Evolution of the prevalence of pre-residency peer-reviewed publications among incoming junior residents

2020 ◽  
pp. postgradmedj-2020-139223
Author(s):  
Shearwood McClelland III ◽  
Blair Murphy ◽  
Jerry J Jaboin ◽  
Richard C Zellars

Pre-residency peer-reviewed publications (PRP) have been associated with subsequent resident choice of academic versus private practice career. The evolution of PRP prevalence among radiation oncology resident classes has yet to be examined. A list of radiation oncology residents from the graduating classes of 2016 and 2022 were obtained, and PRP was compiled as the number of publications a resident had listed in PubMed as of the end of the calendar year of residency application. Statistical analysis was conducted using Fisher’s exact test. Analysis of 163 residents from the 2016 class compared with 195 from the 2022 class revealed that the proportion of residents with zero PRP decreased from 46.6% to 23.6% between the 2016 to 2022 classes (p<0.0001), while that of residents with one PRP increased from 17.8% to 19.0% (p>0.05) and with at least two PRP increased from 35.6% to 57.4% (p<0.0001). Residents with a PhD were more likely to have at least two PRP in each class (p<0.0001). As with the class of 2016, there remained no significant difference in PRP by gender for the class of 2022. Over the past six years, PRP has become more prevalent among incoming radiation oncology residents. Residents in the class of 2016 were 180% less likely than the class of 2022 to have at least one PRP, and 60% less likely to have at least two PRP. These findings are indicative of the increasing pressure on medical students to enter residency with a publication background.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 10504-10504
Author(s):  
Shearwood McClelland ◽  
Blair Murphy ◽  
Jerry Jeff Jaboin ◽  
Richard C. Zellars

10504 Background: The increasing proportion of women in medicine has not been adequately reflected in the gender distribution of residents, particularly in highly competitive subspecialties such as neurosurgery and radiation oncology. The presence of at least one pre-residency peer-reviewed publication (PRP) was found to be associated with future resident choice of academic over private practice career in a recent radiation oncology resident graduating class, with no significant gender difference in the likelihood of having a PRP (McClelland et al., Practical Radiation Oncology 2017). We sought to pursue a gender-based analysis of PRP productivity in a current junior resident class. Methods: A list of radiation oncology residents from the graduating class of 2022 (PGY-2 academic year of 2018-2019) was obtained through internet investigation. In addition to gender, demographics included dual degree status and presence/absence of a PhD. Research productivity was calculated using PRP number, defined as the number of a resident’s publications listed in PubMed (pubmed.gov) through the calendar year of residency application (2016 for the class of 2022), as previously described. Fisher’s exact test was used for statistical analysis. Results: Of 179 residents examined from the 2022 class, 55 (31%) were women, representing a nine percent increase from the resident class of 2016. Four-fifths had at least one PRP, 33% had dual degrees, and 18% had a PhD. These percentages were comparable to their male counterparts, 73% of whom had at least one PRP, 28% who had dual degrees, and 15% who had a PhD. Specific analyses revealed no statistically significant differences by gender in any of these benchmarks (p>0.05). Conclusions: While slower than the overall trend of increased female representation in medicine, the proportion of women in radiation oncology residency has increased by approximately 1.4% per year over a recent six year span. There remain no significant differences in PRP productivity between male and female residents, and there are no significant gender differences in the likelihood of dual degree status or PhD status. Further study will be needed to determine how these findings manifest in career choice following graduation.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21022-e21022 ◽  
Author(s):  
Rafael Vanin de Moraes ◽  
Bianca Salgado Boneti ◽  
Milton Jose De Barros E. Silva ◽  
Vladmir Claudio Cordeiro De Lima

