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https://www.readbyqxmd.com/read/27923089/correlations-between-ratings-on-the-resident-annual-evaluation-summary-and-the-internal-medicine-milestones-and-association-with-abim-certification-examination-scores-among-us-internal-medicine-residents-2013-2014
#1
Karen E Hauer, Jonathan Vandergrift, Brian Hess, Rebecca S Lipner, Eric S Holmboe, Sarah Hood, William Iobst, Stanley J Hamstra, Furman S McDonald
Importance: US internal medicine residency programs are now required to rate residents using milestones. Evidence of validity of milestone ratings is needed. Objective: To compare ratings of internal medicine residents using the pre-2015 resident annual evaluation summary (RAES), a nondevelopmental rating scale, with developmental milestone ratings. Design, Setting, and Participants: Cross-sectional study of US internal medicine residency programs in the 2013-2014 academic year, including 21 284 internal medicine residents (7048 postgraduate-year 1 [PGY-1], 7233 PGY-2, and 7003 PGY-3)...
December 6, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27916371/errors-in-bladder-catheterization-are-residents-ready-for-complex-scenarios
#2
Bridget R O'Connell-Long, Rebecca D Ray, Jay N Nathwani, Rebekah M Fiers, Carla M Pugh
BACKGROUND: The aim of this study was to investigate whether junior surgical residents had successfully mastered bladder catheterization. Our hypothesis was that surgical residents would be overly confident in their abilities and underestimate the potential for case complexity. MATERIALS AND METHODS: PGY 2-4 surgery residents (n = 44) were given 15 min. to complete three of four bladder catheterization simulations. Participants reported their mastery by rating confidence using a 5-point Likert scale...
November 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27911937/an-investigation-of-the-outcomes-of-pgy-students-cognition-of-and-persistent-behavior-in-learning-through-the-intervention-of-the-flipped-classroom-in-taiwan
#3
Sheng-Der Hsu, Cheng-Jueng Chen, Wei-Kuo Chang, Yih-Jin Hu
The Postgraduate Year (PGY) Program allows doctors-in-training to learn about the diagnosis, treatment and nursing of various common, general diseases. These items form the core curriculum and are mostly learned through caring for patients and clinical teaching. Doctors-in-training are evaluated for their knowledge through written tests or assignments, based on which the effectiveness of their training is also assessed; however, this generally produces a negative learning attitude among them. So we introduced the flipped classroom into PGY training program to change PGY students' learning behavior...
2016: PloS One
https://www.readbyqxmd.com/read/27904260/sonographic-identification-of-peripheral-nerves-in-the-forearm
#4
Saundra A Jackson, Charlotte Derr, Anthony De Lucia, Marvin Harris, Zuheily Closser, Branko Miladinovic, Rahul Mhaskar, Theresa Jorgensen, Lori Green
BACKGROUND: With the growing utilization of ultrasonography in emergency medicine combined with the concern over adequate pain management in the emergency department (ED), ultrasound guidance for peripheral nerve blockade in ED is an area of increasing interest. The medical literature has multiple reports supporting the use of ultrasound guidance in peripheral nerve blocks. However, to perform a peripheral nerve block, one must first be able to reliably identify the specific nerve before the procedure...
October 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27900775/pilot-testing-of-a-novel-surgical-simulator-for-endoscopic-zenker-s-diverticulotomy
#5
Nathan D Wiebracht, John P Giliberto, Charles Myer, Keith Casper, Kaalan E Johnson
OBJECTIVES/HYPOTHESIS: Restrictions on resident work hours and the increasing purview of otolaryngology reduce the efficacy of the traditional surgical training model. With limited case volumes at many institutions and the unique instrumentation of endoscopic Zenker's diverticulotomy (EZD), simulation may be useful to improve training. In this study, a novel surgical simulator for EZD is developed and validated. STUDY DESIGN: Simulation model development. METHODS: An EZD model was designed using an intubation trainer and disposable diverticulum inserts...
