Cross-Sectional Gender Analysis of US Radiation Oncology Residency Programs in 2019: More Than a Pipeline Issue?

Abstract Objective This article examines models of patient care and supervision for hospital-based ophthalmology consultation in teaching institutions. Design This is a cross-sectional survey. Methods An anonymous survey was distributed to residency program directors at 119 Accreditation Council for Graduated Medical Education accredited U.S. ophthalmology programs in the spring of 2018. Survey questions covered consult volume, rotational schedules of staffing providers, methods of supervision (direct vs. indirect), and utilization of consult-dedicated didactics and resident competency assessments. Results Of the 119 program directors, 48 (41%) completed the survey. Programs most frequently reported receiving 4 to 6 consults per day from the emergency department (27, 55.1%) and 4 to 6 consults per day from inpatient services (26, 53.1%). Forty-seven percent of programs reported that postgraduate year one (PGY-1) or PGY-2 residents on a dedicated consult rotation initially evaluate patients. Supervising faculty backgrounds included neuro-ophthalmology, cornea, comprehensive, or a designated chief of service. Staffing responsibility is typically shared by multiple faculty on a daily or weekly rotation. Direct supervision was provided for fewer of emergency room consults (1–30%) than for inpatient consults (71–99%). The majority of programs reported no dedicated didactics for consultation activities (27, 55.1%) or formal assessment for proficiency (33, 67.4%) prior to the initiation of call-related activities without direct supervision. Billing submission for consults was inconsistent and many consults may go financially uncompensated (18, 36.7%). Conclusion The majority of hospital-based ophthalmic consultation at academic centers is provided by a rotating pool of physicians supervising a lower level resident. Few programs validate increased levels of graduated independence using specific assessments.

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OHNS Residency Program and Applicant Social Media Presence During the COVID-19 Pandemic

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420987977 ◽

2021 ◽

pp. 000348942098797

Author(s):

Shadi Ahmadmehrabi ◽

Deborah X. Xie ◽

Bryan K. Ward ◽

Paul C. Bryson ◽

Patrick Byrne

Keyword(s):

Social Media ◽

The United States ◽

Cross Sectional Study ◽

Application Process ◽

Cross Sectional ◽

Residency Programs ◽

Social Media Presence ◽

Residency Application ◽

The Impact ◽

Residency Match

Objectives: In addition to clinical and social disruption, the Coronavirus Disease 2019 (COVID-19) pandemic has affected many aspects of the otolaryngology residency application process. With delays in the 2021 Electronic Residency Applications Service (ERAS) timeline, students and programs have had more time to interact prior to the formal application process. This communication will report recent trends in social media presence by OHNS residency programs, and discuss mechanisms to compensate for decreased applicant-program interactions using social media ahead of the 2021 Match. Methods: In a cross-sectional study of the accredited otolaryngology residency programs in the United States, the number of social media profiles on Twitter, Instagram, and Facebook from 2009 to 2019 were recorded and compared. Results: Most programs (61%) have at least 1 social media profile. Over the past 10 years, the number of programs on social media has increased. During the COVID-19 pandemic, Twitter and Instagram showed higher rates of growth compared to Facebook. With the reduction of in-person opportunities for interactions, both applicants and programs are utilizing social media to showcase their values and their research. Twitter, in particular, also serves as a platform for professional networking. Conclusion: Both Twitter and Instagram are growing in popularity among programs and applicants to enhance networking. Social media is a powerful tool for networking and may help compensate for limitations imposed on the residency match process by the COVID-19 pandemic while maintaining professionalism considerations. The impact of social media on the 2021 otolaryngology residency match is an evolving phenomenon.

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Association between Industry Payments and Scholarly Impact among Academic Ophthalmologists

Journal of Academic Ophthalmology ◽

10.1055/s-0039-1677681 ◽

2019 ◽

Vol 11 (01) ◽

pp. e1-e8

Author(s):

Michael Solotke ◽

Susan Forster ◽

Jessica Chow ◽

Jenesis Duran ◽

Hasna Karim ◽

...

