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Academic global surgery

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https://www.readbyqxmd.com/read/29744653/minimal-cosmetic-revision-required-after-minimally-invasive-pectus-repair
#1
Brittany L Murphy, Nimesh D Naik, Penny L Roskos, Amy E Glasgow, Christopher R Moir, Elizabeth B Habermann, Denise B Klinkner
BACKGROUND: Despite surgical correction procedures for pectus deformities, remaining cosmetic asymmetry may have significant psychological effects. We sought to evaluate factors associated with plastic surgery (PS) consultation and procedures for these deformities at an academic institution. METHODS: We reviewed patients aged 0-21 diagnosed with a pectus excavatum or carinatum deformity at our institution between January 2001 and October 2016. Pectus diagnoses were identified by ICD-9/ICD-10 codes and surgical repair by CPT codes; patients receiving PS consultation were identified by clinical note service codes...
May 9, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29733345/assessing-the-value-of-a-multimedia-based-aesthetic-curriculum-in-plastic-surgery-residency-a-single-center-pilot-study
#2
Joshua A David, William J Rifkin, Pierre B Saadeh, Sammy Sinno
Background: Although global demand for cosmetic surgery continues to rise, plastic surgery residents feel that current models of aesthetic training are inadequate in preparing them for future practice. Digital learning resources offer promising educational possibilities, yet there are no formal studies investigating the integration of these technologies into the aesthetic curriculum. Objectives: Here, we review the current state of aesthetic training for plastic surgery residents and present a pilot study investigating the value of a dedicated multimedia-based aesthetic curriculum at a single, large academic program...
May 4, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29644465/impact-of-one-to-one-tutoring-on-fundamentals-of-laparoscopic-surgery-fls-passing-rate-in-a-single-center-experience-outside-the-united-states-a-randomized-controlled-trial
#3
Federico Gheza, Paolo Raimondi, Leonardo Solaini, Federico Coccolini, Gian Luca Baiocchi, Nazario Portolani, Guido Alberto Massimo Tiberio
BACKGROUND: Outside the US, FLS certification is not required and its teaching methods are not well standardized. Even if the FLS was designed as "stand alone" training system, most of Academic Institution offer support to residents during training. We present the first systematic application of FLS in Italy. Our aim was to evaluate the role of mentoring/coaching on FLS training in terms of the passing rate and global performance in the search for resource optimization. METHODS: Sixty residents in general surgery, obstetrics & gynecology, and urology were selected to be enrolled in a randomized controlled trial, practicing FLS with the goal of passing a simulated final exam...
April 11, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29624152/barriers-to-participation-in-global-surgery-academic-collaborations-and-possible-solutions-a-qualitative-study
#4
Parisa Nicole Fallah, Mark Bernstein
OBJECTIVE There is a global lack of access to surgical care, and this issue disproportionately affects those in low- and middle-income countries. Global surgery academic collaborations (GSACs) between surgeons in high-income countries and those in low- and middle-income countries are one possible sustainable way to address the global surgical need. The objective of this study was to examine the barriers to participation in GSACs and to suggest ways to increase involvement. METHODS A convenience sample of 86 surgeons, anesthesiologists, other physicians, residents, fellows, and nurses from the US, Canada, and Norway was used...
April 6, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29595725/plastic-surgery-complications-from-medical-tourism-treated-in-a-u-s-academic-medical-center
#5
Kimberly M Ross, Andrea V Moscoso, Lauren R Bayer, Liliana Rosselli-Risal, Dennis P Orgill
BACKGROUND: Medical tourism is a growing, multi-billion dollar industry fueled by improvements in the global transportation infrastructure. The authors studied patients living in the United States who travel to other countries for plastic surgical procedures and returned to have their complications treated in the authors' center. METHODS: A retrospective patient evaluation was performed. Patients who had presented to an urban tertiary academic hospital plastic surgery service with complications or complaints associated with plastic surgery performed in a developing country were studied...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29541821/incorporation-of-a-global-surgery-rotation-into-an-academic-general-surgery-residency-program-impact-and-perceptions
#6
Michael Thomas LeCompte, Connor Goldman, John L Tarpley, Margaret Tarpley, Erik N Hansen, Peter M Nthumba, Kyla P Terhune, Rondi M Kauffmann
INTRODUCTION: Global surgery is increasingly recognized as a vital component of international public health. Access to basic surgical care is limited in much of the world, resulting in a global burden of treatable disease. To address the lack of surgical workforce in underserved environments and to foster ongoing interest in global health among US-trained surgeons, our institution established a residency rotation through partnership with an academic hospital in Kijabe, Kenya. This study evaluates the perceptions of residents involved in the rotation, as well as its impact on their future involvement in global health...
