Understanding the attitudes of patients to being treated by residents in the community. A questionnaire was administered to patients visiting community family medicine teaching clinics. The study methodology included statements to which they agree or disagree. Three hundred and four questionnaires were completed by patients; 94% had visited a resident ...

RATIONALE AND OBJECTIVES: To evaluate limited training of ICU physicians without knowledge of ultrasound in performing basic general ultrasonography. DESIGN AND SETTING: A prospective, observational, study conducted in a 14-bed MICU. PATIENTS: Seventy-seven critically ill patients (38 females) aged 64 +/- 16 years, with a SAPS II score of 47 ...

OBJECTIVE: The introduction of new technologies has shifted some resident index procedures to nonsurgical specialists. We examined the operative case volume of thoracic surgery residents during the last 6 years to objectively identify changes and trends. METHODS: Program and resident data from 2002 to 2007 were entered into a database ...

The residency program at Teine Keijinkai Hospital in Sapporo has successfully implemented a training philosophy that is focused on the development of clinical skills and critical thinking in Japanese residents. Several elements contribute to its success. The first and foremost is visionary physician leadership, beginning with the pioneers who implemented ...

BACKGROUND: Despite a growing demand for skilled teachers and administrators in graduate medical education, clinician-educator tracks for residents are rare and though some institutions offer 'resident-as-teacher' programs to assist residents in developing teaching skills, the need exists to expand training opportunities in this area. METHODS: The authors conducted a workshop ...

Although it is estimated that approximately 75% of U.S. adults have e-mail access, the proportion of battered women's shelter residents who use e-mail is currently unknown. Remaining in contact with residents following shelter stays is challenging. E-mail might hold promise for follow-up contact if a sufficient number of survivors use ...

OBJECTIVES: There are international calls for improving education for health care workers around certain core competencies, of which patient safety and quality are integral and transcendent parts. Although relevant teaching programs have been developed, little is known about how best to assess their effectiveness. The objective of this work was ...

Communities and Physicians Together (CPT) at University of California, Davis Health System provides a novel approach to teaching residents to be effective community advocates. Founded in 1999, CPT is a partnership between a pediatric residency program, five community collaboratives located in diverse neighborhoods, and a grassroots child advocacy organization. Using ...

BACKGROUND AND OBJECTIVES: Family medicine's professional organizations have reaffirmed the importance of practice management (PM), and three of the Accreditation Council on Graduate Medical Education's (ACGME) six recommended core competencies include skills related to PM. In the process of integrating the appropriate ACGME competencies into our family medicine residency's PM ...

BACKGROUND AND OBJECTIVES: While some family medicine residency programs are designed to train residents in community health centers (CHCs) for future careers serving underserved populations, there are few outcome studies on such programs. Our residency program provides three options for ambulatory health center training, but otherwise residents participate in the ...

BACKGROUND: Dermatology training programs develop program-specific dermatopathology (DP) curricula. We summarize the current state of DP education in dermatology residency programs and identify opportunities for DP education resource development. METHODS: A 27-question survey was emailed to members of the Association of Professors of Dermatology (APD). RESULTS: Fifty-two of 109 programs ...

PURPOSE: To survey the radiation oncology residency program directors on the topics of departmental and institutional support systems, residency program structure, Accreditation Council for Graduate Medical Education (ACGME) requirements, and challenges as program director. METHODS: A survey was developed and distributed by the leadership of the Association of Directors of ...

BACKGROUND: Internal medicine ambulatory training redesign, including recommendations to increase ambulatory training, is a focus of national discussion. Residents' and program directors' perceptions about ambulatory training models are unknown. OBJECTIVE: To describe internal medicine residents' and program directors' perceptions regarding ambulatory training duration, alternative ambulatory training models, and factors important ...

Paediatric residents are often exposed to verbal abuse and/or physical assaults from patients and patients' families during the course of their training. Residents may benefit from further training on how to prevent and respond to workplace violence. To determine the prevalence of workplace violence in paediatric residency training programmes. In ...

RATIONALE AND OBJECTIVES: Time devoted to internal moonlighting is constrained by various components of Accreditation Council for Graduate Medical Education (ACGME) duty hour regulations. Hours spent in external moonlighting, however, are not necessarily tabulated in accordance with ACGME requirements. This study sought to gain a better understanding of the extent ...

BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) has placed great emphasis on residents learning to identify their training needs and to develop learning strategies to address these needs. In surgery, residents can play an active role in identifying training needs through self-assessment of their procedural skills. Our study ...

BACKGROUND: The quality of life support delivered during cardiopulmonary resuscitation affects outcomes. However, little data exist regarding the quality of resuscitation delivered to children and factors associated with adherence to American Heart Association (AHA) resuscitation guidelines. PARTICIPANTS: Pediatric residents from an academic, tertiary care hospital. DESIGN: Prospective, observational cohort study ...

