MedWorm: Residencies

The affect of academic "misrepresentation" on residency match outcomes.

Dermatol Online J — Mon, 06 Feb 2012 12:54:18 +0100

CONCLUSIONS: Applicants that list multiple unpublished manuscripts have a significant competitive advantage in matching into a dermatology residency, even if these manuscripts remain unpublished. PMID: 22301038 [PubMed - in process] (Source: Dermatol Online J)

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Emergency Medical Services Education in Emergency Medicine Residency Programs: A National Survey. - Katzer R, Cabañas JG, Martin-Gill C.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

This study aimed to descri... (Source: SafetyLit: All (Unduplicated))

Management of an Apparent Life-Threatening Event: A Survey of Emergency Physicians Practice

Clinical Pediatrics — Mon, 06 Feb 2012 05:00:00 +0100

Conclusions. There is a wide variation in the evaluation and management of ALTE among emergency medicine physicians in Michigan. These children with ALTE are very likely to be seen by pediatric subspecialists subsequently. (Source: Clinical Pediatrics)

Piloting Group Well Child Visits in Pediatric Resident Continuity Clinic

Clinical Pediatrics — Mon, 06 Feb 2012 05:00:00 +0100

Discussion. The authors’ continuity clinic had success implementing group visits, and families were recommended the visits. Group visits offer a natural environment to observe residents while exposing them to another way to deliver well child care. (Source: Clinical Pediatrics)

Portal Venous Gas: A Clinical Finding in Obstructed Infracardiac Total Anomalous Pulmonary Venous Connection

Pediatric Cardiology — Fri, 03 Feb 2012 17:51:35 +0100

We report a case of obstructive total anomalous pulmonary venous connection (TAPVC) which presented in a way that has not previously been described. An infant with mixed type obstructive TAPVC was found to have pulmonary interstitial emphysema and portal venous gas on a scout radiograph obtained prior to computed tomography scan. The presence of portal venous gas indicated a connection between the pulmonary venous system and the portal venous system infradiaphragmatically. Content Type Journal ArticleCategory Images in Pediatric CardiologyPages 1-3DOI 10.1007/s00246-012-0195-xAuthors Hoyoung Chung, Pediatric Residency Program, Phoenix Children’s Hospital, Phoenix, AZ 85016, USALawrence D. Lilien, Division of Neonatology, St. Joseph’s Hospital and Medical Center, Neonatology A...

Factors Affecting Clinician Educator Encouragement of Routine HIV Testing Among Trainees

Journal of General Internal Medicine — Thu, 02 Feb 2012 18:15:12 +0100

CONCLUSIONS Clinician educators have a special role in the dissemination of the CDC recommendations as they impact the knowledge and attitudes of newly practicing physicians. Despite awareness of CDC recommendations, many CEs do not recommend universal HIV testing to trainees. Interventions that improve faculty knowledge of HIV testing recommendations and address barriers in resident clinics may enhance adoption of routine HIV testing. Content Type Journal ArticleCategory Original ResearchPages 1-6DOI 10.1007/s11606-012-1985-9Authors Gail V. Berkenblit, Department of Medicine, Johns Hopkins University School of Medicine, 601 North Caroline St., Baltimore, MD 21287, USAJames M. Sosman, Department of Medicine, University of Wisconsin School of Medicine and Public Hea...

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Rural Health: Residency Doctor Chooses to Return to Rural Roots

News stories via the Rural Assistance Center — Thu, 02 Feb 2012 17:19:22 +0100

Tri-State Neighbor, (SD) article profiles students in the almost 40-year-old Sioux Falls Family Medicine Residency program that has helped produce about 300 doctors since 1973. (Source: News stories via the Rural Assistance Center)

Perspective: Ten Thousand Hours to Patient Safety, Sooner or Later

Academic Medicine — Thu, 02 Feb 2012 14:09:41 +0100

A call by the Institute of Medicine to advance the cause of patient safety catalyzed the current focus on duty hours limits during resident education. Unrelated benefits to resident education have accrued from those efforts, but, despite rigorous study of the issue, there is little evidence of a positive impact on patient safety resulting from trainee duty hours adjustments. Moreover, the discussion has become worrisomely myopic in its singular preoccupation with the impact of postgraduate medical education duty hours on safe patient care. The author argues that patient safety efforts should focus instead on the three essential elements of capacity, of which a discussion of duty hours and fatigue are an important part, commitment, and competence. Commitment requires altruism and profession...

[Research as attractiveness parameter for young surgeons.]

Der Chirurg — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Vollmar B Abstract Increasing concern has been expressed about the significant shortage of new trainees in surgery. As research in the context of surgical education and training is an essential element of attraction for the field of surgery, there is an urgent priority to implement clear room for research in the concepts of education and training. In this article the relevance of both the thesis accompanying the study and research training during surgical residency for the clinical self-image, personal satisfaction and academic development of young surgeons will be presented. PMID: 22290223 [PubMed - as supplied by publisher] (Source: Der Chirurg)

Residency Training Oversight(s) in Surgery: The History and Legacy of the Accreditation Council for Graduate Medical Education Reforms.

The Surgical Clinics of North America — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Nauta RJ Abstract Despite a quarter century of discourse since a sentinel event in New York City raised the question of appropriate oversight for graduate medical education, many questions remain unanswered. Even with the Accreditation Council for Graduate Medical Education rules in place, some opportunity remains to examine handoff methodology, the relationship of duty hours to education, and the impact of fatigue on resident performance. Neurophysiologic adjuncts applied concomitantly to evaluation of didactic performance offer promise for data-driven definition of the optimal shift. Concurrently, the merits of specialty-specific oversight of graduate medical education remain under active consideration. PMID: 22269265 [PubMed - in process] (Source: The Surgical Clini...

Residency Interview Video Conferencing

Ophthalmology — Wed, 01 Feb 2012 05:00:00 +0100

The ophthalmology residency matching has been used in the United States for over 30 years. Each institution reviews applications, and selected applicants are invited for Face-to-Face Interviews (FFIs). However, total interviewing expenses can be costly for applicants, and interview schedules among different institutions may conflict. (Source: Ophthalmology)

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Resident Cataract Surgery

Ophthalmology — Wed, 01 Feb 2012 05:00:00 +0100

We are writing regarding the recent report by Woodfield et al about resident cataract surgery complication rates. We definitely agree that it provides useful information that we might apply to our Ophthalmology Residency Training Program. However, it is also true that the results provided in this article are rather controversial. (Source: Ophthalmology)

Author reply

Ophthalmology — Wed, 01 Feb 2012 05:00:00 +0100

We would like to begin by thanking Zabalza et al for their thoughtful questions and comments. In our article, we describe complication rates by year of residency. We certainly think that correlating complications with surgical experience on a resident-by-resident basis is an interesting topic, however, we feel it is a separate question. We are not seeking to elucidate the mechanisms of the resident learning curve for phacoemulsification. Rather, we are trying to draw conclusions about the overall complication rate for residents of a particular level. Since residents have varying levels of exposure to particular surgeries and natural ability (and since we as teachers can control neither), studies are needed that examine the issue in aggregate in order to inform teaching policy. The concern ...

JACR Journal Club: The University of Iowa Experience

Journal of the American College of Radiology : JACR — Wed, 01 Feb 2012 05:00:00 +0100

Residency programs are designed to take medical students and turn them into capable, practicing physicians. For most diagnostic radiology residents, that usually means becoming private practice or academic radiologists. The vast majority of didactics are focused on diagnosis. Most programs are proficient at teaching things such as how to work up an adrenal lesion, and the ABR tests residents to make sure they are safe. However, are graduating residents fully prepared to jump out of the nest? (Source: Journal of the American College of Radiology : JACR)

The Results of a Needs Assessment to Guide a Vascular Surgery Skills Simulation Curriculum

Annals of Vascular Surgery — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: Our needs assessment identified vascular procedures where simulation may be beneficial to improve the skill level of vascular trainees in Southern California. With economic and logistical constraints for simulation at each individual training facility, a potential approach to this educational challenge is a regional Southern California vascular surgery skills simulation center. (Source: Annals of Vascular Surgery)

Financial Responsibility of Hospitalized Patients Who Left Against Medical Advice: Medical Urban Legend?

Journal of General Internal Medicine — Tue, 31 Jan 2012 07:11:12 +0100

CONCLUSIONS Contrary to popular belief, we found no evidence that insurance denied payment for patients leaving AMA. Residency programs and hospitals should ensure that patients are not misinformed. Content Type Journal ArticleCategory Original ResearchPages 1-6DOI 10.1007/s11606-012-1984-xAuthors Gabrielle R. Schaefer, Pritzker School of Medicine, University of Chicago, Chicago, IL, USAHeidi Matus, Internal Medicine Residency Program, University of Chicago, 5841 S. Maryland Avenue, MC 2007, AMB W216, Chicago, IL 60637, USAJohn H. Schumann, Department of Internal Medicine, University of Oklahoma School of Community Medicine, Tulsa, OK, USAKeith Sauter, Patient Financial Services, University of Chicago Medical Center, Chicago, IL, USABenjamin Vekhter, Department of Me...