March 14, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29481407/gender-affirming-surgery-in-persons-with-gender-dysphoria
#7
Jason M Weissler, Brian L Chang, Martin J Carney, David Rengifo, Charles A Messa, David B Sarwer, Ivona Percec
The landscape of gender dysphoria has changed dramatically in recent years secondary to increased societal acceptance, legislative changes, and medical providers' increased awareness of the associated psychosocial burden associated with the diagnosis. National and global advocacy efforts, in conjunction with expanded third-party insurance coverage, have resulted in new health care opportunities for patients suffering from gender dysphoria. Delivering quality, streamlined health care to these patients requires a complex multidisciplinary approach, involving multiple medical and mental health disciplines, including plastic surgeons...
March 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29480888/resident-participation-is-not-associated-with-worse-outcomes-after-tka
#8
Mike H Bao, Benjamin J Keeney, Wayne E Moschetti, Nicholas G Paddock, David S Jevsevar
BACKGROUND: Approximately one-half of all US surgical procedures, and one-third of orthopaedic procedures, are performed at teaching hospitals. However, the effect of resident participation and their level of training on patient care for TKA postoperative physical function, operative time, length of stay, and facility discharge are unclear. QUESTIONS/PURPOSES: (1) Are resident participation, postgraduate year (PGY) training level, and number of residents associated with absolute postoperative Patient-Reported Outcomes Measurement Information System (PROMIS-10) global physical function score (PCS), and achieving minimum clinically important difference (MCID) PCS improvement, after TKA? (2) Are resident participation, PGY, and number of residents associated with increased TKA operative time? (3) Are resident participation, PGY, and number of residents associated with increased length of stay after TKA? (4) Are resident participation, PGY, and number of residents associated with higher odds of patients being discharged to another inpatient facility, rather than to their home (facility discharge)? METHODS: We performed a retrospective study using a longitudinally maintained institutional registry of TKAs that included 1626 patients at a single tertiary academic institution from April 2011 through July 2016...
February 14, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29456919/most-influential-literature-in-spinal-tuberculosis-a-global-disease-without-global-evidence
#9
REVIEW
Michael Held, Sophie Castelein, Marie-Fien Bruins, Maritz Laubscher, Robert Dunn, Marius Keel, Sufian Ahmad, Sven Hoppe
Study Design: Bibliometric review of the literature. Objective: This bibliometric analysis aims to give an overview of the most influential academic literature written on spinal tuberculosis. Methods: All databases included in the Thomson Reuters Web of Knowledge were searched for the most influential publications in spinal tuberculosis. The most cited articles published between 1950 and 2015, with the main focus on orthopedic surgery, were identified using a multistep approach, and a total of 100 articles were included...
February 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29439943/cognitive-style-and-mobile-e-learning-in-emergent-otorhinolaryngology-head-and-neck-surgery-disorders-for-millennial-undergraduate-medical-students-randomized-controlled-trial
#10
Li-Ang Lee, Yi-Ping Chao, Chung-Guei Huang, Ji-Tseng Fang, Shu-Ling Wang, Cheng-Keng Chuang, Chung-Jan Kang, Li-Jen Hsin, Wan-Ni Lin, Tuan-Jen Fang, Hsueh-Yu Li
BACKGROUND: Electronic learning (e-learning) through mobile technology represents a novel way to teach emergent otorhinolaryngology-head and neck surgery (ORL-HNS) disorders to undergraduate medical students. Whether a cognitive style of education combined with learning modules can impact learning outcomes and satisfaction in millennial medical students is unknown. OBJECTIVE: The aim of this study was to assess the impact of cognitive styles and learning modules using mobile e-learning on knowledge gain, competence gain, and satisfaction for emergent ORL-HNS disorders...
