1,491 results match your criteria residents practicing

3D simulation of aneurysm clipping: Data analysis.

Data Brief 2021 Aug 3;37:107258. Epub 2021 Jul 3.

Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Aneurysm clipping requires the proficiency of several skills, yet the traditional way of practicing them has been recently challenged. The use of simulators could be an alternative educational tool. The aim of this data analysis is to provide further evaluation of a reusable low-cost 3D printed training model we developed for aneurysm clipping [1]. Read More

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Growth of Physicians and Nurse Practitioners Practicing Full Time in Nursing Homes.

J Am Med Dir Assoc 2021 Jul 15. Epub 2021 Jul 15.

Sealy Center on Aging, The University of Texas Medical Branch at Galveston, Galveston, TX, USA; Department of Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX, USA; Department of Preventive Medicine and Population Health, The University of Texas Medical Branch at Galveston, Galveston, TX, USA.

Objectives: The objective was to describe the growth of physicians, nurse practitioners (NPs), and physician assistants (PAs) who practice full time in nursing homes, to assess resident and nursing home characteristics associated with receiving care from full-time providers, and describe variation among nursing homes in use of full-time providers.

Design: Retrospective cohort study.

Setting And Participants: A 20% national sample Medicare data on long-term care residents in 2008 to 2018 and the physicians, NPs, and PAs who submitted charges to Medicare for their care. Read More

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Obliterated Posterior Cul-de-sac Laparoscopic Surgical Simulation.

Obstet Gynecol 2021 Jul;138(1):95-99

Department of Obstetrics and Gynecology, NorthShore University HealthSystem, and Planned Parenthood Great Plains, Wichita, Kansas.

Background: Obliteration of the posterior cul-de-sac is a challenging, often unexpected surgical finding. Developing the dissection skills required to manage this finding during laparoscopy is essential for optimizing treatment of many pain disorders during hysterectomy or ovarian surgery; however, exposure of trainees to cul-de-sac dissection is variable. Currently, there are no widely available simulation models for teaching and practicing this technique. Read More

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Assessing exposure to dermoscopy in plastic surgery training programs.

JPRAS Open 2021 Sep 18;29:178-183. Epub 2021 May 18.

Department of Surgery, Divisions of Plastic Surgery and Surgical Oncology, University of Calgary, Tom Baker Cancer Centre, 1331 29 Street NW, Calgary, Alberta T2A 4N2, Canada.

Background: Dermoscopy is a noninvasive tool that improves the diagnostic accuracy of melanoma and other cutaneous malignancies; yet, it is not widely used by plastic surgeons, who commonly manage skin lesions. Thus, the purpose of this study was to explore current practice patterns and knowledge of dermoscopy among plastic surgeons and postgraduate plastic surgery trainees. Additionally, interest to establish a formal dermoscopy curriculum as part of plastic surgery residency training was evaluated. Read More

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September 2021

Current Barriers in Pursuing Otolaryngology as an Osteopathic Applicant and Proposed Goals for the Future.

Otolaryngol Head Neck Surg 2021 Jul 13:1945998211029548. Epub 2021 Jul 13.

Division of Pediatric Otolaryngology, Children's Mercy Hospital, Kansas City, Missouri, USA.

The osteopathic (DO) medical profession has seen a substantial increase in popularity, evident by the drastic increase in the DO physician workforce and increasing number of DO graduates in the United States. Osteopathic medical schools have historically been primary care focused, resulting in a majority of their graduates pursuing practice in those specialties. This focus may be inadvertently creating a disadvantageous environment for DO students who aim to pursue specialized or traditionally competitive fields in medicine. Read More

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Educating the Leaders and Clinicians of Tomorrow: An Innovative Emergency Medicine Research Curriculum for Resident Physicians.

