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https://www.readbyqxmd.com/read/29140966/how-was-your-otology-training-a-survey-of-recent-otolaryngology-residents
#1
Phillip Montague, Donald Bennett, Brian Kellermeyer
OBJECTIVE: To survey graduating residents or recent graduates of otolaryngology residency programs to evaluate their Otology/Neurotology (ON) experience in residency and discern if they had received adequate training in time to decide whether to pursue a fellowship in Otology or Neurotology. STUDY DESIGN: Internet-based survey. METHODS: A survey was distributed to all US otolaryngology residency programs to distribute to 5th year residents and recent graduates in last 4 years...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29134571/optimizing-residents-performance-of-lumbar-puncture-an-rct-comparing-the-effect-of-preparatory-interventions-on-performance-and-self-confidence
#2
Mikael Johannes Vuokko Henriksen, Troels Wienecke, Helle Thagesen, Rikke Borre Vita Jacobsen, Yousif Subhi, Ryan Brydges, Charlotte Ringsted, Lars Konge
BACKGROUND: Lumbar puncture is often associated with uncertainty and limited experience on the part of residents; therefore, preparatory interventions can be essential. There is growing interest in the potential benefit of videos over written text. However, little attention has been given to whether the design of the videos impacts on subsequent performance. OBJECTIVE: To investigate the effect of different preparatory interventions on learner performance and self-confidence regarding lumbar puncture (LP)...
November 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29132645/assessing-the-16-hour-intern-shift-limit-results-of-a-multi-center-mixed-methods-study-of-residents-and-faculty-in-general-surgery
#3
James E Coverdill, Adnan Alseidi, David C Borgstrom, Daniel L Dent, Russell Dumire, Jonathan Fryer, Thomas H Hartranft, Steven B Holsten, M Timothy Nelson, Mohsen M Shabahang, Stanley R Sherman, Paula M Termuhlen, Randy J Woods, John D Mellinger
BACKGROUND: The study explores how residents and faculty assess the ACGME's 16-h limit on intern shifts. METHODS: Questionnaire response rates were 76% for residents (N = 291) and 71% for faculty (N = 279) in 13 general surgery residency programs. Results include means, percentage in agreement, and statistical tests for 15 questionnaire items. Semi-structured interviews conducted with 39 residents and 43 faculty were analyzed for main themes. RESULTS: Few view the intern shift limit as a positive change...
November 4, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29129263/variation-in-post-discharge-opioid-prescriptions-among-members-of-a-surgical-team
#4
Eddie Blay, Michael J Nooromid, Karl Y Bilimoria, Jane L Holl, Bruce Lambert, Julie K Johnson, Jonah J Stulberg
BACKGROUND: Surgeons play a pivotal role in the opioid epidemic but it is unknown how different members of a surgical team vary in the way they prescribe opioids after surgical episodes. STUDY DESIGN: We conducted a retrospective cohort study of all inpatient discharges for 5 common surgeries. Total number of tablets and total milligram equivalents (MME) prescribed were calculated and differences in prescription patterns were determined for attending surgeons, surgical residents and advanced practice providers...
November 1, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29128101/effect-of-protected-research-time-on-absite-scores-during-general-surgery-residency
#5
Bruce A Orkin, Jennifer Poirier, Areta Kowal-Vern, Edie Chan, Karen Ohara, Brian Mendoza
BACKGROUND: Objective - To determine whether residents with one or more years of dedicated research time (Research Residents, RR) improved their ABSITE scores compared to those without (Non-Research Residents, N-RR). METHODS: A retrospective review of general surgery residents' ABSITE scores from 1995 to 2016 was performed. RR were compared to N-RR. Additional analysis of At Risk (AR) v Not At Risk residents (NAR) (<or >35th percentile as PGY1-2) was also performed...