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Texas Tech University HSC Family Medicine Accelerated Track Flyer (Betsy G Jones EdD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 31 Jan 2012 05:00:00 +0100

Flyer describing the Texas Tech University HSC Family Medicine Accelerated Track (FMAT), a 3-year curriculum leading to the MD degree and a 3-year family medicine residency program. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Emergency Medical Services Education in Emergency Medicine Residency Programs: A National Survey

Academic Emergency Medicine — Mon, 30 Jan 2012 05:00:00 +0100

Conclusions: There is a wide range in the didactic, online, and in‐field EMS educational experiences provided as part of EM training. Most residents participate in ground ride‐along activities, provide DMO, and have a dedicated EMS rotation. Disaster‐preparedness is the most common desired addition to existing EMS rotations.ACADEMIC EMERGENCY MEDICINE 2012; 19:1–6 © 2012 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Global health outreach during anesthesiology residency in the United States: a survey of interest, barriers to participation, and proposed solutions

Journal of Clinical Anesthesia — Sun, 29 Jan 2012 12:15:49 +0100

Conclusions: Anesthesiology residents have an interest in residency and fellowship GHO programs. Formalization of GHO programs during training may reduce work-related barriers associated with GHO participation and broaden academic program recruitment. (Source: Journal of Clinical Anesthesia)

Making the personal statement more personal

Journal of Clinical Anesthesia — Sun, 29 Jan 2012 12:15:49 +0100

I read with keen interest the article by Max et al., regarding the inadequacies of the personal statement in predicting success during residency . Their finding, that the personal statement in the typical anesthesiology residency application revolves around one of 13 common themes and that most essays share common elements, surely resonates with members of Resident Selection Committees. The commonality noted across the essays limits their utility in distinguishing between candidates. In addition, over one in 20 essays contains elements of plagiarism . (Source: Journal of Clinical Anesthesia)

Training in laparoscopic colorectal surgery: a new educational model using specially embalmed human anatomical specimen

Surgical Endoscopy — Sat, 28 Jan 2012 06:43:05 +0100

Conclusion The new training model for laparoscopic colorectal surgery proved to be a high-quality tool, concentrating on laparoscopic colorectal anatomy in a skills training setting. We believe it may be a valuable adjunct to residency training programs based on the principle of “training before the job.” Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-012-2158-yAuthors Juliette C. Slieker, Department of Surgery, Erasmus University Medical Center, Rotterdam, The NetherlandsHilco P. Theeuwes, Department of Anatomy and Neurosciences, Erasmus University Medical Center, Rotterdam, The NetherlandsGöran L. van Rooijen, Department of Anatomy and Neurosciences, Erasmus University Medical Center, Rotterdam, The NetherlandsJohan F. Lange, Department of Surgery, E...

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Has Diversity Increased in Orthopaedic Residency Programs since 1995?

Clinical Orthopaedics and Related Research — Sat, 28 Jan 2012 05:00:00 +0100

CONCLUSIONS: Despite the increase in diversity in the orthopaedic workforce during the past 15 years, ethnic and gender disparities persist among orthopaedic residency programs regarding residents, clinical faculty, and basic research faculty. To increase diversity in orthopaedic residency programs, an emphasis on recruiting ethnic and gender minority candidates needs to become a priority in the orthopaedic academic community. PMID: 22286669 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)

Are Canadian general surgery residents ready for the 80-hour work week? A nationwide survey.

Canadian Journal of Surgery — Fri, 27 Jan 2012 16:01:18 +0100

Conclusion: There is a training-level based dichotomy of opinion among general surgery residents in Canada regarding the perceived effects of work hour restrictions. Both groups have voted against abolishing 24-hour call, and neither group strongly supports the implementation of the 80-hour work week. PMID: 22269303 [PubMed - in process] (Source: Canadian Journal of Surgery)

Surgical fellowship training in Canada: What is its current status and is improvement required?

Canadian Journal of Surgery — Fri, 27 Jan 2012 16:01:10 +0100

Authors: Nousiainen MT, Latter DA, Backstein D, Webster F, Harris KA Abstract This paper examines current issues concerning surgical fellowship training in Canada. Other than information from a few studies of fellowship training in North America, there are scant data on this subject in the literature. Little is known about the demographic characteristics of those who pursue fellowship training in Canada, what the experiences and expectations are of fellows and their supervisors with respect to the strengths and weaknesses of this level of training, or how this level of education fits in with Canadian undergraduate and postgraduate medical training. We summarize current knowledge about fellowship training in Canada as it pertains to demographic characteristics, finances, work hours,...

Professional profile of pediatric intensivists in Rio de Janeiro, southeastern Brazil

Revista Brasileira de Terapia Intensiva — Fri, 27 Jan 2012 15:57:11 +0100

OBJETIVO: Este estudo tem como objetivo descrever o perfil sócio-demográfico e aspectos da qualificação profissional dos médicos intensivistas pediátricos do Estado do Rio de Janeiro (RJ), sudeste do Brasil. MÉTODOS: Estudo observacional, transversal e descritivo, realizado em unidades de tratamento intensivo neonatal, pediátrica e mista do RJ. Utilizou-se questionário semi-estruturado, anônimo e individual, respondido de modo voluntário pelos médicos das unidades que participaram do estudo. Foram considerados como perdas os questionários não devolvidos em 30 dias e excluídos os que tiveram menos de 75% das questões respondidas. As diferenças de formação entre intensivistas neonatais e pediátricos foram comparadas através do teste do Qui-quadrado, com nível de signifi...

Residency Training Oversight(s) in Surgery: The History and Legacy of the Accreditation Council for Graduate Medical Education Reforms

Surgical Clinics of North America — Fri, 27 Jan 2012 11:25:19 +0100

Despite a quarter century of discourse since a sentinel event in New York City raised the question of appropriate oversight for graduate medical education, many questions remain unanswered. Even with the Accreditation Council for Graduate Medical Education rules in place, some opportunity remains to examine handoff methodology, the relationship of duty hours to education, and the impact of fatigue on resident performance. Neurophysiologic adjuncts applied concomitantly to evaluation of didactic performance offer promise for data-driven definition of the optimal shift. Concurrently, the merits of specialty-specific oversight of graduate medical education remain under active consideration. (Source: Surgical Clinics of North America)

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Morbidity in surgery: impact of the 50-hour work-week limitation in Switzerland.

Swiss Medical Weekly — Thu, 26 Jan 2012 09:24:02 +0100

CONCLUSIONS: The work-hour limitation implemented in Switzerland was not associated with surgical patient safety measure improvement for common surgeries (i.e., morbidity and mortality rate). Further research on a nationwide basis is needed to assess the value of the higher surgical complication and mortality rate. PMID: 22270648 [PubMed - in process] (Source: Swiss Medical Weekly)

Lymph node B lymphocyte trafficking is constrained by anatomy and highly dependent upon chemoattractant desensitization

Blood — Thu, 26 Jan 2012 05:00:00 +0100

B lymphocyte recirculation through lymph nodes (LNs) requires crossing endothelial barriers and chemoattractant-triggered cell migration. Here we show how LN anatomy and chemoattractant receptor signaling organize B lymphocyte LN trafficking. Blood-borne B cells predominately used CCR7 signaling to adhere to high endothelial venules (HEVs). New B cell emigrants slowly transited the HEV perivenule space, and thereafter localized nearby, avoiding the follicle. Eventually, the newly arrived B cells entered the basal portion of the follicle gradually populating it. In contrast, newly arriving activated B cells rapidly crossed HEVs and migrated toward the lymph node follicle. During their LN residency, recirculating B cells reacquired their sphingosine-1 phospate receptor 1 (S1P1) receptors and...

Description of an academic teaching rotation for postgraduate year 1 pharmacy residents.

American Journal of Health-System Pharmacy : AJHP — Wed, 25 Jan 2012 14:49:01 +0100

Conclusion An academic teaching rotation can provide a PGY1 pharmacy resident with experiences in teaching, service, and scholarly activities beyond those typically offered in residency programs. PMID: 22261945 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)

Coping with the residency scramble: The need for national guidelines.

American Journal of Health-System Pharmacy : AJHP — Wed, 25 Jan 2012 14:48:21 +0100

Authors: May JR, Chan J, Choudhary K, Fuller PD, Goldman M, Jasiak KD, Leinum CJ, Phillips H, Smith KM PMID: 22261949 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)

Rare case of hemolytic uremic syndrome associated with only one transient low platelet count

Journal of Hematopathology — Tue, 24 Jan 2012 07:54:05 +0100

We report a second case of a young 18-year-old girl presenting with HUS and normal platelet counts. Content Type Journal ArticleCategory Case ReportPages 1-3DOI 10.1007/s12308-011-0130-8Authors Kalpita Hatti, Rochester General Hospital Internal Medicine Residency Program, 1425 Portland avenue, Rochester, NY 14621, USAMaria Rojas, Rochester General Hospital, 1425 Portland avenue, Rochester, NY 14621, USAPeter Kouides, Rochester General Hospital, Mary M. Gooley Hemophilia Center, Hemophilia Thrombosis Research Society, University of Rochester School of Medicine and Roswell Park Memorial Cancer Institute, 1425 Portland avenue, Rochester, NY 14621, USA Journal Journal of HematopathologyPrint ISSN 1868-9256 (Source: Journal of Hematopathology)

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Impact of a Six-Year Integrated Thoracic Surgery Training Program at the Medical College of Wisconsin [ORIGINAL ARTICLES: ADULT CARDIAC]

The Annals of Thoracic Surgery — Tue, 24 Jan 2012 05:00:00 +0100

Conclusions Institution of a 6-year integrated thoracic surgery training program at the Medical College of Wisconsin led to a significant increase in number of applications. Additionally, the 6-year applicants appeared to be more academically accomplished than previous applicants to the traditional 2-year program. While early in the experience, it appears that interest in thoracic surgery is high among medical students and institution of a 6-year program has the potential to once again attract the "best and the brightest" to this specialty. (Source: The Annals of Thoracic Surgery)

A survey of the educational environment for Oncologists as perceived by Surgical Oncology professionals in India

World Journal of Surgical Oncology — Mon, 23 Jan 2012 05:00:00 +0100

Conclusions: The results of our survey demonstrate that the majority of respondents feel that the current educational environment for Oncology in India should be enhanced. The study identified perceptions of several gaps and needs, which can be the targets for implementing measures to enhance the training of Oncology professionals. (Source: World Journal of Surgical Oncology)

Survey of Residents Who Have Participated in Humanitarian Medical Missions

Journal of Oral and Maxillofacial Surgery — Fri, 20 Jan 2012 20:18:49 +0100

Conclusion: All respondents believed that participation in a humanitarian mission during residency was a positive part of their training. In addition, these missions allowed the residents to develop as surgeons and improve their awareness of global health care and cultural competence. Given these important educational aspects, participation in a humanitarian mission should be considered a required part of residency training. (Source: Journal of Oral and Maxillofacial Surgery)

A Mother's Guilt in ResidencyA Mother's Guilt in Residency

Medscape Today Headlines — Fri, 20 Jan 2012 19:18:38 +0100

An ob/gyn intern writes about her struggles managing residency and family life. Medscape Med Students (Source: Medscape Today Headlines)

Residency Programs

About.com Eating Disorders — Fri, 20 Jan 2012 05:00:00 +0100

Listing of orthopedic academic hospitals and orthopaedic residency programs. Listing by state of orthopedic residency programs for training in orthopaedic surgery. (Source: About.com Eating Disorders)

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From New Nurse Practitioner to Primary Care ProviderFrom New Nurse Practitioner to Primary Care Provider

Medscape Nurses Headlines — Thu, 19 Jan 2012 22:16:16 +0100

How does a residency program designed for FNPs intending to practice in federally qualified health centers differ from other residencies? OJIN: The Online Journal of Issues in Nursing (Source: Medscape Nurses Headlines)

Insights of young French surgical oncologists: motives and training.

