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Academic global surgery

Caroline A Yao, Jordan Swanson, Meghan McCullough, Trisa B Taro, Ricardo Gutierrez, Allison Bradshaw, Alex Campbell, William P Magee, William P Magee
BACKGROUND: The emphasis on cultural competency for physicians and surgeons is increasingly important, as communication with both patients and other providers significantly affects individual and system-wide outcomes. International surgical training has been shown to improve leadership skills, cultural competency, and technical proficiency of participants in short-term follow-up. This study explores the long-term impact of international surgical mission experiences on developing participants' core competencies, professional outcomes, and commitment to global health...
September 2016: Plastic and Reconstructive Surgery
Richard T Spence, David C Chang, Kathryn Chu, Eugenio Panieri, Jessica L Mueller, Matthew M Hutter
BACKGROUND: Increasing evidence demonstrates significant variation in adverse outcomes following surgery between countries. In order to better quantify these variations, we hypothesize that freely available online risk calculators can be used as a tool to generate global benchmarking of risk-adjusted surgical outcomes. METHODS: This is a prospective cohort study conducted at an academic teaching hospital in South Africa (GSH). Consecutive adult patients undergoing major general or vascular surgery who met the ACS-NSQIP inclusion criteria for a 3-month period were included...
July 28, 2016: World Journal of Surgery
Alison M Parden, Ying Tang, Jeff Szychowski, Holly E Richter
STUDY OBJECTIVE: To characterize outcomes in women undergoing surgical revision of a midurethral sling and characterize factors associated with satisfaction of revision. DESIGN: Retrospective cohort study (Canadian Task Force classification II-3). SETTING: A urogynecology clinic at a large academic referral center. PATIENTS: Women undergoing surgical revision of synthetic mesh midurethral sling (index surgery). INTERVENTIONS: Chart review was performed to obtain baseline clinicodemographic information, operative notes, urodynamic parameters, and symptom-specific distress and impact questionnaire data...
September 2016: Journal of Minimally Invasive Gynecology
Altan Onat
OBJECTIVE: The aim of the present assessment was to identify "genuine" medical papers generated by Turkey's institutions that have contributed most to cardiovascular medicine. METHODS: Based on Web of Science data, 160 papers were identified as having received 40 or more citations as of late July 2015. Papers with more than minor contribution from international authors were excluded. RESULTS: A total of 127 primary authors generated 160 papers, each receiving ≥40 (95% confidence interval 40-165) citations...
June 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
M S Silay, A F Spinoit, S Undre, V Fiala, Z Tandogdu, T Garmanova, A Guttilla, A A Sancaktutar, B Haid, M Waldert, A Goyal, E C Serefoglu, E Baldassarre, G Manzoni, A Radford, R Subramaniam, A Cherian, P Hoebeke, M Jacobs, B Rocco, R Yuriy, Fabio Zattoni, R Kocvara, C J Koh
INTRODUCTION: Minimally invasive pyeloplasty (MIP) for ureteropelvic junction (UPJ) obstruction in children has gained popularity over the past decade as an alternative to open surgery. The present study aimed to identify the factors affecting complication rates of MIP in children, and to compare the outcomes of laparoscopic (LP) and robotic-assisted laparoscopic pyeloplasty (RALP). MATERIALS AND METHODS: The perioperative data of 783 pediatric patients (<18 years old) from 15 academic centers who underwent either LP or RALP with an Anderson Hynes dismembered pyeloplasty technique were retrospectively evaluated...
August 2016: Journal of Pediatric Urology
Kellie N Clark, Jason M Ashford, Atmaram S Pai Panandiker, Paul Klimo, Thomas E Merchant, Catherine A Billups, Heather M Conklin
Pediatric focal low-grade brainstem tumors are associated with excellent prognosis. Surgical resection and conformal radiation therapy are front-line treatment options; radiation therapy (RT) serves as an excellent treatment for disease progression. Given high survival rates and limited research regarding functional outcomes, the current study examined neurocognitive outcomes in a group of low-grade brainstem glioma survivors. Forty-three survivors of focal low-grade brainstem gliomas underwent neurocognitive assessment (58 % male; median = 6...