CONTEXT: Residents' perceived needs in communication skills training are important to identify before designing context-specific training programmes, since learrners' perceived needs can influence the effectiveness of training. OBJECTIVES: To explore residents' perceptions of their training needs and training experiences around communication skills, and whether these differ between residents training in ...

PURPOSE: To understand whether education is at the heart of underreporting elder abuse by surveying Michigan residency program directors to learn about their elder abuse curricula. METHOD: In 2006, a questionnaire was mailed to 71 residency program directors in Michigan. Participants responded to closed-ended or Likert-type items about program demographics, ...

BACKGROUND: Although personal digital assistant use among residents is common, few outcomes-based studies have examined the impact of this technology on medical education. AIMS: We evaluated the educational effectiveness of a personal digital assistant-based geriatric assessment tool.Methods: Internal medicine residents were enrolled as subjects. Personal digital assistant users were randomly ...

STUDY OBJECTIVE: To investigate whether gender difference has an effect on an anesthesia resident's ability to perform successful mask ventilation. DESIGN: Cohort study. SETTING: Surgical operation theater of a university-affiliated hospital. PATIENTS: 839 ASA physical status I, II, and III patients undergoing general anesthesia performed by residents. INTERVENTION: Mask ventilation ...

This case study chronicles the impact of Hurricane Katrina on the Department of Radiology at the Louisiana State University School of Medicine in New Orleans and the department's subsequent efforts to recover and re-dedicate itself to providing quality patient care and resident education. Hurricane Katrina damaged the department's facilities, severely ...

BACKGROUND AND OBJECTIVES: Six family medicine residency programs in the United States collaborated on the development and implementation of an integrative family medicine (IFM) program, which is a postgraduate training model that combines family medicine residency training with an integrative medicine fellowship. This paper reports on effects of IFM on ...

OBJECTIVES: To determine the perceived degree of training of residents in laparoscopic nephrectomy. Laparoscopic nephrectomy is well established in the field of urology and has seen increasing penetrance in urologic practice. The degree to which this recent technical shift has been integrated into urologic training at the residency level has ...

Integrated plastic surgery residency training is growing in popularity, bringing new challenges to program directors and applicants. The purpose of this study was to identify characteristics of successful applicants and to obtain feedback from applicants to improve the integrated plastic surgery residency training application and interview process. An anonymous survey ...

A concern on the level of anatomy knowledge reached after a problem-based learning curriculum has been documented in the literature. Spatial anatomy, arguably the highest level in anatomy knowledge, has been related to spatial abilities. Our first objective was to test the hypothesis that residents are interested in a course ...

OBJECT: Recently, the Institute of Medicine examined resident duty hours and their impact on patient safety. Experts have suggested that reducing resident work hours to 56 hours per week would further decrease medical errors. Although some reports have indicated that cutbacks in resident duty hours reduce errors and make resident ...

OBJECTIVE: The purpose of the study was to identify a group of operations which general surgery residency program directors believed residents should be competent to perform by the end of 5 years of training and then ascertain actual resident experience with these procedures during their training. SUMMARY BACKGROUND DATA: There ...

The appropriate activation and effective utilization of air-medical transport (AMT) services is an important skill for emergency medicine physicians in the United States. Previous studies have demonstrated variability with regards to emergency medical services (EMS) experience during residency training. This study was designed to evaluate the nature and extent of ...

Postgraduate training in medicine has been under scrutiny over the past 10 years with a major focus on physician personal health and patient safety. The culmination of a series of events led to the 80-hour work week instituted by the Accreditation Council on Graduate Medical Education in 2003. The effect ...

OBJECTIVES: The authors hypothesized that unethical recruiting practices and illegal questioning occur during emergency medicine (EM) resident recruitment. The objectives were to estimate the prevalence of specific unethical recruiting practices and illegal questioning by EM programs based on the perceptions of residency applicants and to measure the effect of these ...

PURPOSE: A total of 537 urology residents participated in a randomized trial of on-line spaced education in 2005 that used 96 American Urological Association Self-Assessment Study Program questions as educational material. I investigated whether the learning gains generated by the spaced education program could be detected 2 years later. MATERIALS ...

OBJECTIVES/HYPOTHESIS: Measure compliance with the Accreditation Council of Graduate Medical Education (ACGME) residents' work hour regulations and evaluate their impact on patient care and residents' performance on the Otolaryngology Training Examination (OTE). STUDY DESIGN: Retrospective review of an otolaryngology residency program's resident duty hours violations and OTE scores, and review ...