Bulletin du Cancer — Thu, 19 Jan 2012 05:00:00 +0100

Conclusion. This study outlines the role of mentorship and the lack of practical teaching outside the operating room during the training in surgical oncology in France. PMID: 22265907 [PubMed - as supplied by publisher] (Source: Bulletin du Cancer)

Capstone of Palliative Care Curricula: Transition into Residency

Journal of Pain and Symptom Management — Thu, 19 Jan 2012 03:24:50 +0100

Describe the application of principles of palliative care to patient encounters. (Source: Journal of Pain and Symptom Management)

“Where Have You Been All My Life?” Senior Resident Physicians' Responses To a New Palliative Care Consult Service (770)

Journal of Pain and Symptom Management — Thu, 19 Jan 2012 03:24:50 +0100

To describe the personal, emotional burden experienced by residents when learning to care for seriously ill and dying patients early in their residency training. (Source: Journal of Pain and Symptom Management)

End of Life Curriculum in an Internal Medicine Residency Program: Curriculum Reevaluation (777)

Journal of Pain and Symptom Management — Thu, 19 Jan 2012 03:24:50 +0100

To acknowledge the importance of EOL curriculum revaluation. (Source: Journal of Pain and Symptom Management)

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Sharps exposures among otolaryngology–head and neck surgery residents

The Laryngoscope — Wed, 18 Jan 2012 05:00:00 +0100

Conclusions:Otolaryngology residents report a high rate of sharps exposures during residency training, with a significant number of these exposures going unreported. Better education may be needed to help decrease these often preventable workplace exposures and to improve compliance with reporting and testing procedures. (Source: The Laryngoscope)

The uneven distribution of women in orthopaedic surgery resident training programs in the United States.

The Journal of Bone and Joint Surgery. American volume — Wed, 18 Jan 2012 05:00:00 +0100

CONCLUSIONS: Significant differences in the representation of women exist among orthopaedic residency training programs in the U.S. Further examination of the characteristics of orthopaedic residency programs that are successful in attracting female residents, particularly the composition of their faculty as role models, will be important in furthering our understanding of how orthopaedic surgery can continue to attract the best and the brightest individuals. Changes in the cultural experiences in programs that have not trained female orthopaedic surgeons, such as an increased number of female faculty, and policies that emphasize diversity may provide a greater opportunity for our orthopaedic profession to attract female medical students. PMID: 22258016 [PubMed - in process] (Source: T...

Prevalence of HIV Risk Behaviors among Undocumented Central American Immigrant Women in Houston, Texas

AIDS and Behavior — Tue, 17 Jan 2012 07:17:37 +0100

Abstract Undocumented Central American immigrants in the United States are disproportionately affected by HIV infection. However, epidemiological data on sexual behaviors among undocumented women are sparse and the extent to which behaviors vary by duration of residence in the U.S.is largely unknown. In 2010, we used respondent driven sampling to conduct an HIV behavioral survey among Central American immigrant women residing in Houston, Texas without a valid U.S. visa or residency papers. Here we describe the prevalence of sexual risk behaviors and compare recent (5 years or less in the U.S.) and established immigrants (over 5 years in the U.S.) to elucidate changes in sexual risk behaviors over time. Our data suggest that recent immigrants have less stable sexua...

A population‐based study of therapy and survival for patients with head and neck cancer treated in the community

Cancer — Tue, 17 Jan 2012 05:00:00 +0100

CONCLUSIONS:Therapy generally followed accepted standards for 2004. Findings in particular tumor sites and stages may reflect the variability that still exists for the treatment of HNC. The use of taxanes and cetuximab is expected to increase based on new evidence of benefit. Reducing treatment‐related toxicities and long‐term functional deficits will be critical and especially important with the increase in human papillomavirus‐related cancers. In addition, further attempts to improve survival for older patients are needed. Cancer 2012. © 2012 American Cancer Society. (Source: Cancer)

Qualities of Residency Applicants: Comparison of Otolaryngology Program Criteria With Applicant Expectations [Original Article]

Archives of Otolaryngology — Mon, 16 Jan 2012 05:00:00 +0100

Conclusions Although PDs and PAs agree on the least important criteria for ranking otolaryngology residency candidates, they disagree on the most important criteria. This information provides insight into how programs select residency candidates and how this compares with applicant expectations. Furthermore, this information will assist applicants in understanding how they might be evaluated by programs. Improved understanding of the match process may increase the likelihood of having a good fit between otolaryngology programs and matched applicants. (Source: Archives of Otolaryngology)

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The Computerized Synoptic Operative Report: A Novel Tool in Surgical Residency Education [Paper]

Archives of Surgery — Mon, 16 Jan 2012 05:00:00 +0100

Conclusion The computerized synoptic operative report is superior to the dictated report in the documentation of important preoperative and intraoperative data. Although checklists and templates are not new in medicine, the use of a synoptic operative report as a surgical educational tool is a novel concept. Each resident who participated in our study had to develop a better understanding of the operative procedure in order to complete a more accurate synoptic report. (Source: Archives of Surgery)

Will Lawmakers Reform Immigration Rules for STEM Graduates?

Washington Watch — Sun, 15 Jan 2012 08:32:22 +0100

Ranjini Prithviraj is at the start of a promising career in neuroscience. She is a postdoctoral fellow at the National Institutes of Health (NIH), serves as an editor on the NIH Fellows Editorial Board, and mentors students interested in careers in science. Despite her strong résumé and her PhD in cell and molecular biology from a well-regarded American university, Prithviraj's ability to continue to work in the United States is uncertain, because she was born in India and raised in Dubai. "I would like to stay in the US long term, but I'm not sure as of now," said Prithviraj. "The reason I'm not sure is because the US makes it so hard for us foreign nationals to get a green card, irrespective of how qualified we are." The dilemma faced by Prithviraj and other foreign-born graduates wi...

What is so difficult about managing clinical reasoning difficulties?

Medical Education — Sat, 14 Jan 2012 22:54:51 +0100

Conclusions In order to improve the current state of affairs in the management of clinical reasoning difficulties, a collective paradigm shift is required to alter the perception of residency as an apprenticeship to one of residency as a structured educational programme. Faculty development programmes should be designed in an integrated way so that they not only develop clinical educators’ skills, but also modify their beliefs. (Source: Medical Education)

Faculty staff perceptions of feedback to residents after direct observation of clinical skills

Medical Education — Sat, 14 Jan 2012 22:54:49 +0100

Conclusions The provision of feedback by faculty staff to residents after observing resident–patient interactions is a complex and dynamic process and is influenced by many factors. Understanding these cognitive and affective factors may provide insight into potential new approaches to faculty development to improve faculty staff’s feedback skills and the effectiveness of their feedback. (Source: Medical Education)

How Gender Shapes the Surgical Residency Experience

Journal of Surgical Research — Sat, 14 Jan 2012 22:30:06 +0100

(Source: Journal of Surgical Research)

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Race and Surgical Residency: Results from A National Survey of 4,339 US General Surgery Residents

Journal of Surgical Research — Sat, 14 Jan 2012 22:30:04 +0100

Introduction: Diversity in the health care workforce is frequently cited as an important component to reducing disparities, yet minorities are underrepresented in surgery. Our aim was to determine the effect of race on US surgery residents' experiences during training. Methods: This was a cross-sectional national survey of all US general surgery residents in 248 programs administered after the 2008 ABSITE. Demographic characteristics and survey responses were evaluated with respect to race using the χ2 test and hierarchical logistic regression modeling (HLRM). Outcome measures were perceived fit with program; relationships with faculty and peers; attitudes regarding surgical training; and effect of work on family life and sensitivity. Results: 4,339 residents were included; 61.9% identifi...

A Nationwide Twenty Year Analysis of Resident Operative Trauma Experiences: Pre & Post Work Hour Reform

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:59 +0100

Conclusions: Secular trends prior to the 2003 work hour reform may have caused a marked decrease in operative trauma experience among general surgery residents. Radiologic advancements in intervention and imaging may have had a role in this decline. Rare cases, such as cardiac, pancreatic, and GU trauma, remain rare. Post work hour reform, operative trauma case volumes have stabilized. (Source: Journal of Surgical Research)

Elderly Surgical Patients: Are There Gaps in Residency Education?

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:48 +0100

This study assesses resident and faculty perceptions of resident geriatric related competencies and correlates these perceptions to the actual management of injured geriatric patients. Methods: A resident/faculty geriatric competency survey and geriatric chart review template were developed based on a review of the APDS and Surgical Council on Resident Education (SCORE) curricula. the 24 question competency survey was framed within the ACGME Competencies and sent electronically to 40 general surgery residents and 57 Department of Surgery faculty members (Likert scale where 5=excellent). Five general markers of clinical care were identified for the chart review: goals of care documentation, identification of delirium, pain control, anticoagulation management, and medication management based...

Who's Guarding Whom? the Changing of the Guard: A Study of Pediatric Abdominal Examinations

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:48 +0100

Conclusions: An unacceptable degree of variability and disagreement exists in pediatric abdominal examination, which may contribute to excessive diagnostic testing and radiation exposure, as well as diagnostic delay and potential patient morbidity. Guarding should be documented as voluntary or involuntary, and rebound tenderness should probably not be elicited in a child. These results suggest that closer scrutiny of fundamental principles in pediatric abdominal physical examination may be warranted in medical school and residency curricula, and additional multidisciplinary training may be needed in this specific area. (Source: Journal of Surgical Research)

Attending Surgeons and Residents Underestimate Their Influence on Medical Students Entering Surgery

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:03 +0100

Introduction: Positive surgical role models have been demonstrated to influence medical students to pursue a career in surgery. However, the perception by the role model of their effectiveness has yet to be examined. in this study, we sought to evaluate the influence of surgical role models on medical student career choice and how these role models perceive themselves. Methods: A voluntary and anonymous survey was distributed to the following: (1) third year medical students at the end of their surgery clerkship, (2) applicants for a residency in general surgery, (3) general surgery residents and (4) attending surgery staff at a tertiary care university hospital during the 2010-2011 academic year. Statistical analysis was preformed using the chi-squared and Cochran–Mantel–Haenszel test...

