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Pediatric residency

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https://www.readbyqxmd.com/read/29925038/milestone-ratings-and-supervisory-role-categorizations-swim-together-but-is-the-water-muddy
#1
Daniel J Schumacher, Kathleen W Bartlett, Sean P Elliott, Catherine Michelson, Tanvi Sharma, Lynn C Garfunkel, Beth King, Alan Schwartz
PURPOSE: This single specialty, multi-institutional study aimed to determine: 1) the association between milestone ratings for individual competencies and average milestone ratings (AMRs) and 2) the association between AMRs and recommended supervisory role categorizations made by individual clinical competency committee (CCC) members. METHODS: During the 2015-16 academic year, CCC members at 14 pediatric residencies reported milestone ratings for 21 competencies and recommended supervisory role categories (may not supervise, may supervise in some settings, may supervise in all settings) for residents they reviewed...
June 17, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29921262/motivation-for-feedback-seeking-among-pediatric-residents-a-mixed-methods-study
#2
Duncan Henry, Travis Vesel, Christy Boscardin, Sandrijn van Schaik
BACKGROUND: For effective self-directed life-long learning physicians need to engage in feedback-seeking, which means fostering such behavior during training. Self-determination theory (SDT) posits that intrinsic motivation is fostered when the environment optimizes the individual's experience of autonomy, relatedness, and competence. Educational settings meeting these psychological needs may foster intrinsic motivation in trainees, enhance their desire for feedback, and promote feedback-seeking...
June 19, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29915862/assessment-of-pediatric-residents-burnout-in-a-tertiary-academic-center
#3
Hyo H Yoo, Sang Y Lee
[No Abstract Available].
June 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29912823/individualized-learning-plan-ilp-is-an-effective-tool-in-assessing-achievement-of-otology-related-subcompetency-milestones
#4
Maja Svrakic, John P Bent
OBJECTIVE: To investigate the individualized learning plan (ILP) as a tool in assessment of residents' milestone achievements as they pertain to Otology subcompetencies: Chronic Ear Disease, Pediatric Otitis Media, and Hearing Loss. STUDY DESIGN: Prospective study. METHODS: Twenty otolaryngology residents were instructed to use an ILP and identify six milestones from three otology-related subcompetencies to focus on during the course of a 3-month rotation...
June 15, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29912085/just-in-time-training-for-intraosseous-needle-placement-and-defibrillator-use-in-a-pediatric-emergency-department
#5
Taichi Itoh, Jannet Lee-Jayaram, Rui Fang, Travis Hong, Benjamin Berg
OBJECTIVES: Just-in-time training (JITT) is a method of simulation-based training where the training occurs within the clinical environment in a concise manner. Just-in-time training has shown effects at the learner, patient, and system-wide levels. We evaluated a JITT curriculum for the procedures of intraosseous (IO) needle placement and defibrillator use in a pediatric emergency department (ED) by comparing the trainees' comfort level in performing those procedures independently (Kirkpatrick level 2a) and trainees' knowledge of the procedures/equipment (Kirkpatrick level 2b) before and after the JITT...
June 14, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29912035/bone-marrow-derived-cd8-t-cells-from-pediatric-leukemia-patients-express-pd1-and-expand-ex-vivo-following-induction-chemotherapy
#6
Katie Palen, Monica Thakar, Bryon D Johnson, Jill A Gershan
Adoptive cell therapy (ACT) of chimeric antigen receptor T cells has demonstrated remarkable success for the treatment of pediatric B-cell leukemia. For patients who are not candidates for chimeric antigen receptor T-cell therapy, ACT using tumor antigen-experienced polyclonal T cells may be a treatment option. Since leukemic blasts reside in the bone marrow and bone marrow is a preferred site for homeostatic proliferation of cytotoxic memory CD8 T cells, we hypothesized that bone marrow would be a source of activated T cells...
June 14, 2018: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/29908767/a-qualitative-cross-sectional-study-of-positive-and-negative-comments-of-residency-programs-across-9-medical-and-surgical-specialties
#7
Brittany O Dulmage, Lisa Akintilo, Leah J Welty, Matthew M Davis, Maria Colavincenzo, Shuai Xu
IMPORTANCE: Residency applicants often use social media to discuss the positive and negative features of prospective training programs. An examination of the content discussed by applicants could provide guidance for how medical education faculty can better engage with prospective trainees and adapt to meet the educational expectations of a new generation of digital-native physicians. OBJECTIVE: To identify unstructured social media data submitted by residency applicants and categorize positive and negative statements to determine key themes DESIGN: Qualitative analysis of a retrospective cohort SETTING: Publically available data sets PARTICIPANTS: Anonymized medical trainees applying to residency training positions in nine specialties: dermatology, general surgery, internal medicine, obstetrics/gynecology, plastic surgery, otolaryngology, physical medicine and rehabilitation, pediatrics, and radiology from 2007 to 2017...
