Perceptions of Adequacy of Breast Imaging Training in the United States among Breast Radiologists

2020 ◽  
Author(s):  
Roberto A Salas Fragomeni ◽  
Emily B Ambinder ◽  
Kelly Myers ◽  
Young-Jin Sohn ◽  
Randy Miles ◽  
...  
Keyword(s):  
United States ◽  
Breast Imaging ◽  
Imaging Study ◽  
The United States ◽  
Screening Mammography ◽  
Exact Test ◽  
Imaging Results ◽  
Chi Squared ◽  
Survey Responses ◽  
Imaging Training

Abstract Objective To evaluate the perceptions of breast imaging training in the United States among practicing breast radiologists. Methods An anonymous electronic survey was sent to physician members of the Society of Breast Imaging. Study participants were queried about why they practice breast imaging, what percentage of their clinical practice consists of breast imaging, details about their breast imaging training, and how well their training prepared them for their breast imaging practice. Results were stratified by whether respondents completed a breast imaging fellowship and length of time practicing breast imaging. Results were compared using the Chi-squared test or Fisher’s exact test. Results We received 271 completed survey responses. Of the survey respondents, 52.4% (141/269) were employed in private practice, 24.2% (65/269) in academic practice, and 23.4% (63/269) in a mixed/hybrid practice. Overall, 46.6% (125/268) of respondents reported practicing a greater proportion of breast imaging than anticipated during training and 18.7% (50/268) had not anticipated that their future practice would include breast imaging at all. The 62.3% (167/268) of survey respondents who had completed a breast or women’s imaging fellowship were significantly more likely to report sufficient training in screening mammography, diagnostic mammography, breast procedures, and MRI interpretation. Conclusion Our study highlights perceived areas of insufficiency in breast imaging training. These were most notable among those who did not complete a breast imaging fellowship. These insufficiencies may be considered when updating the next version of the residency training curriculum.

scholarly journals City Patterns of Screening Mammography Uptake and Disparity across the United States

Radiology ◽  
2019 ◽  
Vol 293 (1) ◽  
pp. 151-157 ◽  
Author(s):  
Eric Kim ◽  
Linda Moy ◽  
Yiming Gao ◽  
C. Austen Hartwell ◽  
James S. Babb ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Screening Mammography

scholarly journals Transradial Versus Transfemoral Access for Cardiac Catheterization: A Nationwide Pilot Study of Training Preferences and Expertise in USA.

2020 ◽  
Author(s):  
Khalid Hamid Changal ◽  
Mubbasher Ameer Syed ◽  
Ealla Atari ◽  
Salik Nazir ◽  
Sameer Saleem ◽  
...  
Keyword(s):  
United States ◽  
Training Programs ◽  
Interventional Cardiology ◽  
The United States ◽  
Femoral Access ◽  
Exact Test ◽  
Cardiovascular Training ◽  
Teaching Faculty ◽  
Level Of Training ◽  
Training Preferences

Abstract Background: The objective was to assess current training preferences, expertise, and comfort with transfemoral access (TFA) and transradial access (TRA) amongst cardiovascular training fellows and teaching faculty in United States. As TRA continues to dominate the field of interventional cardiology, there is a concern that trainees may become less proficient with the femoral approach. Methods: A detailed questionnaire was sent out to academic General Cardiovascular and Interventional Cardiology training programs in the United states. Responses were sought from fellows-in-training and faculty regarding preferences and practice of TFA and TRA. Answers were analyzed for significant differences between trainees and trainers using the Pearson χ2 or Fisher’s exact test, or the Student t test or the Mann–Whitney U test. Results: A total of 125 respondents (75 fellows-in-traing and 50 faculty) completed and returned the survey. The average grade of comfort for TFA, on a scale of 0 to 10 (10 being most comfortable), was reported to be 6 by fellows-in-training and 10 by teaching faculty (p < 0.001). TRA was the first preference in 95% of the fellows-in-training compared to 69% of teaching faculty (p 0.001). While 62% of fellows believed that they would receive the same level of training as their trainers by the time they graduate, only 35% of their trainers believed so (p 0.004).Conclusion: The shift from TFA to radial first has resulted in significant concern among cardiovascular fellows-in training and the faculty regarding training in TFA. Cardiovascular training programs must be cognizant of this issue and should devise methods to assure optimal training of fellows in gaining TFA and managing femoral access-related complications.

