Measuring the impact on new surgical residents of undertaking a simulated ward round to test non-technical skills

Abstract Background Residency programs have been impacted by the Coronavirus disease 2019 (COVID-19) pandemic. In this study we aim to investigate and evaluate the impact of the pandemic on residents as well as residency training programs. Methods This was a cross-sectional study including a survey of 43 questions prepared on Google forms and electronically distributed among a convenience sample of residents training at a tertiary center in North Jordan during the COVID-19 pandemic. Data were collected in the period between October 30th and November 8th of 2020. The survey included questions that addressed the impact of the pandemic on residents’ health as well as training programs. The study participants included residents in training at KAUH in 2020 and were stratified according to the type of residency program (surgical residents (SRs) and non-surgical residents (NSRs)). Statistical methods included descriptive analysis, Chi-square or Fisher’s exact test, Mann Whitney U test, and Cramer’s V and r statistics as measures of effect sizes. Results Of all 430 residents, 255 (59%) responded to the survey. A total of 17 (7%) of residents reported being infected with COVID-19 and a significant difference was reported between SRs and NSRs (10% vs 4%, V = .124 “small effect” (95% CI; .017–.229), p = 0.048). Approximately, 106 (42%) reported a decrease in the number of staff working at the clinic and 164 (64%) reported limited access to personal protective equipment during the pandemic. On a 4-point Likert scale for the feeling of anxiety, the median was 2 (2–3 IQR) in the NSRs group, vs 2 (1–2 IQR) in the SRs groups, with the NSRs being more likely to feel anxious (r = 0.13 “small effect” (95% CI; 0.007–0.249), p = .044). Similarly, the proportion of residents who reported feeling anxious about an inadequacy of protective equipment in the work area was significantly greater in the NSRs group (90.3% vs 75.2%; V = .201 “small effect” (95% CI; .078–.313), p = .001), as well as the proportion of residents who reported feeling increased stress and anxiety between colleagues being also significantly higher in the NSRs group (88.1% vs 76%; V = .158 “small effect” (95% CI; .032–.279), p = .012). Conclusion The burden of the ongoing pandemic on the mental health status of residents is very alarming and so providing residents with psychological counseling and support is needed. Also, critical implications on the flow of residency training programs have been noticed. This necessitates adapting and adopting smart educational techniques to compensate for such limitations.

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¿Cómo entrenar una habilidad compleja en cirugía?: Evaluación cualitativa de una estrategia basada en simulación

Revista Argentina de Cirugía ◽

10.25132/raac.v113.n1.1569.ei ◽

2021 ◽

Vol 113 (1) ◽

pp. 101-110

Author(s):

Juan I. Cobián ◽

◽

Federico Ferrero ◽

Martín P. Alonso ◽

Alberto M. Fontana

Keyword(s):

Work Teams ◽

Technical Skills ◽

Role Playing ◽

Professional Activity ◽

High Fidelity Simulation ◽

Future Studies ◽

Raising Awareness ◽

Simulation Based ◽

Overall Performance ◽

The Impact

Background: Learning complex tasks in surgical requires the coordination and integration of technical and non-technical skills have an impact on the performance of work teams. Objective: The aim of this study is to report the results of a simulation-based educational strategy for training in complex surgical skills considering the participants’ perceptions. Material and methods: In 2019, 10 healthcare professionals participated in a 20-hour course divided in 6 hours of online training and 14 hours of onsite training. The strategy designed included the integration of case resolution activities, role-playing, practice with synthetic and virtual simulators and high-fidelity simulation. At the end of the course, a questionnaire was administered to explore participants’ perceptions on what they had learned and on their attitude changes. Results: Fifty percent of the participants perceived their skills and knowledge improved at the end of the course compared with their perception at the beginning of the course while 80% perceived the impact of the course on their professional activity was good or excellent. All the participants agreed with the need for improving non-technical skills. The experience was rated as positive or very positive by all participants, who were eager to repeat it. Conclusion: The participants’ perceptions of this educational program demonstrates that this method is highly accepted. Raising awareness of non-technical skills during the reflection stage suggests the need for changes in attitude and in self-perception of efficacy. We believe that simulation-based training offers the possibility of improving the overall performance of the surgical team. Future studies should focus on this goal.

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Understanding the Impact of Trunk and Arm Impairments on Wheelchair Rugby Performance During Competition

International Journal of Sports Physiology and Performance ◽

10.1123/ijspp.2018-0204 ◽

2019 ◽

Vol 14 (5) ◽

pp. 612-619 ◽

Cited By ~ 1

Author(s):

Barry S. Mason ◽

Viola C. Altmann ◽

Victoria L. Goosey-Tolfrey

Keyword(s):

