Attrition in Otolaryngology Residency

2011 ◽  
Vol 145 (5) ◽  
pp. 753-754 ◽  
Author(s):  
Jeremy D. Prager ◽  
Charles M. Myer ◽  
Charles M. Myer
Keyword(s):  
General Surgery ◽  
Career Paths ◽  
Response Rate ◽  
Training Programs ◽  
Attrition Rate ◽  
Limited Data ◽  
Web Based ◽  
Survey Response Rate ◽  
Residency Program Directors ◽  
Medical Programs

Attrition is a disruptive problem in residency training programs. Resident attrition has been more thoroughly investigated and reported in other medical fields with limited data specific to otolaryngology. Using a Web-based survey of otolaryngology residency program directors, information regarding a 5-year cohort of residents was collected. The survey response rate was 61% (59 of 97 programs), representing 779 of 1239 training positions (63%). Forty-two percent of responding programs (25 of 59) lost a total of 47 residents (range, 1-7; mode 1). The overall attrition rate was 6% for the 5-year cohort (47 of 779) or 1.2% annually. Involuntary attrition affected 6 residents. Eighteen residents voluntarily left for other medical programs. Four left medicine entirely. The remaining 19 residents’ career paths were not described. Attrition within otolaryngology occurs with less frequency than general surgery and is likely comparable to other surgical subspecialties.

scholarly journals Management of complex renal cysts in Canada: Results of a survey study

2020 ◽  
Author(s):  
Félix Couture ◽  
Antonio Finelli ◽  
Amélie Tétu ◽  
Bimal Bhindi ◽  
Rodney H. Breault ◽  
...  
Keyword(s):  
Active Surveillance ◽  
Practice Patterns ◽  
Response Rate ◽  
Renal Cysts ◽  
Survey Study ◽  
Management Option ◽  
Web Based ◽  
Survey Response Rate ◽  
Risk Of Malignancy ◽  
Mass Surveillance

Abstract Background Bosniak III and IV cysts have a high risk of malignancy and have traditionally been managed surgically. However, growing evidence suggests that many can be managed by active surveillance. The main objective of this study was to characterize the use of surveillance in the management of complex renal cysts. Methods A web-based survey was sent to all registered, active members of the Canadian Urological Association (N=583) in October 2018. Results The survey response rate was 24.7%. Management of Bosniak III cysts varied considerably. A large proportion of respondents (33.1%) offered active surveillance in >50% of cases. Only 13.7% of respondents reported never or rarely (<5% of cases) offering surveillance. In contrast, for Bosniak IV cysts, 60.1% of urologists never or rarely offered surveillance, while only 10.1% offer it in >50% of cases. A significantly greater proportion of academic urologists, compared to non-academic urologists, viewed surveillance as a management option for patients with a Bosniak III or IV cyst. The most commonly reported barriers to a greater adoption of surveillance were concerns regarding its oncologic safety, the lack of data to support surveillance in this population, and the lack of triggers for discontinuation of active surveillance and intervention. Conclusions Despite active surveillance being included as a management option in guidelines, many Canadian urologists are reluctant to offer surveillance to patients with Bosniak III or IV cysts. Practice patterns are heterogeneous among those offering surveillance. High-quality studies are required to better define the benefits and risks of cystic renal mass surveillance.

scholarly journals Implementation of the OSTRC Handball Injury Prevention Exercises in Professional Handball

2021 ◽  
Vol 21 (2) ◽  
pp. 136-141
Author(s):  
Wesam Saleh A. Al Attar ◽  
Nawaf Al Masoudi ◽  
Ali Al Zubeadi ◽  
Ahmed Qasem
Keyword(s):  
Injury Prevention ◽  
Response Rate ◽  
P Value ◽  
Web Based ◽  
Trauma Research ◽  
Gcc Countries ◽  
Survey Response Rate ◽  
Significant Difference ◽  
The Mean ◽  
Implementation Level

