To determine the local characteristics of suicides of North and West Devon residents, and to compare them with (a) individuals resident outside the defined area but killing themselves within it, and (b) suicides in the remainder of England and Wales, a retrospective descriptive three-year review of data from the Coroner's ...

We conducted a national survey of orthopaedic surgery residency program directors regarding resident attrition. Female residents had a statistically higher attrition rate than male residents (p < 0.001). The female early withdrawal residents left voluntarily and for personal reasons more often than their male counterparts. These tendencies, however, were not ...

Retrenchment in federal financing, more stringent residency accreditation standards, fewer psychiatric residents, and other factors are putting increased pressure on psychiatric residency training programs to collaborate with or even merge with other residency programs. To improve the likelihood that a collaboration or merger of psychiatric residencies will work, administrators must ...

Despite growing numbers of internships and residencies offering training in hypnotherapy, no systematic attempt has been made to assess hypnotherapy beliefs and use among former trainees in these settings. This study investigated posttraining hypnotherapy use and effectiveness beliefs in a sample of 77 former psychiatry residents and psychology interns. Over ...

The number of anesthesiology residents pursuing critical care medicine (CCM) fellowship training has been decreasing in recent years. A significant number of training positions remain unfilled each year. Possible causes of this decline were evaluated by surveying residents regarding their attitudes toward practice and training in CCM. All 38 anesthesiology ...

The management of anorectal disease remains a major component in the practice of the general surgeon. To assess the adequacy of general surgery residencies in addressing this educational need, data were obtained from the Residency Review Committee (RRC) for surgery on the anorectal experience of all graduating residents in accredited ...

The range of procedures now routinely done through the laparoscope has continued to expand due to improved equipment for insufflation, hemostasis, and tissue manipulation, and to imaginative approaches to otherwise "routine" gynecologic problems traditionally treated by laparotomy. As with all new technologies, advocates predict that the methodology will prove to ...

This survey of English-speaking Canadian residents in diagnostic radiology was conducted to assess the factors motivating their choice of specialty, their workload, their degree of job satisfaction and their expectations upon completing the residency program. Partial or complete replies were received from 109 of the 223 eligible residents. Many of ...

The Anatomy of a Consultation is a teaching method useful in introducing residents to Consultation-Liaison psychiatry. It is designed to stimulate them to think actively about the process of consultation in its broadest implications, including interaction with staff. The residents are encouraged to observe, make inferences, establish hypotheses about the ...

EM-PSYCH is a scheduling database for training programs. It stores scheduling records and generates schedules and letters informing students, supervisors, and advisors of deadlines. Since EM-PSYCH was originally designed for a psychoanalytic institute, the institute model is presented as well as the database model to illustrate how the database program ...

Stapedectomy for otosclerosis is one of the most demanding otologic procedures, especially for residents in training. The reported series in the literature, as well as our own experience with the traditional resident-performed complete stapedectomy, have been disappointing. The number of patients available to train residents in stapedectomy techniques has steadily ...

Geriatric psychiatry is now a mandatory part of psychiatric residency education in Canada. Educational requirements in geriatric psychiatry were updated by the Royal College of Physicians and Surgeons of Canada in 1988, and guidelines were developed in more detail in 1989 by the Section on Geriatric Psychiatry of the Canadian ...

BACKGROUND: A survey of anesthesia training programs in 1980 reported the use of a regional anesthetic technique in 21.3% of cases. Since that time, numerous changes have occurred in anesthesia residency programs. This survey was conducted to assess the impact these changes have had on the use and teaching of ...

Awareness of the need to incorporate an effective infection control program within a prosthodontic practice requires the faculty of a prosthodontic residency program to present a clear and workable model that will allow the flexibility necessary to accommodate the changes in infection control procedures and materials. The use of the ...

BACKGROUND AND OBJECTIVES: Many family practice residency programs use the Myers-Briggs Type Indicator (MBTI) in the process of resident advising. The purpose of this study was to validate the MBTI with an alternative personality evaluation instrument. METHODS: We evaluated 44 residents with both the MBTI and the Sixteen Personality Factor ...

Through its residency training committee, the American Association of Community Psychiatrists (AACP) surveyed residency training programs throughout the country with the goal of discovering what training is currently in place to prepare psychiatrists for work in "community" or "public" settings which serve traditionally underserved populations. The authors summarize the results ...

OBJECTIVE: To determine whether opinions and practice patterns have markedly changed over the past decade and whether clinicians are cognizant of the new ACOG definitions for forceps deliveries. METHODS: Two hundred ninety-five United States and Canadian residency programs were surveyed via a questionnaire; 203 (69%) responded. Statistical analysis was performed ...