June 14, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29903635/a-new-chest-compression-technique-in-infants
#8
Emilio Rodriguez-Ruiz, Victoria Guerra Martín, Cristian Abelairas-Gómez, Fátima Sampedro Vidal, Candela Gómez González, Roberto Barcala-Furelos, Antonio Rodríguez-Nuñez
OBJECTIVE: To compare the quality of chest compressions performed according to the classical technique (MT) versus a new technique (NM) (compression with 2thumbs with closed fists) in an infant manikin. DESIGN: A controlled, randomized cross-over study was carried out in professionals assisting pediatric patients. SETTING: A University Hospital with a Pediatric ICU in the north of Spain. PARTICIPANTS: Residents and nurses in Pediatrics who had completed a basic and an advanced pediatric cardiopulmonary resuscitation course...
June 11, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/29900403/feedback-quality-using-an-observation-form
#9
Gary L Beck Dallaghan, Joy Higgins, Adam Reinhardt
Background: Direct observations with focused feedback are critical components for medical student education. Numerous challenges exist in providing useful comments to students during their clerkships. Students' evaluations of the clerkship indicated they were not receiving feedback from preceptors or house officers. Objective: To encourage direct observation with feedback, Structured Patient Care Observation (SPCO) forms were used to evaluate third-year medical students during patient encounters...
January 2018: Journal of Medical Education and Curricular Development
https://www.readbyqxmd.com/read/29893626/development-of-a-skill-evaluation-system-for-the-camera-assistant-using-an-infant-sized-laparoscopic-box-trainer
#10
Tetsuya Ishimaru, Kyoichi Deie, Tomoya Sakai, Hideyuki Satoh, Atsushi Nakazawa, Kanako Harada, Shinya Takazawa, Jun Fujishiro, Naohiko Sugita, Mamoru Mitsuishi, Tadashi Iwanaka
AIMS: Our aims were to develop a training system for camera assistants (CA), and evaluate participants' performance as CA. METHODS: A questionnaire on essential requirements to be a good CA was administered to experts in pediatric endoscopic surgery. An infant-sized box trainer with several markers and lines inside was developed. Participants performed marker capturing and line-tracing tasks using a 5-mm 30° scope. A postexperimental questionnaire on the developed system was administered...
June 12, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29893624/developmental-disorders-and-medical-complications-among-infants-with-subclinical-intrauterine-opioid-exposures
#11
Eric S Hall, Jennifer M McAllister, Scott L Wexelblatt
The objective was to compare diagnosis rates representing developmental outcomes and medical complications between infants with intrauterine opioid exposures who did not receive pharmacologic treatment for neonatal abstinence syndrome at the time of birth and infants for whom no exposure to substances of abuse were detected. This retrospective, descriptive study included approximately 95% of Hamilton County, Ohio resident births in 2014 and 2015. Universal maternal drug test results, performed at the time of birth, were documented and linked to electronic health records representing pediatric primary and subspecialty follow-up care as well as urgent care, emergency care, and inpatient services provided by Cincinnati Children's Hospital Medical Center through 2017, when all children were at least 24 months old...
June 12, 2018: Population Health Management
https://www.readbyqxmd.com/read/29885908/prediction-of-clinical-deterioration-after-admission-from-the-pediatric-emergency-department
#12
Stacy M Tarango, Phung K Pham, Dayun Chung, Ara Festekjian
BACKGROUND: An ongoing threat to hospitalized patients is delayed recognition of clinical deterioration and its association with increased morbidity and mortality. OBJECTIVE: This study evaluated the ability of Pediatric Emergency Medicine (PEM) clinicians to predict clinical deterioration of patients admitted from the Pediatric Emergency Department (PED). Clinical deterioration was defined as unanticipated transfer to an Intensive Care Unit (ICU) within 12 h of PED-to-ward admission...
June 6, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29881715/an-update-from-the-pediatric-proton-consortium-registry
#13
Clayton B Hess, Daniel J Indelicato, Arnold C Paulino, William F Hartsell, Christine E Hill-Kayser, Stephanie M Perkins, Anita Mahajan, Nadia N Laack, Ralph P Ermoian, Andrew L Chang, Suzanne L Wolden, Victor S Mangona, Young Kwok, John C Breneman, John P Perentesis, Sara L Gallotto, Elizabeth A Weyman, Benjamin V M Bajaj, Miranda P Lawell, Beow Y Yeap, Torunn I Yock
Background/objectives: The Pediatric Proton Consortium Registry (PPCR) was established to expedite proton outcomes research in the pediatric population requiring radiotherapy. Here, we introduce the PPCR as a resource to the oncology community and provide an overview of the data available for further study and collaboration. Design/methods: A multi-institutional registry of integrated clinical, dosimetric, radiographic, and patient-reported data for patients undergoing proton radiation therapy was conceived in May 2010...
