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Jeffrey J Rakofsky, Steven J Garlow, Ebrahim Haroon, Adriana P Hermida, John Q Young, Boadie W Dunlop
OBJECTIVE: We aimed to determine whether residents' confidence initiating medications increased with the number of times they prescribed individual medications and to quantify the relationship between prescription frequency and gains in confidence. METHODS: From July 2011 to June 2014, PGY-3 residents completed a survey of confidence levels at their psychopharmacology clinic orientation and then again 12 months later. The Emory Healthcare electronic medical record was used to identify all medications prescribed by each resident during their 12-month rotation and the frequency of these prescriptions...
October 18, 2016: Academic Psychiatry
Todd P Chang, Sheree M Schrager, Alyssa J Rake, Michael W Chan, Phung K Pham, Grant Christman
Multimedia in assessing clinical decision-making skills (CDMS) has been poorly studied, particularly in comparison to traditional text-based assessments. The literature suggests multimedia is more difficult for trainees. We hypothesize that pediatric residents score lower in diagnostic skill when clinical vignettes use multimedia rather than text for patient findings. A standardized method was developed to write text-based questions from 60 high-resolution, quality multimedia; a series of expert panels selected 40 questions with both a multimedia and text-based counterpart, and two online tests were developed...
October 17, 2016: Advances in Health Sciences Education: Theory and Practice
Brielle M Spataro, Sarah A Tilstra, Doris M Rubio, Melissa A McNeil
BACKGROUND: Burnout is a significant problem facing internal medicine residents contributing to increased risk of depression and suicidal ideation. Coping mechanisms and burnout may differ based on sex. METHODS: The study was a retrospective cross-sectional study of reported burnout and coping mechanisms used by internal medicine residents in June 2014 at a large academic center and its community affiliate. Two hundred eighty-five postgraduate year (PGY)-1, 2, 3, and 4 and incoming PGY-1 residents were surveyed...
October 12, 2016: Journal of Women's Health
Eric Egnot, Kim Jordan, John O Elliott
BACKGROUND: Use of the electronic cigarette for nicotine delivery has increased dramatically in recent years. Information continues to emerge on its role as a smoking cessation aid, but little is known about resident physician use of the device in clinical practice. METHODS: In 2015, an electronic survey was administered to resident physicians in one healthcare system in Columbus, Ohio. The survey included questions about personal smoking exposure, knowledge, beliefs, attitudes about electronic cigarettes and early adoption of electronic cigarettes with patients...
October 3, 2016: Postgraduate Medical Journal
Vivek Verma, Lindsay Burt, Phyllis A Gimotty, Eric Ojerholm
PURPOSE: To test the hypothesis that recent resident research productivity might be different than a decade ago, and to provide contemporary information about resident scholarly activity. METHODS AND MATERIALS: We compiled a list of radiation oncology residents from the 2 most recent graduating classes (June 2014 and 2015) using the Association of Residents in Radiation Oncology annual directories. We queried the PubMed database for each resident's first-authored publications from postgraduate years (PGY) 2 through 5, plus a 3-month period after residency completion...
August 11, 2016: International Journal of Radiation Oncology, Biology, Physics
Jonathan C Barnwell, Jason J Halvorson, Robert D Teasdall, Eben A Carroll
OBJECTIVE: To evaluate orthopedic resident perceptions of a didactic curriculum presented in traditional and case-based formats. DESIGN: Prospective cohort study using anonymous web-based survey after each conference evaluating resident perceptions of faculty participation, didactic delivery, content, and overall conference value. Conferences were structured as primarily case-based or traditional lecture. Logistic analysis was performed to determine factors predictive of rating a conference as valuable time spent...
September 20, 2016: Journal of Surgical Education
John M Green
PURPOSE: Timely performance evaluation and feedback are critical to resident development. However, formulating and delivering this information disrupts physician workflow, leading to low participation. This study was designed to determine if a locally developed smartphone platform would integrate regular evaluation into daily processes and thus increase faculty participation in timely resident evaluation. METHODS: Formal, documented resident operative and patient interaction evaluations were compiled over an 8-month study period...
