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Medical residency

Louise M Stewart, Katrina Spilsbury, Susan Jordan, Colin Stewart, C D'Arcy J Holman, Aime Powell, Joanne Reekie, Paul Cohen
BACKGROUND: Ovarian carcinoma is not a single disease, but rather a collection of subtypes with differing molecular properties and risk profiles. The most common of these, and the subject of this work, is high-grade serous ovarian carcinoma (HGSC). METHODS: In this population-based study we identified a cohort of 441,382 women resident in Western Australia who had ever been admitted to hospital in the State. Of these, 454 were diagnosed with HGSC. We used Cox regression to derive hazard ratios (HRs) comparing the risk of disease in women who had each of a range of medical diagnoses and surgical procedures with women who did not...
June 20, 2018: Cancer Epidemiology
Yan Zhang, Shan Lu, Yadong Niu, Liang Zhang
OBJECTIVE: To identify the characteristics of high-cost (HC) patients and the determinants of the annual medical expenditures of Chinese rural residents. METHODS: Medical expenditure clustering was performed by Lorentz curve and Gini index. T and X2 tests were performed to identify the characteristics of the respondents, and a multilevel regression model examined the determinants of their annual medical expenditures. DESIGN: A cluster sampling study was performed to identify those residents who availed healthcare services and to assign them to HC (top 5%), moderate-cost (top 30%) and low-cost (others) groups based on their annual medical expenditures...
June 22, 2018: BMJ Open
Leslie Martin, Ameen Patel, Katrina Piggott, Arthur Wong, Alexandra Patel, Matthew Patel, Yudong Liu, Sukhbinder Dhesy-Thind, Parveen Wasi, John J You
BACKGROUND: Allied health care professionals can contribute meaningfully to goals-of-care discussions with seriously ill hospitalized patients and their families. We sought to explore the perspective of hospital-based allied health care professionals on their role in goals-of-care discussions and to identify barriers to their participation. METHODS: We surveyed allied health care professionals (social workers, physiotherapists, occupational therapists, registered dietitians, speech-language pathologists and pharmacists) on internal medicine, hematology-oncology, medical oncology and radiation oncology wards at 2 tertiary care hospitals in Hamilton, Ontario, from April 2013 to May 2014...
April 2018: CMAJ Open
Natali Jokanovic, Noha Ferrah, Janaka J Lovell, Carolina Weller, Lyndal Bugeja, J Simon Bell, Joseph E Ibrahim
BACKGROUND: Residential aged care is a complex and challenging clinical setting where medication errors continue to occur despite efforts to improve medication safety. No studies have sought to review and synthesize coronial investigations into medication-related deaths in Australian residential aged care facilities (RACFs). OBJECTIVE: To review coronial investigations into medication-related deaths in Australian RACFs. METHODS: A national review of medication-related deaths between July 2000 and July 2013 reported to Australian Coroners was performed...
June 12, 2018: Research in Social & Administrative Pharmacy: RSAP
Alana M Ewen, Paula M Gardiner, Sandra Palma, Kathryn Whitley, Jeffrey I Schneider
INTRODUCTION: Burnout and stress in medical settings have been associated with despondent staff and decreased productivity. Although Program Coordinators (PCs) play an integral role in residency training programs, there exist few, if any, interventions aimed at addressing their burnout. METHODS: A longitudinal study design was used to evaluate data from residency/fellowship training PCs who participated in a wellness retreat held at a single institution in August 2016...
June 21, 2018: Journal of Continuing Education in the Health Professions
Bradley D Stein, Andrew W Dick, Mark Sorbero, Adam J Gordon, Rachel M Burns, Douglas L Leslie, Rosalie Liccardo Pacula
BACKGROUND: Medication treatment (MT) with methadone and buprenorphine are effective treatments for opioid use disorders, but little information is available regarding the extent to which buprenorphine's approval resulted in more individuals receiving MT nor to what extent receipt of such treatment was equitable across communities. METHODS: To examine changes in MT utilization and the association between MT utilization and county-level indicators of poverty, race/ethnicity, and urbanicity, we used Medicaid claims of non-dually eligible Medicaid enrollees aged 18-64 from 14 states for 2002-2009...