November 30, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27886973/using-the-acgme-milestones-for-resident-self-evaluation-and-faculty-engagement
#6
REVIEW
Andreas H Meier, Angelika Gruessner, Robert N Cooney
BACKGROUND: Since July 2014 General Surgery residency programs have been required to use the Accreditation Council for Graduate Medical Education milestones twice annually to assess the progress of their trainees. We felt this change was a great opportunity to use this new evaluation tool for resident self-assessment and to furthermore engage the faculty in the educational efforts of the program. METHODS: We piloted the milestones with postgraduate year (PGY) II and IV residents during the 2013/2014 academic year to get faculty and residents acquainted with the instrument...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27886970/surgical-residency-recruitment-opportunities-for-improvement
#7
REVIEW
Amit R T Joshi, Daniel Vargo, Amy Mathis, Jeffrey N Love, Teena Dhir, Paula M Termuhlen
INTRODUCTION: The Association of Program Directors in Surgery convened a panel during Surgical Education Week 2016 to discuss the current state of the general surgery residency application process and to review alternative ways to evaluate the suitability of each applicant to a residency program. METHODS/RESULTS: Over 40,000 applicants registered for the National Resident Matching Program's 2016 Main Residency Match. General Surgery had 2345 applicants for 1241 categorical postgraduate year (PGY)-1 positions, and 1239 of those positions were filled when the matching algorithm was processed...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27884804/gender-based-differences-in-surgical-residents-perceptions-of-patient-safety-continuity-of-care-and-well-being-an-analysis-from-the-flexibility-in-duty-hour-requirements-for-surgical-trainees-first-trial
#8
Kristen A Ban, Jeanette W Chung, Richard S Matulewicz, Rachel R Kelz, Judy A Shea, Allison R Dahlke, Christopher Quinn, Anthony D Yang, Karl Y Bilimoria
BACKGROUND: Little is known about gender differences in residency training experiences and whether duty hour policies affect these differences. Using data from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) Trial, we (1) examined gender differences in surgical resident perceptions of patient safety, education, health/well-being, and job satisfaction and (2) assessed whether duty hour policies affected gender differences. STUDY DESIGN: We compared proportions of male and female residents expressing dissatisfaction or perceiving a negative effect of duty hours on aspects of residency training (patient safety, resident education, well-being, job satisfaction) overall and by postgraduate year (PGY)...
November 8, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27884803/association-between-resident-perceptions-of-patient-safety-and-duty-hour-violations
#9
Richard S Matulewicz, David D Odell, Jeanette W Chung, Kristen A Ban, Anthony D Yang, Karl Y Bilimoria
BACKGROUND: Residents are often required to balance whether to adhere to duty hour policies or violate them to care for patients and obtain educational experiences. Little is known about why residents violate duty hour policies and whether there is a relationship between how often residents violate duty hours and concerns about patient safety. Our objective was to assess the association between resident duty hour violations and resident concerns about patient safety. STUDY DESIGN: We analyzed survey data collected from surgery residents who completed the 2015 ABSITE, excluding those in the Flexible Policy arm of the FIRST Trial...
November 11, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27884802/association-between-flexible-duty-hour-policies-and-general-surgery-resident-examination-performance-a-flexibility-in-duty-hour-requirement-for-surgical-trainees-first-trial-analysis
#10
Eddie Blay, D Brock Hewitt, Jeanette W Chung, Thomas Biester, James F Fiore, Allison R Dahlke, Christopher M Quinn, Frank R Lewis, Karl Y Bilimoria
BACKGROUND: Concerns persist about the effect of current duty hour reforms on resident educational outcomes. We investigated whether a flexible, less-restrictive duty hour policy (Flexible Policy) was associated with differential general surgery examination performance compared to current Accreditation Council for Graduate Medical Education (ACGME) duty hour policy (Standard Policy). STUDY DESIGN: We obtained examination scores on the American Board of Surgery (ABS) In-Training Examination (ABSITE), Qualifying Examination (QE, written boards), and Certifying Examination (CE, oral boards) for residents in 117 general surgery residency programs that participated in the Flexibility In Duty Hour Requirements for Surgical Trainees (FIRST) Trial...