November 3, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29127017/the-educational-opportunities-provided-by-a-pediatric-orthopedic-urgent-case-review-conference-keep-score-to-provide-a-better-experience
#6
Eric D Shirley, Radu Gheorghe, Kevin M Neal, Gary Kiebzak, Steven L Frick
OBJECTIVE: To evaluate the distribution of conditions presented at a case conference to assess resident educational exposure to acute pediatric orthopedic conditions. DESIGN: Retrospective review of emergency department and inpatient consultations presented at a daily pediatric orthopedic case conference over a 3-year period. Consultations were divided into 3-month resident rotation blocks for analysis. SETTING: Tertiary children's hospital in the southern United States which host residents from 2 orthopedic surgery residency programs...
November 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29109560/educational-attainment-and-academic-profile-of-deans-and-chairs-at-us-pharmacy-schools
#7
Mitra Assemi, Jessica Yu, Sum Liu, Robin L Corelli, Karen Suchanek Hudmon
Objective. To characterize educational attainment and experiences of current US pharmacy school deans and chairs. Methods. A cross-sectional study using a publicly available listing of accredited schools and information. Results. Among 134 deans and 301 chairs, 79.9% and 65.5% held a professional degree (BSPharm and/or PharmD), 33.6% and 26.2% completed PGY-1 residencies, 12.7% and 15.6% completed post-PharmD fellowships, 23.1% and 33.9% completed post-doctoral fellowships, and 13.4% and 18.3% held BPS certification, respectively...
September 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29107161/evaluation-of-problem-and-simulator-based-learning-on-lumbar-puncture-of-adult-neurology-residency-training
#8
Chenjing Sun, Xiaokun Qi
BACKGROUND: Lumbar puncture (LP) is an essential part of adult neurology residency training. It needs not only technological training but also non-technological training. However, the current assessment tools basically focus on the operated technology of LP. We propose a better training method-problem and simulator-based learning (PSBL) on LP residency training to develop overall skills of neurology residents. METHODS: We enrolled 60 neurology postgraduate-year-1 residents (PGY-1s) from our standardized residents training center and randomly divided them into two groups: the traditional teaching group and PSBL group...
October 26, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29097172/beyond-250-a-comprehensive-strategy-to-maximize-the-operative-experience-for-junior-residents
#9
James M Healy, Mark W Maxfield, Daniel G Solomon, Walter E Longo, Peter S Yoo
OBJECTIVES: Among surgical educators, duty-hour restrictions led to concern regarding the adequacy of operative experience during residency, especially for junior residents. The American Board of Surgery recently instituted guidelines mandating "a minimum of 250 operations by the end of the PGY-2 year". A series of programmatic and institutional changes were implemented at our institution to augment the junior resident operative experience and to exceed compliance with this mandate. METHODS: Operative data from Accreditation Council for Graduate Medical Education case logs for categorical and nondesignated preliminary interns from our large academic surgical residency were identified for 5 consecutive academic years, 2011 until 2016...