Med J (Ft Sam Houst Tex) 2021 Apr-Jun(PB 8-21-04/05/06):78-82

University of Texas at San Antonio, Department of Mechanical Engineering and the Department of Biomedical Engineering; and with the University of Texas Health Science Center at San Antonio, Department of Emergency Medicine, San Antonio, TX.

Background: Academic productivity is a requirement by the Accreditation Council for Graduate Medical Education (ACGME). In addition to the requirements by the ACGME, residency training programs are required to provide education on medical research with the end-goal of teaching physicians how to read, interpret, and apply medical evidence in the form of evidence-based medicine. An understanding of research design, evidencebased medicine, and critical appraisal of available literature is central to practicing medicine and applying new research to clinical practice. Read More

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Preventive practices against COVID-19 among residents of Riyadh, Saudi Arabia.

J Infect Dev Ctries 2021 06 30;15(6):780-786. Epub 2021 Jun 30.

Health Education Program, Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.

Introduction: This cross-sectional descriptive study aimed to use the knowledge, attitudes, and practices (KAP) model as a framework to assess compliance with preventive measures against COVID-19 among residents of the city of Riyadh.

Methodology: In May 2020, electronic study questionnaires on Microsoft Forms were distributed to a sample of 886 Riyadh residents via social media and WhatsApp groups.

Results: We found that the participants had good knowledge. Read More

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Evaluation of a novel universal robotic surgery virtual reality simulation proficiency index that will allow comparisons of users across any virtual reality simulation curriculum.

Surg Endosc 2021 Jul 6. Epub 2021 Jul 6.

Mimic Technologies Inc., Seattle, WA, USA.

Study Objective: Evaluate a universal proficiency metric for Robotic Surgery Virtual Reality (VR) simulation that will allow comparison of all users across any VR curriculum.

Design: Retrospective analysis of VR Simulation metrics.

Setting: Two training institutions. Read More

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Telehealth Training for Surgeons to Empathetically Deliver Bad News Via Video-Mediated Communication.

Am Surg 2021 Jul 6:31348211030458. Epub 2021 Jul 6.

Department of Surgery, 6887Virginia Commonwealth University Health System, Richmond, VA, USA.

Background: The COVID-19 pandemic resulted in a sudden increase in the need to effectively use telehealth in all realms of health care communication, including the delivery of bad news.

Methods: A single arm, unblinded, feasibility study was performed at a tertiary care center located in Central Virginia to explore the value and utility of providing a telehealth training program based on SPIKES to teach surgical residents and faculty best practice for disclosing difficult news via video-mediated communication (VMC). Surgical interns (categorical and preliminary), surgical residents, and surgical faculty from General, Neuro, Pediatric, Plastics, Oncology, Urology, and Vascular surgical specialties were recruited via email to voluntarily participate in a telehealth simulation-based workshop, with 33 surgical learners participating in the training and 28 completing evaluation surveys. Read More

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Professional dental care provision systems for persons with disabilities by prefecture in Japan.

Community Dent Health 2021 Jun 17. Epub 2021 Jun 17.

Department of Social Dentistry, Tokyo Dental College, Japan.

Objective: The number of persons with disabilities has increased and aged. Although it is important to maintain good oral health to extend healthy life expectancy, it is difficult for such people. This study aimed to analyze regional disparities in dental care provision systems for disabled people and to propose measures for the establishment of an appropriate system. Read More

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Ten hours of simulator training in arthroscopy are insufficient to reach the target level based on the Diagnostic Arthroscopic Skill Score.

Knee Surg Sports Traumatol Arthrosc 2021 Jun 29. Epub 2021 Jun 29.

Zentrum für Orthopädie und Unfallchirurgie, Medizinische Hochschule Theodor Fontane, 14770, Brandenburg, Germany.

Purpose: Simulator arthroscopy training has gained popularity in recent years. However, it remains unclear what level of competency surgeons may achieve in what time frame using virtual training. It was hypothesized that 10 h of training would be sufficient to reach the target level defined by experts based on the Diagnostic Arthroscopic Skill Score (DASS). Read More

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The Application of a System of Eye Tracking in Laparoscopic Surgery: A New Didactic Tool to Visual Instructions.

