7,176 results match your criteria resident knowledge


Mandatory Hepatology Education for Internal Medicine Residents: Long-Term Effects and Implications for Workforce Needs.

Hepatol Commun 2021 Jul 28. Epub 2021 Jul 28.

Deparment of Medicine, University of Chicago Medicine, Chicago, IL, USA.

We previously created a mandatory, inpatient, hepatology resident curriculum that immediately improved comfort, knowledge, and career interest in chronic liver disease (CLD). The durability of these effects needs to be known to use this intervention to address the hepatologist shortage. Thus, we aimed to assess this curriculum's long-term outcomes on internal medicine (IM) residents' CLD comfort, knowledge, and career interest. Read More

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Effectiveness of a Simulation-Based Training Program in Improving the Preparedness of Health Care Workers Involved in the Airway Management of COVID-19 Patients.

Cureus 2021 Aug 20;13(8):e17323. Epub 2021 Aug 20.

Pathology, Advanced Center of Continuous Professional Development, All India Institute of Medical Sciences, Rishikesh, IND.

Background Coronavirus disease 2019 (COVID-19) has currently emerged as a global threat and a significant public health issue. The role of simulation-based training (SBT) during such a pandemic becomes more relevant for teaching a team approach and building capacity especially when there is a threat to health care workers due to aerosol generation and there is a huge demand for manpower during the pandemic. Objective To assess the effectiveness of a simulation-based training program in improving knowledge and concept of teamwork of health care workers involved in airway management of suspected or confirmed COVID-19 patients. Read More

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Effectiveness of Interventional Strategies in Modulating Knowledge and Attitude of Health Care Professionals for Promoting Organ Donation: A Study in Tertiary Care Public Hospital of North India.

Ann Neurosci 2020 Jul 18;27(3-4):242-256. Epub 2021 Mar 18.

Transplant Coordinator, PGIMER, Chandigarh, India.

Objective: To evaluate the impact of interventional "educational module" on knowledge and attitude regarding organ donation amongst resident doctors and nurses in the Institute of National Importance.

Study Design: Interventional and prospective.

Methods: We devised an interactive educational module covering various aspects of organ donation through a series of audiovisual lectures and information booklets. Read More

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Simulating for Quality: A Centralized Quality Improvement and Patient Safety Simulation Curriculum for Residents and Fellows.

Acad Med 2021 Sep 21. Epub 2021 Sep 21.

J.T. Luty is assistant professor, Department of Medicine, and medical director of performance improvement for graduate medical education, Oregon Health & Science University, Portland, Oregon; ORCID: https://orcid.org/0000-0002-6040-3448. H. Oldham was chief resident in quality and safety, Veterans Affairs Portland Healthcare System, Portland, Oregon, at the time of writing. He is currently clinical hospitalist, Providence Portland Medical Center, Portland, Oregon. A. Smeraglio is assistant professor, Veterans Affairs Portland Healthcare System, Oregon Health & Science University, Portland, Oregon. M. DiVeronica is assistant professor, Veterans Affairs Portland Healthcare System, Oregon Health & Science University, Portland, Oregon. C. Terndrup is assistant professor, Department of Medicine, Oregon Health & Science University, Portland, Oregon. F.A. Tibayan is associate professor, Department of Surgery, Oregon Health & Science University, Portland, Oregon. J. Engle is performance improvement consultant, School of Medicine, Oregon Health & Science University, Portland, Oregon. K. Lepin was quality manager for graduate medical education, School of Medicine, Oregon Health & Science University, Portland, Oregon, at the time of writing. She is currently director of equity and collaborative impact, Southwest Washington Accountable Community of Health, Vancouver, Washington. S. Nonas is associate professor, Department of Medicine, and medical director of the medical intensive care unit, Oregon Health & Science University, Portland, Oregon.