September 2016: Journal of Neuro-oncology
Keiko Kurita, Victor W Henderson, Margaret Gatz, Jan St John, Howard N Hodis, Roksana Karim, Wendy J Mack
OBJECTIVE: To investigate the association between bilateral oophorectomy and cognitive performance in healthy, older women. DESIGN: Retrospective analysis of clinical trial data. SETTING: Academic research institution. PATIENT(S): Healthy postmenopausal women without signs or symptoms of cardiovascular disease or diabetes (n = 926). INTERVENTION(S): Randomized interventions (not the focus of this analysis) in analyzed trials included B-vitamins, soy isoflavones, oral estradiol, and matching placebos...
September 1, 2016: Fertility and Sterility
Kemi M Doll, Emma L Barber, Jeannette T Bensen, Matthew C Revilla, Anna C Snavely, Antonia V Bennett, Bryce B Reeve, Paola A Gehrig
BACKGROUND: There are currently no assessments of the impact of surgical complications on health-related quality of life in gynecology and gynecologic oncology. This is despite complications being a central focus of surgical outcome measurement, and an increasing awareness of the need for patient-reported data when measuring surgical quality. OBJECTIVE: We sought to measure the impact of surgical complications on health-related quality of life at 1 month postoperatively, in women undergoing gynecologic and gynecologic oncology procedures...
October 2016: American Journal of Obstetrics and Gynecology
Olivier D R van Wulfften Palthe, Valentin Neuhaus, Stein J Janssen, Thierry G Guitton, David Ring
BACKGROUND: Burnout is common in professions such as medicine in which employees have frequent and often stressful interpersonal interactions where empathy and emotional control are important. Burnout can lead to decreased effectiveness at work, negative health outcomes, and less job satisfaction. A relationship between burnout and job satisfaction is established for several types of physicians but is less studied among surgeons who treat musculoskeletal conditions. QUESTIONS/PURPOSES: We asked: (1) For surgeons treating musculoskeletal conditions, what risk factors are associated with worse job dissatisfaction? (2) What risk factors are associated with burnout symptoms? METHODS: Two hundred ten (52% of all active members of the Science of Variation Group [SOVG]) surgeons who treat musculoskeletal conditions (94% orthopaedic surgeons and 6% trauma surgeons; in Europe, general trauma surgeons do most of the fracture surgery) completed the Global Job Satisfaction instrument, Shirom-Malamed Burnout Measure, and provided practice and surgeon characteristics...
August 2016: Clinical Orthopaedics and related Research
Andrew J Hung, Thomas Bottyan, Thomas G Clifford, Sarfaraz Serang, Zein K Nakhoda, Swar H Shah, Hana Yokoi, Monish Aron, Inderbir S Gill
PURPOSE: We evaluated feasibility and benefit of implementing structured learning in a robotics program. Furthermore, we assessed validity of a proficiency assessment tool for stepwise graduation. METHODS: Teaching cases included robotic radical prostatectomy and partial nephrectomy. Procedure steps were categorized: basic, intermediate, and advanced. An assessment tool ["proficiency score" (PS)] was developed to evaluate ability to safely and autonomously complete a step...
April 22, 2016: World Journal of Urology
N Patel, M Peffer, A Leusink, N Singh, M Smith
The National Forum on Global Surgery and Anaesthesia presents the first step towards the objective acknowledgement of the challenges of providing safe, accessible, effective and affordable surgical and anaesthetic care in the South African context. Incorporating the input of local and international, surgical, anaesthetic and public health, academic and non-academic, and private and public stakeholders, the foundation to systematically discuss and tackle issues of infrastructure, workforce, service delivery, financing and information management challenges has been formed...
February 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Ernest Joseph Barthélemy, Christopher A Sarkiss, James Lee, Raj K Shrivastava
The historical origin of the meningioma nomenclature unravels interesting social and political aspects about the development of neurosurgery in the late 19th century. The meningioma terminology itself was the subject of nationalistic pride and coincided with the advancement in the rise of medicine in Continental Europe as a professional social enterprise. Progress in naming and understanding these types of tumor was most evident in the nations that successively assumed global leadership in medicine and biomedical science throughout the 19th and 20th centuries, that is, France, Germany, and the United States...