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Motivations and Obstacles to a Career in Surgery in Developing Countries: An Association for Academic Surgery Survey of Medical Students in West Africa

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:03 +0100

Conclusions: Encouragingly, Surgery appears to be a top career choice among medical students in West Africa. Direct mentoring from local surgeons, as well as formal mentoring experiences like the AAS workshop, may be vital to sparking and nurturing this interest in Surgery. Additionally, improvement in work-life balance during residency, perhaps through duty hour regulations, may further this interest, increasing the number of surgical trainees and ultimately helping to bridge the existing gap in the surgical workforce. (Source: Journal of Surgical Research)

Surgical Skills Training Restructured for the 21st Century

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:02 +0100

Conclusions: This program produces medical students with a fundamental surgical skill set, appreciation of surgical technique, and the confidence to perform basic surgical skills when required during their internship. Additionally, identifying the most technically proficient students may assist with career counseling residency recruitment. (Source: Journal of Surgical Research)

Competency Documentation in Residency Training: A Challenging Pathway

Journal of Surgical Research — Sat, 14 Jan 2012 22:28:54 +0100

(Source: Journal of Surgical Research)

Community Health and Advocacy Training in Pediatrics: Using Asset-Based Community Development for Sustainability

The Journal of Pediatrics — Sat, 14 Jan 2012 17:25:08 +0100

Pediatricians play a critical role in promoting the health of all children, and community health and child advocacy experiences are now a required component of pediatric residency training. Since the 1999 initiation of the University of California Davis pediatric residency program’s Communities and Health Professionals Together (CHPT) partnership, the CHPT’s scope has expanded to include training of residents from the Departments of Family and Community Medicine and Internal Medicine, as well as students from the Schools of Nursing, Medicine, and Public Health. (Source: The Journal of Pediatrics)

Characterization of the SpaCBA Pilus Fibers in the Probiotic Lactobacillus rhamnosus GG.

Applied and Environmental Microbiology — Fri, 13 Jan 2012 05:00:00 +0100

Authors: Reunanen J, von Ossowski I, Hendrickx AP, Palva A, de Vos WM Abstract Lactobacillus rhamnosus GG is a human intestinal isolate studied intensively because of its probiotic properties. We have previously shown L. rhamnosus GG to produce proteinaceous pili, that had earlier been observed only in Gram-positive pathogens. These pili were found to be encoded by the spaCBA gene cluster, and the pilus-associated SpaC pilin was shown to confer the cells with mucus binding ability. In addition to the spaCBA cluster, another putative pilus cluster, spaFED, was predicted from the L. rhamnosus GG genome sequence. Herein, we show that only SpaCBA pili are produced by L. rhamnosus, and describe a detailed analysis of cell wall-associated and affinity purified SpaCBA pili by Western blot...

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Residents' Diabetes Care Found Lacking (CME/CE)

MedPage Today Public Health — Thu, 12 Jan 2012 18:30:00 +0100

(MedPage Today) -- Residency clinics didn't deliver as much high-quality diabetes care as was found in private-practice physician offices, researchers found. (Source: MedPage Today Public Health)

A Bureaucratic Rebellion

Psychiatric Times — Thu, 12 Jan 2012 12:00:00 +0100

Every residency class needs its symbolic rebel, an establishment outsider who will risk it all in the fight against the inane and superfluous paperwork that floods the lives of residents. This crusader must take a stand against redundant “treatment plans” and tedious “hours logs.” (Source: Psychiatric Times)

The revised ACGME laparoscopic operative requirements: how have they impacted resident education?

Surgical Endoscopy — Wed, 11 Jan 2012 06:55:53 +0100

Conclusion Residency training programs have had to keep pace with evolving technology while preparing future surgeons to perform with confidence upon completion of residency training. The majority of residents feel their training has been adequate, but there are also a great number who believe they will need to continue their education in laparoscopic surgery to keep pace with this ever-evolving field. Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-011-2103-5Authors Nicholas M. Brown, Department of Surgery, Room 3082, The University of Kansas School of Medicine-Wichita, 929 N. Saint Francis St, Wichita, KS 67214, USAStephen D. Helmer, Department of Surgery, Room 3082, The University of Kansas School of Medicine-Wichita, 929 N. Saint Francis St, Wichita, ...

Implementation of Transvaginal Ultrasound in an Emergency Department Residency Program: An Analysis of Resident Interpretation.

Pain Physician — Wed, 11 Jan 2012 05:00:00 +0100

CONCLUSION: Residents were able to perform TVUSs to determine the presence or absence of an IUP in patients in whom the diagnosis of ectopic pregnancy was being considered with a high degree of correlation with the ED Director of Ultrasound after a brief training program. Correlation with the ED director of ultrasound was influenced by year of training. PMID: 22244288 [PubMed - as supplied by publisher] (Source: Pain Physician)

Computer-Enhanced Visual Learning Method to Teach Endoscopic Correction of Vesicoureteral Reflux: An Invitation to Residency Training Programs to Utilize the CEVL Method

Diagnostic and Therapeutic Endoscopy — Mon, 09 Jan 2012 11:01:25 +0100

Herein we describe a standardized approach to teach endoscopic injection therapy to repair vesicoureteral reflux utilizing the CEVL method, an internet-accessed platform. The content was developed through collaboration of the authors' clinical and computer expertises. This application provides personnel training, examination, and procedure skill documentation through the use of online text with narration, pictures, and video. There is also included feedback and remediation of skill performance and teaching “games.” We propose that such standardized teaching and procedure performance will ultimate in improved surgical results. The electronic nature of communication in this journal is ideal to rapidly disseminate this information and to develop a structure for collaborative r...

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Gaps In Quality Of Diabetes Care In Internal Medicine Residency Clinics Suggest The Need For Better Ambulatory Care Training [Medical Management & Care]

Health Affairs — Mon, 09 Jan 2012 05:00:00 +0100

To ensure that medical residents will be prepared to deliver consistently high-quality care, they should be trained in settings that provide such care. Residents in internal medicine, particularly, need to learn good care habits in order to meet the needs of patients with diabetes and other common chronic and high-impact illnesses. To assess the strength of such training, we compared the quality of medical care provided in sixty-seven US internal medicine residency ambulatory clinics with the quality of care provided by 703 practicing general internists. We found significant quality gaps in process, intermediate outcome, and patient-experience measures. These inadequacies in ambulatory training for internal medicine residents must be addressed by policy makers and educators—for examp...

Cooperation of Medical and Pharmaceutical Sciences between Private and National Universities to Educate Professionals in the Fields of Drug Development and Rational Pharmacotherapy.

Yakugaku Zasshi : Journal of the Pharmaceutical Society of Japan — Sat, 07 Jan 2012 06:00:04 +0100

Authors: Iwakawa S Abstract Cooperation in education and research in medical and pharmaceutical sciences between Kobe Pharmaceutical University and Kobe University was started in 2008 for training professionals in drug development and rational pharmacotherapy. Initially, we started a two-year pharmacy residency program. Our pharmacy residents can attend lectures at our universities, and they also help pharmacist preceptors educate undergraduate pharmacy students in practical training. As curricula for cooperative education of pharmacy, nursing and medical students, we developed two new elective subjects (early exposure to clinical training for first year students and IPW (inter-professional work) seminar for fifth year pharmacy students) to learn about the roles of health care prof...

Value of pharmacy residency training: A survey of the academic medical center perspective.

American Journal of Health-System Pharmacy : AJHP — Fri, 06 Jan 2012 20:25:10 +0100

Conclusion All groups of survey respondents viewed residency programs as important assets to their institutions, especially in the areas of institutional prestige, staff recruitment, and professional development and education. PMID: 22215362 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)

Thoracic Imaging: Case Review Series, Second Edition

Academic Radiology — Fri, 06 Jan 2012 11:08:02 +0100

Thoracic Imaging: Case Review Series is not only a necessary resource for the senior radiology resident preparing for boards, but a readable and comprehensive text that can make the average junior radiology resident into a case conference juggernaut. I read the original edition during my first year of radiology residency and fooled my thoracic attending into thinking I was a genius. I read the second edition before writing this review. (Source: Academic Radiology)

Recommended IM competencies for Family Medicine Residencies (STFM Group on Integrative Medicine)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Thu, 05 Jan 2012 05:00:00 +0100

These are the competencies were developed by the STFM Group on Integrative Medicine for use by Family Medicine residencies. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

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Milk Intake in Early Life and Risk of Advanced Prostate Cancer

American Journal of Epidemiology — Mon, 02 Jan 2012 05:00:00 +0100

The authors investigated whether early-life residency in certain areas of Iceland marked by distinct differences in milk intake was associated with risk of prostate cancer in a population-based cohort of 8,894 men born between 1907 and 1935. Through linkage to cancer and mortality registers, the men were followed for prostate cancer diagnosis and mortality from study entry (in waves from 1967 to 1987) through 2009. In 2002–2006, a subgroup of 2,268 participants reported their milk intake in early, mid-, and current life. During a mean follow-up period of 24.3 years, 1,123 men were diagnosed with prostate cancer, including 371 with advanced disease (stage 3 or higher or prostate cancer death). Compared with early-life residency in the capital area, rural residency in the first 20 year...

SCORE at Maine Medical Center

Journal of Surgical Education — Sun, 01 Jan 2012 05:00:00 +0100

The last several years at Maine Medical Center have been a time of innovation for the Maine Medical Center Surgical Residency Educational Curriculum, attributable to the energy and enthusiasm of the program director, faculty, and resident leadership. SCORE has been incorporated in a variety of educational curriculums developed here. Use of the SCORE curriculum has provided a consistent, organized, and readily available resource for a 2-year cycle of weekly general surgery topics based on an organ system approach. Weekly, resident-led conferences are mentored by general surgical and specialty-specific faculty members. The SCORE curriculum provides guidelines for study and electronic text resources often used as the basis for lectures and discussions prepared by residents. Residents are enco...

