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https://www.readbyqxmd.com/read/28088430/flipping-the-classroom-case-based-learning-accountability-assessment-and-feedback-leads-to-a-favorable-change-in-culture
#1
Nahush A Mokadam, Todd F Dardas, Joshua L Hermsen, Jay D Pal, Michael S Mulligan, L Myria Jacobs, Douglas E Wood, Edward D Verrier
OBJECTIVE: The 88-week Thoracic Surgery Curriculum is challenging to implement because of the large content in a traditional lecture format. This study investigates flipping the classroom by using a case-based format designed to stimulate resident preparation and engagement. METHODS: The didactic conference format was altered. Curricular reading assignments, case review, and conference participation prepared residents for novel formative assessment quizzes. Ten residents participated, and faculty served as controls...
December 19, 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28076752/methotrexate-associated-primary-hepatic-malignant-lymphoma-following-hepatectomy-a-case-report
#2
Daisuke Takei, Tomoyuki Abe, Hironobu Amano, Naomichi Hirano, Tsuyoshi Kobayashi, Hideki Ohdan, Toshinori Kondo, Masahiro Nakahara, Toshio Noriyuki
INTRODUCTION: Recently, immunosuppressant-associated malignant lymphoma (ML) cases have been increasing along with the development of several effective immunosuppressant drugs for rheumatoid arthritis (RA). Among methotrexate (MTX)-associated lymphoproliferative disorders, primary hepatic lymphoma (PHL) in patients with RA following surgical resection has not been reported previously. PRESENTATION OF CASE: A 65-year-old woman who is a hepatitis B virus carrier with a history of RA was admitted...
December 21, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28076733/pancreatectomy-is-underused-in-nsw-regions-with-low-institutional-surgical-volumes-a-population-data-linkage-study
#3
Nicola Creighton, Richard Walton, David M Roder, Sanchia Aranda, Arthur J Richardson, Neil Merrett, David Currow
OBJECTIVE: To examine differences in the proportions of people diagnosed with pancreatic cancer who underwent pancreatectomy, post-operative outcomes and 5-year survival in different New South Wales administrative health regions of residence. DESIGN, SETTING AND PARTICIPANTS: Retrospective analysis of NSW data on pancreatic cancer incidence and surgery, 2005-2013. MAIN OUTCOME MEASURES: The proportion of newly diagnosed patients with pancreatic cancer who were resected in each region; 90-day post-operative mortality; one-year post-operative survival; 5-year post-diagnosis survival...
January 16, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28076592/assessment-of-laparoscopic-skills-of-gynecology-and-obstetrics-residents-after-a-training-program
#4
Carla Ferreira Kikuchi Fernandes, José Maria Cordeiro Ruano, Lea Mina Kati, Alberto Sinhiti Noguti, Manoel João Batista Castello Girão, Marair Gracio Ferreira Sartori
Objective: To evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center. Methods: Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs. Results: After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2...
October 2016: Einstein
https://www.readbyqxmd.com/read/28069528/personal-and-professional-well-being-of-surgical-residents-in-new-england
#5
Peter S Yoo, John J Tackett, Mark W Maxfield, Rosemarie Fisher, Stephen J Huot, Walter E Longo
BACKGROUND: Although there is increasing literature about burnout and attrition among surgeons, little is known about personal and professional well-being of surgical trainees. STUDY DESIGN: General surgery residents from the six New England states participated in a cross-sectional, qualitative, self-reported survey to assess the domains of personal health maintenance, personal finance, work environment, and fatigue management as they relate to surgical training...
January 6, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28067744/resident-education-in-female-pelvic-medicine-and-reconstructive-surgery
#6
Katie Propst, Adam C Steinberg, David M O'Sullivan, Megan O Schimpf, Christine LaSala
OBJECTIVE: The aim of this study was to evaluate whether obstetrics and gynecology trainees feel satisfied with the female pelvic medicine and reconstructive surgery (FPMRS) education received in residency. METHODS: This is a survey study of obstetrics and gynecology residents in the United States and Puerto Rico during the 2015-2016 academic year. The anonymous 29-question survey was approved by the Hartford HealthCare institutional review board. Responses were included only if the trainee had ever rotated on the FPMRS service...
January 6, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28066585/the-comparison-between-novel-and-traditional-three-dimensional-image-system-in-thoracoscopy-glasses-less-vs-glass
#7
Jiaxi He, Keng Long Ang, Zhexue Hao, Jianfei Shen, Hui Pan, Jingpei Li, Jianxing He
BACKGROUND: Although three-dimensional (3D) thoracoscopic technology has been available for some time, it is not widely utilized in most centers. Dimness, unsatisfied visualization and discomfort associated with wearing 3D glasses might account for such phenomenon. We have recently developed a "Glass-less" 3D system for thoracoscopic surgery to avoid these in issues. METHODS: Surgical residents will be invited to perform a set of commonly used surgical procedures using "Glass-less" 3D and conventional 3D system...
