scholarly journals The Impact of the Veteran’s Affairs Medical System on an Otolaryngology Residency Training Program

2018 ◽  
Vol 183 (11-12) ◽  
pp. e671-e675
Author(s):  
Alexander Lanigan ◽  
Mark Spaw ◽  
Christopher Donaghe ◽  
Joseph Brennan
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Residency Training Program ◽  
Medical System ◽  
The Impact ◽  
Veteran's Affairs

scholarly journals Impact of COVID-19 on Surgical Residency Training: Indian Perspective - A Review

2021 ◽  
Vol 6 (3) ◽  
pp. 62-69
Author(s):  
Chetan V Kantharia ◽  
Sharvari Pujari ◽  
Kishor Jain
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Surgical Training ◽  
Clinical Training ◽  
Clinical Teaching ◽  
Residency Training Program ◽  
Academic Program ◽  
Remedial Measures ◽  
Surgical Residency ◽  
The Impact

Introduction: The COVID-19 pandemic has severely affected the health delivery system. The residency training program has had a major setback, with a maximum impact on Surgical residency training. This study attempts to explore the extent of impact of COVID-19 on Surgical Residency training and the corrective measures to be taken from the trainee’s perspective. Methods: A Questionnaire was made and response was sought from the surgical trainees. The aspects of surgical training assessed were; the impact on hands on surgical training, bed-side clinical teaching, efficacy of the alternative virtual academic program and the OSCE based assessment. Suggestions were also sought with regards to the remedial measures needed to be taken. The responses were compiled and conclusion was drawn. Statistical analysis was made using SPSS software programme. Results: A total of 68 residents participated in the survey. Of these, 17 (25.37%) were first year residents (6 from Govt and 11 from private institute), 26 (38.23%) second year (9 from Govt and 17 from private institute), and 25 (36.76%) third year residents (10 from Govt and 15 from private institute). The responses were analysed. All respondents reported decrease in clinical workload ranging from 50 to 90 %. The reported loss of surgical experience too ranged from 50-90% depending on the seniority of the residents. Operative autonomy too was experienced by only 13.23% of respondents. Reported decrease in the Bed side clinical training ranged from 50 to 95% All the respondents reported increase and benefits of online academic sessions with overall score >5 on a scale of 1-10. All the respondents (100%) approved of the OSCE pattern of exams held by the NBE board. Conclusions: The COVID-19 pandemic has adversely impacted surgical training. There is a need to assess the future training program advancement, with the need to include remedial measures, and adopting an individualized approach. The OSCE pattern of examination conducted has been accepted by all and recommended to be integrated as a part of the practical exams in future too. The virtual learning and telemedicine embraced in the time of pandemic, has had a great impact in enhancing surgical education Keywords: COVID 19-infection, Impact on Residency training Program

scholarly journals Social support, anxiety symptoms, and depression symptoms among residents in standardized residency training programs: the mediating effects of emotional exhaustion

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hui Zhang ◽  
Nianqi Cui ◽  
Dandan Chen ◽  
Ping Zou ◽  
Jing Shao ◽  
...  
Keyword(s):  
Social Support ◽  
Training Program ◽  
Residency Training ◽  
Emotional Exhaustion ◽  
Training Programs ◽  
Residency Training Program ◽  
Anxiety Symptoms ◽  
Depression Symptoms ◽  
Self Rating ◽  
The Impact

Abstract Background Although studies indicate that social support is related to emotional exhaustion, depression symptoms, and anxiety symptoms, the underlying mechanism between those variables remains unknown. Methods Based on a sample of 254 residents in standardized residency training programs, two mediation models were tested in which emotional exhaustion served as a mediator in the relationship between social support and anxiety symptoms/depression symptoms. We used the following self-reported questionnaires as instruments to collect data: zung self-rating depression scale, zung self-rating anxiety scale, social support rating scale, and emotional exhaustion scale. Results In the final study sample, the mean age of the residents was 25.92 years old (SD =1.88), and a total of 41.3% were male, and 58.7% were female. This current study suggested that social support was proven to be a relevant factor affecting anxiety symptoms and depression symptoms. Particularly, the results also indicated that emotional exhaustion partially mediated the impact of social support on anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. Conclusions Our study signifies that enhancements in social support and reduction of emotional exhaustion can directly or indirectly affect anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. These findings will offer insight for health-sector managers to develop programs aimed at social support and adopt individual-level interventions and organization-level interventions to reduce emotional exhaustion.