e21022 Background: Nivolumab (NIVO) has shown increased results either in objective response rate (ORR), progression free survival (PFS) and overall survival (OS), which have completely changed the treatment of patients with metastatic melanoma (MM). Tools to guide selection of patients are absent Methods: This is a retrospective, observational, single-center study. The TBT was calculated considering the sum of the largest diameter of all measurable lesions and the smallest diameter of lymph nodes affected Results: 54 patients with histologiacally confirmed mm were included in the protocol (OCT/14-may/16). Patients had a median age of 61 years (22-86 years), 58% were male, and 73% of tumor were located in the skin. 42% had ECOG 1, 72% had M1c, and 36% had LDH over the upper limit of normality (ULN). 34% had the mutation of the BRAF (half of them treated with IBRAF). About 75% had no prior benefit with anti-CTLA4 and 21% of the population had brain metastases. The median follow-up was 11.1 months and the median NIVO doses was 10 cycles. The ORR was 30.2% and the clinical benefit rate was 54.7%. The median PFS was 6.89 months (95% CI 1.12 to 12.6 months) and OS was not reached. TBT being < or > the median impact on OS with HR 4.5 (95% CI 1.22 to 16.9; p = 0.024). Once again, there was a statistically significant difference in terms of PFS and OS when related to pooled TBT ≤ or > 200 mm. The PFSm was 9.4 months (95% CI NR) for TBT ≤ 200 and 2.6 months ( 95% CI 1.9 to 3.2 months) to TBT > 200, with a HR: 2.64 (95% CI 1.03 to 6.74; p = 0.042). OSm regarding TBT ≤ 200 was not reached and was 2.6 months (95% CI 2.0 to 3.2 months) to TBT > 200, with RH:8.9 (95% CI 2.56 to 30.9; p = 0.001). According to the Fisher's exact test analysis, there is a significant association between LDH > ULN and pooled TBT > 200, with p = 0.023. Also, a relation between grouped TBT ( ≤ 200 or > 200) and the type of response seemed to be significant, with p = 0.021. Conclusions: The results of our study are very consistent with current medical literature. In our study, high TBT was associated with less response rates and both less OS and PFS rates.


2018 ◽  
Vol 84 (9) ◽  
pp. 1476-1479 ◽  
Author(s):  
Christopher DuCoin ◽  
Alexandra Hahn ◽  
Maria Baimas-George ◽  
Douglas P. Slakey ◽  
James R. Korndorffer

The surgical community has expressed concern that residents do not receive the same caliber training as their predecessors and the increase in fellowships have been described as secondary to perceived lack of preparation. Yet, data show no change in total cases even after implementation of the 80-hour workweek. It is hypothesized that the increasing subspecialization of general surgery may decrease in certain resident case numbers. Data were collected from the Accreditation Council for Graduate Medical Education (ACGME) General Surgery Case Logs National Data Report (1999–2014) of mean number of procedures per resident for 19 surgical categories. Statistical analysis was performed with analysis of variance over three time periods between 1999 and 2014. The number of total cases performed by residents has not changed significantly. There was a statistically significant difference observed in the variety of cases: vascular, esophageal, breast, and trauma cases decreased (P < 0.01), whereas major intestinal, hernia, liver, pancreatic, and biliary cases increased (P < 0.01). There are many reasons to pursue additional training after residency. The demonstrated change in case variability, presumably secondary to increasing fellowships, may play a significant role on training and preparation. Close monitoring of curriculums is essential to ensure a comprehensive general surgical education.


2020 ◽  
Vol 1 (1) ◽  
pp. 31-36
Author(s):  
Pipin Silpina ◽  
Tono Sugihartono ◽  
Ari Sutisyana

This study aims to determine the differences in pliometric training of single leg speed hops and double leg speed hops on the ability of squat style long jump in SMA Negeri 08 Bengkulu Utara. The type of research used in this study was quasi-experimental. The sample in this study was students at SMA Negeri 08 Bengkulu Utara which numbered 50 students. The statistical analysis used is the t test. The results of the t-test analysis of the comparison calculation between the final results of the two groups turned out to have a significant difference. The calculation results state that tcount of 3.02 is greater than ttable 2.069 with the level of ? = 0.05, so it can be concluded that there are differences in the influence of the single leg speed hop pliometric exercise and double leg speed hop hops on the ability of squat style long jump.