Problem: Requirements for experiential education in quality improvement and patient safety (QI/PS) in graduate medical education (GME) have recently expanded. Major challenges to meeting these requirements include a lack of faculty with the needed expertise, paucity of standardized curricular models allowing for skill demonstration, and inconsistent access to data for iterative improvement.

Approach: In October 2017, the authors began development of a centralized QI/PS flipped-classroom simulation-based medical education (SBME) curriculum for GME trainees across multiple disciplines at Oregon Health & Science University (OHSU). Read More

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September 2021

Money Talks: Pilot Financial Wellness Programs to Promote Positive Financial Planning Behaviors Among Residents.

Acad Med 2021 Sep 21. Epub 2021 Sep 21.

P. Ng is assistant professor of clinical medicine, Department of Medicine, Stony Brook University Hospital, Stony Brook, New York; ORCID: https://orcid.org/0000-0003-1900-6931. S. Raghavan was assistant professor of medicine, Department of Medicine, North Shore University Hospital, Northwell Health, Manhasset, New York, and Long Island Jewish Medical Center, Northwell Health, New Hyde Park, New York at the time of writing. She is now program director, Internal Medicine Residency Program, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, New York, New York; ORCID: https://orcid.org/0000-0001-9645- 2463. C. Zhang is assistant professor of medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; ORCID: https://orcid.org/0000-0002-3190-9503. J.-Y. Pan is assistant professor, Department of Medicine, Montefiore Medical Center, New York, New York; ORCID: https://orcid.org/0000-0002-0522-2679. P. O'Rourke is assistant professor of medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; ORCID: https://orcid.org/0000-0002-4790-6921. R. Wong is assistant professor of clinical medicine, Department of Medicine, Stony Brook University Hospital, Stony Brook, New York; ORCID: https://orcid.org/0000-0003-3108-7324.

Problem: Graduate medical education programs and national organizations are becoming more involved in promoting trainee financial wellness. Current literature reports residents have poor financial knowledge, high debt levels, low concern about their finances, and deficits in financial preparedness, but there has been little published on best practices for implementing financial wellness programs for residents or measuring meaningful outcomes of such programs.

Approach: From June 2017-2019, the authors invited 277 internal medicine residents from the Stony Brook University Hospital, Montefiore Medical Center, and Johns Hopkins Bayview Medical Center residency programs to participate in financial wellness programs. Read More

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September 2021

Diverse Roles of Cellular Senescence in Skeletal Muscle Inflammation, Regeneration, and Therapeutics.

Front Pharmacol 2021 6;12:739510. Epub 2021 Sep 6.

Department of Anatomy, Sapporo Medical University School of Medicine, Sapporo, Japan.

Skeletal muscle undergoes vigorous tissue remodeling after injury. However, aging, chronic inflammatory diseases, sarcopenia, and neuromuscular disorders cause muscle loss and degeneration, resulting in muscular dysfunction. Cellular senescence, a state of irreversible cell cycle arrest, acts during normal embryonic development and remodeling after tissue damage; when these processes are complete, the senescent cells are eliminated. Read More

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September 2021

Formative Feedback with In-Class Question Bank Utilization Improves Resident Satisfaction with General Surgery Didactics.

Adv Med Educ Pract 2021 15;12:1033-1041. Epub 2021 Sep 15.

Department of Surgery, Mayo Clinic, Phoenix, AZ, USA.

Background: Formative feedback provides low-stakes opportunities for educational improvement. To enrich our basic science didactics, formative feedback measures were incorporated into our didactics using mobile devices.

Materials And Methods: Lecture changes included institutional paid access to a commercial question bank, a 5-item in-class pre-didactic quiz curated from the question bank and taken on the resident's mobile device, and group discussion of quiz topics. Read More

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September 2021

Distribution and Polarization of Hematogenous Macrophages Associated with the Progression of Intervertebral Disc Degeneration.

Spine (Phila Pa 1976) 2021 Sep 20. Epub 2021 Sep 20.

Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences University of Fukui, 23-3 Matsuokashimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.

Study Design: In vivo study using immunostaining and immunoblot analysis.

Objective: To determine the distribution of bone marrow-derived macrophages (BMDMs), macrophage polarization and cytokine expression in the process of intervertebral disc (IVD) degeneration.

Summary Of Background Data: Knowledge of the detailed distribution of exogeneous macrophages in the disc degeneration process is important for understanding the pathomechanisms and establishing novel therapeutic targets. Read More

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September 2021

Failure of Israeli pediatric residency curricula to cover child development and special education issues: results of a national survey on levels of knowledge.

Isr J Health Policy Res 2021 Sep 21;10(1):45. Epub 2021 Sep 21.

Child Development Institute, The Dana-Dwek Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.

Background: There is an increasing prevalence of developmental difficulties among Israeli children. We aimed to assess whether pediatricians are equipped to diagnose and manage them.

Methods: We assessed the knowledge of basic child development issues and availability of services and content of special education systems among a randomly selected national sample of residents and senior Israeli pediatricians. Read More

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September 2021

The Positive Value of Rotation-Specific Guides for Resident Education and Patient Care: A Process Improvement Study.

Cureus 2021 Aug 17;13(8):e17262. Epub 2021 Aug 17.

Vascular Surgery, Detroit Medical Center, Detroit, USA.

Introduction Providing high-quality cost-effective patient care requires knowledge of treatment protocols as well as an understanding of the institution's procedures, e.g., what orders to place and how to effectively place them. Read More

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TAMs in Brain Metastasis: Molecular Signatures in Mouse and Man.

Front Immunol 2021 3;12:716504. Epub 2021 Sep 3.

Institute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.

Macrophages not only represent an integral part of innate immunity but also critically contribute to tissue and organ homeostasis. Moreover, disease progression is accompanied by macrophage accumulation in many cancer types and is often associated with poor prognosis and therapy resistance. Given their critical role in modulating tumor immunity in primary and metastatic brain cancers, macrophages are emerging as promising therapeutic targets. Read More

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September 2021

Therapeutic Effects of Stem Cells From Different Source on Renal Ischemia- Reperfusion Injury: A Systematic Review and Network Meta-analysis of Animal Studies.

Front Pharmacol 2021 2;12:713059. Epub 2021 Sep 2.

Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.

Although stem cell therapy for renal ischemia-reperfusion injury (RIRI) has made immense progress in animal studies, conflicting results have been reported by the investigators. Therefore, we aimed to systematically evaluate the effects of different stem cells on renal function of animals with ischemia-reperfusion injury and to compare the efficacies of stem cells from various sources. PubMed, Web of Science, Embase, Cochrane, CNKI, VIP, CBM, and WanFang Data were searched for records until April 2021. Read More

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September 2021

Intersurgeon agreement in determining 3 cm surgical margins of subcutaneous tumors in dogs.

Vet Surg 2021 Sep 18. Epub 2021 Sep 18.

Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon, USA.

Objective: To evaluate intersurgeon agreement in performing a 3 cm wide surgical excision for subcutaneous malignancies in dogs.

Study Design: Prospective, blinded, randomized, clinical study.

Animals: Client-owned dogs with subcutaneous tumors undergoing curative-intent, wide surgical excision between April 2019 to March 2020. Read More

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September 2021

Characteristics of nursing home units with high versus low levels of person-centred care in relation to leadership, staff- resident- and facility factors: findings from SWENIS, a cross-sectional study in Sweden.

BMC Geriatr 2021 Sep 16;21(1):498. Epub 2021 Sep 16.

Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden.

Background: The context of care consists of factors that determines the extent to which staff can offer person-centred care. However, few studies have investigated factors that can explain variation in levels of person-centred care among nursing home units. The aim of this study was to explore factors characterizing nursing home units with high and low degree of person-centred care, with focus on leadership, staff, resident and facility factors. Read More

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September 2021

Aedes albopictus bionomics data collection by citizen participation on Procida Island, a promising Mediterranean site for the assessment of innovative and community-based integrated pest management methods.

