Resident Training for Successful Professional Interactions

Graduate medical education (GME) is funded by the Centers for Medicare and Medicaid Services through both direct and indirect payments. In recent years, stakeholders have raised concerns about the growth of spending on GME and distribution of payment among hospitals. Key stakeholders have proposed reforms to reduce GME funding such as adjustments to statutory payment formulas and absolute caps on annual payments per resident. Otolaryngology departmental leadership should understand the potential effects of proposed reforms, which could have significant implications for the short-term financial performance and the long-term specialty workforce. Although some hospitals and departments may elect to reduce resident salaries or eliminate positions in the face of GME funding cuts, this approach overlooks the substantial Medicare revenue contributed by resident care and high cost of alternative labor sources. Commitment to resident training is necessary to align both the margin and mission of otolaryngology departments and their sponsoring hospitals.

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Augmented Reality, Virtual Reality and Artificial Intelligence in Orthopedic Surgery: A Systematic Review

Applied Sciences ◽

10.3390/app11073253 ◽

2021 ◽

Vol 11 (7) ◽

pp. 3253

Author(s):

Umile Giuseppe Longo ◽

Sergio De Salvatore ◽

Vincenzo Candela ◽

Giuliano Zollo ◽

Giovanni Calabrese ◽

...

Keyword(s):

Artificial Intelligence ◽

Systematic Review ◽

Virtual Reality ◽

Augmented Reality ◽

Orthopaedic Surgery ◽

Resident Training ◽

Comprehensive Search ◽

Virtual And Augmented Reality ◽

Orthopaedic Training ◽

Meta Analyses

Background: The application of virtual and augmented reality technologies to orthopaedic surgery training and practice aims to increase the safety and accuracy of procedures and reducing complications and costs. The purpose of this systematic review is to summarise the present literature on this topic while providing a detailed analysis of current flaws and benefits. Methods: A comprehensive search on the PubMed, Cochrane, CINAHL, and Embase database was conducted from inception to February 2021. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to improve the reporting of the review. The Cochrane Risk of Bias Tool and the Methodological Index for Non-Randomized Studies (MINORS) was used to assess the quality and potential bias of the included randomized and non-randomized control trials, respectively. Results: Virtual reality has been proven revolutionary for both resident training and preoperative planning. Thanks to augmented reality, orthopaedic surgeons could carry out procedures faster and more accurately, improving overall safety. Artificial intelligence (AI) is a promising technology with limitless potential, but, nowadays, its use in orthopaedic surgery is limited to preoperative diagnosis. Conclusions: Extended reality technologies have the potential to reform orthopaedic training and practice, providing an opportunity for unidirectional growth towards a patient-centred approach.

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Training Medical Residents to Address Social Determinants of Health for Better Health Outcomes

Innovation in Aging ◽

10.1093/geroni/igaa057.830 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 258-259

Author(s):

Angela Zell ◽

Joan Ilardo ◽

Adesuwa Olomu ◽

Cristian Meghea ◽

Supratik Rayamajhi

Keyword(s):

Social Determinants Of Health ◽

Social Determinants ◽

Chronic Conditions ◽

Local Community ◽

Patient Activation ◽

Resident Training ◽

Determinants Of Health ◽

Medical Residents ◽

Patient Response ◽

Future Clinical Practice

Abstract Gaps exist in training medical residents to assess social determinants of health (SDOH) related to chronic conditions. To address the need for better screening, we partnered with two Internal Medicine (IM) residency programs based in Lansing and Flint (Michigan) to pilot the Caring for Patients with Chronic Conditions (CPCC) project. IM residencies train internists with expertise in diagnosis, treating chronic conditions, promoting health through wellness education, and preventing and managing diseases. CPCC incorporated information during didactic sessions that residents could apply during their clinical activities that can influence their current and future clinical practice patterns. Presentations and panels from local community organizations on specific topics were incorporated into the curriculum that address needs of patients age 50 and older. To build on this education, the residents adapted the Office- Guidelines Applied in Practice (Office-GAP) checklist to identify SDOH affecting a patient’s ability to managed chronic conditions. Using this tool: 1) involves resident training; 2) provides a decision support checklist; 3) influences patient activation; and 4) increases provider and patient communication through shared decision making. The checklist includes questions for patient response pertaining to SDOH that prevents them from managing their chronic conditions in addition to the level of action the patient is willing to do. Areas identified are discussed between patient and resident increasing patient activation. Referrals to community-based resources to identified SDOH needs are guided by the clinic’s care manager. The Office-GAP tool is administered during three subsequent visits to ensure that patients actually accessed the community resources.

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SARS-CoV-2 Epidemics in Retirement and Nursing Homes in Italy: A New Preparedness Assessment Model after the First Epidemic Wave

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115712 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5712

Author(s):

Carmelo Gugliotta ◽

Davide Gentili ◽

Silvia Marras ◽

Marco Dettori ◽

Pietro Paolo Muglia ◽

...

Keyword(s):

Nursing Homes ◽

Perceived Risk ◽

Assessment Tool ◽

Resident Training ◽

Assessment Model ◽

Infection Prevention And Control ◽

Field Assessment ◽

Italian Context ◽

And Control ◽

The City

The aim of the study is to evaluate the preparedness of retirement and nursing homes in the city of Sassari at the end of the first wave of the severe acute respiratory syndrome coronavirus 2 epidemic, first by investigating the risk perception of epidemic outbreaks by the facility managers and subsequently by carrying out a field assessment of these facilities. To perform the field assessment, a checklist developed by the CDC (Infection Prevention and Control Assessment Tool for Nursing Homes Preparing for COVID-19) and adapted to the Italian context was used. Fourteen facilities took part in the survey (87.5%). The application of good practices for each survey area was expressed as a percentage with the following median values: restriction policies (87.5%), staff training (53.8%), resident training (67.6%), availability of personal protective equipment (41.7%), infection control practices (73.5%) and communication (80%). Among the facilities, considerable variability was observed in these evaluation fields: only the restriction policies and communication activities were applied uniformly. A discrepancy was found between perceived risk and real danger in the facilities, requiring targeted communication actions. At present, it is necessary to promote a new approach based on the prediction of critical events, thereby providing the means to effectively address them.

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Patient Safety/Quality Improvement Primer, Part III: The Role of Simulation

Otolaryngology ◽

10.1177/01945998211013314 ◽

2021 ◽

pp. 019459982110133

Author(s):

Ellen S. Deutsch ◽

Sonya Malekzadeh ◽

Cecelia E. Schmalbach

Keyword(s):

Patient Safety ◽

Quality Improvement ◽

Control Charts ◽

Neck Surgery ◽

Resident Training ◽

Statistical Process ◽

Ensure Patient Safety ◽

Statistical Process Control Charts ◽

The Individual ◽

The Impact

Simulation training has taken a prominent role in otolaryngology–head and neck surgery (OTO-HNS) as a means to ensure patient safety and quality improvement (PS/QI). While it is often equated to resident training, this tool has value in lifelong learning and extends beyond the individual otolaryngologists to include simulation-based learning for teams and health systems processes. Part III of this PS/QI primer provides an overview of simulation in medicine and specific applications within the field of OTO-HNS. The impact of simulation on PS/QI will be presented in an evidence-based fashion to include the use of run and statistical process control charts to assess the impact of simulation-guided initiatives. Last, steps in developing a simulation program focused on PS/QI will be outlined with future opportunities for OTO-HNS simulation.

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