Keyword(s):

Primary Outcome ◽

Cross Sectional Study ◽

Academic Rank ◽

Cross Sectional ◽

H Index ◽

Residency Programs ◽

Scholarly Impact ◽

The Mean ◽

And Gender ◽

Open Payments

Purpose The aim of this article is to examine the association between industry payments to ophthalmologists and scholarly impact. Design Retrospective cross-sectional study. Methods All ophthalmology faculty at United States accredited ophthalmology residency programs were included in this study. The main exposure was industry payments to ophthalmologists in 2016, as reported in the Centers for Medicare and Medicaid Services Open Payments Database. The primary outcome was Hirsch index (H-index), a measure of scholarly impact. Results Among 1,653 academic ophthalmologists in our study, 1,225 (74%) received industry payments in 2016. We did not observe a difference between the mean H-index of ophthalmologists receiving any industry payments versus those not receiving any payments (p = 0.68). In analysis including only ophthalmologists who received industry payments, H-index differed significantly by payment amount: 12.6 for ophthalmologists receiving less than $100, 12.2 for those receiving $100 to 1,000, 18.8 for those receiving $1,000 to 10,000, 21.3 for those receiving $10,000 to 100,000, and 29.4 for those receiving greater than $100,000 (p < 0.001). Within each academic rank and gender, industry payments greater than $1,000 were associated with a higher H-index (p < 0.05). Conclusions Although our analysis cannot prove causality, we observed a significant association between industry payments and scholarly impact among academic ophthalmologists, even after adjusting for gender, academic rank, and subspecialty. Prospective studies should further evaluate this relationship.

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Impact of COVID-19 on surgical residency programs in Pakistan; A residents' perspective. Do programs need formal restructuring to adjust with the “new normal”? A cross-sectional survey study

International Journal of Surgery ◽

10.1016/j.ijsu.2020.06.004 ◽

2020 ◽

Vol 79 ◽

pp. 252-256 ◽

Cited By ~ 6

Author(s):

Muhammad Osama ◽

Farhan Zaheer ◽

Hasham Saeed ◽

Khadija Anees ◽

Qirat Jawed ◽

...

Keyword(s):

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

New Normal ◽

Residency Programs ◽

Surgical Residency

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Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study

Turkish Journal of Oncology ◽

10.5505/tjo.2020.2285 ◽

2021 ◽

Author(s):

ilknur alsan çetin

Keyword(s):

Communication Skills ◽

Radiation Oncology ◽

Questionnaire Study ◽

Cross Sectional ◽

Patients With Cancer

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Price Transparency and Compliance With Federal Regulation for Pediatric Tonsillectomy

Otolaryngology ◽

10.1177/01945998211047146 ◽

2021 ◽

pp. 019459982110471

Author(s):

Noel Fahed Ayoub ◽

Karthik Balakrishnan

Keyword(s):

Study Design ◽

Current Procedural Terminology ◽

Federal Regulation ◽

Cross Sectional ◽

Price Transparency ◽

Residency Programs ◽

Wide Variability ◽

Improve Hospital ◽

Sectional Analysis ◽

Hospital Price

Objective To improve hospital price transparency, the Centers for Medicare & Medicaid Services (CMS) requires, as of January 2021, that all hospitals reveal charges for specific items and services. This analysis investigates whether otolaryngology residency–affiliated hospitals have complied with this new regulation, and it evaluates the variability in hospital-reported charges for pediatric tonsillectomy. Study Design Cross-sectional analysis. Settings Subset of hospitals affiliated with otolaryngology residency programs. Methods Hospital websites were searched to determine compliance rates with CMS guidelines by posting a price transparency tool and specific charges for Current Procedural Terminology code 42820 (tonsillectomy and adenoidectomy, <12 years old). Various charges were collected: gross charge, discounted cash price, deidentified minimum and maximum negotiated charges, hospital fees, and physician fees. Results Overall 104 unique hospitals were analyzed: 81 (78%) provided pricing data, but only 28 (27%) complied with CMS guidelines. The median reported total gross charge was $13,239 (range, $600-$41,957); deidentified minimum negotiated charge, $9222 (range, $337-$25,164); and deidentified maximum negotiated charge, $17,355 (range, $1002-$54,987). Hospital fees (median, $11,900; range, $2304-$38,831) were consistently higher than physician fees (median, $1827; range, $420-$5063). All estimates included a disclaimer stating that values likely underrepresent true prices. Conclusion Hospital compliance with the new regulation remains low, which limits efforts toward improved price transparency. There is wide variability in reported charges for pediatric tonsillectomy and adenoidectomy.