Purpose. The Oslo Sports Trauma Research Center (OSTRC) handball injury prevention exercise is an evidence-based injury prevention exercise designed to prevent handball injury. This study aimed to assess the implementation of the OSTRC handball injury prevention exercises among professional handball players in the Gulf Cooperation Council (GCC) countries. Materials and methods. A web-based survey to acquire information regarding the implementation of OSTRC handball injury prevention exercises was distributed to 267 professional handball players in six GCC countries.  Results. A total of 250 handball players from the GCC countries responded to the survey (response rate 93.6%). The mean (±SD (Standard Deviation)) of the total implementation score was 13 (±2.558), with no statistically significant difference between the GCC countries, with a P-value of 0.123. The highest mean score was shown from Bahrain at 13.60 (±2.614), while the lowest was from Qatar at 12.10 (±2.427). Conclusions. A low implementation level of the OSTRC handball prevention exercises among the handball players in the GCC countries was reported in the current study.

Positive trends in neurosurgery enrollment and attrition: analysis of the 2000–2009 female neurosurgery resident cohort

2016 ◽  
Vol 124 (3) ◽  
pp. 834-839 ◽  
Author(s):  
Jaclyn J. Renfrow ◽  
Analiz Rodriguez ◽  
Ann Liu ◽  
Julie G. Pilitsis ◽  
Uzma Samadani ◽  
...  
Keyword(s):  
Career Paths ◽  
Primary Outcome ◽  
American Association ◽  
Training Programs ◽  
Female Gender ◽  
Attrition Rate ◽  
Attrition Rates ◽  
Residency Programs ◽  
Neurological Surgery ◽  
Attrition Analysis

OBJECT Women compose a minority of neurosurgery residents, averaging just over 10% of matched applicants per year during this decade. A recent review by Lynch et al. raises the concern that women may be at a higher risk than men for attrition, based on analysis of a cohort matched between 1990 and 1999. This manuscript aims to characterize the trends in enrollment, attrition, and postattrition careers for women who matched in neurosurgery between 2000 and 2009. METHODS Databases from the American Association of Neurological Surgeons (AANS) and the American Board of Neurological Surgery (ABNS) were analyzed for all residents who matched into neurosurgery during the years 2000–2009. Residents were sorted by female gender, matched against graduation records, and if graduation was not reported from neurosurgery residency programs, an Internet search was used to determine the residents’ alternative path. The primary outcome was to determine the number of women residents who did not complete neurosurgery training programs during 2000–2009. Secondary outcomes included the total number of women who matched into neurosurgery per year, year in training in which attrition occurred, and alternative career paths that these women chose to pursue. RESULTS Women comprised 240 of 1992 (12%) matched neurosurgery residents during 2000–2009. Among female residents there was a 17% attrition rate, compared with a 5.3% male attrition rate, with an overall attrition rate of 6.7%. The majority who left the field did so within the first 3 years of neurosurgical training and stayed in medicine—pursuing anesthesia, neurology, and radiology. CONCLUSIONS Although the percentage of women entering neurosurgical residency has continued to increase, this number is still disproportionate to the overall number of women in medicine. The female attrition rate in neurosurgery in the 2000–2009 cohort is comparable to that of the other surgical specialties, but for neurosurgery, there is disparity between the male and female attrition rates. Women who left the field tended to stay within medicine and usually pursued a neuroscience-related career. Given the need for talented women to pursue neurosurgery and the increasing numbers of women matching annually, the recruitment and retention of women in neurosurgery should be benchmarked and assessed.

53. Resident training and the dictated operative report - A national perspectives

2007 ◽  
Vol 30 (4) ◽  
pp. 56
Author(s):  
L. M. Gillman ◽  
A. Vergis ◽  
J. Park ◽  
M. Taylor
Keyword(s):  
Formal Methods ◽  
General Surgery ◽  
Training Programs ◽  
Program Directors ◽  
Resident Training ◽  
Program Director ◽  
Web Based ◽  
Residency Programs ◽  
Operative Note ◽  
Operative Report