November 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28065422/evaluation-of-a-web-course-on-the-basics-of-gynecological-laparoscopy-in-resident-training
#8
Ewa Jokinen, Tomi S Mikkola, Päivi Härkki
OBJECTIVES: Reduction in the number of gynecological operations has made resident training more difficult in gynecological surgery. We used electronic educational material to supplement traditional apprentice model in resident surgical education. Our aim was to evaluate effectiveness of a web-based course in knowledge gaining among residents with various levels of clinical experience. DESIGN: In prospective interventional study, the level of knowledge was assessed before and after taking the course...
January 3, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28063723/early-illness-experiences-related-to-unexpected-heart-surgery-a-qualitative-descriptive-study
#9
Yu-Ling Chang, Yun-Fang Tsai
BACKGROUND: Most studies on patients' experiences following emergency cardiac surgery focus on evaluation of patients after their discharge. Few studies have evaluated patients' experiences after being transferred from intensive care and before being discharged. OBJECTIVE: This study aimed to describe patients' experiences in the early stages of recovery following emergency heart surgery. METHODS: For this exploratory qualitative descriptive study, 13 patients were recruited from a medical centre in northern Taiwan...
January 4, 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28063606/-assessment-of-antibiotic-use-and-impact-of-an-intervention-intended-to-modify-the-prescribing-behavior-in-surgical-prophylaxis-in-6hospitals-in-the-metropolitan-area-of-monterrey-mexico
#10
Gerardo Del Carmen Palacios-Saucedo, Mauricio de la Garza-Camargo, Evangelina Briones-Lara, Sandra Carmona-González, Ricardo García-Cabello, Luis Arturo Islas-Esparza, Gustavo Saldaña-Flores, Juan Roberto González-Cano, Román González-Ruvalcaba, Francisco Javier Valadez-Botello, Gerardo Enrique Muñoz-Maldonado, Carlos Alberto Montero-Cantú, Rita Delia Díaz-Ramos, Fortino Solórzano-Santos
BACKGROUND: Improper use of antibiotics increases antimicrobial resistance. OBJECTIVE: Evaluate the use of antibiotics and the impact of an intervention designed to improve antibiotic prescription for surgical prophylaxis in 6 hospitals of Monterrey, Mexico. MATERIAL AND METHODS: Design: A prospective multicenter survey and a pretest-postest experimental study. Phase 1: Survey to evaluate the use of antibiotics through an especially designed guide...
January 4, 2017: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/28060245/the-hook-and-release-technique-during-enucleation-surgery
#11
David R Jordan, Bazil Stoica, Jonathan J Dutton
PURPOSE: To describe the results and potential benefit of direct muscle release from the globe during enucleation surgery without identifying sutures in the rectus muscle insertion sites, a technique referred to as the hook and release technique. METHODS: Single center, retrospective chart review of patients who underwent enucleation with direct removal of the rectus muscles without identifying sutures in their insertion sites between January 2011 and September 2015 was carried out...
January 5, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28060237/a-comparison-of-matched-and-unmatched-orthopaedic-surgery-residency-applicants-from-2006-to-2014-data-from-the-national-resident-matching-program
#12
John B Schrock, Matthew J Kraeutler, Michael R Dayton, Eric C McCarty
BACKGROUND: The Association of American Medical Colleges publishes residency match data and reports through the National Resident Matching Program (NRMP) every year. The purpose of this study was to analyze trends in orthopaedic surgery residency matching data and characteristics of successful applicants to counsel medical students with regard to their chances of matching. METHODS: The annual reports of the NRMP were searched annually from 2006 to 2014 to determine the number of orthopaedic surgery residency positions available, the number of applicants, and the match rate among applicants...
January 4, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28059945/airway-management-with-a-stereotactic-headframe-in-situ-a-mannequin-study
#13
Melissa Brockerville, Zoe Unger, Nathan C Rowland, Francesco Sammartino, Pirjo H Manninen, Lashmi Venkatraghavan
BACKGROUND: Stereotactic headframe-based imaging is often needed for target localization during surgery for insertion of deep brain stimulators. A major concern during this surgery is the need for emergency airway management while an awake or sedated patient is in the stereotactic headframe. The aim of our study was to determine the ease of emergency airway management with a stereotactic headframe in situ. MATERIALS AND METHODS: We conducted an observational study using a mannequin...