Quality and Patient Safety in a Pathology Residency Training Program

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S95-S96
Author(s):  
R Demkowicz ◽  
S Sapatnekar ◽  
D Chute
Keyword(s):  
Patient Safety ◽  
Residency Training ◽  
Chief Resident ◽  
Residency Training Program ◽  
Basic Structure ◽  
Learning Activities ◽  
Before And After ◽  
Quality And Patient Safety ◽  
The Impact ◽  
Quiz Scores

Abstract Introduction/Objective Since the start of the new millennium, optimization of Quality and Patient Safety (QPS) has taken a renewed focus in the healthcare industry. Consequently, the Accreditation Council for Graduate Medical Education has mandated that QPS be a part of residency training. We have previously presented our curriculum designed to meet the specific needs of Pathology training programs, and covering four content areas: Handoffs, Error Management, Laboratory Administration, and Process Improvement. We are now presenting implementation. Methods To implement this curriculum, we 1) created online modules for self-directed learning on basic topics (using courses developed by IHI and CAP, and assigned articles), and paired these with faculty-facilitated interactive learning activities on more complex topics, including proficiency testing, root cause analysis and test utilization, 2) assigned every resident to a QPS project that was aligned with departmental priorities, led by a faculty advisor, and ran over 8- 10 months, and 3) appointed a QPS Chief Resident to coordinate and support the residents’ QPS activities. We measured the impact of the curriculum by comparing RISE laboratory accreditation percentiles and QPS curriculum quiz scores before and after curriculum implementation. Results After its implementation, RISE percentiles increased by at least 25 for every PGY, and QPS quiz scores increased by at least 10% for 3 of 4 PGY. Every QPS project was presented at Grand Rounds, and 4 were presented externally, including 2 at national conferences. Conclusion Our curriculum was successful in improving residents’ knowledge and competence in QPS. Challenges included designing appropriate learning activities, tracking completion of activities, coordinating faculty schedules and maintaining resident buy-in to the curriculum. We believe that the basic structure of our curriculum offers a solid foundation to which revisions can be made as QPS priorities evolve, and which can be readily adapted to other programs and locations.

Personal recollections of Walter E. Dandy and his Brain Team

2006 ◽  
Vol 105 (3) ◽  
pp. 487-493 ◽  
Author(s):  
Irving J. Sherman ◽  
Ryan M. Kretzer ◽  
Rafael J. Tamargo
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Surgical Training ◽  
Residency Program ◽  
Residency Training Program ◽  
Training System ◽  
Johns Hopkins Hospital ◽  
Separate Entity ◽  
Efficient Organization ◽  
Highly Efficient

✓ Walter Edward Dandy (1886–1946) began his surgical training at the Johns Hopkins Hospital in 1910 and joined the faculty in 1918. During the next 28 years at Johns Hopkins, Dandy established a neurosurgery residency training program that was initially part of the revolutionary surgical training system established by William S. Halsted but eventually became a separate entity. Dandy’s residents were part of his “Brain Team,” a highly efficient organization that allowed Dandy to perform over 1000 operations per year, not counting ventriculograms. This team also provided rigorous training in the Halsted mold for the neurosurgical residents. Although exacting and demanding, Dandy was universally admired by his residents and staff. This article describes Dandy’s neurosurgical residency program at Johns Hopkins, and provides personal recollections of training under Walter Dandy.

scholarly journals Residents’ perspectives: Does the Saudi general surgery residency training program apply CanMEDS competencies and prepare future leaders?

2020 ◽  
Author(s):  
Deena Hadedeya ◽  
Ghofran Ageely ◽  
Nourah Alsaleh ◽  
Hajar Aref ◽  
Omar Al-Sharqi ◽  
...  
Keyword(s):  
Training Program ◽  
Residency Training ◽  
General Surgery ◽  
Leadership Skills ◽  
Residency Training Program ◽  
Clinical Leadership ◽  
General Surgery Residency ◽  
Healthcare Needs ◽  
Health Advocate ◽  
Personal Qualities

Background: This study investigates leadership skills and Canadian Medical Education Directives for Specialists (CanMEDS) competencies acquisition within the General Surgery Residency Training Program (GSRTP). The Saudi Commission for Health Specialties (SCFHS) incorporates the CanMEDS Competency Framework into its curriculum to prepare the resident for healthcare needs. Methods: This is a descriptive-analytical study. A questionnaire was used to collect data from 117 General Surgery residents (GS) at seven institutes in Jeddah, Saudi Arabia. Results: The GS residents reported an acceptable self-perceived level of Clinical Leadership Skills (mean ± standard deviation). The most dominant skill was working with others (1.98 ± 1.03), followed by demonstrating personal qualities (2.07 ± 0.88), the ability to manage services (2.21 ± 1.37), improving services (2.22 ± 1.84) and last, setting directions (2.39 ± 0.95). Regarding the CanMEDS competencies, the respondents showed a generally positive perception with an “agree” level (Mean = 1.83). Of the CanMEDS competency roles, Collaborator ranked first followed by Professional and then Communicator. Leader competency ranked fourth followed by Health Advocate, Medical Expert and last, Scholar. Conclusion: The GSRTP residents showed satisfactory self-assessed clinical leadership skills and acquirement of the CanMEDS competencies during their training, which will prepare them to lead in the future.

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