Operative dictation training is a poorly studied area of surgical resident education and there is currently no literature on the national experience with operative dictation training in Canada. We therefore undertook a web-based survey of residents and program directors in general surgery training programs in Canada to determine if there is an ongoing desire for formal operative dictation training. Every resident and program director in English speaking General Surgery programs in Canada was contacted by email and asked to participate in the study. A secure, web based survey program was developed to conduct the survey and collect the data. The survey contained questions regarding comfort level with dictation, feedback on dictations and methods of dictation training employed by the individual residents and the resident training programs. Two hundred and seventy-four residents and 11 program directors responded to the survey (70.4% and 78.5% response rate, respectively). Among residents, 201 residents (73.3%) reported that their dictations were in need of improvement while 191 residents (69.7%) requested further training in dictation. Two-hundred and six residents (75.2%) reported that their training program did not employ any formal methods to help improve their dictations. Furthermore, 153 residents (55.8%) had never received feedback on their dictations. Ten program directors (90.9%) felt that residency programs should include formal training in operative dictation. Unfortunately, half of these program directors could not identify any formal methods currently being employed in their training programs, this despite the fact that 45.5% of program directors could identify specific instances where direct patient care was negatively affected by a poor operative report. Both program directors and residents identified operative dictation templates and formal feedback on dictations as the two interventions they would like to see instituted to improve operative dictations in their residency training programs. Residents and program director recognize a need for the development of formal operative dictation training in Canada. Eichholz AC, Van Voorhis BJ, Sorosky JI, Smith BJ, Sood AK. Operative note dictation: should it be taught routinely in residency programs? Obstetrics and Gynecology 2004; 103:342-6. Menzin AW, Spitzer M. Teaching operative dictation. A survey of obstetrics/gynecology residency program directors. Journal of Reproductive Medicine 2003; 48:850-2. Moore RA. The dictated operative note: important but is it being taught? Journal of the American College of Surgeons 2000; 190:639-40.

scholarly journals Patients’ Use and Perceptions of a Drug-Drug Interaction Database: A Survey of Janusmed Interactions

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 23
Author(s):  
Hanna Justad ◽  
Ylva Askfors ◽  
Tero Shemeikka ◽  
Marine L. Andersson ◽  
Tora Hammar
Keyword(s):  
Drug Interaction ◽  
General Population ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Personal Account ◽  
Web Based ◽  
The Public ◽  
Interaction Database ◽  
Survey Response Rate ◽  
High Health Literacy

Janusmed interactions is a drug-drug interactions (DDI) database available online for healthcare professionals (HCP) at all levels of the healthcare system including pharmacies. The database is aimed at HCP but is also open to the public for free, for those individuals who register for a personal account. The aim of this study was to investigate why and how patients use the database Janusmed interactions, how they perceive content and usability, and how they would react if they found an interaction. A web-based questionnaire was sent by email to all users who had registered for Janusmed interactions as a “patient” (n = 3219). A total of 406 patients completed the survey (response rate 12.6%). The study shows that there is an interest among patients to use a DDI database to check their own or a relative’s medication. The respondents found the database easy to use and perceive they understand the information aimed at HCP. Most patients stated they would talk to their HCP if they found an interaction and not adjust their treatment by themselves. However, the respondents in this study are actively searching for information and seem to have high health literacy. Thus, the findings are not generalizable for the general population.

scholarly journals Impact of COVID-19 on Endoscopy Training: Perspectives from a Global Survey of Program Directors and Endoscopy Trainers

2021 ◽  
Vol 54 (5) ◽  
pp. 678-687
Author(s):  
Shivakumar Vignesh ◽  
Amna Subhan Butt ◽  
Mohamed Alboraie ◽  
Bruno Costa Martins ◽  
Alejandro Piscoya ◽  
...  
Keyword(s):  
Training Programs ◽  
Negative Impact ◽  
Geographic Variations ◽  
Web Based ◽  
Endoscopy Training ◽  
Survey Response Rate ◽  
Significant Negative Impact ◽  
Teaching Faculty ◽  
The Impact ◽  
Assessment Of Competencies

Background/Aims: The coronavirus disease of 2019 (COVID-19) pandemic has impacted the training of medical trainees internationally. The aim of this study was to assess the global impact of COVID-19 on endoscopy training from the perspective of endoscopy trainers and to identify strategies implemented to mitigate the impact on trainee education.Methods: Teaching faculty of gastroenterology (GI) training programs globally were invited to complete a 36-question web-based survey to report the characteristics of their training programs and the impact of COVID-19 on various aspects of endoscopy training, including what factors decisions were based on.Results: The survey response rate was 52.6% (305 out of 580 individuals); 92.8% reported a negative impact on endoscopy training, with suspension of elective procedures (77.1%) being the most detrimental factor. Geographic variations were noted, with European programs reporting the lowest percentage of trainee participation in procedures. A higher proportion of trainees in the Americas were allowed to continue performing procedures, and trainers from the Americas reported receiving the greatest support for endoscopy teaching.Conclusions: This study demonstrated that the COVID-19 pandemic has had a significant negative impact on GI endoscopy training internationally, as reported by endoscopy trainers. Focus-optimizing endoscopy training and assessment of competencies are necessary to ensure adequate endoscopy training.