Webcasts for Resident Education

Ophthalmology — Sun, 01 Jan 2012 05:00:00 +0100

The Accreditation Council for Graduate Medical Education (ACGME) requires a certain number of hours of formal teaching in particular subjects in a fully accredited ophthalmology residency program. Fifty-two of 114 (45.6%) ophthalmology residency programs in the United States enroll 2 or 3 residents per year. These small programs may have limited expertise and resources to meet ACGME requirements in some subspecialties. They either send their residents for courses or invite experts from different institutions. Either method is expensive and requires time away from other responsibilities–both for the residents and the invited speaker. Webcast conferencing has been used as a tool for business communication/conferencing and education in fields like nursing, family medicine, and pathology. Ho...

Medical Physics residency programs in nonacademic facilities should affiliate themselves with a university-based program.

Medical Physics — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Saini J, Sherman JR, Orton CG PMID: 22225269 [PubMed - in process] (Source: Medical Physics)

Cleared for takeoff: the 4-year family medicine residency pilot.

Annals of Family Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Abercrombie S, Hall K, Chacko S, Gravel J, Hoekzema G, Maxwell L, Mazzone M, Shaffer T, Tuggy M, Wieschhaus M PMID: 22230840 [PubMed - in process] (Source: Annals of Family Medicine)

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Incoming resident experience and comfort with procedures designated as "basic".

Famly Medicine — Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSIONS: The survey results showed that experience and comfort with procedures often performed in family medicine varies widely among incoming residents. This raises the question of whether documentation of resident competence in these procedures should be recommended as a baseline and monitored throughout residency training. PMID: 22241341 [PubMed - in process] (Source: Famly Medicine)

The annual program review of effectiveness: a process improvement approach.

Famly Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Nadeau MT, Tysinger JW Abstract BACKGROUND AND OBJECTIVES: All residencies and fellowships are required by the Accreditation Council for Graduate Medical Education (ACGME) and local institutional policy to conduct an annual program review of educational effectiveness. However, a number of family medicine residencies were cited for having an inadequate annual review or for failing to document the review in 2008. The ACGME and university offices of graduate medical education provide program directors some guidance on conducting and documenting annual program reviews, but few articles describe a detailed process for such a review. In this article, the authors describe the systematic process their program uses to conduct and document an annual program review and argue that the...

The Intersection of Flexibility and Outcomes in Pediatric Education

Academic Pediatrics — Sun, 01 Jan 2012 05:00:00 +0100

Pediatric residency training is rapidly evolving, with more options becoming available for individualized and varied pathways. New duty hours and proposed pediatric residency review committee requirements of the Accreditation Council on Graduate Medical Education (ACGME) were developed with components that may allow for more individual program flexibility. The Residency Review and Redesign in Pediatrics Project and Initiative for Innovation in Pediatric Education (IIPE) have called for program innovations that “change pediatric residency education through a carefully monitored, outcome-directed experimentation.” Training for individuals no longer must follow a traditional 36 consecutive months. Part-time positions, combined residency training, research, and other individualized pathway...

The curriculum development process for an international emergency medicine rotation.

Teaching and Learning in Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Conclusions: The resulting article describes the curriculum development process and provides a curriculum template for medical specialties to utilize when sending residents abroad. PMID: 22250939 [PubMed - in process] (Source: Teaching and Learning in Medicine)

Transition to life-a sendoff to the real world for graduating medical students.

Teaching and Learning in Medicine — Sun, 01 Jan 2012 05:00:00 +0100

The objectives of this study are to (a) assess baseline experience, knowledge, and comfort of seniors about "real-life" experiences, and (b) assess the efficacy of a 4-hr educational intervention on perceptions of understanding financial planning, real estate choices, intern preparedness, and physician wellness. Acute Care College seniors (classes of 2009 and 2010) attended the intervention after match day and completed a survey to gather demographic data and assess preexisting knowledge and a postintervention survey (1-7 Likert scale). Forty-nine students (45% male; M age = 25.5 years) participated. Prior experiences: 43% no break in education, 51% no full-time job, 38% never signed a rental lease and 94% had not purchased real estate, 90% did not have (or were not aware of having) disabi...

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Evaluation of medical career-counseling resources across Canada.

Teaching and Learning in Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Conclusions: Our goal was to provide information on an array of career-counseling resources so that Canadian medical schools can avail of appropriate resources and select activities to help students make informed decisions about their specialty choice. Planners of career-counseling activities may wish to consider elements that students find most helpful. PMID: 22250933 [PubMed - in process] (Source: Teaching and Learning in Medicine)

What's on the Horizon: The Rehabilitation Hospitalist

PM and R — Sun, 01 Jan 2012 05:00:00 +0100

The year was 1982, the second year of my residency training in physical medicine and rehabilitation (PM&R). I was evaluating the first patient with a spinal cord injury I had ever cared for in the emergency department of Thomas Jefferson University Hospital. Three residents arrived at the bedside after the trauma alert, one each from the departments of rehabilitation medicine, orthopedics, and neurosurgery, and one attending physician, John F. Ditunno Jr, MD, chair of the Department of Rehabilitation Medicine. The examination of the patient was carefully completed, and decisions were made about surgery and rehabilitation based on the evaluation. The PM&R resident and the attending physician communicated with the patient and the family. This was the beginning of lifetime care for this patie...

Nigeria: FCT Doctors Want Govt to Provide Them Accommodation

AllAfrica News: Health and Medicine — Thu, 29 Dec 2011 11:07:13 +0100

Resident doctors in the FCT have appealed to the FCT Administration to provide them with comfortable accommodation. This plea was made by the President of the Association of Resident doctors in the FCT, Dr Noel Arua, during an end of year party held for its members recently. (Source: AllAfrica News: Health and Medicine)

Nikhil N. Verma, M.D., Associate Editor

Arthroscopy — Thu, 29 Dec 2011 03:44:11 +0100

On January 1, 2012, Nikhil N. Verma, M.D., joined us to fill the position of Associate Editor, replacing the retiring Tassos Georgoulis. Dr. Verma graduated cum laude from the University of Michigan with a bachelor of science in cellular and molecular biology and went on from Ann Arbor to Philadelphia where he earned his medical degree at the University of Pennsylvania School of Medicine. This was followed by his residency in Chicago at Rush and his fellowship in the Sports Medicine and Shoulder Service program at The Hospital for Special Surgery in New York. He is board certified in orthopaedic surgery and has a specialty certificate in orthopaedic sports medicine. (Source: Arthroscopy)

Older physicians may have fewer job options than younger colleagues

American Medical News - BUSINESS — Mon, 26 Dec 2011 12:00:00 +0100

A new survey finds that employment opportunities decline once a physician is out of residency at least 16 years. (Source: American Medical News - BUSINESS)

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Residency Match revamps placement of students not selected initially

American Medical News - PROFESSION — Mon, 26 Dec 2011 12:00:00 +0100

Starting in 2012, the National Resident Matching Program will administer a new system to link unmatched students with unfilled residency positions. (Source: American Medical News - PROFESSION)

Factors used by program directors to select obstetrics and gynecology fellows.

Obstetrics and Gynecology — Mon, 26 Dec 2011 10:51:33 +0100

CONCLUSION: : Education pedigree and research experience are important factors considered by fellowship directors when selecting fellowship applicants. For applicants, these data will allow for a critical self-analysis before applying or interviewing. LEVEL OF EVIDENCE: : III. PMID: 22183219 [PubMed - in process] (Source: Obstetrics and Gynecology)

Publication rates of abstracts presented by pharmacy residents at the Western States Conference.

American Journal of Health-System Pharmacy : AJHP — Sun, 25 Dec 2011 05:43:00 +0100

Conclusion The overall publication rate of abstracts presented at a regional residency conference in 1995, 2000, and 2005 was 6.3%, with an increase in the rate over those years. PMID: 22180554 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)

Publication of residency projects: Another perspective.

American Journal of Health-System Pharmacy : AJHP — Sun, 25 Dec 2011 05:42:13 +0100

Authors: Hasegawa GR PMID: 22180558 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)

An experiential teaching session on the anesthesia machine check improves resident performance.

Canadian Journal of Anaesthesia — Fri, 23 Dec 2011 05:00:00 +0100

CONCLUSION: Our results suggest that an experiential training session allowed junior residents to achieve skills superior to those of senior colleagues after a five-year residency. This training was retained for two to four years as they continued to outperform their comparative controls. PMID: 22194153 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)

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Thoracic Surgery Workforce: Report of STS/AATS Thoracic Surgery Practice and Access Task Force--Snapshot 2010 [STS/AATS SPECIAL REPORTS]

The Annals of Thoracic Surgery — Wed, 21 Dec 2011 05:00:00 +0100

Conclusions These data give a clear profile of the specialty at this time. The major challenges remain length of training and educational debt of the thoracic surgeon. Case volume, scope of practice, malpractice costs, and career satisfaction remain major elements to provide a positive environment to recruit new surgeons in to the specialty. The resident pool has contracted while the workforce ages and retirement looms. Significant shortages may develop as the US population ages in the environment of health care reform. (Source: The Annals of Thoracic Surgery)

The more things change the more they stay the same: a case report of neurology residency experiences

Journal of Neurology — Tue, 20 Dec 2011 16:43:13 +0100

This study compared the neurology residency training experience for a single neurology resident at the University of Pennsylvania from the years 2002–2005. The prevalence of encounters seen during this residency was compared to the prevalence of neurological disorders typically observed by ambulatory neurologists in the United States (US). A total of 1,333 patients were evaluated during this residency. Ischemic stroke/transient ischemic accident, epilepsy, metabolic encephalopathy, peripheral neuropathy, and multiple sclerosis were the most common neurological disorders observed. The four most common reasons for an outpatient visit to a neurologist (i.e., headache/migraine, epilepsy, cerebrovascular disease, and peripheral neuropathy) typically account for approximately 49–55% of...