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Delivering on the Promise: Exploring Training Characteristics and Graduate Career Pursuits of Primary Care Internal Medicine Residency Programs and Tracks

Journal of Graduate Medical Education ◽

10.4300/jgme-d-19-00010.1 ◽

2019 ◽

Vol 11 (4) ◽

pp. 447-453

Author(s):

Robin Klein ◽

Samantha Alonso ◽

Caitlin Anderson ◽

Akanksha Vaidya ◽

Nour Chams ◽

...

Keyword(s):

Internal Medicine ◽

Primary Care ◽

Clinical Experiences ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Training Time ◽

Residency Programs ◽

Primary Care Internal Medicine ◽

Ambulatory Training ◽

Curricular Content

ABSTRACT Background Specialized primary care internal medicine (PC IM) residency programs and tracks aim to provide dedicated PC training. How programs deliver this is unclear. Objective We explored how PC IM programs and tracks provide ambulatory training. Methods We conducted a cross-sectional survey from 2012 to 2013 of PC IM program and track leaders via a search of national databases and program websites. We reported PC IM curricular content, clinical experiences, and graduate career pursuits, and assessed correlation between career pursuits and curricular content and clinical experiences. Results Forty-five of 70 (64%) identified PC IM programs and tracks completed the survey. PC IM programs provide a breadth of curricular content and clinical experiences, including a mean 22.8 weeks ambulatory training and a mean 69.4 continuity clinics per year. Of PC IM graduates within 5 years, 55.8% pursue PC or general internal medicine (GIM) careers and 23.1% pursue traditional subspecialty fellowship training. Curricular content and clinical experiences correlate weakly with career choices. PC IM graduates pursuing PC or GIM careers correlated with ambulatory rotation in women's health (correlation coefficient [rho] = 0.36, P = .034) and mental health (rho = 0.38, P = .023) and curricular content in teaching and medical education (rho = 0.35, P = .035). PC IM graduates pursuing subspecialty fellowship negatively correlated with curricular content in leadership and teams (rho = -0.48, P = .003) and ambulatory training time (rho = -0.38, P = .024). Conclusions PC IM programs and tracks largely deliver on the promise to provide PC training and education and produce graduates engaged in PC and GIM.

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Cross-Sectional Analysis of Global Surgery Opportunities Among General Surgery Residency Programs

Journal of Surgical Education ◽

10.1016/j.jsurg.2020.03.017 ◽

2020 ◽

Vol 77 (5) ◽

pp. 1179-1185

Author(s):

Peter J. Abraham ◽

Mackenzie N. Abraham ◽

Britney L. Corey ◽

Brenessa Lindeman ◽

Herbert Chen

Keyword(s):

General Surgery ◽

Global Surgery ◽

Cross Sectional ◽

Residency Programs ◽

General Surgery Residency ◽

Cross Sectional Analysis ◽

Sectional Analysis

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Dermatology Residency Selection Criteria with an Emphasis on Program Characteristics: A National Program Director Survey

Dermatology Research and Practice ◽

10.1155/2014/692760 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 17

Author(s):

Farzam Gorouhi ◽

Ali Alikhan ◽

Arash Rezaei ◽

Nasim Fazel

Keyword(s):

Medical School ◽

Selection Criteria ◽

Selection Process ◽

Cross Sectional ◽

Advanced Degrees ◽

Residency Programs ◽

Residency Selection ◽

Program Characteristics ◽

Reported Data ◽

Resident Selection

Background. Dermatology residency programs are relatively diverse in their resident selection process. The authors investigated the importance of 25 dermatology residency selection criteria focusing on differences in program directors’ (PDs’) perception based on specific program demographics.Methods. This cross-sectional nationwide observational survey utilized a 41-item questionnaire that was developed by literature search, brainstorming sessions, and online expert reviews. The data were analyzed utilizing the reliability test, two-step clustering, andK-means methods as well as other methods. The main purpose of this study was to investigate the differences in PDs’ perception regarding the importance of the selection criteria based on program demographics.Results. Ninety-five out of 114 PDs (83.3%) responded to the survey. The top five criteria for dermatology residency selection were interview, letters of recommendation, United States Medical Licensing Examination Step I scores, medical school transcripts, and clinical rotations. The following criteria were preferentially ranked based on different program characteristics: “advanced degrees,” “interest in academics,” “reputation of undergraduate and medical school,” “prior unsuccessful attempts to match,” and “number of publications.”Conclusions. Our survey provides up-to-date factual data on dermatology PDs’ perception in this regard. Dermatology residency programs may find the reported data useful in further optimizing their residency selection process.

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