2017 ◽  
Vol 35 (7_suppl) ◽  
pp. 48-48
Author(s):  
Milton Jose Barros e Silva ◽  
Bianca Salgado Boneti ◽  
Rafael de Moares

48 Background: Nivolumab (NIVO) has shown increased results either in objective response rate (ORR), progression free survival (PFS) and overall survival (OS), which have completely changed the treatment of patients with metastatic melanoma (MM). Tools to guide selection of patients are absent. Methods: This is a retrospective, observational, single-center study. The TBT was calculated considering the sum of the largest diameter of all measurable lesions and the smallest diameter of lymph nodes affected. Results: 54 patients with histologiacally confirmed MM were included in the protocol (OCT/14-may/16). Patients had a median age of 61 years (22-86 years), 58% were male, and 73% of tumor were located in the skin. 42% had ECOG 1, 72% had M1c, and 36% had LDH over the upper limit of normality (ULN). 34% had the mutation of the BRAF (half of them treated with IBRAF). About 75% had no prior benefit with anti-CTLA4 and 21% of the population had brain metastases. The median follow-up was 11.1 months and the median NIVO doses was 10 cycles. The ORR was 30.2% and the clinical benefit rate was 54.7%. The median PFS was 6.89 months (95% CI 1.12 to 12.6 months) and OS was not reached. TBT being < or > the median impact on OS with HR 4.5 (95% CI 1.22 to 16.9; p = 0.024). Once again, there was a statistically significant difference in terms of PFS and OS when related to pooled TBT ≤ or > 200 mm. The PFSm was 9.4 months (95% CI NR) for TBT ≤ 200 and 2.6 months ( 95% CI 1.9 to 3.2 months) to TBT > 200, with a HR: 2.64 (95% CI 1.03 to 6.74; p = 0.042). OSm regarding TBT ≤ 200 was not reached and was 2.6 months (95% CI 2.0 to 3.2 months) to TBT > 200, with RH:8.9 (95% CI 2.56 to 30.9; p = 0.001). According to the Fisher's exact test analysis, there is a significant association between LDH > ULN and pooled TBT > 200, with p = 0.023. Also, a relation between grouped TBT ( ≤ 200 or > 200) and the type of response seemed to be significant, with p = 0.021. Conclusions: The results of our study are very consistent with current medical literature. In our study, high TBT was associated with less response rates and both less OS and PFS rates.


Author(s):  
Shrawan Kumar ◽  
Maureen Simmonds ◽  
David Lechelt

Ten normal young adult females performed maximal and graded exertions of the stoop lift, hand grip, and finger pinch. The levels of graded exertion required were 80%, 60%, 40% and 20% of maximal voluntary contraction (MVC). The sequence of all conditions were fully randomized. Each of the randomized conditions was tried three times in succession. The entire experiment was carried out on four different days at the same time of the day on Monday, Wednesday, Friday of one week and Friday of the next week. The data obtained were subjected to descriptive and statistical analysis with t-test, analysis of variance, and correlation and regression. There were significant differences in the efforts produced in three different activities (p<0.01). The levels of exertion from 20% to 80% were significantly different from each other (p<0.01). However, there were no significant differences between the three trials of any given condition and the exertions produced on four different days. The 80% and 60% of exertions were overestimated and 20% was underestimated compared to the objective values based on MVC (p<0.01). At 40% effort there was no significant difference between the objective level of exertion and subjectively gauged and produced effort. The reliability of perception among the female subjects was similar for finger pinch, hand grip, and stoop lift activities.