2011 Teaching, Living, and Improving Transitions of Care in Residency Practice: The Transitions of Care Resident (David Baltierra MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 20 Dec 2011 05:00:00 +0100

Learn how our residency clinical practice is using a new model of care, the Transitions of Care Resident, to improve the health care experience, improve quality and continuity as patients move in the different silos of health care delivery, and extend the PCMH by linking and coordinating care in different settings such as the hospital, nursing home, primary care office, and patient home. This model allows the resident to learn the challenges and pitfalls occurring when patients transition to different care settings and how to proactively address these challenges to ensure better care of patients, mitigate medical errors, and hopefully reduce health care costs and improve health outcomes. Faculty will present the concept, and the residents will share their experience of the model. (Source: ...

Nigeria: Benue Resident Doctors Vow to Continue 11 Months' Strike

AllAfrica News: Health and Medicine — Mon, 19 Dec 2011 11:25:55 +0100

Resident doctors in Benue State say they will not suspend their 11-month-old strike unless the state government implements the Consolidated Health Salary Structure. (Source: AllAfrica News: Health and Medicine)

Service or Education: In the Eye of the Beholder [Original Article]

Archives of Surgery — Mon, 19 Dec 2011 05:00:00 +0100

Conclusions This study demonstrated significant differences in service and education definitions for PDs and residents. The implication that these activities are mutually exclusive may devalue residents' perceptions of the importance of patient care as an essential component of surgical competency. In an era of diminished work hours and continuity of care, educators must teach residents to appreciate the educational value in providing care for all patients and develop a sense of patient ownership in both faculty and residents. (Source: Archives of Surgery)

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Standardized letter of recommendation for pediatric fellowship selection

The Laryngoscope — Mon, 19 Dec 2011 05:00:00 +0100

Conclusions:To our knowledge, this is the first inquiry using an SLOR developed for otolaryngology. SLORs are an alternative to NLORs for fellowship selection that offers improved reliability and efficiency. Further investigation using SLORs in otolaryngology residency selection is merited. (Source: The Laryngoscope)

Re: Current and Future Need for Academic Urologists in the United States: A. J. Lightfoot, H. M. Rosevear, W. D. Steers and C. R. Tracy J Urol 2011;185:2283–2287

The Journal of Urology — Mon, 19 Dec 2011 05:00:00 +0100

Lightfoot et al report the findings of responses to an 8-question survey that was e-mailed to the 115 accredited academic urology residency programs recognized by the American Urological Association. Questions were related to the anticipated number of hires during the next 5 years, ideal minimum level of training, areas of expertise needed, current top need and allotted research time. They report that of 115 chairs or division heads 91 (79%) responded to the survey. A total of 91 chairs will be attempting to fill 292 openings. When carried out to 115 chairs, there will be 369 openings in the next 5 years (or 74 yearly). Furthermore, the current top needs for respective programs include pediatrics (23.3%), female urology/neurourology (21.1%) and oncology (18.9%). Of the chairs and division ...

Thoracic Surgery Workforce: Report of STS/AATS Thoracic Surgery Practice and Access Task Force—Snapshot 2010

The Journal of Thoracic and Cardiovascular Surgery — Sat, 17 Dec 2011 21:02:02 +0100

Conclusions: These data give a clear profile of the specialty at this time. The major challenges remain length of training and educational debt of the thoracic surgeon. Case volume, scope of practice, malpractice costs, and career satisfaction remain major elements to provide a positive environment to recruit new surgeons in to the specialty. The resident pool has contracted while the workforce ages and retirement looms. Significant shortages may develop as the US population ages in the environment of health care reform. (Source: The Journal of Thoracic and Cardiovascular Surgery)

Effective home laparoscopic simulation training: a preliminary evaluation of an improved training paradigm

American Journal of Surgery — Fri, 16 Dec 2011 23:28:06 +0100

Conclusions: Home training results in laparoscopic skill acquisition and retention. Training is performed in a more distributed manner and trends toward improved skill retention. (Source: American Journal of Surgery)

Adequacy of diabetes care for older U.S. rural adults: A cross-sectional population based study using 2009 BRFSS data

BMC Public Health - Latest articles — Fri, 16 Dec 2011 05:00:00 +0100

Conclusion: There are gaps between what is recommended for diabetes management and the management that older individuals receive. Older adults with diabetes living in rural communities are at greater risk for less than adequate care when compared to their non-rural counterparts. These results suggest the need to develop strategies to improve diabetes care for older adults with diabetes and to target those at highest risk. (Source: BMC Public Health - Latest articles)

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Transform your Practice by Negotiating Change: Take a "Walk in the Woods" (Jay W Lee MD, MPH)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Fri, 16 Dec 2011 05:00:00 +0100

With the growth of the Patient-centered Medical Home (PCMH) as a construct for practice transformation, there has been an increasing need for health care organizations and their leadership to engage in active change management to limit resistance, reduce fatigue, and ensure successful implementation. An effective method of negotiating the change process is known as interest-based negotiation. In this seminar, a community-based family medicine residency program will share its experience with the early stages of PCMH transformation and how interest-based negotiation was utilized to set strategic priorities. Participants will then practice this methodology through role-playing in conflict-based case studies. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Medical Oncologists' Attitudes and Practice in Cancer Pain Management: A National Survey [Clinical Practice]

Journal of Clinical Oncology — Fri, 16 Dec 2011 05:00:00 +0100

Conclusion These data suggest that, for more than 20 years, a focus on cancer pain has not adequately addressed the perception of treatment barriers or limitations in pain-related knowledge and practice within the oncology community. Additional efforts are needed to achieve meaningful progress. (Source: Journal of Clinical Oncology)

Laparoscopic supracervical hysterectomy (LASH), a retrospective study of 1,584 cases regarding intra- and perioperative complications

Archives of Gynecology and Obstetrics — Thu, 15 Dec 2011 16:49:53 +0100

Conclusion In this retrospective analysis, the rate of complications for LASH was very low in a hospital of standard care and residency. LASH has to be considered as a minimally invasive method with a low perioperative morbidity to treat benign uterine pathologies even in a teaching setting and should therefore be the method of choice if the cervix can be preserved. Content Type Journal ArticleCategory General GynecologyPages 1-6DOI 10.1007/s00404-011-2170-9Authors Dietmar Grosse-Drieling, Department of Gynecology and Obstetrics, St. Elisabeth Hospital Cologne, Werthmannstrasse 1, 50935 Cologne, GermanyJulia Caroline Schlutius, Department of Gynecology and Obstetrics, St. Elisabeth Hospital Cologne, Werthmannstrasse 1, 50935 Cologne, GermanyChristopher Altgassen, De...

Population versus hospital controls for case-control studies on cancers in Chinese hospitals

BMC Medical Research Methodology - Latest articles — Thu, 15 Dec 2011 05:00:00 +0100

Conclusions: The study found that hospital controls were comparable for most demographic characteristics and lifestyle factors measured from population controls, but there was a slight difference between the two control groups. Hospital outpatients provide a satisfactory control group in hospital-based case-control study in the Chinese hospital setting. (Source: BMC Medical Research Methodology - Latest articles)

Shelter Availability, Occupancy, and Residency in Size‐Asymmetric Contests Between Rusty Crayfish, Orconectes rusticus

Ethology — Thu, 15 Dec 2011 05:00:00 +0100

In this study, we evaluated the importance of shelter residency effects relative to size differences between rusty crayfish (Orconectes rusticus) as potential competitors for access to shelter. The intensity of any residency effects was manipulated by altering the number of shelters in the arena. Our results suggest that any residency effect is very weak in this system, and if present, may often be masked by the strong and pervasive influence on contest outcome of the relative body sizes of the contestants. We also found that both shelter number and crayfish size asymmetries had strong, independent effects on levels of aggression. Dominance, but not residency status, was a factor in shelter use. (Source: Ethology)

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Effectively Training the Hospice and Palliative Medicine Physician Workforce for Improved End-of-Life Health Care in the United States.

The American Journal of Hospice and Palliative Care — Thu, 15 Dec 2011 05:00:00 +0100

Authors: Bui T Abstract The widening gap between the demand for palliative care services and the supply of trained palliative care professionals has resulted in considerable end-of-life distress for patients. Without formal training in palliative medicine and end-of-life symptom management, physicians in the United States are less equipped to competently address seriously ill and dying patients' medical, emotional, and spiritual needs. Recent attempts within graduate medical education training deliberately seek to prepare a critical mass of physicians as the new hospice and palliative medicine workforce in the United States. In addition, healthcare reform proposals may re-define the National Health Service Corps (NHSC) post-graduate training over the next five years and the Hospice...

Assessing the value of simulator training on residency performance

Journal of Cataract and Refractive Surgery — Tue, 13 Dec 2011 17:01:47 +0100

Many residency programs, including ours at the University of California San Francisco, have acquired surgical simulator technology without persuasive peer-reviewed evidence to quantify its value in improving resident education and outcomes. Studies such as the one by Belyea et al. attempting to document the value of simulator training are important because of the significant cost of the technology relative to the budgets of most residency programs. However, we are concerned that the study design and results do not adequately support the conclusions. (Source: Journal of Cataract and Refractive Surgery)

Beta Blockers for Hypertensives Without Other Comorbidities: Going, Going. . . Gone?

Consultant Live — Tue, 13 Dec 2011 12:00:00 +0100

During my residency in medicine, and for a generation after, beta-blockers were among first choices for lowering blood pressure. Now it seems that beta-blockers have evolved into disreputable antihypertensives. What’s changed over a generation? (Source: Consultant Live)

Increase in the incidence of type 1 diabetes in Israeli children following the Second Lebanon War

Pediatric Diabetes — Tue, 13 Dec 2011 05:00:00 +0100

Conclusions:For the first time in a large population, we found a positive association between the trauma of war and an increase in the incidence of type 1 diabetes in children and adolescents. The increase in incidence was not associated with genetic susceptibility to the disease. (Source: Pediatric Diabetes)

Review article: Closing the research gap at the interface of learning and clinical practice.