Variation in pediatric stereoelectroencephalography practice among pediatric neurosurgeons in the United States: survey results

2021 ◽  
pp. 1-9
Author(s):  
Benjamin C. Kennedy ◽  
Joshua Katz ◽  
Jacob Lepard ◽  
Jeffrey P. Blount
Keyword(s):  
United States ◽  
The United States ◽  
Median Number ◽  
Pediatric Epilepsy ◽  
Case Volume ◽  
Median Response ◽  
Younger Patients ◽  
Electronic Survey ◽  
Survey Results ◽  
Survey Responses

OBJECTIVE Stereoelectroencephalography (SEEG) has become widespread in the United States during the past decade. Many pediatric neurosurgeons practicing SEEG may not have had experience with this technique during their formal training, and the literature is mostly limited to single-center series. As a result, implementation of this relatively new technique may vary at different institutions. The authors hypothesized that aspects of SEEG experience, techniques, and outcomes would vary widely among programs across the country. METHODS An electronic survey with 35 questions addressing the categories of training and experience, technique, electrode locations, and outcomes was sent to 128 pediatric epilepsy surgeons who were potential SEEG users. RESULTS Sixty-one pediatric fellowship-trained epilepsy surgeons in the United States responded to the survey. Eighty-nine percent were actively using SEEG in their practice. Seventy-two percent of SEEG programs were in existence for less than 5 years, and 68% were using SEEG for > 70% of their invasive monitoring. Surgeons at higher-volume centers operated on younger patients (p < 0.001). Most surgeons (70%) spent 1–3 hours per case planning electrode trajectories. Two-thirds of respondents reported a median implant duration of 5–7 days, but 16% reported never having an implant duration > 5 days, and 16% reported having had implants stay in place for > 4 weeks. The median response for the median number of electrodes initially implanted was 12 electrodes, although 19% of respondents reported median implants of 5–8 electrodes and 17% reported median implants of 15–18 electrodes. Having a higher volume of SEEG cases per year was associated with a higher median number of electrodes implanted (p < 0.001). Most surgeons found SEEG helpful in defining an epileptic network and reported that most of their SEEG patients undergo focal surgical treatment. CONCLUSIONS SEEG has been embraced by the pediatric epilepsy surgery community. Higher case volume is correlated with a tendency to place more electrodes and operate on younger patients. For most parameters addressed in the survey, responses from surgeons clustered around a norm, though additional findings of substantial variations highlight differences in implementation and philosophy among pediatric epilepsy programs.

Brief Report

2021 ◽  
pp. 181-196
Author(s):  
Sean G Massey ◽  
Richard E. Mattson ◽  
Mei-Hsiu Chen ◽  
Melissa Hardesty ◽  
Ann Merriwether ◽  
...  
Keyword(s):  
United States ◽  
Sexual Orientation ◽  
Emerging Adults ◽  
Emerging Adult ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Trend Study ◽  
Attraction Behavior ◽  
Survey Responses

This trend study analyzed 9 years (2011–2019) of cross-sectional survey responses to Klein’s Sexual Orientation Grid to explore changes in sexual orientation among emerging adult college students. Categorical regression models based on ordinal responses revealed that participants were moving away from exclusive heterosexuality on attraction, behavior, and identity subscales at a rate of approximately 6% per year. This trend augments for women after 2014, coinciding with increased advocacy efforts related to U.S. marriage equality, but attenuates for men. Participants’ race also related to variations in sexual orientation: Black participants were less likely than White participants to identify as exclusively heterosexual, whereas the pattern reversed for Asian participants relative to White participants. These findings suggest that changes in sexual orientation are occurring among emerging adults in the United States, potentially in response to changing social and political contexts, but these changes are more pronounced in women and Black emerging adults.

Uncle Sam versus Uncle Usama

2018 ◽  
pp. 135-173
Author(s):  
Charles Kurzman
Keyword(s):  
United States ◽  
Foreign Policy ◽  
American Foreign Policy ◽  
The United States ◽  
Nobel Prize Winner ◽  
Barack Obama ◽  
Past Century ◽  
Revolutionary Violence ◽  
Survey Responses ◽  
Counterterrorism Policy

Shifts in American foreign policy have had little effect on Muslim attitudes toward the United States—even the shift from the administration of Barack Obama to that of Donald Trump barely changed Muslims’ survey responses or the prevalence of revolutionary violence. So why should the United States bother to take Muslim sensibilities into account? Following the lead of Nobel Prize winner Shirin Ebadi and remarkable American humanitarians of the past century, this chapter proposes that the United States reorganize its counterterrorism policy around the interests of its liberal Muslim allies, rather than expose them to the dangers of militarism and authoritarianism.

scholarly journals A multidisciplinary pulmonary embolism response team (PERT)—experience from a national multicenter consortium

2019 ◽  
Vol 9 (3) ◽  
pp. 204589401882456 ◽  
Author(s):  
Jacob Schultz ◽  
Nicholas Giordano ◽  
Hui Zheng ◽  
Blair A. Parry ◽  
Geoffrey D. Barnes ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Patient Characteristics ◽  
Risk Groups ◽  
The United States ◽  
Categorical Variables ◽  
P Value ◽  
Continuous Variables ◽  
Exact Test ◽  
Advanced Therapy ◽  
Chi Squared