2016 ◽  
Vol 1 (9) ◽  
pp. 171-188
Author(s):  
Katayoon Katoozian

Étant donné la difficulté de l’homophonie des formes verbales en /E/ qui peuvent s’écrire par au moins dix formes différentes dont l’infinitif (-ER), le participe passé (-É) et l’imparfait (-AI), le choix entre ces formes reste une question délicate dans l’orthographe grammaticale du français. Cette recherche vise à étudier les problèmes des apprenants iraniens du FLE (Français Langue Étrangère) dans la gestion de ce secteur. Basée sur les recherches antérieures menées auprès d’élèves français et québécois, la présente étude cherche précisément à répondre aux questions suivantes : 1- Comment se fait l’évolution de la compétence de gestion des finales verbales en /E/? 2- Parmi les formes en -ER, -É, et -AI laquelle est mieux réussie ? 3- a) Dans les formes en -É, est-ce que les apprenants font l’accord avec le genre et le nombre sujet ? b) Est-ce qu’ils ont des problèmes d’accord en personne dans les formes en -AI ? Afin de répondre à ces questions, nous avons fait passer un test aux 113 apprenants iraniens du français des niveaux A1, A2 et B1 acquis inscrits à quelques instituts de langue de Téhéran. Les résultats de notre étude à l’aide de l’analyse statistique de variance (ANOVA) montrent que : 1- La gestion des finales verbales en /E/ n’est pas maitrisée à travers ces niveaux. Il n’existe pas de différence significative entre les notes globales de ces trois niveaux successifs. 2- La forme en -ER est mieux maitrisée suivie de la forme en -É et celle en -AI ce qui montre la tendance des apprenants pour l’invariabilité. En plus de ces trois formes, nous avons trouvé d’autres types d’erreurs (ex. erreurs phonétiques et erreurs de segmentation) fréquents dans notre corpus qui n’ont pas été rapportés par les recherches antérieures en FLM (Français Langue Maternelle). 3- a) En ce qui concerne les formes en -É, il n’existe pas d’accord avec le sujet et la tendance réside dans l’invariabilité. b) Quant aux formes en -AI, le problème d’accord en personne ne se pose pas. Ces résultats diffèrent de ceux obtenus dans le contexte d’autres recherches en FLM. Comme perspective didactique, nous avons proposé la redéfinition de la place de l’orthographe dans les méthodes actuelles du français tout en soulignant l’efficacité de la démarche réflexive dans l’enseignement-apprentissage de l’orthographe. Abstract Given the difficulty of homophony in verbal endings in /E/ which can be written by at least ten different forms including the infinitive (-ER), the past participle (-É) and the imperfect (-AI), the choice between these forms remains a delicate question in learning French grammatical orthography. The purpose of this research is to study the problems of Iranian learners of French dealing with this issue. Based on previous investigations focusing on French and Quebecois students, the present study aims specifically to answer the following questions: 1- How does the ability to deal verbal endings in /E/ evolve? 2- Among the -ER, -É and -AI forms which is the most successful? 3- a) Among the -É forms, do the learners make agreement between the gender and the number of the subject? b) Do they have any problems with agreement in person among the -AI forms? In order to answer these questions, we have distributed a test to 113 Iranian learners of A1, A2 and B1 levels in French registered in some language institutes in Tehran. Our results based on statistical analysis of variance (ANOVA) show that: 1- The management of verbal endings in /E/ is not mastered at these levels. There is not a significant difference between global scores of these three successive levels. 2- The -ER form is the most successful before the -É and -AI forms respectively, which shows the tendency of learners for invariance. In addition to these three forms, other types of errors (e.g. orthographical errors phonetically-based and errors of segmentation) were frequent in our data yet not reported by previous investigations in French as a First Language (FFL). 3- a) Concerning -É forms, the agreement does not exist and the tendency lies in invariance. b) As for -AI forms, the issue with agreement does not arise. These findings differ from those obtained by other studies in FFL. As a didactic solution, it is suggested to redefine the place of orthography in the actual methods of French language teaching and to emphasize the effectiveness of reflexive way in teaching-learning of French orthography.