Canadian Journal of Anaesthesia — Tue, 13 Dec 2011 05:00:00 +0100

CONCLUSION: Closing the research gap in medical education will require clear direction for future work. The starting point, at an institution or nationally, is dialogue within the specialty to achieve consensus on some of the most pressing questions. PMID: 22161270 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)

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Discordance Among Commercially-Available Diagnostics For Latent Tuberculosis Infection

Health News from Medical News Today — Mon, 12 Dec 2011 16:00:00 +0100

A new study published online in the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine shows that from the three TB diagnosis tests commercially available in the U.S., the majority of positives prove to be false positives in populations with a low prevalence of tuberculosis (TB). James Mancuso, MD, Dr PH, of the Walter Reed Army Institute of Research Preventive Medicine Residency Program explained: "We compared commercially available tests for latent tuberculosis infection (LTBI) in a diverse population with a low LTBI prevalence... (Source: Health News from Medical News Today)

Advanced Access Scheduling- They say it could not be done in a Residency Program! (Michael O'Dell MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Sun, 11 Dec 2011 05:00:00 +0100

Hear how one residency program dramatically improved patient access to care without losing site of continuity of care. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Discordance Among Commercially-Available Diagnostics For Latent Tuberculosis Infection

Health News from Medical News Today — Sat, 10 Dec 2011 09:00:00 +0100

In populations with a low prevalence of tuberculosis (TB), the majority of positives with the three tests commercially available in the U.S for the diagnosis of TB are false positives, according to a new study. "We compared commercially available tests for latent tuberculosis infection (LTBI) in a diverse population with a low LTBI prevalence," said James Mancuso, MD, DrPH, of the Walter Reed Army Institute of Research Preventive Medicine Residency Program. "Our results suggest that in low-prevalence populations, most positive results obtained with these tests are false positives... (Source: Health News from Medical News Today)

A Survey of Dental Residents’ Expectations for Regenerative Endodontics

Journal of Endodontics — Fri, 09 Dec 2011 05:00:00 +0100

Conclusions: Dentists are supportive of using regenerative endodontic procedures in their dental practice, and they are willing to undergo extra training and to buy new technology to provide new procedures. Nevertheless, dentists also need more evidence for the effectiveness and safety of regenerative treatments before they will be recommended for most patients. (Source: Journal of Endodontics)

Feasibility and Impact of a Case-Based Palliative Care Workshop for General Surgery Residents

Journal of the American College of Surgeons — Fri, 09 Dec 2011 05:00:00 +0100

Conclusions: A brief, interactive workshop is effective in changing general surgery residents' attitudes toward and knowledge of palliative care. The results demonstrate that a single teaching session is a useful intervention. (Source: Journal of the American College of Surgeons)

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Practical Procedures in Elective Orthopedic Surgery

Springer Medicine titles — Fri, 09 Dec 2011 00:03:47 +0100

Upper Extremity and SpinePractical Procedures in Orthopaedic Surgery covers the most common procedures that a surgeon in training is expected to perform during his residency program for the Upper extremity and the spine. Each procedure has been written by an expert or under a supervision of an expert. Each chapter provides such useful information to the trainee as indications, clinical and radiological assessment, ... (Source: Springer Medicine titles)

Factors affecting interest in orthopedics among female medical students: a prospective analysis.

Orthopedics — Thu, 08 Dec 2011 22:48:02 +0100

Authors: Baldwin K, Namdari S, Bowers A, Keenan MA, Levin LS, Ahn J Abstract The field of orthopedics has a limited ability to recruit high-quality female applicants. The purpose of this study was to determine whether early exposure to the field affects a woman's decision to pursue orthopedics. We performed a prospective, nonrandomized cohort study between academic years 2005 and 2009 and compared interest in orthopedic surgery among female (n=271) and male (n=71) medical students at 2 urban teaching institutions. Elective lectures and orthopedic literature were distributed via e-mail to the study participants. These materials included articles published in the medical literature, materials produced and distributed by the American Academy of Orthopaedic Surgeons, and Web sites prov...

Current Status of Residency Training of Allergic-like Adverse Events to Contrast Media

Academic Radiology — Thu, 08 Dec 2011 05:00:00 +0100

Conclusions: Resident education for contrast reaction management is primarily performed with annual lectures. Only 18% of programs are using simulation training, and (Source: Academic Radiology)

ASHP: Pharm Residency Improves Care, Cuts Costs (CME/CE)

MedPage Today Primary Care — Wed, 07 Dec 2011 12:37:21 +0100

NEW ORLEANS (MedPage Today) -- More experienced pharmacy residents provided more consultations and reduced pharmacy costs in the emergency department compared to pharmacists with less or no residency training, researchers reported here. (Source: MedPage Today Primary Care)

An adventure in dermatology: A personal history

Clinics in Dermatology — Wed, 07 Dec 2011 06:09:34 +0100

Abstract: This adventure in dermatology took place between 1960 and 1962. An immigration ruling forced Dr Bernard Gordon, a Canadian, to spend 2 years abroad before he could legally live and practice in the United States. Dr Gordon had just completed a 3-year residency at the New York University Skin and Cancer Unit. Dr Gordon met with his mentor, Dr Marion Sulzberger, for advice. This world-famous dermatologist took an interest in his situation and was able to arrive at an extraordinary solution. Dr Sulzberger consulted with his many dermatology colleagues and made arrangements for Dr Gordon to work abroad. He would spend 1 year in Caracas, Venezuela, teaching and conducting research in tropical skin diseases. The second year would be spent in Europe, beginning with 3 months in Madrid, Sp...

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Orthopaedic Resident and Program Director Opinions of Resident Duty Hours: A National Survey.

The Journal of Bone and Joint Surgery. American volume — Wed, 07 Dec 2011 05:00:00 +0100

CONCLUSIONS: This national survey indicated significant differences between the opinions of orthopaedic residents and program (residency and fellowship) directors regarding the 2003 ACGME resident duty-hour regulations and the effects of these regulations on resident education and patient care. However, both residents and program directors agreed that the further reductions in duty hours in the 2011 rules may be detrimental to resident education and patient care. PMID: 22159864 [PubMed - as supplied by publisher] (Source: The Journal of Bone and Joint Surgery. American volume)

Life After Residency: Be Nice, Brush Up on Business, Go High-Tech

Diagnostic Imaging — Tue, 06 Dec 2011 12:00:00 +0100

Over the past 20 years, not only has clinical instruction during radiology residency changed, but so has the practice life that comes after it. Even as a growing number of medical students select radiology as a specialty, practice-setting preferences have shifted for your younger colleagues. They also have a different set of priorities to consider. (Source: Diagnostic Imaging)

The role of deliberate practice in the acquisition of clinical skills

BMC Medical Education — Tue, 06 Dec 2011 05:00:00 +0100

Conclusions: The positive effects on test results suggest that the role of deliberate practice in medical education merits further study. The cross-sectional design is a limitation, the large representative sample a strength of the study. The vanishing effect of repetition/revision may be attributable to inadequate feedback. Deliberate practice advocates sustained practice to address weaknesses, identified by (self-)assessment and stimulated by feedback. Further studies should use a longitudinal prospective design and extend the scope to expertise development during residency and beyond. (Source: BMC Medical Education)

Transitioning to a PCMH: Key Steps... (Cari Miller MSM)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 06 Dec 2011 05:00:00 +0100

This presentation shares information gained from working with more than 275 physicians in more than 100 practices both large and small, including private practices, residency practices and hospital-owned practices. Experts have identified eight key steps that should be initiated when introducing transformative changes into an organization. When some of these steps are overlooked, rushed, not taken or implemented incorrectly, barriers and challenges arise. Information for this presentation focuses on reviewing the eight key steps to change, barriers and challenges that developed in practices on the journey to become a patient-centered medical home when the eight step process was not utilized and interventions that were put in place to assist in overcoming the barriers and challenges that em...

Policies & participants: navigating social media thoughtfully (Jennifer L Middleton MD, MPH, FAAFP)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Fri, 02 Dec 2011 05:00:00 +0100

My portion of the 2011 FMEC NE Region Annual meeting seminar "Geeks and Geezers: Social Media in Residency Education." Co-presenters: Jonas AP, Lin K, Smith M. My section focused on social media policy development for residencies and instutitions, along with a few final thoughts about how to incorporate social media into a busy academic career. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

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Adoption of a wiki within a large internal medicine residency program: a 3-year experience.

Journal of the American Medical Informatics Association — Fri, 02 Dec 2011 05:00:00 +0100

ConclusionA wiki is a feasible and useful tool for improving information retrieval for house officers. PMID: 22140210 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)

Determinants of Time of Start of Prenatal Care and Number of Prenatal Care Visits During Pregnancy Among Nepalese Women

Journal of Community Health — Thu, 01 Dec 2011 19:31:05 +0100

This study is aimed at investigating the factors determining the timing of first prenatal care (PNC) visit and the number of PNC visits among a national representative sample of Nepali women. Data was drawn from the 2006 Nepal Demographic and Health Survey on women age 15–49 years old who had delivery within three years prior to the survey (N = 4,136). Multinomial logistic regression was used to study the association between socio-demographic variables and two outcome variables—the timing of first PNC and number of PNC visits. Most of the women (45%) started prenatal care after 3 months of pregnancy while 28% had no care. About 43% of women had 1–3 PNC visits, 29% had more than 3 visits. Age, education, parity and wealth were associated with both the timing o...

Psychiatrist Lettich joins Kaiser Permanente Hawaii

bizjournals.com Health Care:Pharmaceuticals headlines — Thu, 01 Dec 2011 18:00:02 +0100

Psychiatrist Louise Lettich has joined Kaiser Permanente Hawaii at the health maintenance organization’s Behavioral Health Services clinic on Oahu. Lettich was most recently a staff psychiatrist at St. Luke’s Hospital in New Bedford, Mass., and before that worked for the Adult Mental Health Division of the Hawaii State Department of Health, The Queen’s Medical Center and the University of Hawaii at Manoa, Kaiser Permanente Hawaii said in a statement. Lettich earned her medical degree at Tufts University School of Medicine in Boston and completed her internship and residency at The Cambridge Hospital Department of Psychiatry. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)

Effects of a Night-Team System on Resident Sleep and Work Hours

PEDIATRICS — Thu, 01 Dec 2011 05:00:00 +0100

CONCLUSIONS: Implementation of a night-team system was unexpectedly associated with decreased sleep hours. As residency programs create work schedules that are compliant with the 2011 Accreditation Council for Graduate Medical Education duty-hour standards, resident sleep should be monitored carefully. (Source: PEDIATRICS)

Standard clinical risk factors for difficult laryngoscopy are not independent predictors of intubation success with the GlideScope

Journal of Clinical Anesthesia — Thu, 01 Dec 2011 05:00:00 +0100

Conclusions: With GlideScope-assisted tracheal intubation, Mallampati airway class is not an independent risk factor for difficult intubation. Other standard clinical risk factors of difficulty with direct laryngoscopy also do not appear to be individually predictive of first-attempt success of tracheal intubation. (Source: Journal of Clinical Anesthesia)

Accredited internship and postdoctoral programs for training in psychology: 2011.