September 16, 2016: Journal of Surgical Education
Lena M Napolitano, Thomas W Biester, Gregory J Jurkovich, Jo Buyske, Mark A Malangoni, Frank R Lewis
BACKGROUND: There are no specific Accreditation Council for Graduate Medical Education General Surgery Residency Program Requirements for rotations in surgical critical care (SCC), trauma, and burn. We sought to determine the experience of general surgery residents in SCC, trauma, and burn rotations. METHODS: Data analysis of surgical rotations of American Board of Surgery general surgery resident applicants (n = 7,299) for the last 8 years (2006 to 2013, inclusive) was performed through electronic applications to the American Board of Surgery Qualifying Examination...
October 2016: American Journal of Surgery
Jenifer Hashem, Maya Deza Culbertson, John Munyak, Jack Choueka, Nima P Patel
BACKGROUND: Complaints related to the hands, wrists, and fingers comprise approximately 3.7 million emergency department visits annually. The complexity of this subject can confound timely diagnosis and treatment, particularly if the treating physician has not received specialized training. We set out to determine whether emergency medicine training in the USA provides adequate preparation for dealing with the identification, management, and treatment of hand, wrist, and finger injuries...
September 2016: Bulletin of the Hospital for Joint Diseases
Nicholas D Hartman, Natasha B Wheaton, Kelly Williamson, Erin N Quattromani, Jeremy B Branzetti, Amer Z Aldeen
BACKGROUND: Reading emergent electrocardiograms (ECGs) is one of the emergency physician's most crucial tasks, yet no well-validated tool exists to measure resident competence in this skill. OBJECTIVES: To assess validity of a novel tool measuring emergency medicine resident competency for interpreting, and responding to, critical ECGs. In addition, we aim to observe trends in this skill for resident physicians at different levels of training. METHODS: This is a multi-center, prospective study of postgraduate year (PGY) 1-4 residents at five emergency medicine (EM) residency programs in the United States...
September 8, 2016: Journal of Emergency Medicine
Nizar Saleh Abdelfattah, Ahmed E Radwan, Srinivas R Sadda
PURPOSE: To evaluate the perspective of ophthalmology residents in the US about their residency programs and compare the competency of residency programs to international competency levels set by the International Council of Ophthalmology (ICO). METHODS: A cross-sectional web-based survey extracted from the ICO published competency standards was sent to program directors of ophthalmology residency programs in the US to forward it to current PGY-3, 4 residents, and residency graduates from 2011 to 2014...
September 2016: Journal of Current Ophthalmology
Gowri Anandarajah, Christopher Furey, Rabin Chandran, Arnold Goldberg, Fadya El Rayess, David Ashley, Roberta E Goldman
BACKGROUND: Although the patient-centered medical home (PCMH) model is considered important for the future of primary care in the USA, it remains unclear how best to prepare trainees for PCMH practice and leadership. Following a baseline study, the authors added a new required PCMH block rotation and resident team to an existing longitudinal PCMH immersion and didactic curriculum within a Level 3-certified PCMH, aiming for "enhanced situated learning". All 39 residents enrolled in a USA family medicine residency program during the first year of curricular implementation completed this new 4-week rotation...
2016: Advances in Medical Education and Practice
Mehdi Aloosh, Yasser A Noureldin, Sero Andonian
AIM: To assess the learning curve of flexible ureteroscopic stone extraction using the UroMentor™ simulator and transfer of flexible ureteroscopic stone extraction skills to the operating theatre. MATERIALS AND METHODS: After obtaining ethics approval, urology Post-Graduate Trainees (PGTs) from Post-Graduate Years (PGYs) 1 to 4 were recruited. During phase I, participants completed 3 weekly 1-hour training sessions on the UroMentor simulator practicing task 10, where two stones from the left proximal ureter and renal pelvis were extracted using a basket...