Front Surg 2021 9;8:643611. Epub 2021 Jun 9.

Department of Obstetrics and Gynecology of the University Hospital "Virgen de la Arrixaca", Institute for Biomedical Research of Murcia, IMIB-Arrixaca, University of Murcia, Murcia, Spain.

Laparoscopic surgery is an increasingly used technique, but it requires a high degree of learning, and communication between the operating room crew is considerably difficult. The use of eye tracking has been proposed as a didactic and evaluation tool in several settings, including in laparoscopy in simulators. This study aimed to evaluate the usefulness of the use of eye tracking systems (Tobii glasses 2) in laparoscopic surgery as a didactic and assessment tool to improve communication in the operating room and improve patients' security. Read More

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Regional Population-Based Workforce Shortages in General Surgery by Practicing Surgeon and Resident Trainee.

Am Surg 2021 Jun 26:31348211029870. Epub 2021 Jun 26.

Department of Surgery, Division of Trauma and Surgical Critical Care, 14506Kendall Regional Medical Center, Miami, FL, USA.

Background: The physician shortage in the United States (US) continues to become more apparent. We aimed to evaluate the relationship between the US physician distribution from 2012-2019 by specialty at the state/regional level relative to the corresponding population growth.

Methods: US matched residents and practicing physicians from 2012-2019 were extracted from the National Resident Matching Program and Association of American Medical College databases, respectively. Read More

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Effects on staff outcomes and process evaluation of the educating nursing staff effectively (TENSE) program for managing challenging behavior in nursing home residents with dementia: A cluster-randomized controlled trial.

Int J Nurs Stud 2021 Aug 26;120:103982. Epub 2021 May 26.

Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands. Electronic address:

Background: Challenging behavior is prevalent in people with dementia residing in nursing homes and places a high burden on the nursing staff of dementia special care units. This study evaluates an educational program for nursing staff for managing challenging behavior: The Educating Nursing Staff Effectively (TENSE) program. This program can be tailored to care organizations' wishes and needs and combines various learning styles. Read More

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A preliminary study on assessment of wellbeing among veterinary medical house officers.

PLoS One 2021 24;16(6):e0253111. Epub 2021 Jun 24.

Dean's Office, School of Veterinary Medicine, University of California Davis, Davis, California, United States of America.

Mental wellness is an important topic among practicing veterinarians. Peer reviewed studies focusing on veterinary house officers' wellbeing are lacking in veterinary medicine. The aim of this study was to assess wellbeing of house officers using validated surveys for anxiety, burnout, depression, and quality of life. Read More

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The revised Approved Instructional Resources score: An improved quality evaluation tool for online educational resources.

AEM Educ Train 2021 Jul 16;5(3):e10601. Epub 2021 May 16.

Division of Emergency Medicine Greater Los Angeles VA Healthcare System Los Angeles California USA.

Background: Free Open-Access Medical education (FOAM) use among residents continues to rise. However, it often lacks quality assurance processes and residents receive little guidance on quality assessment. The Academic Life in Emergency Medicine Approved Instructional Resources tool (AAT) was created for FOAM appraisal by and for expert educators and has demonstrated validity in this context. Read More

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The impact of student debt on neurological practice.

J Neurol Sci 2021 Jun 12;427:117536. Epub 2021 Jun 12.

Department of Neurology, University of Michigan, Ann Arbor, MI, United States. Electronic address:

The median cost of attending medical school is rising annually, and with it, student debt. Neurology residents have stepped up during the pandemic to answer the call of a health system at its breaking point. In this article, we outline how this escalating problem of student debt affects the neurology pipeline, the wellbeing and career decisions of current neurology trainees and practicing neurologists and through it, and the gap in healthcare. Read More

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Differential impact of mitigation policies and socioeconomic status on COVID-19 prevalence and social distancing in the United States.