Performance Measures ◽

Tracking System ◽

Technical Skills ◽

Wheelchair Rugby ◽

Technical Performance ◽

Indoor Tracking ◽

Arm Function ◽

The Impact ◽

Technical Measures ◽

Measures Of Performance

Purpose: To determine the effect of trunk and arm impairments on physical and technical performance during wheelchair rugby (WR) competition. Methods: Thirty-one highly trained WR players grouped according to their trunk (no trunk [NT]; some trunk [T] function) and arm impairments (poor, moderate, and good arm function) participated in 5 WR matches. Players’ physical (wheelchair mobility) and technical (ball handling) activities were analyzed using an indoor tracking system and video analysis, respectively. Results: Trunk impairment explained some of the variance in physical (10.6–23.5%) and technical (16.2–33.0%) performance. T covered more distance, had more possession, scored more goals, and received and made more passes yet spent less time at low speeds and performed fewer inbounds than NT (≤.05). Arm impairment explained some of the variance in all physical (16.7–47.0%) and the majority of technical (13.1–53.3%) performance measures. Moderate and good arm function covered more distance, reached higher peak speeds, spent more time in higher speed zones, scored more goals, had more possession, and received and made more passes, with a higher percentage of 1-handed and long passes, than poor arm function. Good arm function also received more passes and made a higher percentage of 1-handed passes and defensive blocks than moderate arm function (P ≤ .05). Conclusions: Arm impairment affects a greater number of physical and technical measures of performance specific to WR than trunk impairment during competition. Having active finger function (good arm function) yielded no further improvements in physical performance but positively influenced a small number of technical skills.

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The impact of a Post-Take Ward Round Pharmacist on the Risk Score and Enactment of Medication-Related Recommendations

Pharmacy ◽

10.3390/pharmacy8010023 ◽

2020 ◽

Vol 8 (1) ◽

pp. 23

Author(s):

Brooke Bullock ◽

Peter J Donovan ◽

Charles Mitchell ◽

Jennifer A Whitty ◽

Ian Coombes

Keyword(s):

Intervention Group ◽

Study Groups ◽

Ward Round ◽

Risk Scores ◽

Risk Category ◽

Post Intervention ◽

Inpatient Ward ◽

Extreme Risk ◽

The Impact ◽

Very High

There is a scarcity of published research describing the impact of a pharmacist on the post-take ward round (PTWR) in addition to ward-based pharmacy services. The aim of this paper was to evaluate the impact of clinical pharmacists’ participation on the PTWR on the risk assessment scores of medication-related recommendations with and without a pharmacist. This includes medication-related recommendations occurring on the PTWR and those recommendations made by the ward-based pharmacist on the inpatient ward. A pre–post intervention study was undertaken that compared the impact of adding a pharmacist to the PTWR compared with ward-based pharmacist services alone. A panel reviewed the risk of not acting on medication recommendations that was made on the PTWR and those recorded by the ward-based pharmacist. The relationship between the risk scores and the number and proportion of recommendations that led to action were compared between study groups. There were more medication-related recommendations on the PTWR in the intervention group when a pharmacist was present. Proportionately fewer were in the ’very high and extreme’ risk category. Although there was no difference in the number of ward pharmacist recommendations between groups, there was a significantly higher proportion of ward pharmacist recommendations in the “very high and extreme” category in those patients who had been seen on a PTWR attended by a pharmacist than when a pharmacist was not present. There were a greater proportion of “low and medium” risk actionable medication recommendations actioned on the PTWR in the intervention group; and no difference in the risk scores in ward pharmacist recommendations actioned between groups. Overall, the proportion of recommendations that were actioned was higher for those made on the PTWR compared with the ward. The addition of a pharmacist to the PTWR resulted in an increase in low, medium, and high risk recommendations on the PTWR, more very high and extreme risk recommendations made by the ward-based pharmacist, plus an increased number of recommendations being actioned during the patients’ admission.

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The Impact of the 80-Hour Resident Workweek on Surgical Residents and Attending Surgeons

Annals of Surgery ◽

10.1097/01.sla.0000220042.48310.66 ◽

2006 ◽

Vol 243 (6) ◽

pp. 864-875 ◽

Cited By ~ 249

Author(s):

Matthew M. Hutter ◽

Katherine C. Kellogg ◽

Charles M. Ferguson ◽

William M. Abbott ◽

Andrew L. Warshaw

Keyword(s):

Surgical Residents ◽

The Impact

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Peter Gavin Hall 1951–2016

Historical Records of Australian Science ◽

10.1071/hr17009 ◽

2017 ◽

Vol 28 (2) ◽

pp. 171

Author(s):

John Robinson ◽

Alan H. Welsh

Keyword(s):

Graduate Students ◽

Research Output ◽

Technical Skills ◽

Research Career ◽

Mathematical Methods ◽

Statistical Research ◽

Personal Loss ◽

Probability And Statistics ◽

Almost All ◽

The Impact

Peter Hall, in the forty years of his research career, produced work in both probability and statistics, whose breadth and depth must be regarded as phenomenal. He displayed extraordinary technical skills together with remarkable intuition in developing and applying multifaceted mathematical approaches in the whole of his work. The impact of this wide-ranging use of powerful mathematical methods has had a profound effect on much of modern mathematical statistics. After completing his DPhil at Oxford, he remained in Australia for almost all his career although he was renowned as one of the major international figures in probability and statistics. Peter was a mentor to a large group of post-graduate students and post-doctoral colleagues giving encouragement and guidance and he attracted many research visitors contributing greatly to the whole of Australian statistical research. Remarkably, given his immense research output, he took a significant role in both editorial duties in major international journals and in advocacy for mathematics and statistics in Australia. Peter was a man of great charm whose modest demeanour belied his staggering abilities. His loss to mathematics and statistics is great, but is matched by the personal loss to us and to his many friends.

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