Becoming a psychotherapist is a complicated process for individuals from any discipline but for physicians the process is even more difficult. We consider the identity issue to be central to the integration of psychotherapy into the training of psychiatrists. Residents can be taught that seemingly contradictory aspects of identity can ...

This is an update of an earlier article listing directories, journal articles, and general books that aid the librarian, resident, or medical student in finding information on residency and fellowship programs. The article also gives suggestions for building a file of program catalogs related to residencies, fellowships, and clerkships and ...

1. Veterans with a psychiatric diagnosis needed affordable housing and emotional support to successfully reintegrate into the community. 2. A supervising nurse established a structured, transitional housing program with a housing manager and mandatory weekly meetings. 3. The focus of the house program was centered on resident independence and responsibility. ...

Older people experience sensory, cognitive, and social deficits that adversely affect their interaction with the environment. Design of institutions for the elderly resident should be prosthetic to ensure that environments optimally accommodate the functioning of the residents. The sensory and cognitive state of the residents should be considered in every ...

The Persian Gulf War necessitated the activation of many Army Reserve and National Guard physicians, including a number in residency training. No prototype existed for the continued training of resident surgeons in a combat setting. The 159th Mobile Army Surgical Hospital (MASH) deployed in support of the Allied invasion of ...

There is a need to expand the number of optometric residencies to meet the current increased demand from graduates seeking to fill the expanding number of residency positions, as well as the projected needs of the profession for the 21st century. Supportive rationales and recommendations for potential development of residencies ...

RATIONALE AND OBJECTIVES: The authors surveyed current residents and practicing radiologists to assess motivations for and attitudes about radiology moonlighting during residency. METHODS: One thousand one hundred current fourth-year radiology residents and 1,100 practicing radiologists who finished training within the past 10 years were surveyed. Information was solicited concerning motivations ...

Controlled substance dependence (CSD) among anesthesiology personnel, particularly residents, has become a matter of increasing concern. Opinions vary as to the effectiveness of controlled substances (CS) accountability in deterring, identifying, or confirming CSD. A survey of program directors of American anesthesiology training programs was conducted in the summer of 1990 ...

RATIONALE AND OBJECTIVES: Little has been published on the delivery of emergency radiologic services in academic radiology training programs. METHODS: The author surveyed 127 medical schools in the United States concerning aspects of radiology services for their emergency rooms, including who interprets images, what training in emergency radiology is provided, ...

Manpower limitations are occurring in residency programs because of fewer residency positions and increasing governmental regulations. This limitation prompted the development of a program to utilize pediatric nurse practitioners (PNPs) in our Department of Surgery. Two began in September 1989. Their role was similar to that of the junior resident ...

The purpose of this study was to determine the effect of lengthening the anesthesia residency by the American Board of Anesthesiology on the education of anesthesia subspecialists. A survey of anesthesia residency programs was conducted from 1987 to 1991. The most frequent subspecialty practice in the clinical anesthesia (CA) 3 ...

Based on our review of existing written policies regarding pharmaceutical representative-resident interactions, we believe that residencies should develop more comprehensive policies. We present six topic areas that programs should address in formulating policies: 1) policy tone, 2) traffic control, 3) samples, 4) gifts, 5) screening of educational and promotional materials ...

As a form of verbal or nonverbal communication intended to promote learning, feedback plays an important role in the medical training process. More often than not, however, feedback is given--and received--inappropriately by both clinicians and residents, respectively. This article outlines common types of instructional feedback, their inherent advantages and disadvantages, ...

To comply with voluntary California medical school guidelines, our general surgery residency program reduced in-house call to 1 in 4 nights, and scheduled a 72-hour work-week. We assessed the effectiveness of these changes by prospectively surveying the actual working hours of surgical house staff through completion of a daily schedule ...

The authors evaluated the current status of resident training in breast imaging in Canada to provide baseline data for guidelines on the amount and the nature of training necessary. Information was obtained, by means of a questionnaire or a telephone interview, from the directors of all 16 radiology residency programs ...

In order to clarify the sources of stress and support for pregnant residents, in 1985 the author conducted a retrospective national survey of women obstetricians and gynecologists, surgeons, and psychiatrists. Questionnaires were mailed to 2,000 physicians; 1,197 responded; 373 (31%) had experienced pregnancy during residency. They indicated that major sources ...