scholarly journals Preferences and Practices of U.S. Ophthalmology Residency Program Directors Regarding Post-interview Communication with Residency Applicants

2018 ◽  
Vol 10 (01) ◽  
pp. e43-e47 ◽  
Author(s):  
Allison Chen ◽  
Elaine Tran ◽  
Melissa Clark ◽  
Ingrid Scott ◽  
Paul Greenberg
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Residency Program ◽  
Response Rate ◽  
Program Directors ◽  
Web Based ◽  
Residency Programs ◽  
Graduate Medical ◽  
Residency Program Directors ◽  
Residency Match

Importance Little is known about the perspectives and practices of U.S. ophthalmology residency program directors (PDs) regarding communication between PDs and applicants during the post-interview residency match period. Objective To investigate the preferences and practices of ophthalmology residency PDs regarding post-interview communication between PDs and residency applicants during the residency match period. Design and Setting Web-based anonymous survey. Participants Directors of ophthalmology residency programs accredited by the Accreditation Council for Graduate Medical Education. Results The response rate was 64% (74/116). The majority (75%; 55/73) of PDs preferred that PDs and residency applicants not communicate during the post-interview period; the main reasons were that such communication was not ethical and not productive. In addition, 62% (46/74) of PDs believed that the Ophthalmology Matching Program should institute a policy of no post-interview communication between applicants and faculty during the residency match period. Conclusion and Relevance The majority of U.S. ophthalmology residency PDs favor instituting a policy of no post-interview communication between applicants and faculty during the residency match period.

scholarly journals The quality of medical resident PowerPoint ® presentations.

Acta Medica ◽  
2018 ◽  
Vol 49 (4) ◽  
pp. 14-17
Author(s):  
Job Paul Larson ◽  
David Moss ◽  
Robert R Lennon
Keyword(s):  
Response Rate ◽  
Training Programs ◽  
Objective Evaluation ◽  
Military Family ◽  
Medical Resident ◽  
Technical Quality ◽  
Residency Programs ◽  
The Mean ◽  
Residency Program Directors

Objective: PowerPoint® software is the most common method of presenting information among physicians. As such it offers an opportunity to evaluate the technical quality of medical resident presentations and assess for change in quality over residency training. To date there is no literature on objective evaluation of the technical quality of PowerPoint® presentations by residents. This study sought to create a metric to evaluate the technical quality of medical resident PowerPoint® presentations, and measure changes in that quality during training. Materials and Methods: A grading scheme for evaluating the technical quality of PowerPoint® presentations was generated after a literature review. In the spring of 2016 military family medicine residency program directors and chief residents were invited to participate. Participant programs submitted PowerPoint® presentations for evaluation. Presentations were de-identified and graded. Results: A total of fifteen residency programs were contacted and two presentations solicited, with a total possible response rate of thirty PowerPoint® presentations. Five programs responded, with a total of nine presentations out of a potential thirty, giving us a 30% response rate. Of these PowerPoint® presentations the mean score out of 100 was 86% with a range of 78-92%. Conclusion: Our grading scheme provides an objective method to evaluate the technical quality of PowerPoint® presentations. Resident PowerPoint® presentations are above an expected average level of technical quality. Our preliminary data suggest that training programs do not improve technical PowerPoint® presentation skills, and may not be interested in evaluation the technical quality of their resident presentations. Keywords: Presentation, resident, quality

scholarly journals Device and Medication Preferences of Canadian Physicians for Emergent Endotracheal Intubation in Critically Ill Patients