February 13, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29406778/the-first-year-of-global-cleft-surgery-education-through-digital-simulation-a-proof-of-concept
#11
Natalie M Plana, J Rodrigo Diaz-Siso, Derek M Culnan, Court B Cutting, Roberto L Flores
INTRODUCTION: Parallel to worldwide disparities in patient access to health care, the operative opportunities of surgical trainees are increasingly restricted across the globe. Efforts have been directed toward enhancing surgical education outside the operating room and reducing the wide variability in global trainee operative experience. However, high costs and other logistical concerns may limit the reproducibility and sustainability of nonoperative surgical education resources. METHODS: A partnership between the academic, nonprofit, and industry sectors resulted in the development of an online virtual surgical simulator for cleft repair...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29396278/internet-based-digital-simulation-for-cleft-surgery-education-a-5-year-assessment-of-demographics-usage-and-global-effect
#12
Rami S Kantar, Natalie M Plana, Court B Cutting, Jesus Rodrigo Diaz-Siso, Roberto L Flores
BACKGROUND: In October 2012, a freely available, internet-based cleft simulator was created in partnership between academic, nonprofit, and industry sectors. The purpose of this educational resource was to address global disparities in cleft surgery education. This report assesses demographics, usage, and global effect of our simulator, in its fifth year since inception. OBJECTIVE: Evaluate the global effect, usage, and demographics of an internet-based educational digital simulation cleft surgery software...
January 29, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29371174/surgical-outcomes-of-paravaginal-repair-after-robotic-sacrocolpopexy
#13
Tanya P Hoke, Howard Goldstein, Emily K Saks, Babak Vakili
STUDY OBJECTIVE: To evaluate surgical outcomes of robotic sacrocolpopexy with and without paravaginal repair for pelvic organ prolapse (POP). DESIGN: A retrospective cohort study with a 3-month postoperative follow-up (Canadian Task Force classification II-3). SETTING: An academic-affiliated community hospital with a practice comprised of 3 surgeons board certified in female pelvic medicine and reconstructive surgery. PATIENTS: Patients undergoing robotic sacrocolpopexy for POP from April 2013 through November 2014...
January 31, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29242749/setting-the-research-and-implementation-agenda-for-equitable-access-to-surgical-care-in-south-africa
#14
REVIEW
Sarah Rayne, Sule Burger, Stephanie Van Straten, Bruce Biccard, Mathume Joseph Phaahla, Martin Smith
South Africa is an upper-middle-income country with widespread social and geographical inequality of surgical provision. The National Forum on Surgery and Anaesthesia in South Africa brought together various stakeholders, including government, societies, academic clinicians and the biomedical industry, to define the core strategy for a national surgical plan. During the forum, presentations and breakaway workshops explored and reported the challenges and opportunities these stakeholders may have in sustaining and improving surgical provision in South Africa...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29221877/guide-to-research-in-academic-global-surgery-a-statement-of-the-society-of-university-surgeons-global-academic-surgery-committee
#15
Saurabh Saluja, Benedict Nwomeh, Samuel R G Finlayson, AiXuan L Holterman, Randeep S Jawa, Sudha Jayaraman, Catherine Juillard, Sanjay Krishnaswami, Swagoto Mukhopadhyay, Jennifer Rickard, Thomas G Weiser, George P Yang, Mark G Shrime
Global surgery is an emerging academic discipline that is developing in tandem with numerous policy and advocacy initiatives. In this regard, academic global surgery will be crucial for measuring the progress toward improving surgical care worldwide. However, as a nascent academic discipline, there must be rigorous standards for the quality of work that emerges from this field. In this white paper, which reflects the opinion of the Global Academic Surgery Committee of the Society for University Surgeons, we discuss the importance of research in global surgery, the methodologies that can be used in such research, and the challenges and benefits associated with carrying out this research...