November 8, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27830431/robot-assisted-laparoscopic-radical-prostatectomy-assistant-s-seniority-has-no-influence-on-perioperative-course
#11
Yasmin Abu-Ghanem, Tomer Erlich, Jacob Ramon, Zohar Dotan, Dorit E Zilberman
An experienced surgical team, in general, and the surgeon assistant in particular are believed to play a critical role in the operation's safety and success. We sought to explore whether the assistant's seniority influences perioperative course following robot assisted laparoscopic radical prostatectomy (RALP). We reviewed our prospective registry database of RALP cases performed by a single surgeon who during the study period was beyond his learning curve. The following parameters were documented and analyzed: patient's age, body mass index (BMI), associated comorbidities, previous abdominal surgeries, assistant's identity, total and skin-to-skin operative time (tOT, ssOT, respectively), estimated blood loss (EBL), immediate post-operative complications, length of stay (LOS), and prostate weight per final pathology report...
November 9, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27825914/differences-in-resident-perceptions-by-postgraduate-year-of-duty-hour-policies-an-analysis-from-the-flexibility-in-duty-hour-requirement-for-surgical-trainees-first-trial
#12
Anthony D Yang, Jeanette W Chung, Allison R Dahlke, Thomas Biester, Christopher M Quinn, Richard S Matulewicz, David D Odell, Rachel R Kelz, Judy Shea, Frank Lewis, Karl Y Bilimoria
BACKGROUND: In the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) Trial, there were several differences in residents' perceptions of aspects of their education, well-being, and patient care that differed between standard and flexible duty hour policies. Our objective was to assess whether these perceptions differed by level of training. STUDY DESIGN: A survey assessed residents participating in the FIRST Trial's perceptions of the effect of duty hour policies on aspects of patient safety, continuity of care, resident education, clinical training, and resident well-being...
November 4, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27811534/performance-in-trauma-resuscitation-at-an-urban-tertiary-level-i-pediatric-trauma-center
#13
Payal Kadia Gala, Kevin Osterhoudt, Sage R Myers, Mariel Colella, Aaron Donoghue
BACKGROUND: The role of the surveyor in trauma resuscitations is to identify life-threatening injuries and is meant to be conducted by a set protocol for every patient. Optimal performance of the trauma survey is known to be a challenge in pediatric trauma resuscitation. A postulated reason for this observation is that many trainees, such as pediatric residents, who perform the trauma survey have minimal experience and do not have formal advanced trauma life support training. The assessment of factors that may be obstacles in performing the trauma survey has not been studied robustly...
November 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27806631/does-the-level-of-assistant-experience-impact-operative-outcomes-for-robot-assisted-partial-nephrectomy
#14
Emmanuel Mitsinikos, George A Abdelsayed, Zoe Bider, Patrick S Kilday, Peter A Elliott, Pooya Banapour, Gary W Chien
PURPOSE: A skilled assistant surgeon is presumed necessary during robot-assisted partial nephrectomy (RAPN) to minimize warm ischemia time (WIT) and to facilitate complex renorrhaphy. Studies observing impact of resident participation have focused on robotic prostatectomies, showing no impact on core surgical outcomes. Herein, we evaluated the level of experience of the bedside assistant and its impact on perioperative outcomes in RAPN. MATERIALS AND METHODS: All RAPN cases in our healthcare system from January 2011 to December 2013 were retrospectively reviewed...