Background We provide the first multicenter analysis of patients cared for by eight Pulmonary Embolism Response Teams (PERTs) in the United States (US); describing the frequency of team activation, patient characteristics, pulmonary embolism (PE) severity, treatments delivered, and outcomes. Methods We enrolled patients from the National PERT Consortium™ multicenter registry with a PERT activation between 18 October 2016 and 17 October 2017. Data are presented combined and by PERT institution. Differences between institutions were analyzed using chi-squared test or Fisher's exact test for categorical variables, and ANOVA or Kruskal-Wallis test for continuous variables, with a two-sided P value < 0.05 considered statistically significant. Results There were 475 unique PERT activations across the Consortium, with acute PE confirmed in 416 (88%). The number of activations at each institution ranged from 3 to 13 activations/month/1000 beds with the majority originating from the emergency department (281/475; 59.3%). The largest percentage of patients were at intermediate–low (141/416, 34%) and intermediate–high (146/416, 35%) risk of early mortality, while fewer were at high-risk (51/416, 12%) and low-risk (78/416, 19%). The distribution of risk groups varied significantly between institutions ( P = 0.002). Anticoagulation alone was the most common therapy, delivered to 289/416 (70%) patients with confirmed PE. The proportion of patients receiving any advanced therapy varied between institutions ( P = 0.0003), ranging from 16% to 46%. The 30-day mortality was 16% (53/338), ranging from 9% to 44%. Conclusions The frequency of team activation, PE severity, treatments delivered, and 30-day mortality varies between US PERTs. Further research should investigate the sources of this variability.

Examining effectiveness of modern band professional development for practising teachers

2020 ◽  
Vol 4 (1) ◽  
pp. 5-20 ◽  
Author(s):  
Jay Dorfman
Keyword(s):  
Professional Development ◽  
United States ◽  
Digital Technologies ◽  
The United States ◽  
Rock Band ◽  
Survey Responses

Modern band is a type of musical ensemble that typically uses rock band instruments (guitars, basses, drums, keyboards and vocals) and can also incorporate digital technologies to create music of recent, popular styles. Several models of professional development in modern band have surfaced in the United States over the last few years. Literature on professional development contains varied lists and descriptions of characteristics that make professional development more or less effective both for the participants and, in turn, for the students they teach. In this article, I summarize those characteristics, and draw on one particular model to assess the effectiveness of one model of modern band professional development. This model is a week-long class which has been taught over three summers at two universities. Analyses of open-ended survey responses from participants in the classes reveal characteristics of the class that were effective both for the participating teachers and for their students and improvements that can be made to increase effectiveness.

Racial Disparities in Screening Mammography in the United States: A Systematic Review and Meta-analysis

2017 ◽  
Vol 14 (2) ◽  
pp. 157-165.e9 ◽  
Author(s):  
Ahmed T. Ahmed ◽  
Brian T. Welch ◽  
Waleed Brinjikji ◽  
Wigdan H. Farah ◽  
Tara L. Henrichsen ◽  
...  
Keyword(s):  
United States ◽  
Systematic Review ◽  
Racial Disparities ◽  
Meta Analysis ◽  
The United States ◽  
Screening Mammography

E-Cigarette Advice to Patients From Physicians and Dentists in the United States

2017 ◽  
Vol 32 (5) ◽  
pp. 1228-1233 ◽  
Author(s):  
Olivier Drouin ◽  
Robert C. McMillen ◽  
Jonathan D. Klein ◽  
Jonathan P. Winickoff
Keyword(s):  
United States ◽  
The United States ◽  
Fisher Exact Test ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exact Test ◽  
The Past ◽  
Random Digit Dialing ◽  
Potential Benefits ◽  
Nationally Representative

Purpose: To report on adults’ recall of discussion by physicians and dentists about e-cigarettes. Design: A nationally representative cross-sectional survey (Internet and random digit dialing) in the United States. Participants: Adults who ever used e-cigarettes. Measures: Participant-reported discussion about the potential benefits and harms of e-cigarettes with their doctor, dentist, or child’s doctor in the past 12 months. Analysis: Fisher exact test for the analysis between benefits and harms for each type of provider and for rates of advice between provider types. Results: Among the 3030 adults who completed the survey, 523 (17.2%) had ever used e-cigarettes. Of those who had seen their doctor, dentist, or child’s doctor in the last year, 7.3%, 1.7%, and 10.1%, respectively, reported discussing potential harms of e-cigarettes. Conversely, 5.8%, 1.7%, and 9.3% of patients who had seen their doctor, dentist, or child’s doctor in the last year reported that the clinician discussed the potential benefits of e-cigarettes. Each clinician type was as likely to discuss harms as benefits. Rates of advice were similar between doctors and child’s doctors but lower for dentists. Rates were comparable when the analysis was limited to current e-cigarette users, participants with children, or those who reported using both e-cigarettes and combusted tobacco. Conclusions: Few physicians and dentists discuss either the harms or benefits of e-cigarettes with their patients. These data suggest an opportunity to educate, train, and provide resources for physicians and dentists about e-cigarettes and their use.

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