roger H Kim, Timothy Gilbert, Kyle Ristig, Quyen D Chu
INTRODUCTION: As a consequence of surgical resident duty hour restrictions, there is a need for faculty to utilize novel teaching methods to convey information in a more efficient manner. The current paradigm of surgical training, which has not changed significantly since the time of Halsted, assumes that all residents assimilate information in a similar fashion. However, recent data has shown that learners have preferences for the ways in which they receive and process information. The VARK model categorizes learners as visual (V), aural (A), read/write (R), and kinesthetic (K)...
September 2013: Journal of Surgical Research
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