CJEM ◽  
2016 ◽  
Vol 19 (3) ◽  
pp. 186-197
Author(s):  
Robert S. Green ◽  
Dean A. Fergusson ◽  
Alexis F. Turgeon ◽  
Lauralyn A. McIntyre ◽  
George J. Kovacs ◽  
...  
Keyword(s):  
Critically Ill ◽  
Direct Laryngoscopy ◽  
Critically Ill Patients ◽  
Response Rate ◽  
Web Based ◽  
Usual Practice ◽  
Survey Response Rate ◽  
Macintosh Blade ◽  
First Choice ◽  
Icu Physicians

AbstractObjectivesVarious medications and devices are available for facilitation of emergent endotracheal intubations (EETIs). The objective of this study was to survey which medications and devices are being utilized for intubation by Canadian physicians.MethodsA clinical scenario-based survey was developed to determine which medications physicians would administer to facilitate EETI, their first choice of intubation device, and backup strategy should their first choice fail. The survey was distributed to Canadian emergency medicine (EM) and intensive care unit (ICU) physicians using web-based and postal methods. Physicians were asked questions based on three scenarios (trauma; pneumonia; heart failure) and responded using a 5-point scale ranging from “always” to “never” to capture usual practice.ResultsThe survey response rate was 50.2% (882/1,758). Most physicians indicated a Macintosh blade with direct laryngoscopy would “always/often” be their first choice of intubation device in the three scenarios (mean 85% [79%-89%]) followed by video laryngoscopy (mean 37% [30%-49%]). The most common backup device chosen was an extraglottic device (mean 59% [56%-60%]). The medications most physicians would “always/often” administer were fentanyl (mean 45% [42%-51%]) and etomidate (mean 38% [25%-50%]). EM physicians were more likely than ICU physicians to paralyze patients for EETI (adjusted odds ratio 3.40; 95% CI 2.90-4.00).ConclusionsMost EM and ICU physicians utilize direct laryngoscopy with a Macintosh blade as a primary device for EETI and an extraglottic device as a backup strategy. This survey highlights variation in Canadian practice patterns for some aspects of intubation in critically ill patients.

eHealth literacy and preferences for eHealth resources in parents of children with complex CHD

2016 ◽  
Vol 27 (4) ◽  
pp. 722-730 ◽  
Author(s):  
Nadine A. Kasparian ◽  
Nathan Lieu ◽  
David S. Winlaw ◽  
Andrew Cole ◽  
Edwin Kirk ◽  
...  
Keyword(s):  
Resource Use ◽  
Response Rate ◽  
Healthcare Team ◽  
Web Based ◽  
Literacy Beliefs ◽  
Ehealth Literacy ◽  
Doctor Patient Communication ◽  
Survey Response Rate ◽  
Wide Range ◽  
Consultation Time

AbstractIntroductionThis study aimed to (a) examine eHealth literacy, beliefs, and behaviours in parents of children with complex CHD, and (b) identify parents’ preferences for the content, format, features, and functions of eHealth resources for CHD.Materials and methodsFamilies (n=198) of children born between 2008 and 2011 and diagnosed with CHD requiring surgery were mailed a survey assessing a range of variables including eHealth literacy, beliefs, and behaviours as well as preferences for the format, functions, features, and content of eHealth resources for CHD.ResultsA total of 132 parents (83 mothers, 49 fathers) completed the survey (response rate: 50%). Mothers (96%) were more likely to access eHealth resources than fathers (83%, χ2=6.74, p=0.009). Despite high eHealth resource use, eHealth literacy was relatively low, with results demonstrating considerable and widespread gaps in awareness of, access to, and communication about eHealth resources. Over 50% of parents reported that decisions regarding their child’s healthcare were influenced, to some extent, by web-based resources. Barriers to doctor–patient communication about eHealth included limited consultation time and concern about doctors’ disapproval. Participants demonstrated a strong desire for “eHealth prescriptions” from their child’s healthcare team, and perceived a wide range of eHealth topics as highly important, including treatment-related complications as well as physical, cognitive, and emotional development in children with CHD.DiscussionResults suggest a need for stronger, more proactive partnerships between clinicians, researchers, educators, technologists, and patients and families to bring about meaningful innovations in the development and implementation of eHealth interventions in paediatric cardiology.

Sign in / Sign up

Export Citation Format

Share Document