BACKGROUND: The aim of this study was to assess the use of physician extenders (PEs) in general surgery residency programs. STUDY DESIGN: We surveyed the program directors in surgery for the number of chief residents, PEs on general surgery services, PE duties, whether PEs were hired in response to Accreditation ...

BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) "core competencies" (patient care, medical knowledge, interpersonal and communication skills, practice-based learning, and systems-based practice) are challenging to achieve in today's complex, high-acuity, hospital-based setting. House calls provide unique clinical exposure to opportunities for learning the ACGME competencies in a single ...

BACKGROUND: Disclosure of error is gaining acceptance as an ethical imperative in health care. Despite this, residency training programs do not commonly address this in their curricula, and competence in the identification and disclosure of adverse events and medical error is typically not assessed. SUMMARY: Although aspects of the identification, ...

Mixed-use developments integrate a variety of uses including residences, offices, shops, restaurants, and theaters into functional, living, and working communities. They are often located near rail, major roadways, and airports, which can generate significant levels of environmental noise and vibration that will need to be mitigated to meet Building Codes ...

BACKGROUND: Despite recent emphasis on educational outcomes, program directors still rely on standard evaluation techniques such as tests of knowledge and subjective ratings. PURPOSES: To assess the correlation of standard internal medicine (IM) residency evaluation scores (attending global evaluations, In-Training examination, and Mini-Clinical Examination Exercise) with documented performance of preventive ...

As part of the development of a curriculum for medical students and rehabilitation residents at New York University School of Medicine, an Objective Structured Clinical Examination (OSCE) station was developed for formative evaluation. The goal was to determine the existing knowledge and competence of medical students and rehabilitation residents in ...

PURPOSE: To examine perceptions of the formal, informal, and hidden curricula in psychiatry as they are observed and experienced by (1) attending physicians who have teaching responsibilities for residents and medical students, (2) residents who are taught by those same physicians and who have teaching responsibilities for medical students, and ...

PURPOSE: To assess resident surgical experience in vitreoretinal surgery (VRS) in the United States. DESIGN: Anonymous electronic survey over 2 consecutive years. PARTICIPANTS: A total of 287 third-year ophthalmology residents from US residency programs were included. METHODS: To determine the type and amount of surgical experience in VRS. Residents were ...

OBJECTIVES: The objective was to describe the implementation of a program of structured direct observation of emergency medicine (EM) residents during clinical shifts in the emergency department (ED). Methods: The authors developed a program in which an observer spent 4 to 5 hours with each resident, without intervening in the ...

Research is yet to fully examine the utility and effectiveness of telehealth in primary care resident ambulatory training. This study examined the attitudes of preceptors, residents, and nurses on (1) the impact of telehealth on healthcare; (2) the impact of telehealth on the work activity of resident clinics; (3) the ...

OBJECTIVE: The in-training evaluation report (ITER) is widely used to assess clinical skills, but has limited validity and reliability. The purpose of our study was to assess the feasibility, validity, reliability, and effect on feedback of using daily evaluation forms to evaluate residents in ambulatory rheumatology clinics. METHODS: An evaluation ...

Although the U.S. population continues to become more diverse, ethnic and racial health care disparities persist. The benefits of a diverse medical workforce have been well described, but the percentage of emergency medicine (EM) residents from underrepresented groups (URGs) is small and has not significantly increased over the past 10 ...

OBJECTIVES: The emergency medicine (EM) job market is increasingly focused on incentive-based reimbursement, which is largely based on relative value units (RVUs) and is directly related to documentation of patient care. Previous studies have shown a need to improve resident education in documentation. The authors created a focused educational intervention ...

Beginning in July 2002, the Accreditation Council for Graduate Medical Education (ACGME) instructed all residency programs to require their residents to demonstrate competency in 6 core areas: patient care, interpersonal and communication skills, medical knowledge, professionalism, practice-based learning, and systems-based practice. The goal was to have objective markers of performance ...

OBJECTIVES: The authors aim to identify the most important factors for Israeli residents in determining their satisfaction with psychiatric training programs and to compare the findings with similar U.S. data. METHODS: One hundred sixty Israeli psychiatric residents were asked to complete a 40-item questionnaire indicating the relative importance of these ...

PURPOSE: Approximately 25% of practicing physicians in the United States are graduates of medical schools in other countries; they are called international medical graduates (IMGs). Their transition into the U.S. health care system may be difficult and challenging. This study sought to identify the similarities and differences between IMGs and ...

Significant challenges face many orthodontic residency programs, particularly a shortage of full-time experienced faculty members. Due to this shortage, it is critical that program directors design comprehensive curricula that incorporate the most effective and efficient teaching methods. It is theorized that teaching effectiveness and efficiency are optimized when the course ...