KINESTETIK ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 87-94
Author(s):  
Pitria Oktaviani ◽  
Tono Sugihartono ◽  
Arwin Arwin

AbstrakPenelitian ini bertujuan untuk mengetahui perbedaan latihan pliometrik single leg speed hop  dan double leg speed hop tehadap kemampuan lompat jauh gaya jongkok di SMA Negeri 08 Bengkulu Utara. Jenis penelitian yang digunakan dalam penelitian  ini adalah quasi eksperimen. Sampel pada penelitian ini adalah siswa di SMA Negeri 08 Bengkulu Utara yang berjumlah 50 siswa. Analisis statistik yang digunakan adalah uji t. hasil analisis uji t perhitungan perbandingan antara hasil akhir kedua kelompok ternyata terdapat perbedaan yang signifikan. Hasil perhitungan menyatakan bahwa thitung  sebesar 3,02 lebih besar dari ttabel 2,069 dengan taraf ?=0,05, sehingga dapat disimpulkan bahwa terdapat perbedaan pengaruh latihan pliometrik single leg speed hop  dan  double leg speed hop terhadap kemampuan lompat jauh gaya jongkok.Kata kunci : pliometrik, single leg speed hop, double leg speed hop,  lompat jauh.AbstractThis study aims to determine the differences in pliometric training of single leg speed hops and double leg speed hops on the ability of squat style long jump in SMA Negeri 08 Bengkulu Utara. The type of research used in this study was quasi-experimental. The sample in this study was students at SMA Negeri 08 Bengkulu Utara which numbered 50 students. The statistical analysis used is the t test. The results of the t-test analysis of the comparison calculation between the final results of the two groups turned out to have a significant difference. The calculation results state that tcount of 3.02 is greater than ttable 2.069 with the level of ? = 0.05, so it can be concluded that there are differences in the influence of the single leg speed hop pliometric exercise and double leg speed hop hops on the ability of squat style long jump.Keywords: plyometrics, single leg speed hop, double leg speed hop, long jump.


Author(s):  
Ferruccio Maltagliati ◽  
Marco Casu ◽  
Tiziana Lai ◽  
Daniela Iraci Sareri ◽  
Daniela Casu ◽  
...  

Ophelia bicornis sensu lato is a polychaete living in intertidal sandy habitats of Mediterranean and European Atlantic coasts, whose systematics have been strongly debated in the past few decades. In the present work the count of nephridiopores was coupled with genetic analysis carried out with DNA markers (inter simple sequence repeats) for a total of 30 individuals collected at six Italian beaches. Exact test, analysis of molecular variance, non-metric multidimensional scaling and assignment tests clearly separated individuals with five nephridiopore pairs from those with six pairs. This finding validated results of a recent allozyme study in which O. bicornis sensu lato was split into O. bicornis sensu stricto (six nephridiopore pairs) and O. barquii (five nephridiopore pairs). This paper represents a further contribution to the estimation of biodiversity within marine invertebrates.


Author(s):  
Ghaniy Ridha Prima ◽  
Hermanto Siregar ◽  
Ferry Syarifuddin

The purpose of this study is to provide empirical evidence of the effects of the Loan to Value (LTV) policy on the financial performance of property and real estate companies listed on the Indonesia Stock Exchange (IDX). The sample selection uses a purposive sampling method of 42 property and real estate companies that meet the criteria. The research period is divided into 2 namely before the Loan to Value policy (2013-2014) and after the Loan to Value policy (2016-2017) with the Paired Sample t Test analysis technique. The test results show if the current ratio, Return on Asset, Return on Equity and Debt to Asset have significant differences between before and after the LTV policy is applied. While the fast ratio, cash ratio, net profit margin and Debt to Equity did not show a significant difference. Keywords: Financial Performance, Loan to Value, Property and Real Estate, Profitability Ratio, Liquidity Ratio, Solvability Ratio.


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