October 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29078911/resident-postgraduate-year-does-not-influence-rate-of-complications-following-inguinal-herniorrhaphy
#10
Oswaldo Renteria, Ali A Mokdad, Jonathan Imran, Sergio Huerta
BACKGROUND: Previous data indicate that patients who undergo surgery with a postgraduate year 3 (PGY-3) resident as the junior surgeon have a lower rate of recurrence compared with PGY-1 and PGY-2 after an open inguinal herniorrhaphy. Lower PGY level was also associated with increased operative time. We hypothesize that when controlling for surgeon, technique, and hernia type, the outcomes for inguinal herniorrhaphy are the same independent of PGY level. MATERIALS AND METHODS: A retrospective review of all open unilateral inguinal hernia repairs done by residents who assisted the same senior surgeon at the Veterans Affairs North Texas Health Care System was performed...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29075388/delivery-and-measurement-of-high-value-care-in-standardized-patient-encounters
#11
Jennifer DeLuca Baldwin, Jaclyn Cox, Zhao Helen Wu, Anne Kenny, Steven Angus
BACKGROUND : Residencies have incorporated high-value care (HVC) training to contain health care expenditures. Assessment methods of HVC curricula are limited. OBJECTIVE : In our clinical skills laboratory, we evaluated the effectiveness of HVC curricula using standardized patients (SPs) to determine if there is a correlation with performance in counseling, history and physical, HVC knowledge, and demographics. METHODS : Through ambulatory cases, SPs evaluated postgraduate year 2 (PGY-2) residents using checklists to determine if they obtained the chief complaint, medical and social history, focused physical examination, and conveyed information regarding patient management...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29072972/incision-classification-accuracy-do-residents-know-how-to-classify-them
#12
Jessica Goodwin, Pepper Womack, Billy Moore, J Laureano Phillips, Therese Duane
BACKGROUND: It is unclear whether surgical residents understand how to classify incisions, which may impact how closure is handled in the operating room. We hypothesized that surgical residents define incision class (IC) accurately compared with an attending NSQIP surgeon champion (SC). METHODS: We evaluated our NSQIP database from April 1, 2015, to December 31, 2016, including cases in which a resident was present and IC was documented. Cases in which the resident, circulator, or surgical clinical rater disagreed on the IC were then reviewed by a blinded SC...
November 2017: Surgical Infections
https://www.readbyqxmd.com/read/29055744/the-acgme-case-log-system-may-not-accurately-represent-operative-experience-among-general-surgery-interns
#13
Nimesh D Naik, Eduardo F Abbott, Johnathon M Aho, T K Pandian, Cornelius A Thiels, Stephanie F Heller, David R Farley
OBJECTIVE: To assess if the Accreditation Council for Graduate Medical Education (ACGME) case log system accurately captures operative experience of our postgraduate year 1 (PGY-1) residents. DESIGN: ACGME case log information was retrospectively obtained for 5 cohorts of PGY-1 residents (2011-2015) and compared to the number of operative cases captured by an institutional automated operative case report system, Surgical Access Utility System (SAUS). SAUS automatically captures all surgical team members who are listed in the operative dictation for a given case, including interns...
October 18, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29045986/impact-of-residency-training-redesign-on-residents-clinical-knowledge
#14
Elaine Waller, M Patrice Eiff, Eve Dexter, Jason C B Rinaldo, Miguel Marino, Roger Garvin, Alan B Douglass, Robert Phillips, Larry A Green, Patricia A Carney
BACKGROUND AND OBJECTIVES: The In-training Examination (ITE) is a frequently used method to evaluate family medicine residents' clinical knowledge. We compared family medicine ITE scores among residents who trained in the 14 programs that participated in the Preparing the Personal Physician for Practice (P4) Project to national averages over time, and according to educational innovations. METHODS: The ITE scores of 802 consenting P4 residents who trained in 2007 through 2011 were obtained from the American Board of Family Medicine...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/29045984/results-of-the-2017-national-resident-matching-program%C3%A2-and-the-american-osteopathic-association-intern-resident-registration-program
#15
Stanley M Kozakowski, Alexandra Travis, Julie P Marcinek, Ashley Bentley, Gerald T Fetter
The purpose of medicine as a profession is to meet the health needs of people and communities. Despite empirical evidence worldwide that an appropriate foundation of primary care in a health care system leads to improved health outcomes, improved experience of health care, a reduction in health disparities, and lower overall cost of care, publicly available data from National Resident Matching Program® (NRMP) and the American Osteopathic Association (AOA) Intern/Resident Registration Program show that PGY-1 family medicine and primary care positions offered in the NRMP Match continue to grow, but are losing ground in comparison to the growth of non-primary care specialties...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/29042335/neurosurgical-resident-error-a-survey-of-u-s-neurosurgery-residency-training-program-directors-perceptions
#16
Raghav Gupta, Justin M Moore, Nimer Adeeb, Christoph J Griessenauer, Anna M Schneider, Chirag D Gandhi, Griffith R Harsh, Ajith J Thomas, Christopher S Ogilvy
INTRODUCTION: Efforts to address resident errors and enhance patient safety have included systemic reforms such as the ACGME's mandated duty-hour restrictions and specialty-specific initiatives such as the neurosurgery Milestone Project. However, there is currently little data describing the basis for these errors or outlining trends in neurosurgical resident errors. METHODS: An online questionnaire was distributed to program directors of 108 U.S. neurosurgery residency training programs to assess the frequency, most common forms and causes of resident error, the resulting patient outcomes, and the steps taken by residency programs to address these errors...