BMC Public Health 2021 06 14;21(1):1140. Epub 2021 Jun 14.

Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Background: The spread of COVID-19 has highlighted the long-standing health inequalities across the U.S. as neighborhoods with fewer resources were associated with higher rates of COVID-19 transmission. Read More

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Defining an Ultrasound-guided Regional Anesthesia Curriculum for Emergency Medicine.

AEM Educ Train 2021 Jul 11;5(3):e10557. Epub 2020 Dec 11.

Department of Emergency Medicine Michigan Medicine Ann Arbor MI USA.

Objectives: Ultrasound-guided regional anesthesia (UGRA) can be a powerful tool in the treatment of painful conditions commonly encountered in emergency medicine (EM) practice. UGRA can benefit patients while avoiding the risks of procedural sedation and opioid-based systemic analgesia. Despite these advantages, many EM trainees do not receive focused education in UGRA and there is no published curriculum specifically for EM physicians. Read More

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Leadership development facilitated by the "sandwich" and related glaucoma fellowship programs.

Leadersh Health Serv (Bradf Engl) 2021 06;ahead-of-print(ahead-of-print)

Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, Canada.

Purpose: The purpose of this paper is to evaluate leadership training in the Sandwich Glaucoma Fellowship (SGF), a program in which fellows learn skills in a developed world institution and their home country to become leaders in glaucoma care.

Design/methodology/approach: This paper is a retrospective, qualitative and quantitative evaluation. Participants of the SGF between 2007 and 2019 were provided a survey eliciting demographic information, leadership training exposure, development of leadership competencies and feedback for the fellowship program. Read More

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Interns' perspectives on impacts of the COVID-19 pandemic on the medical school to residency transition.

BMC Med Educ 2021 Jun 7;21(1):330. Epub 2021 Jun 7.

Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, USA.

Background: The COVID-19 pandemic resulted in disruptions to medical school training and the transition to residency for new post-graduate year 1 resident-physicians (PGY1s). Therefore, the aim of this study was to understand the perspectives of United States PGY1s regarding the impact of the pandemic on these experiences. Our secondary aims were to understand how desire to practice medicine was impacted by the pandemic and whether PGY1s felt that they were able to meaningfully contribute to the COVID-19 response as students. Read More

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Coronavirus Disease 2019 Regulatory Response in United States-Assisted Living Communities: Lessons Learned.

Front Public Health 2021 19;9:661042. Epub 2021 May 19.

School of Public Health, Brown University, Providence, RI, United States.

Coronavirus disease 2019 (COVID-19) has disproportionately affected residents, their families, staff, and operators of congregate care settings. Assisted living (AL) is a type of long-term care setting for older adults who need supportive care but not ongoing nursing care and emphasizes a social model of care provision. Because AL is a type of long-term care, it has at times been referenced along with nursing homes in discussions related to COVID-19 but not recognized for its different care practices that pose unique challenges related to COVID-19; in that manner, it has largely been left out of the COVID-19 discourse, although ~812,000 older adults live in AL. Read More

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Are General Surgery Residencies Preparing Graduates for the Practice of Today's General Surgeon? An Analysis of American Board of Surgery Data from Applicants and Re-certifying Surgeons.

Ann Surg 2021 Jun 2. Epub 2021 Jun 2.

Cincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, OH American Board of Surgery, Philadelphia, PA Department of Surgery, University of Minnesota, Minneapolis, MN Retired, Chicago, IL.

Objective: To compare the operative experience of general surgery residents and practicing general surgeons.

Summary Background Data: The scope of general surgery has evolved, yet it remains unknown whether residents are being exposed to the right mix of operations during residency.