The American Psychologist — Thu, 01 Dec 2011 05:00:00 +0100

Authors: Abstract Presents the official listing of accredited internship and postdoctoral residency programs. It reflects all Commission on Accreditation decisions through July 17, 2011. This list also is provided by electronic means (http://www.apa.org/ed/accreditation/programs/index.aspx), but that listing is for informational purposes only and should not be used for official credential review. (PsycINFO Database Record (c) 2011 APA, all rights reserved). PMID: 22121983 [PubMed - in process] (Source: The American Psychologist)

Simulation Training in Surgery

Disease a Month — Thu, 01 Dec 2011 05:00:00 +0100

Surgical training consists of developing cognitive, clinical, and technical skills. Current surgical training in the USA is based on the German-style residency training system introduced by Sir William Halsted at Johns Hopkins Hospital in 1889, with an emphasis on graded responsibility, in which the surgical technical skills in the resident programs were traditionally acquired through mentoring. However, recent advances in minimally invasive surgical technology, educational and motor skill learning theory, and mounting pressures in the clinical environment have raised questions about the reliance on this approach to teaching technical skills in the young generation of surgeons. Therefore, replication of surgical situations through biological models, such as animals and human cadavers, and ...

Joseph Lang

Journal of AAPOS — Thu, 01 Dec 2011 05:00:00 +0100

was born on July 19, 1927, at Ilanz, in the Grisons, a mountainous canton in the eastern part of Switzerland. He was passionate about mountaineering and skiing. Dr. Lang studied medicine first in the French-speaking canton of Fribourg then in German-speaking Zurich and later spent a semester at the University of Nancy, France. After a time at the hospital of his home town, he trained in ophthalmology at the University Clinic of Ophthalmology and completed his residency in 1957. A year later, he went into private practice in Zurich. Dr. Lang died on October 19, 2010. (Source: Journal of AAPOS)

Residents Heavily Recruited As Doctor Shortage Looms

Clinical Endocrinology News — Thu, 01 Dec 2011 05:00:00 +0100

Despite a stagnant economy, young doctors in their final year of residency can look forward to being heavily recruited, according to a recent survey by Merritt Hawkins, a physician-consulting firm. (Source: Clinical Endocrinology News)

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The Tyrolean Geriatric Fracture Center : An orthogeriatric co-management model.

Zeitschrift fur Gerontologie und Geriatrie — Thu, 01 Dec 2011 05:00:00 +0100

CONCLUSION: A coordinated, multidisciplinary model for the treatment of fragility fractures has the potential to improve the quality of patient care. Several international studies report superior outcome and our own findings are promising as well. We could show that our major goals, e.g., reduction of complications, shortening the length of stay, and restoration of the prefracture residency, can be improved by implementing such a model. PMID: 22159829 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie)

Le suivi medical des jeunes survivants du cancer: Rapport du programme de recherche Childhood Adolescent and Young Adult Cancer Survivors (CAYACS).

Canadian Family Physician Medecin de Famille Canadien — Thu, 01 Dec 2011 05:00:00 +0100

Conclusion Demand for physician care among childhood and adolescent cancer survivors is considerably greater than for the general population, and this need persists many years after diagnosis. Physicians need information on the unique health care requirements of this patient group in order to provide appropriate care. PMID: 22170210 [PubMed - in process] (Source: Canadian Family Physician Medecin de Famille Canadien)

Musculoskeletal oncology training during residency.

Journal of Orthopaedic Surgery — Thu, 01 Dec 2011 05:00:00 +0100

CONCLUSION. Residents who attended the training module were more aware of the biopsy principles and risks. A training module for musculoskeletal oncology should be included in the orthopaedic residency programme. PMID: 22184169 [PubMed - in process] (Source: Journal of Orthopaedic Surgery)

The impact of the economy and recessions on the marketplace demand for ophthalmologists (an american ophthalmological society thesis).

Transactions of the American Ophthalmological Society — Thu, 01 Dec 2011 05:00:00 +0100

CONCLUSIONS: Over a 26-year period, HWI data suggest an increased need for subspecialists and academic ophthalmologists. The ophthalmic community has been quick to respond to marketplace demand. National research expenditure, stock market gains, GDP, and discretionary health care expenditure have been associated with the ophthalmology job market. These factors tend to decline with economic recessions. Historically, the demand for ophthalmologists has declined 2 to 3 years following a recession, which may mean lower demand in the near future, given the recent recession. PMID: 22253483 [PubMed - in process] (Source: Transactions of the American Ophthalmological Society)

Bmc and bu school of medicine urologist appointed president of new england fertility society 2013

Boston University News Releases — Wed, 30 Nov 2011 13:55:50 +0100

(Boston) - Robert D. Oates, MD, FACS, vice-chairman of urology and director of both the urology Fellowship and Residency training programs at Boston University School of Medicine (BUSM), has been elected President of the New England Fertility Society (NEFS). The announcement was made at the NEFS quarterly meeting in Cambridge, Mass. Oates, a urologist at Boston Medical Center (BMC), is the first urologist to hold this position. (Source: Boston University News Releases)

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Improving Adolescent Immunization at Lynchburg Family Medicine Residency (Marissa Mercado MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 29 Nov 2011 05:00:00 +0100

Results of an office improvement project to increase adolescent immunization rates. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Neurology residency program at Cedars-Sinai wins accreditation

EurekAlert! - Medicine and Health — Mon, 28 Nov 2011 05:00:00 +0100

(Cedars-Sinai Medical Center) The Accreditation Council for Graduate Medical Education has approved a neurology residency training program at Cedars-Sinai Medical Center. Recruitment of the first group of three residents is under way through the 2012 "match," a process in which an independent organization pairs applicants with programs to meet the preferences of each. (Source: EurekAlert! - Medicine and Health)

Accredited internship and postdoctoral programs for training in psychology: 2011.

American Psychologist — Mon, 28 Nov 2011 05:00:00 +0100

Presents the official listing of accredited internship and postdoctoral residency programs. It reflects all Commission on Accreditation decisions through July 17, 2011. This list also is provided by electronic means (http://www.apa.org/ed/accreditation/programs/index.aspx), but that listing is for informational purposes only and should not be used for official credential review. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: American Psychologist)

Summer and winter prevalence of vitamin D deficiency of young resident doctors in North India

Nutrition and Dietetics — Fri, 25 Nov 2011 15:25:33 +0100

Conclusions: Hypovitaminosis D was common among apparently normal young resident doctors engaged in indoor work in both seasons. This may have negative short‐ and long‐term health implications. Provision of vitamin D supplementation (oral cholecalciferol) to young resident doctors and other indoor professionals should be considered. (Source: Nutrition and Dietetics)

Preface

Dental Clinics of North America — Fri, 25 Nov 2011 05:12:42 +0100

An increased percentage of dental school graduates are now pursuing a one- or two-year program of study in a general dentistry hospital residency training program. This is often due to strictly personal desires to increase their level of experience or in many cases because of state regulations (New York State) required for state licensure; this additional training coupled with economic realities has had an impact on how they view their scope of practice and their role as health care community providers. General dentists in America now rightfully view themselves as the primary oral health care practitioner, similar to the family physician, and, as such, feel that, based on their education and training, can and should be able to provide a high level of patient care in multiple areas. Gone ar...

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Practical Procedures in Elective Orthopaedic Surgery

Springer Medicine titles — Thu, 24 Nov 2011 00:37:35 +0100

Pelvis and Lower ExtremityPractical Procediures in Orthopaedic Surgery covers the most common procedures that a surgeon in training is expected to perform during his residency program for the pelvic ring and the lower extremity. Each procedure has been written by an expert or under a supervision of an expert. Each chapter provides such useful information to the trainee as indications, clinical and radiological ... (Source: Springer Medicine titles)

Bureaucracy and the Future of Residency Education

Academic Radiology — Mon, 21 Nov 2011 05:00:00 +0100

The organizational form known as bureaucracy tends to be perceived in pejorative terms, but bureaucracies play a vital role in contemporary radiology. Individual radiology departments, hospitals, and national radiology organizations exhibit features of bureaucratic organization. When bureaucracy underwent its most rapid period of development in the 19th century, it offered several advantages . For one thing, the impersonality of bureaucratic decision making and procedures reduced the arbitrariness and bias that previously characterized the work of many large organizations such as governments and corporations, making them operate more fairly. Moreover, through specialization of function, bureaucracies were often able to enhance efficiency. (Source: Academic Radiology)

Can Background Checks of Long Term Care Residents Improve Safety?

Journal of the American Medical Directors Association — Mon, 21 Nov 2011 05:00:00 +0100

The recent article in the Journal of the American Medical Association, “State policies for the residency of offenders in long term care facilities: Balancing right to care with safety,” outlines an important area of concern for practitioners. Until recently, the complexities of criminal offenders requiring long term care have been largely unexplored. The thought of a vulnerable loved one living in close proximity to a criminal offender is a frightening idea for families, and the public will increasingly look to the long term care medicine community to ensure the protection of residents. To further facilitate the establishment of best practices surrounding this issue, the American Medical Directors Association recently passed a resolution to explore how nursing homes can best address th...

Florida Hospital to open radiology residency program in Orlando

OrlandoSentinel: Medical Research — Sun, 20 Nov 2011 17:59:00 +0100

Next year, Florida Hospital will open a Radiology Residency Program to train medical residents in the expanding field of imaging technology. The four-year program will be based at the hospital's main Orlando Campus and will accept four new residents a... (Source: OrlandoSentinel: Medical Research)