October 14, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29037364/a-national-resident-survey-about-the-current-state-of-venous-education-in-vascular-surgery-training-programs
#17
Caitlin W Hicks, Amber Kernodle, Christopher J Abularrage, Jennifer A Heller
OBJECTIVE: The objective of this study was to characterize U.S. vascular surgery trainees' perceptions, case numbers, and attitudes toward venous disease education, as well as their intent to incorporate it into future practice. These data will provide us with a current snapshot of postgraduate venous education from a resident's perspective. METHODS: Institutional Review Board approval was obtained. A 13-question survey was created and distributed to all vascular surgery residents in the United States by SurveyMonkey...
November 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28990685/national-trends-in-otolaryngology-intern-curricula-following-accreditation-council-for-graduate-medical-education-changes
#18
Kevin J Kovatch, Rebecca S Harvey, Mark E P Prince, Marc C Thorne
OBJECTIVES/HYPOTHESIS: In 2016, Accreditation Council for Graduate Medical Education (ACGME) requirements for curriculum and resident experiences were modified to require entering postgraduate year (PGY)-1 residents to spend 6 months of structured education on otolaryngology-head and neck surgery (ORL-HNS) rotations. We aimed to determine how ORL-HNS training programs have adapted curricula in response to 2016 ACGME curriculum requirement changes. STUDY DESIGN: Survey study...
October 9, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28985841/surgical-resident-technical-skill-self-evaluation-increased-precision-with-training-progression
#19
COMPARATIVE STUDY
Jacob A Quick, Vishal Kudav, Jennifer Doty, Megan Crane, Alex D Bukoski, Bethany J Bennett, Stephen L Barnes
BACKGROUND: Surgical resident ability to accurately evaluate one's own skill level is an important part of educational growth. We aimed to determine if differences exist between self and observer technical skill evaluation of surgical residents performing a single procedure. MATERIALS AND METHODS: We prospectively enrolled 14 categorical general surgery residents (six post-graduate year [PGY] 1-2, three PGY 3, and five PGY 4-5). Over a 6-month period, following each laparoscopic cholecystectomy, residents and seven faculty each completed the Objective Structured Assessment of Technical Skills (OSATS)...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28985729/a-novel-bedside-cardiopulmonary-physical-diagnosis-curriculum-for-internal-medicine-postgraduate-training
#20
Brian Thomas Garibaldi, Timothy Niessen, Allan Charles Gelber, Bennett Clark, Yizhen Lee, Jose Alejandro Madrazo, Reza Sedighi Manesh, Ariella Apfel, Brandyn D Lau, Gigi Liu, Jenna VanLiere Canzoniero, C John Sperati, Hsin-Chieh Yeh, Daniel J Brotman, Thomas A Traill, Danelle Cayea, Samuel C Durso, Rosalyn W Stewart, Mary C Corretti, Edward K Kasper, Sanjay V Desai
BACKGROUND: Physicians spend less time at the bedside in the modern hospital setting which has contributed to a decline in physical diagnosis, and in particular, cardiopulmonary examination skills. This trend may be a source of diagnostic error and threatens to erode the patient-physician relationship. We created a new bedside cardiopulmonary physical diagnosis curriculum and assessed its effects on post-graduate year-1 (PGY-1; interns) attitudes, confidence and skill. METHODS: One hundred five internal medicine interns in a large U...
October 6, 2017: BMC Medical Education
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