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https://www.readbyqxmd.com/read/29773409/correlation-of-objective-assessment-data-with-general-surgery-resident-in-training-evaluation-reports-and-operative-volumes
#1
Jad M Abdelsattar, Yazan N AlJamal, Raaj K Ruparel, Phillip G Rowse, Stephanie F Heller, David R Farley
OBJECTIVE: Faculty evaluations, ABSITE scores, and operative case volumes often tell little about true resident performance. We developed an objective structured clinical examination called the Surgical X-Games (5 rooms, 15 minutes each, 12-15 tests total, different for each postgraduate [PGY] level). We hypothesized that performance in X-Games will prove more useful in identifying areas of strength or weakness among general surgery (GS) residents than faculty evaluations, ABSITE scores, or operative cases volumes...
May 14, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29751857/residency-mini-fellowships-in-the-pgy-5-year-is-there-added-value
#2
Anuradha S Shenoy-Bhangle, Ronald L Eisenberg, Tabitha Fineberg, Priscilla J Slanetz
RATIONALE AND OBJECTIVES: With the restructuring of radiology board certification, many residencies created PGY-5 "mini-fellowships," during which residents spend focused time pursuing advanced subspecialty training or developing nonclinical skills in leadership, health policy and health-care economics, education, quality improvement, informatics, research, or global health. We surveyed graduates of an academic diagnostic radiology residency to assess the relative value and impact of PGY-5 mini-fellowships on career satisfaction and success...
June 2018: Academic Radiology
https://www.readbyqxmd.com/read/29743181/evaluation-of-the-quality-of-transesophageal-echocardiography-images-and-verification-of-proficiency
#3
Robina Matyal, Faraz Mahmood, Ziyad Omar Knio, Stephanie Jones, Lu Yeh, Rabina Amir, Ruma Bose, John D Mitchell
Various metrics have been used in curriculum-based TEE training programs to evaluate acquisition of proficiency. However, the quality of task completion, i.e. the final image quality, was subjectively evaluated in these studies. Ideally, the end point metric should be an objective comparison of the trainee-acquired image with a reference ideal image. Therefore, we developed a simulator-based methodology of pre-clinical verification of proficiency (VOP) in trainees by tracking objective evaluation of the final acquired images...
May 9, 2018: Echo Research and Practice
https://www.readbyqxmd.com/read/29730181/wrist-arthroscopy-can-we-gain-proficiency-through-knee-arthroscopy-simulation
#4
Gabriella Ode, Bryan Loeffler, Robert Christopher Chadderdon, Nikkole Haines, Brian Scannell, Joshua Patt, Glenn Gaston
OBJECTIVE: Wrist arthroscopy is a challenging discipline with limited training exposure during residency. The purpose of this study was to evaluate the effectiveness of virtual knee arthroscopy simulation training for gaining proficiency in wrist arthroscopy. DESIGN: Participants were recorded performing a cadaveric wrist arthroscopy simulation. The residents then practiced knee arthroscopy on a virtual reality simulator and repeated the wrist arthroscopy simulation...
May 2, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29725993/residents-experiences-with-mentorship-in-academic-medicine
#5
Hermioni Lokko Amonoo, Esteban A Barreto, Theodore A Stern, Karen Donelan
OBJECTIVE: Although mentorship is essential for the professional development of physicians, the literature on trainees' mentorship experiences and perceptions of effective mentoring is more limited. This descriptive study examines residents' experiences of mentoring and their perceptions about the impact of mentorship on professional development, comparing experiences in mentoring that is assigned versus self-initiated. METHODS: A web-based self-administered cross-sectional survey of all senior residents (≥PGY-3) at a major urban academic medical center was conducted from March 27 to May 31, 2015...
May 3, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29716411/characterization-of-pharmacy-resident-interventions-on-an-academic-inpatient-internal-medicine-rotation
#6
Sarah E Petite
PURPOSE: To characterize the clinical interventions of postgraduate year 1 (PGY-1) pharmacy residents on a required, 1-month, inpatient adult internal medicine service at an academic medical center. METHODS: The interventions completed by PGY-1 pharmacy residents on a required, adult internal medicine rotation were analyzed. Documentation of clinical interventions was performed by the PGY-1 residents, and the significance of the intervention was subsequently determined...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29686492/transitioning-from-medical-school-to-residency-evaluation-of-an-innovative-immersion-rotation-for-pgy-1-paediatric-residents
#7
Stéphanie Vairy, Olivier Jamoulle, Arielle Levy, Ana Carceller
Transition from medical school to residency is stressful due to new responsibilities in patient care. Objective: To evaluate a new immersion curriculum on the transition from medical school to paediatric residency and its implications for future use in paediatric education. Methods: In July 2013, a month-rotation offering one-third of time for clinical rounds and two-thirds of time for formal courses was conducted for postgraduate year 1 residents beginning paediatric residency training...