June 22, 2018: Substance Abuse
Ashley Walker, John G Peden, Morgan Emter, Gavin Colquitt
The purpose of this study was to examine predictors of coordinated and comprehensive care within a medical home among children with special health care needs (CSHCN). The latest version of the National Survey of Children with Special Health Care Needs (NS-CSHCN) employed a national random-digit-dial sample whereby US households were screened, resulting in 40,242 eligible respondents. Logistic regression analyses were performed modeling the probability of coordinated, comprehensive care in a medical home based on shared decision-making and other factors...
2018: Frontiers in Public Health
Y X Zhang, W Feng
OBJECTIVE: To explore the influencing factors of elderly outpatient visits and to provide evidence for poverty reduction in health in the poor rural areas. METHODS: Through stratified sampling, a total of 1 271 aged people in four poverty Qi/County of Ulanqabcity were surveyed, including Qahar Right Wing Front Banner, Qahar Right Wing Middle Banner, Qahar Right Wing Rear Banner and Liangcheng County. Their socioeconomic and demographic characteristics, daily consumption, EuroQol five dimensions questionnaire(EQ-5D) and visual analogue scale (VAS),social support, health service needs and utilization were collected through cross-sectional household questionnaires...
June 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Shmuel Benenson, Ran Nir-Paz, Mordechai Golomb, Carmela Schwartz, Sharon Amit, Allon E Moses, Matan J Cohen
Medical tourism has a potential of spreading multi-drug resistant bacteria (MDR). The Hadassah Medical Center serves as a referral center for global medical tourists and for Palestinian Authority residents. In order to assess whether patients of these groups are more likely to harbor MDR bacteria than local residents, we reviewed data from all patients admitted to our institution between 2009 and 2014. We compared MDR rates between countries of residency, controlling for gender, age, previous hospitalization and time from admission to MDR detection...
June 21, 2018: Scientific Reports
Dietmar Dammerer, David Putzer, Alexander Wurm, Michael Liebensteiner, Michael Nogler, Martin Krismer
OBJECTIVE: Knee arthroscopies are very common orthopedic procedures. For a number of reasons, including increased public awareness for medical errors, patient safety, strict regulations governing duty-hours for residents, surgeons' liability, and an increasing emphasis on the efficient use of operating room time, interest in simulator training is on the rise. It was the purpose of this study to analyze learning curves of medical students and orthopedic resident surgeons using a virtual knee arthroscopy simulator...
June 18, 2018: Journal of Surgical Education
Tovy Haber Kamine, Ashraf A Sabe, Bharath Nath, Kelly Barnes, Tara S Kent
OBJECTIVE: Recent surgical education literature has focused on means of improving structured educational experience in residency, particularly in the context of limited working hours. In addition, prior studies have illustrated a void in training regarding leadership. Learning teams have been adopted in several medical schools with an aim to improve the educational experience. We instituted resident learning teams with a goal of improving resident education. DESIGN: In the 2015 to 2016 academic year, we implemented a team-based learning (TBL) system of 5 teams each led by 1 to 2 chief residents and containing an approximately equal number of residents from postgraduate year (PGY)1-4...
June 18, 2018: Journal of Surgical Education
Bernadette J Goudreau, Taryn E Hassinger, Traci L Hedrick, Craig L Slingluff, Anneke T Schroen, Lynn T Dengel
BACKGROUND: Identifying factors that impact progression of surgery trainees into academic versus non-academic practices may permit tailoring residency experiences to promote academic careers in institutions charged with the training of future surgeon scientists. The aim of this study was to identify factors associated with progression of surgery trainees into academic versus non-academic practice. METHODS: A survey was distributed to 135 surgeons graduating from the University of Virginia residency program from 1964-2016, a single academic institution...
June 18, 2018: Surgery
Alexander R Cortez, Gianna D Katsaros, Vikrom K Dhar, F Thurston Drake, Timothy A Pritts, Jeffrey J Sussman, Michael J Edwards, R Cutler Quillin
BACKGROUND: Although overall operative volume has remained stable since the implementation of duty hours, more detailed analyses suggest shifts in the resident operative experience. Understanding these differences allows educators to better appreciate the impact of the current training environment on resident preparation for practice. METHODS: National Accreditation Council for Graduate Medical Education case logs from 1990 to 2016 were reviewed. Statistical analysis was performed using analysis of variance and linear regression analysis...