January 22, 2016: Journal of Neurosurgery
Moin Khan, Olufemi R Ayeni, Kim Madden, Asheesh Bedi, Anil Ranawat, Bryan T Kelly, Parag Sancheti, Leandro Ejnisman, Eleftherios Tsiridis, Mohit Bhandari
PURPOSE: This international survey was conducted to assess the perceptions of orthopaedic surgeons regarding the diagnosis and management of femoroacetabular impingement (FAI) as well as to explore the current demographic characteristics of surgeons performing FAI surgery. METHODS: A survey was developed using previous literature, focus groups, and a sample-to-redundancy strategy. The survey contained 46 questions and was e-mailed to national orthopaedic associations and orthopaedic sports medicine societies for member responses...
May 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Jennifer Lavin, Rahul Shah, Hannah Greenlick, Philip Gaudreau, Joshua Bedwell
OBJECTIVE: Given the low frequency of adverse events after tracheostomy, individual institutions struggle to collect outcome data to generate effective quality improvement protocols. The Global Tracheostomy Collaborative (GTC) is a multi-institutional, multi-disciplinary organization that utilizes a prospective database to collect data on patients undergoing tracheostomy. We describe our institution's preliminary experience with this collaborative. It was hypothesized that entry into the database would be non-burdensome and could be easily and accurately initiated by skilled specialists at the time of tracheostomy placement and completed at time of patient discharge...
January 2016: International Journal of Pediatric Otorhinolaryngology
Jason W Beckstead
The presence of suppression (and multicollinearity) in multiple regression analysis complicates interpretation of predictor-criterion relationships. The mathematical conditions that produce suppression in regression analysis have received considerable attention in the methodological literature but until now nothing in the way of an analytic strategy to isolate, examine, and remove suppression effects has been offered. In this article such an approach, rooted in confirmatory factor analysis theory and employing matrix algebra, is developed...
March 30, 2012: Multivariate Behavioral Research
Richard E Davis, Erik N Hansen, Mark W Newton
No abstract text is available yet for this article.
March 2016: JAMA Surgery
Joseph Schwartz, Adrian Costescu, Marco A Mascarella, Meredith E Young, Murad Husein, Sumit Agrawal, Kathryn Roth, Philip C Doyle, Lily H P Nguyen
OBJECTIVES/HYPOTHESIS: Despite the transition to competency-based education in surgery, few standardized assessment tools exist in otolaryngology training. In particular, myringotomy and tympanostomy tube insertion (M+T) is a common surgical procedure with few validated assessment tools available. Our objectives were to develop an objective structured assessment of operative skills in M+T and to provide validity evidence for the developed assessment tool within otolaryngology training...
September 2016: Laryngoscope
Christoph Dybowski, Sigrid Harendza
BACKGROUND: Physicians play a major role as teachers in undergraduate medical education. Studies indicate that different forms and degrees of motivation can influence work performance in general and that teachers' motivation to teach can influence students' academic achievements in particular. Therefore, the aim of this study was to develop and to validate an instrument measuring teaching motivations in hospital-based physicians. METHODS: We chose self-determination theory as a theoretical framework for item and scale development...
2015: BMC Medical Education
Aneel Bhangu, J Edward F Fitzgerald, Ewen M Harrison
No abstract text is available yet for this article.
January 2016: JAMA Surgery
David R McIlroy, Matthew T V Chan, Sophie K Wallace, Arvinder Grover, Emily G Y Koo, Jiajia Ma, Joel A Symons, Paul S Myles
OBJECTIVES: To determine whether preoperative endothelial dysfunction provides risk stratification for perioperative renal injury in patients undergoing noncardiac surgery. The relationship between perioperative renal injury and myocardial injury after noncardiac surgery (MINS) was explored secondarily. DESIGN: An observational study. SETTING: Two academic medical centers. PARTICIPANTS: A total of 218 patients scheduled to undergo intermediate or high-risk noncardiac surgery...
October 2015: Journal of Cardiothoracic and Vascular Anesthesia
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