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29620673/national-internal-medicine-milestone-ratings-validity-evidence-from-longitudinal-three-year-follow-up
#8
Karen E Hauer, Jonathan Vandergrift, Rebecca S Lipner, Eric S Holmboe, Sarah Hood, Furman S McDonald
PURPOSE: To evaluate validity evidence for internal medicine milestone ratings across programs for three resident cohorts by quantifying "not assessable" ratings; reporting mean longitudinal milestone ratings for individual residents; and correlating medical knowledge ratings across training years with certification examination scores to determine predictive validity of milestone ratings for certification outcomes. METHOD: This retrospective study examined milestone ratings for postgraduate year (PGY) 1-3 residents in United States internal medicine residency programs...
April 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29609952/rethinking-the-pgy-1-basic-clinical-year-a-canadian-national-survey-of-its-educational-value-for-diagnostic-radiology-residents
#9
Kathryn E Darras, Abigail A Arnold, Colin Mar, Bruce B Forster, Linda Probyn, Silvia D Chang
RATIONALE AND OBJECTIVES: Recently, the relevance of the postgraduate year 1 (PGY-1) Basic Clinical Year for radiology residents has been questioned. The purpose of this study was to determine the attitude of radiologists and trainees toward this year and which clinical rotations they perceived as most valuable to clinical practice. MATERIALS AND METHODS: Following institutional review board approval, an anonymous online survey was administered to Canadian radiologists and radiology trainees...
March 30, 2018: Academic Radiology
https://www.readbyqxmd.com/read/29605705/nsqip-analysis-of-axillary-lymph-node-dissection-rates-for-breast-cancer-implications-for-resident-and-fellow-participation
#10
Nadia F Nocera, Bryan J Pyfer, Lucy M De La Cruz, Abhishek Chatterjee, Paul T Thiruchelvam, Carla S Fisher
INTRODUCTION: Management of the axilla in invasive breast cancer (IBC) has shifted away from more radical surgery such as axillary lymph node dissection (ALND), towards less invasive procedures, such as sentinel lymph node biopsy. Because of this shift, we hypothesize that there has been a national downward trend in ALND procedures, subsequently impacting surgical trainee exposure to this procedure using the ACS-NSQIP database to evaluate this. METHODS: Women with IBC were identified in the ACS-NSQIP database from 2007 to 2014...
March 28, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29601296/identification-of-facilitators-and-barriers-to-residents-use-of-a-clinical-reasoning-tool
#11
Deborah DiNardo, Sarah Tilstra, Melissa McNeil, William Follansbee, Shanta Zimmer, Coreen Farris, Amber E Barnato
BACKGROUND: While there is some experimental evidence to support the use of cognitive forcing strategies to reduce diagnostic error in residents, the potential usability of such strategies in the clinical setting has not been explored. We sought to test the effect of a clinical reasoning tool on diagnostic accuracy and to obtain feedback on its usability and acceptability. METHODS: We conducted a randomized behavioral experiment testing the effect of this tool on diagnostic accuracy on written cases among post-graduate 3 (PGY-3) residents at a single internal medical residency program in 2014...
March 28, 2018: Diagnosis
https://www.readbyqxmd.com/read/29600255/emergency-manuals-improved-novice-physician-performance-during-simulated-icu-emergencies
#12
Michael R Kazior, Jacob Wang, Marjorie P Stiegler, Dung Nguyen, Annette Rebel, Robert S Isaak
Background: Emergency manuals, which are safety essentials in non-medical high-reliability organizations (e.g., aviation), have recently gained acceptance in critical medical environments. Of the existing emergency manuals in anesthesiology, most are geared towards intraoperative settings. Additionally, most evidence supporting their efficacy focuses on the study of physicians with at least some meaningful experience as a physician. Our aim was to evaluate whether an emergency manual would improve the performance of novice physicians (post-graduate year [PGY] 1 or first year resident) in managing a critical event in the intensive care unit (ICU)...
July 2017: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/29581606/changes-in-pharmacy-residency-training-design-between-2012-and-2017-a-perspective-of-academic-medical-centers
#13
Anne Krasniak, William Darko, Christopher D Miller, Robert Seabury, Luke A Probst
Purpose: The role of health-system pharmacists continues to expand, and this area of pharmacy practice increasingly requires augmented baseline training. It is unclear how Post Graduate Year 1 (PGY-1) pharmacy residencies may be changing to meet these needs.The objectives of our survey were to describe PGY-1 pharmacy residency program design among academic medical centers, characterize program changes enacted over 5-year period, and describe career paths among PGY-1 pharmacy residency graduates. Methods: A 32-item questionnaire was developed independently, which was reviewed and validated by 4 residency program directors...