October 2016: Journal of Endourology
Sathyanarayana Reddy Gundlapally, Ferran Garcia-Pichel
Biological soil crusts are distinct habitats, harbor unique prokaryotic diversity and gave an impetus to isolate novel species. In the present study, a pink-pigmented bacterium, (OR316-6(T)), was isolated from biological soil crusts using oligotrophic BG11-PGY medium. Strain OR316-6(T) was Gram-positive, short rods, non-motile and non-spore forming. Cells were positive for catalase, oxidase and β-galactosidase and negative for most of the enzymatic activities. The major fatty acids present were C16:0, C17:0, and C16:1ω7c and contained MK-8 and MK-10 as the predominant menaquinones...
August 11, 2016: Archives of Microbiology
David S Strosberg, Kristen M Quinn, Sherif R Abdel-Misih, Alan E Harzman
OBJECTIVE: Junior surgical resident education at academic institutions is traditionally focused to preoperative and postoperative patient management. Our objective was to investigate the number and type of surgical procedures performed by junior general surgery residents in comparison with the American Board of Surgery requirements and the Surgical Council on Resident Education (SCORE) curriculum. DESIGN: This was a retrospective study using the Accreditation Counsel for Graduate Medical Education (ACGME) operative case logs of junior surgical residents...
August 8, 2016: Journal of Surgical Education
Jonathon Thorp, Melissa Dattalo, Khalil G Ghanem, Colleen Christmas
BACKGROUND: Training programs have implemented the 2011 ACGME duty hour regulations (DHR) using "workload compression" (WLC) strategies, attempting to fit similar clinical responsibilities into fewer working hours, or workload reduction (WLR) approaches, reducing the number of patient encounters per trainee. Many have expressed concern that these strategies could negatively impact patient care and learner outcomes. OBJECTIVE: This study evaluates the medical knowledge and clinical impact of a WLR intervention in a single institution...
August 11, 2016: Journal of General Internal Medicine
Adam E Mikolajczyk, Jeanne M Farnan, John F McConville, Donald M Jensen, K Gautham Reddy, Helen S Te, Nancy Reau, Andrew I Aronsohn
: There is an increasing burden of chronic liver disease (CLD) in the United States but a significant shortage of hepatologists. Thus, it is necessary to develop new recruitment strategies to the field of hepatology as well as ensure that non-gastroenterology-trained physicians are able to capably assist in the care of CLD. We established a novel, nonelective, inpatient hepatology rotation that uses required modules in the American Association for the Study of Liver Diseases Curriculum and Training-First Hepatitis B and C curriculums as well as in LiverLearning...
August 10, 2016: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Hugh J McMillan, Hilary Writer, Katherine A Moreau, Kaylee Eady, Erick Sell, Anna-Theresa Lobos, Jenny Grabowski, Asif Doja
BACKGROUND: Pediatric residents must become proficient with performing a lumbar puncture (LP) during training. Residents have traditionally acquired LP skills by observing the procedure performed by a more senior resident or staff physician and then attempting the procedure themselves. This process can result in variable procedural skill acquisition and trainee discomfort. This study assessed changes in resident procedural skill and self-reported anxiety when residents were provided with an opportunity to participate in an interactive training session and practice LPs using a simulator...
2016: BMC Medical Education
Ann E Van Heest, Felicity Fishman, Julie Agel
BACKGROUND: This study was undertaken to update our report from academic years 2004-2005 through 2008-2009, to include 5 additional years of the Association of American Medical Colleges GME Track data. This study will test the hypothesis that, when compared with the data from 2004-2005 through 2008-2009, there were no substantial changes from 2009-2010 through 2013-2014 in the distribution of orthopaedic surgery residency programs that train female residents and have been accredited by the Accreditation Council for Graduate Medical Education (ACGME)...
August 3, 2016: Journal of Bone and Joint Surgery. American Volume
Steven C Kim, Jeremy G Fisher, Keith A Delman, Johanna M Hinman, Jahnavi K Srinivasan
OBJECTIVE: Surgical simulation is an important adjunct in surgical education. The majority of operative procedures can be simplified to core components. This study aimed to quantify a cadaver-based simulation course utility in improving exposure to fundamental maneuvers, resident and attending confidence in trainee capability, and if this led to earlier operative independence. DESIGN: A list of fundamental surgical procedures was established by a faculty panel. Residents were assigned to a group led by a chief resident...
July 31, 2016: Journal of Surgical Education
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