December 7, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27803199/should-pgy-1-be-mandatory-in-dental-education-two-viewpoints-viewpoint-1-pgy-1-provides-benefits-that-support-making-it-mandatory-and-viewpoint-2-pgy-1-should-be-available-for-dental-graduates-but-not-mandatory
#15
Vineet Dhar, Alison Glascoe, Shahrokh Esfandiari, Kelly B Williams, Michelle R McQuistan, Mark R Stevens
This Point/Counterpoint considers whether a general dentistry postgraduate year one (PGY-1) residency should be required for all new graduates who do not pursue specialty training. Currently, New York and Delaware require PGY-1 for dental licensure, while other states offer it as an alternative to a clinical examination for obtaining licensure. Viewpoint 1 supports the position that PGY-1 should be mandatory by presenting evidence that PGY-1 residencies fulfill new graduates' need for additional clinical training, enhance their professionalism and practice management skills, and improve access to care...
November 2016: Journal of Dental Education
https://www.readbyqxmd.com/read/27799840/the-importance-of-educating-postgraduate-pediatric-physicians-about-food-allergy
#16
Mehdi Adeli, Mohamed A Hendaus, Lukman I Abdurrahim, Ahmed H Alhammadi
BACKGROUND: Food allergy is an increasing public health burden, and is considered among the most common chronic noncommunicable diseases in children. Proper diagnosis and management of food allergy by a health care provider is crucial in keeping affected children safe while simultaneously averting unnecessary avoidance. OBJECTIVE: The rationale of the study was to estimate the knowledge of pediatric residents and academic general pediatric fellows with regard to food allergies in children...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27797346/physician-pipeline-production-peak-or-plateau
#17
Perry G Rigby, Ramnarayan P Gururaja
The peak number of graduate medical education (GME) appointees in Louisiana was in 2013, as was the peak number of graduating senior medical students. This was followed in the next three years by a pause or plateau in each physician pipeline category, and preceded by a slow, steady rise during the six years after Hurricane Katrina 2006-2012. Katrina made a large impact in destruction, disruption, and displacement; but the acute subsided and the chronic recovery is ongoing. For a more inclusive total of GME, the National Resident Matching Program (NRMP) Fellowship match numbers were added to the main NRMP match...
September 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27783550/impact-of-a-combined-value-based-insurance-design-and-medication-therapy-management-program-on-diabetes-medication-adherence
#18
Alex Peaslee, Marleen Wickizer, Julie Olson, Robert Topp
BACKGROUND: Value-based insurance design (VBID) waives or reduces prescription copayments in order to decrease member cost barriers to refilling medications. Medication therapy management (MTM) is a member clinical intervention designed to reinforce members' knowledge of their medications, which addresses barriers to medication adherence. Both methods have been shown to increase adherence in members, particularly when used in combination. To date, studies of such combined programs have often been completed within integrated health systems but have rarely included control populations...
November 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27780350/text-messaging-versus-email-for-emergency-medicine-residents-knowledge-retention-a-pilot-comparison-in-the-united-states
#19
Wirachin Hoonpongsimanont, Miriam Kulkarni, Pedro Tomas-Domingo, Craig Anderson, Denise McCormack, Khoa Tu, Bharath Chakravarthy, Shahram Lotfipour
We evaluated the effectiveness of text messaging versus email, as a delivery method to enhance knowledge retention of emergency medicine (EM) content in EM residents. We performed a multi-centered, prospective, randomized study consisting of postgraduate year (PGY) 1 to PGY 3 & 4 residents in three United States EM residency programs in 2014. Fifty eight residents were randomized into one delivery group: text message or email. Participants completed a 40 question pre- and post-intervention exam. Primary outcomes were the means of pre- and post-intervention exam score differences...
2016: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/27777690/how-residents-say-they-learn-a-national-multi-specialty-survey-of-first-and-second-year-residents
#20
DeWitt C Baldwin, Steven R Daugherty
Relatively little is known about how, from whom, and under what conditions residents say they most effectively learn. We examined the relationships between residents' self-reported ratings of 11 different sources of learning and a number of empirical variables, using a national, random sample of postgraduate year (PGY) 1 and PGY-2 residents in the 1998-1999 training year. Residents were surveyed by mail. Completed surveys were received from 64.2% of 5616 residents contacted. The most often reported sources of learning were other residents and attending physicians...
October 2016: Journal of Graduate Medical Education
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