PLoS Negl Trop Dis 2021 Sep 16;15(9):e0009698. Epub 2021 Sep 16.

Department of Biology, University of Naples Federico II, Naples, Italy.

In the last decades, the colonization of Mediterranean Europe and of other temperate regions by Aedes albopictus created an unprecedented nuisance problem in highly infested areas and new public health threats due to the vector competence of the species. The Sterile Insect Technique (SIT) and the Incompatible Insect Technique (IIT) are insecticide-free mosquito-control methods, relying on mass release of irradiated/manipulated males, able to complement existing and only partially effective control tools. The validation of these approaches in the field requires appropriate experimental settings, possibly isolated to avoid mosquito immigration from other infested areas, and preliminary ecological and entomological data. Read More

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September 2021

The gut, its microbiome, and the brain: connections and communications.

J Clin Invest 2021 Sep;131(18)

Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.

Modern research on gastrointestinal behavior has revealed it to be a highly complex bidirectional process in which the gut sends signals to the brain, via spinal and vagal visceral afferent pathways, and receives sympathetic and parasympathetic inputs. Concomitantly, the enteric nervous system within the bowel, which contains intrinsic primary afferent neurons, interneurons, and motor neurons, also senses the enteric environment and controls the detailed patterns of intestinal motility and secretion. The vast microbiome that is resident within the enteric lumen is yet another contributor, not only to gut behavior, but to the bidirectional signaling process, so that the existence of a microbiota-gut-brain "connectome" has become apparent. Read More

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September 2021

Poor awareness of stroke educational tools among older adults in China.

Brain Behav 2021 Sep 14:e2357. Epub 2021 Sep 14.

Department of Neurology, Minhang hospital, Fudan university, Shanghai, China.

Background: Stroke 1-2-0 and FAST (Face, Arm, Speech, Time) are two popular stroke educational tools that have been used in many stroke promotion campaigns. However, few researchers have investigated awareness of these tools among older adults in communities.

Methods: This study was a cross-sectional survey of community-living older adults. Read More

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September 2021

Central odontogenic fibroma in association with brown tumor of hyperparathyroidism in a patient with neurofibromatosis type 1.

Oral Surg Oral Med Oral Pathol Oral Radiol 2021 Jul 15. Epub 2021 Jul 15.

Department Chair, Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA.

We present a patient with bone abnormalities and a myriad of lesions secondary to his redeveloping renal failure and neurofibromatosis type 1 (NF1). A 21-year-old male renal transplant recipient with NF1 presented with painless masses and large, irregular radiolucent lesions in the maxilla and mandible. After histologic examination, the lesion was diagnosed as a central odontogenic fibroma (COdF) in association with a central giant cell lesion, most consistent with brown tumor of hyperparathyroidism. Read More

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Does the Preferred Study Source Impact Orthopedic In-Training Examination Performance?

J Surg Educ 2021 Sep 8. Epub 2021 Sep 8.

Department of Orthopedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota. Electronic address:

Objective: This study examines the role of electronic learning platforms for medical knowledge acquisition in orthopedic surgery residency training. This study hypothesizes that all methods of medical knowledge acquisition will achieve similar levels of improvement in medical knowledge as measured by change in orthopedic in-training examination (OITE) percentile scores. Our secondary hypothesis is that residents will equally value all study resources for usefulness in acquisition of medical knowledge, preparation for the OITE, and preparation for surgical practice. Read More

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September 2021

Knowledge, attitude, and barriers for epilepsy surgery: A survey among resident doctors in a tertiary care center in India.

Epilepsy Behav 2021 Sep 6;123:108280. Epub 2021 Sep 6.

Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Electronic address:

Background: Knowledge and attitude of doctors toward epilepsy surgery are essential for management and timely referral of people with Drug refractory epilepsy (DRE). This study aimed at analyzing knowledge, attitude, and barriers for epilepsy surgery among medical residents.

Methods: A survey consisting of 16 statements in a Likert-like scale and one open-ended question was conducted among residents joining different postgraduate courses after MBBS (GR) and super-specialty courses after MD (PG) within 2 months of joining the institute. Read More

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September 2021

Resident vascular endothelial progenitor definition and function: the age of reckoning.

Angiogenesis 2021 Sep 9. Epub 2021 Sep 9.

The University of Queensland Diamantina Institute, 37 Kent Street, Woolloongabba, Brisbane, 4102, Australia.

The cardiovascular system is composed around the central function of the endothelium that lines the inner surfaces of its vessels. In recent years, the existence of a progenitor population within the endothelium has been validated through the study of endothelial colony-forming cells (ECFCs) in human peripheral blood and certain vascular beds. However, our knowledge on endothelial populations in vivo that can give rise to ECFCs in culture has been limited. Read More

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September 2021

A Rare Case of Monomicrobial Necrotizing Fasciitis Associated With an Initial Acute Compartment Syndrome.

J Foot Ankle Surg 2021 Aug 18. Epub 2021 Aug 18.

Benjamin Potter DPM, Resident Physician PGY3, Mercy Hospital & Medical Center, Chicago, IL.

In this article we report a rare case of necrotizing fasciitis presenting with the possible initial symptom of compartment syndrome. After treatment with broad spectrum and targeted antibiotics in addition to multiple fasciotomies, surgical debridement, and grafts the patient went on to uneventful healing within 6 months. This case report highlights the possibility of a compartment syndrome as the only initial symptom of a monomicrobial necrotizing soft tissue infection. Read More

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Perspectives on the dynamic implications of cellular senescence and immunosenescence on macrophage aging biology.

Authors:
Rohit Sharma

Biogerontology 2021 Sep 6. Epub 2021 Sep 6.

Faculty of Applied Sciences & Biotechnology, Shoolini University of Biotechnology and Management Sciences, Solan, 173229, India.

An intricate relationship between impaired immune functions and the age-related accumulation of tissue senescent cells is rapidly emerging. The immune system is unique as it undergoes mutually inclusive and deleterious processes of immunosenescence and cellular senescence with advancing age. While factors inducing immunosenescence and cellular senescence may be shared, however, both these processes are fundamentally different which holistically influence the aging immune system. Read More

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September 2021

Teaching emergency situations during a psychiatry residency programme using a blended learning approach: a pilot study.

BMC Med Educ 2021 Sep 6;21(1):473. Epub 2021 Sep 6.

Service de Psychiatrie et de Psychologie Médicale, Centre Expert Dépression Résistante FondaMental, CHU Toulouse, Hôpital Purpan, ToNIC, Toulouse NeuroImaging Centre, Université de Toulouse, Inserm, UPS, Toulouse, France.

Background: Emergency psychiatry is an essential component in the training of psychiatry residents who are required to make patient-centred orientation decisions. This training calls for specific knowledge as well as skills and attitudes requiring experience. Kolb introduced a theory on experiential learning which suggested that effective learners should have four types of abilities: concrete experience, reflective observation, abstract conceptualisation and active experimentation. Read More

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September 2021

Development and Validation of a Questionnaire investigating the Knowledge, Attitudes and Practices of Healthcare Workers in the Field of Anesthesiology concerning the Italian Law on Advance Healthcare Directives: a Pilot Study.

Acta Biomed 2021 09 2;92(4):e2021092. Epub 2021 Sep 2.

University of Genoa.