April 2018: Hospital Pharmacy
https://www.readbyqxmd.com/read/29548530/discussion-of-pgy-specific-benchmarks-improve-resident-performance-on-fundamentals-of-laparoscopic-surgery-tasks
#14
Adrian Harvey
No abstract text is available yet for this article.
May 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29524725/validation-of-the-simulated-vaginal-hysterectomy-trainer
#15
Monique H Vaughan, Shunaha Kim-Fine, Kathie L Hullfish, Tovia M Smith, Nazema Y Siddiqui, Elisa R Trowbridge
STUDY OBJECTIVE: To establish construct validity of the simulated vaginal hysterectomy trainer (SimVaHT). DESIGN: A cross-sectional validation study (Canadian Task Force classification II-2). SETTING: A single academic medical center in the United States. SUBJECTS: Fourteen residents in obstetrics and gynecology (4 postgraduate year [PGY] 1, 4 PGY-2, 3 PGY-3 and 3 PGY-4). PGY-1 and PGY-2 residents were grouped to form the "junior level" cohort, whereas PGY-3 and PGY-4 residents comprised the "senior level" cohort...
March 7, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29514625/palliative-care-in-the-emergency-department-an-educational-investigation-and-intervention
#16
Jessica M Goldonowicz, Michael S Runyon, Mark J Bullard
BACKGROUND: To investigate the value of a novel simulation-based palliative care educational intervention within an emergency medicine (EM) residency curriculum. METHODS: A palliative care scenario was designed and implemented in the simulation program at an urban academic emergency department (ED) with a 3-year EM residency program. EM residents attended one of eight high-fidelity simulation sessions, in groups of 5-6. A standardized participant portrayed the patient's family member...
March 7, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29506664/retracted-beyond-the-pgy-1-community-pharmacy-residency-characterizing-career-pathways-of-residency-graduates
#17
Monet M Stanford, Sarah M Oprinovich, Margie E Snyder
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). This article was retracted by the authors because of data errors discovered after publication.
March 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29505650/awareness-and-knowledge-among-internal-medicine-resident-trainees-for-dose-adjustment-of-analgesics-and-neuropsychotropic-medications-in-ckd
#18
Chadi Y Saad, Joshua Fogel, Sofia Rubinstein
OBJECTIVES: Errors in drug dosing lead to poor patient outcomes and are common in patients with chronic kidney disease (CKD). Because the majority of patients with CKD are being treated by physicians specializing in internal medicine, we studied the awareness and knowledge that internal medicine resident trainees (IMRTs) have regarding the correct dosage of commonly used analgesic and neuropsychotropic medications for patients with CKD. METHODS: We surveyed 353 IMRTs about their awareness of whether a medication needs dose adjustment in patients with CKD and knowledge for medication adjustment by level of glomerular filtration rate...
March 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29502990/examination-of-skill-acquisition-and-grader-bias-in-a-distal-radius-fracture-fixation-model
#19
Matthew D Putnam, Julie E Adams, Paul Lender, Ann E Van Heest, Janet R Shanedling, David J Nuckley, Joan E Bechtold
OBJECTIVES: Primary: Assess the ability of faculty graders to predict the objectively measured strength of distal radius fracture fixation. Secondary: Compare resident skill variation and retention related to other knowable training data. DESIGN: Residents were allowed 60 minutes to stabilize a standardized distal radius fracture using an assigned fixed-angle volar plate. Faculty observed and subjectively graded the residents without providing real-time feedback...
March 1, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29500143/resident-wellness-and-social-support-development-and-cognitive-validation-of-a-resident-social-capital-assessment-tool
#20
Stephen J Kaplan, Heather M Seabott, Erika B Cunningham, James D Helman, Alvin Calderon, Richard C Thirlby, Kimberly D Schenarts
OBJECTIVE: The purpose of this study is to develop and generate validity evidence for an instrument to measure social capital in residents. DESIGN: Mixed-methods, phased approach utilizing a modified Delphi technique, focus groups, and cognitive interviews. SETTING: Four residency training institutions in Washington state between February 2016 and March 2017. PARTICIPANTS: General surgery, anesthesia, and internal medicine residents ranging from PGY-1 to PGY-6...
March 2018: Journal of Surgical Education
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