2018: Frontiers in Oncology
https://www.readbyqxmd.com/read/29881534/accuracy-of-pediatric-residents-in-determination-of-dehydration-in-children-with-gastroenteritis
#14
Ezzat Khodashenas, Anoush Azarfar, Elham Bakhtiari, Amir Reza Daneshmand Eslami, Masoud Shaghasi Roodi, Yalda Ravanshad
Objective: The aim of the present study was to determine the accuracy of pediatric residents in diagnosis of dehydration in children with gastroenteritis. Methods: This was a cross-sectional study in Dr. Sheikh Hospital, affiliated with Mashhad University of Medical Sciences (Mashhad, Iran), in 2016. One hundred fifteen children aged 1 month to 14 years with gastroenteritis were included according to easy sampling. All patients were weighed. Dehydration was scored as mild, moderate and severe by pediatric residents according to Nelson standard table including pulse rate, blood pressure, blood skin supplement, skin turgor, fontanel, mucus membrane, tear respiration and urine output criteria...
April 2018: Electronic Physician
https://www.readbyqxmd.com/read/29878948/supporting-clinicians-after-adverse-events-development-of-a-clinician-peer-support-program
#15
Michael A Lane, Brianne M Newman, Mary Z Taylor, Meg OʼNeill, Chiara Ghetti, Robin M Woltman, Amy D Waterman
BACKGROUND: Many healthcare organizations have developed processes for supporting the emotional needs of patients and their families after medical errors or adverse events. However, the clinicians involved in such events may become "second victims" and frequently experience emotional harm that impacts their personal and professional lives. Many "second victims," particularly physicians, do not receive adequate support by their organizations. METHODS: A multidisciplinary team was assembled to create a clinician peer support program (PSP) at a large academic medical center including both adult and pediatric hospitals...
June 6, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29869158/lamb-larynx-model-for-training-in-endoscopic-and-co-2-laser-assisted-surgeries-for-benign-laryngotracheal-obstructions
#16
François Gorostidi, Pauline Vinckenbosch, Karma Lambercy, Kishore Sandu
PURPOSE: With adequate indication and meticulous execution, endoscopic procedures can efficiently treat a subset of adult and pediatric benign laryngotracheal stenosis and obstructions, but these procedures are precise and very demanding. The difference between a successful and a failed surgery, with potentially debilitating side effects, resides in small details. The learning curve is long and very few centers worldwide have a sufficient case load making adequate training difficult. While indications and concepts of endoscopic procedures can be learned in books and by observing trained colleagues, the dexterity and the precise realization need to be practiced, ideally not initially on patients...
June 4, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29866596/interferon-gamma-release-assay-based-screening-for-pediatric-latent-tuberculosis-infection-in-an-urban-primary-care-network
#17
James Gaensbauer, Bryn Gonzales, Robert Belknap, Michael L Wilson, Mary E O'Connor
OBJECTIVE: To assess outcomes from a QuantiFERON-tuberculosis (TB) Gold (QFT)-based screening for pediatric latent TB infection (LTBI) in the Denver Health Community Health System (CHS), an urban primary-care network in the US. STUDY DESIGN: We retrospectively analyzed all QFTs (n = 6685) performed on children aged 2-18 years between January 5, 2011, and August 18, 2014. Risk factors for positive testing in the CHS population were identified by logistic regression, and further assessed using a case-control comparison...
June 1, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29859270/the-benefits-and-challenges-of-involving-adolescents-in-medical-education-a-qualitative-study
#18
Katherine A Moreau, Kaylee Eady
OBJECTIVE: To explore the potential benefits and challenges of involving adolescents in the education of medical students and residents from the perspectives of adolescents who are hospitalized with chronic health conditions. METHODS: We conducted qualitative interviews with adolescents at a Canadian pediatric hospital. Eligible participants were those between 13-18 years of age, with chronic health conditions lasting more than three months who were feeling well enough to participate in an interview...
May 30, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29859250/pediatric-residents-assessment-of-atopic-dermatitis-severity-for-risk-assessment-of-early-peanut-introduction
#19
James Shea, Monika Martusiewicz, Lucy A Bilaver, Ozge N Aktas, Jialing Jiang, Anthony J Mancini, Ruchi S Gupta
No abstract text is available yet for this article.
May 30, 2018: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/29848753/developmental-regulation-of-effector-and-resident-memory-t-cell-generation-during-pediatric-viral-respiratory-tract-infection
#20
Thomas J Connors, J Scott Baird, Margot C Yopes, Kyra D Zens, Kalpana Pethe, Thyyar M Ravindranath, Siu-Hong Ho, Donna L Farber
Viral respiratory tract infections (VRTI) remain a leading cause of morbidity and mortality among infants and young children. In mice, optimal protection to VRTI is mediated by recruitment of effector T cells to the lungs and respiratory tract, and subsequent establishment of tissue resident memory T cells (Trm), which provide long-term protection. These critical processes of T cell recruitment to the respiratory tract, their role in disease pathogenesis, and establishment of local protective immunity remain undefined in pediatric VRTI...
May 30, 2018: Journal of Immunology: Official Journal of the American Association of Immunologists
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