February 2018: Surgery
https://www.readbyqxmd.com/read/29172710/low-rates-of-post-craniotomy-surgical-site-infections-in-a-developing-country-surgical-technique-and-results
#16
Amos O Adeleye
INTRODUCTION: Although neurosurgical surgical site infections (SSI) exert a devastating price on the postoperative course of patients in the developing countries, literature is sparse on the subject from these regions. METHODS: This study is an audit of post-craniotomy SSI in a sub-Sahara African academic neurosurgical practice. It is a retrospective descriptive analysis of neurosurgical SSI in a 7-year consecutive cohort of patients who survived more than 5 days following major cranial surgery...
November 24, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29126228/prospective-randomized-blind-effect-on-outcome-study-of-conventional-vs-high-frequency-spinal-cord-stimulation-in-patients-with-pain-and-disability-due-to-failed-back-surgery-syndrome
#17
Jose De Andres, Vicente Monsalve-Dolz, Gustavo Fabregat-Cid, Vicente Villanueva-Perez, Anushik Harutyunyan, Juan Marcos Asensio-Samper, Nerea Sanchis-Lopez
Objectives: Spinal cord stimulation (SCS) for patients with failed back surgery syndrome (FBSS) show variable results and limited to moderate evidence. In the last years the stimulation of high frequency (HF) has been considered as a better alternative in this pathology for its supposed benefits compared to the stimulation with conventional frequency (CF). To compare in one year follow-up, the efficacy of high-frequency SCS (HF) versus conventional frequency SCS (CF) on the patients with FBSS...
December 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29119221/preparing-japanese-surgeons-for-potential-mass-casualty-situations-will-require-innovative-and-systematic-programs
#18
H Uchino, V Y Kong, J L Bruce, G V Oosthuizen, W Bekker, G L Laing, D L Clarke
INTRODUCTION: The ongoing state of global geo-political instability means that it is prudent to prepare civilian surgeons to manage major military-type trauma. Japan has enjoyed a prolonged period of peace and consequently it is unlikely that surgeons will have been exposed to a sufficient volume of cases. This study reviews the state of trauma training and preparedness in Japan and reviews the trauma workload of a major Japanese emergency medical center and compared with a major South African trauma center with the intention of quantifying and comparing the time needed to gain adequate exposure to major trauma at the two centers...
November 8, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29102557/textual-analysis-of-general-surgery-residency-personal-statements-topics-and-gender-differences
#19
Laura Ostapenko, Cheryl Schonhardt-Bailey, Jessica Walling Sublette, Douglas S Smink, Nora Y Osman
PURPOSE: Applicants to US general surgery residency training programs submit standardized applications. Applicants use the personal statement to express their individual rationale for a career in surgery. Our research explores common topics and gender differences within the personal statements of general surgery applicants. METHODS: We analyzed the electronic residency application service personal statements of 578 applicants (containing 3,82,405 words) from Liaison Committee on Medical Education-accredited medical schools to a single ACGME-accredited general surgery program using an automated textual analysis program to identify common topics and gender differences...
October 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29098634/pre-and-postoperative-anemia-acute-kidney-injury-and-mortality-after-coronary-artery-bypass-grafting-surgery-a-retrospective-observational-study
#20
Adriana D Oprea, J Mauricio Del Rio, Mary Cooter, Cynthia L Green, Jörn A Karhausen, Patrick Nailer, Nicole R Guinn, Mihai V Podgoreanu, Mark Stafford-Smith, Jacob N Schroder, Manuel L Fontes, Miklos D Kertai
BACKGROUND: Preoperative and postoperative anemia have been identified individually as potential risk factors for postoperative complications after coronary artery bypass grafting (CABG) surgery. Their interrelationship with acute kidney injury (AKI) and long-term mortality, however, has not been clearly defined and was the purpose of this study. METHODS: We retrospectively evaluated 6,130 adult patients undergoing CABG surgery performed at a single large academic medical center...
January 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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