Although physicians' strikes provoke considerable controversy and are increasing in incidence, little information is available regarding house officers' attitudes towards the ethics of striking. To determine house officers' views of whether and when it is justified to strike, and to understand the factors affecting their judgments, in 1988 the authors ...

The incidence of vitreous loss among third-year residents learning phacoemulsification was retrospectively evaluated. One hundred thirty-six cases of phacoemulsification were performed by six different third-year residents with the same attending physician supervising all cases. The incidence of vitreous loss was 14.7%. This study demonstrates that the rate of vitreous loss ...

The evolving dominance of psychobiologic over psychodynamic theoretical influences on education and practice presents new challenges for psychiatry. This article features selected data from the 1989 American Association of Directors of Psychiatric Residency Training annual survey (n = 215) that describe current teaching activities related to psychodynamic psychiatry, mainly psychotherapy. ...

OBJECTIVE: The American College of Psychiatrists conducted research to validate the content outline of the Psychiatry Resident In-Training Examination (PRITE) and to assess what residency training directors think about the examination. METHOD: A mail survey was sent to the 218 psychiatry residency training directors who subscribe to the PRITE. RESULTS: ...

A decade ago, less than one-half of the family practice (FP) residency programs surveyed provided a defined rotation in neurology. To learn how neurology is currently being taught in FP residencies, we sent questionnaires to 384 approved FP residencies in the United States, receiving responses from 241 (63%). Seventy-eight percent ...

BACKGROUND: Some family practice residents, by virtue of their behavior, generate discomfort, anger, and ambivalence in their supervising colleagues. These residents are labeled "troublesome." The purpose of this qualitative research was to identify and conceptualize characteristics of troublesome residents. METHODS: We retrospectively reviewed written evaluations of four residents who, out ...

The KTP-532 laser has decreased the technical difficulty involved in teaching and performing a stapedectomy in our residency program. Use of this laser has resulted in improved hearing and a decreased number of major and minor complications compared to an equal number of large fenestra stapedectomies performed with hand-held instruments. ...

Centralized matching of postgraduate training positions has been successfully implemented nationwide since 1951. Specialty and subspecialty matches have proliferated in the 1970's and early 1980's, and Radiation Oncology was the last residency program that did not have a centralized match arrangement. Responding to pressures from training program directors who were ...

We obtained data on lecture practices from 100 of the 110 university-affiliated anesthesiology residency programs certified in the United States in 1988. Of these residency programs, 36% had a majority of their lectures before the operating room schedule began, 57% had no lectures at all in this early time slot, ...

To determine how and why current residents in ophthalmology chose their medical specialty, we formulated and distributed a questionnaire to all ophthalmology residents in accredited programs. The results of the survey gave insight into not only their decision-making processes in choosing ophthalmology, but also their backgrounds, the factors that were ...

Intraoperative radiation therapy represents a technically complex branch of radiation oncology which is undergoing intensive study. Further results of randomized Phase III trials must be available before IORT is established as an effective modality. The majority of residency training programs do not have IORT available and the use of IORT ...

We surveyed medical students doing the required psychiatry clerkship at our hospital and first-year psychiatry residents in our residency training program for their attitudes, knowledge, and opinions about electroconvulsive therapy (ECT) before and after their inpatient rotations. The students' knowledge was lower and their attitudes more negative toward ECT than ...

An analysis of reported state and federal adjudication from 1950 through 1989 was undertaken to identify issues and trends in litigation involving residents and their training. Of the 174 decisions cited, 38 (22%) involved disputes over general programmatic issues. The great majority of these addressed academic administration, especially issues arising ...

In the autumn of 1988, pediatric residents were surveyed on attitudes toward work hours, moonlighting, and priorities in regulation of working conditions. Questionnaires for all 756 California residents in accredited pediatric programs were sent to chief residents. Of these, 676 questionnaires were distributed to residents and 319 (47%) were returned. ...

Retreats during residency training have evolved as an escape from the daily routine. Recognizing that the retreat format could also be used as a foundation for program design and personal development, we have designed annual retreats for each of the 3 years of pediatric residency training. The sessions vary in ...

The authors discuss the changing role of psychotherapy training and the impact of rotations on long term psychotherapy in psychiatric residency. A conceptual model for a long term psychotherapy program for residents is presented, and a case example illustrates the influence of changes in setting, supervisors and in the resident-therapist's ...

Residents frequently learn emergency radiology simply by on-the-job experience. As an educational tool and as a credentialling vehicle, the authors developed an examination consisting of imaging unknowns as well as written questions. The authors have administered the test each of the last three years. After initial apprehension, the residents became ...