January 4, 2017: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/28059926/residency-programs-in-colon-and-rectal-surgery
#14
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28058947/the-learning-curve-for-veterinary-surgery-residents-performing-hemilaminectomy-surgeries-in-dogs
#15
Owen T Fink, Raymond C Boston, Tracy Wu, Dorothy Cimino Brown, Jeffrey J Runge
OBJECTIVE To describe the learning curve for veterinary surgery residents performing hemilaminectomy surgeries in dogs. DESIGN Retrospective case review and learning curve evaluation. SAMPLE 13 individuals who completed a 3-year surgery residency program at a university teaching hospital and who had no prior experience performing hemilaminectomies. PROCEDURES The 13 residents performed hemilaminectomies on 399 dogs between July 2006 and July 2013. Medical records were reviewed, and operative time was recorded...
January 15, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28057292/impact-of-integrated-programs-on-general-surgery-operative-volume
#16
Amanda R Jensen, Brianne L Nickel, Scott C Dolejs, David F Canal, Laura Torbeck, Jennifer N Choi
BACKGROUND: Integrated residencies are now commonplace, co-existing with categorical general surgery residencies. The purpose of this study was to define the impact of integrated programs on categorical general surgery operative volume. METHODS: Case logs from categorical general, integrated plastics, vascular, and thoracic surgery residents from a single institution from 2008 to 2016 were collected and analyzed. RESULTS: Integrated residents have increased the number of cases they perform that would have previously been general surgery resident cases from 11 in 2009-2010 to 1392 in 2015-2016...
December 27, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28057245/alcohol-abuse-and-cardiac-disease
#17
Isaac R Whitman, Vratika Agarwal, Gregory Nah, Jonathan W Dukes, Eric Vittinghoff, Thomas A Dewland, Gregory M Marcus
BACKGROUND: Understanding the relationship between alcohol abuse, a common and theoretically modifiable condition, and the most common cause of death in the world, cardiovascular disease, may inform potential prevention strategies. OBJECTIVES: The study sought to investigate the associations among alcohol abuse and atrial fibrillation (AF), myocardial infarction (MI), and congestive heart failure (CHF). METHODS: Using the Healthcare Cost and Utilization Project database, we performed a longitudinal analysis of California residents ≥21 years of age who received ambulatory surgery, emergency, or inpatient medical care in California between 2005 and 2009...
January 3, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28056383/socioeconomic-factors-related-to-surgical-treatment-for-localized-non-small-cell-lung-cancer
#18
Xiaqing Jiang, Ge Lin, K M Monirul Islam
Various socioeconomic factors were reported to be associated with receiving surgical treatment in localized, non-small cell lung cancer (NSCLC) patients in previous studies. We wanted to assess the impact of residential poverty on receiving surgical treatment in a state-wide population of localized NSCLC, adjusting for demographic, clinical, residence and tumor factors. Data on 970 patients with primary localized NSCLC were collected from the Nebraska Cancer Registry (NCR), and linked with the Nebraska Hospital Discharge Data (NHDD) between 2005 and 2009, as well as the 2010 Census data...
December 29, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28052070/identifying-patient-perceived-barriers-to-trichiasis-surgery-in-kongwa-district-tanzania
#19
Ryan J Bickley, Harran Mkocha, Beatriz Munoz, Sheila West
BACKGROUND: Trachomatous trichiasis (TT), inturned eyelashes from repeated infection with Chlamydia trachomatis, is the leading infectious cause of blindness in the world. Though surgery will correct entropion caused by trachoma, uptake of TT surgery remains low. In this case-control study, we identify barriers that prevent TT patients from receiving sight-saving surgery. METHODOLOGY/PRINCIPAL FINDINGS: Participants were selected from a database of TT cases who did (acceptors) and did not (non-acceptors) have surgery as of August 2015...
January 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28050202/sialendoscopy-training-presentation-of-a-realistic-model
#20
Gabriela Robaskewicz Pascoto, Aldo Cassol Stamm, Marcos Lyra
Introduction Several surgical training simulators have been created for residents and young surgeons to gain experience with surgical procedures. Laboratory training is fundamental for acquiring familiarity with the techniques of surgery and skill in handing instruments. Objective The aim of this study is to present a novel simulator for training sialendoscopy. Method This realistic simulator was built with a synthetic thermo-retractile, thermo-sensible rubber which, when combined with different polymers, produces more than 30 different formulas...
January 2017: International Archives of Otorhinolaryngology
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