Advance healthcare directives are legal documents, in which the patient, foreseeing a potential loss of capacity and autonomy, makes in advance decisions regarding future care and, in particular, end-of-life arrangements. In Italy, advance healthcare directives  are regulated by the Law 219 of 22 December 2017. Objectives of the study were: i) to develop and validate a questionnaire dedicated to evaluate the knowledge of the Law in a sample of 98 anesthesiologists, and ii) to shed light on the process of health-related decision-making and its determinants (age, gender, doctor/training resident, religious beliefs). Read More

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September 2021

Long-Term Clinical and Functional Outcomes of Distally Based Sural Artery Flap: A Retrospective Case Series.

JPRAS Open 2021 Dec 31;30:61-73. Epub 2021 Jul 31.

Dr Zohaib Nawaz, Senior medical Officer, Aga Khan University Hospital Karachi.

Background: Reconstruction of soft tissue defects around the lower leg, foot and ankle is a challenge for orthopedic surgeons. These defects commonly occur as a result of trauma, infection and tumor excision. Sural artery neurovascular island flap is a relatively thin, pliable and insensate flap with minimum donor-site morbidity and acceptable aesthetic outcome. Read More

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December 2021

The 13-year bleed: Exuberant amyloid angiopathies, angiodysplasias, and acquired coagulopathies of the gut.

SAGE Open Med Case Rep 2021 1;9:2050313X211040018. Epub 2021 Sep 1.

Department of Gastroenterology, West Palm Beach Veterans Affairs Medical Center, West Palm Beach, FL, USA.

Amyloidosis is a disorder characterized by extracellular deposits of proteins that are prone to aggregate and form insoluble fibrils. Amyloid deposits limited to a single organ or tissue without the involvement of any other site in the body is uncommon. We report a 75-year-old man with previously treated non-Hodgkin's lymphoma who presented with recurrent gastrointestinal hemorrhage. Read More

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September 2021

The Role of the Resident Doctor in Orthopedics and Traumatology in a Large Hospital of the Unified Health System: What is the User's view?

Rev Bras Ortop (Sao Paulo) 2021 Aug 16;56(4):438-445. Epub 2020 Dec 16.

Centro de Atenção Especializada em Trauma Ortopédico, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil.

 To assess the knowledge of patients seen at a teaching hospital about the academic and professional training of the resident doctor in orthopedics and traumatology, as well as his area of expertise, and determine the perception of the patients of comfort and safety in relation to being assisted by the resident doctor at different stages of treatment.  A cross-sectional study was conducted with patients admitted to a large orthopedics hospital of the Brazilian Unified Health System (SUS, in the Portuguese acronym). Data were collected through the application of a questionnaire containing 19 objective questions that assessed sociodemographic parameters and the perception of the patient of the performance of the resident. Read More

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Resident-Reported Impact of a Novel Oncology Curriculum for Internal Medicine Residents.

J Cancer Educ 2021 Sep 4. Epub 2021 Sep 4.

Dana-Farber Cancer Institute, Boston, MA, 02215, USA.

The Accreditation Council of Graduate Medical Education mandates that all internal medicine residents gain exposure to internal medicine subspecialties including hematology and oncology. While many residents meet this criterion through inpatient oncology rotations, the current structure of many inpatient oncology rotations leaves little opportunity for formal education. We therefore designed a novel oncology curriculum consisting of one-page oncology teaching sheets to increase the number, breadth, and quality of formal teaching sessions on our resident inpatient oncology services. Read More

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September 2021

[Scientific and research activity and degree of satisfaction of residents of Orthopedic Surgery and Traumatology in different hospitals of the health network in Spain].

Acta Ortop Mex 2021 Jan-Feb;35(1):3-10

Cirugía Ortopédica y Traumatología. Hospital Universitario Infanta Leonor. Madrid, España.

Introduction: Healthcare pressure has changed the acquisition of knowledge during residency training. The aim of this study was to analyze the clinical and research training, and level of satisfaction, during orthopedic and traumatology residency in different hospitals of the Spanish National Health Service.

Material And Methods: An online survey was distributed between 06/25/2020 and 07/31/2020. Read More

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September 2021