June 18, 2018: Surgery
Jianhua Chen, Hengjin Dong, Hai Yu, Yaming Gu, Tao Zhang
BACKGROUND: To explore the equity in health services in the rural areas, by studying the rural residents in two counties of Ningbo City, Zhejiang. METHODS: Multi-stage stratified cluster random sampling method was performed to draw the study sample. Trained investigators conducted face to face interviews using a questionnaire. Rural residents were stratified into 5 income groups. Centralized index (CI) and risk ratios (RR) were used to assess the equity in health services and the impact of the New Cooperative Medical Scheme (NCMS)...
June 22, 2018: BMC Health Services Research
Stephen J Wolf, Tai M Lockspeiser, Jennifer Gong, Gretchen Guiton
BACKGROUND: We aimed to identify foundational non-clinical attributes expected of medical school graduates to be successful in residency. METHODS: We conducted a three-round modified Delphi study with snowball sampling of experienced medical educators. In Round 1, respondents rated 28 attributes identified from a literature search. Additional attributes were proposed through invited comments. In Round 2, respondents expressed their agreement with advanced attribute definitions and examples...
June 22, 2018: BMC Medical Education
Agathe Streiff, Barbara Orlando, Bryan Mahoney
Background: To maintain compliance with the current shift towards competency-based milestone assessment in graduate medical education, residency training programs must reflect this emphasis in their curricula starting with the intern year of training.1 In working towards collaborative efforts in curricular development between Accreditation Council for Graduate Medical Education (ACGME) anesthesiology residency programs, understanding the structure and design of the clinical base year for anesthesiology residency programs nationwide will serve as a valuable initial step...
January 2018: Journal of Education in Perioperative Medicine: JEPM
Joanna Miller, Daniel Katz
Background: Medical education is moving toward gender parity; however, many fields, including anesthesiology, remain predominantly male. The gender gap in anesthesiology is poorly recognized, and little is known about why it exists. It is possible that perceived workplace discrimination may deter women from pursuing a career in anesthesiology. We administered a survey to examine whether gender differences affect the experience of anesthesiology residents in the workplace. Methods: This study consisted of an analysis of responses to a survey administered in 2017 via REDCap to residents at an ACGME-accredited anesthesiology training program...
January 2018: Journal of Education in Perioperative Medicine: JEPM
Susan M Martinelli, Fei Chen, Matthew D Mcevoy, David A Zvara, Randall M Schell
Background: Flipped classroom (FC) is an active learning (AL) technique thought to have potential benefits in anesthesiology resident education. This survey aimed to determine the frequency of FC utilization, barriers of utilization, and means to overcome these barriers. Method: A web-based questionnaire was developed to survey anesthesiology faculty on their knowledge of and experience with FC. The Society of Academic Associations of Anesthesiology and Perioperative Medicine sent the survey to all United States core program directors (PD) via their list serve with a request for the PDs to forward the survey invitation to their clinical faculty...
January 2018: Journal of Education in Perioperative Medicine: JEPM
Nafisseh S Warner, Matthew A Warner, Jason S Eldrige, Resham Datta, Susan M Moeschler, Timothy R Long
Background: Little is known regarding the factors that influence post-residency career decisions following anesthesiology residency training. The objective of this study was to assess the relationship between demographic and academic variables and immediate post-residency positions. Methods: The authors conducted a retrospective review of anesthesiology resident files from 2000 to 2014 at Mayo Clinic (Rochester, MN). Univariate and multivariable analyses were used to assess relationships between demographic and academic factors and post-residency positions...
January 2018: Journal of Education in Perioperative Medicine: JEPM
Susan L Brady, Noel Rao, Patricia J Gibbons, Letha Williams, Mark Hakel, Theresa Pape
Objective: The aim of this study was to evaluate the comparative effectiveness of an online, interdisciplinary, interactive course designed to increase the ability to accurately interpret the fiberoptic endoscopic exam of the swallow (FEES) procedure to traditional, face-to-face (F2F) lectures for both graduate medical education (GME) and graduate speech language pathology (GSLP) programs. Design: This was a prospective, quantitative, nonrandomized study. Participants were medical residents in physical medicine and rehabilitation from two affiliated programs and graduate students in speech language pathology from two instructional cohorts at a single institution...
2018: Advances in Medical Education and Practice
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