Methods: A retrospective review of operative case logs submitted to the American Board of Surgery by US general surgery graduates and practicing general surgeons from 2013 to 2017 was performed. Read More

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Are Wisconsin resident physicians trained in immediate postpartum long acting reversible contraception?

Contraception 2021 May 31. Epub 2021 May 31.

University of Wisconsin Department of Obstetrics and Gynecology, Madison, WI.

Objectives: To characterize perceived proficiency in immediate postpartum long-acting reversible contraception (LARC) provision among resident physicians in obstetrics and gynecology and family medicine in Wisconsin.

Study Design: We queried 254 Wisconsin obstetrics and gynecology or family medicine residents about competency and attitudes regarding family planning services via a confidential electronic survey. We used logistic regression to identify factors associated with the primary outcome of self-reported proficiency in immediate postpartum LARC. Read More

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Inequities in access to primary care among opioid recipients in Ontario, Canada: A population-based cohort study.

PLoS Med 2021 Jun 1;18(6):e1003631. Epub 2021 Jun 1.

Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Canada.

Background: Stigma and high-care needs can present barriers to the provision of high-quality primary care for people with opioid use disorder (OUD) and those prescribed opioids for chronic pain. We explored the likelihood of securing a new primary care provider (PCP) among people with varying histories of opioid use who had recently lost access to their PCP.

Methods And Findings: We conducted a retrospective cohort study using linked administrative data among residents of Ontario, Canada whose enrolment with a physician practicing in a primary care enrolment model (PEM) was terminated between January 2016 and December 2017. Read More

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The aging general surgeon of rural America.

J Rural Health 2021 May 28. Epub 2021 May 28.

Department of Family Medicine, National Center for Rural Health Professions, University of Illinois College of Medicine at Rockford, Rockford, Illinois, USA.

Purpose: Nonmetropolitan communities are faced with health care professional shortages and prior reports suggest that general surgeons are no exception. The purpose of this brief is to evaluate the age difference and distribution of rural versus urban general surgeons to highlight the growing need to recruit medical students and residents for rural practice.

Methods: A secondary data analysis of residency graduated general surgeon demographics at the county level was performed using data from the Area Health Resource File. Read More

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Where Are They Now? Charting Careers for 32 Years of New England Surgical Society Podium Presentation Winners.

R I Med J (2013) 2021 Jun 1;104(5):30-32. Epub 2021 Jun 1.

Associate Professor of Surgery and Program Director of the General Surgery Residency at Yale University.

Background: The New England Surgical Society (NESS) has been a pillar of the regional medical community since 1916, founded to promote surgical knowledge sharing across a small but diverse geographical region. Annual podium awards recognize high-quality research by surgical trainees.

Design: We described trends among 81 research abstracts and career trajectories for their trainee authors (1987-present). Read More

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The "Make Surgical Pathology Easy" project: learning Pathology through tailored digital infographics - the case for renovation of an old teaching method.

Pathologica 2021 May 27. Epub 2021 May 27.

Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Napoli, Italy.

The term 'infographics' is a blend of the two words "information" and "graphics". Infographics can be described as 'information visualizations', conceived as visual translation of data including text, numbers, graphs, charts, drawings and so on. Visual representations are a fundamental part of scientific communication. Read More

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Findings of a Cross-Sectional Survey on Knowledge, Attitudes, and Practices about COVID-19 in Uganda: Implications for Public Health Prevention and Control Measures.

Biomed Res Int 2020 4;2020:5917378. Epub 2020 Dec 4.

Department of Epidemiology and Social Medicine, Faculty of Medicine and Health Sciences University of Antwerp, Belgium.

Background: The coronavirus disease (COVID-19) morbidity is rising in Uganda. However, data are limited about people's knowledge, attitudes, and practices.

Objective: To determine knowledge about COVID-19, attitudes towards presidential directives and Ministry of Health (MoH) guidelines, and adherence to practicing public health preventive measures (KAP) in Uganda. Read More

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