The Role of the Away Rotation in Otolaryngology Residency

2017 ◽  
Vol 156 (6) ◽  
pp. 1104-1107 ◽  
Author(s):  
Jennifer A. Villwock ◽  
Chelsea S. Hamill ◽  
Jesse T. Ryan ◽  
Brian D. Nicholas
Keyword(s):  
Program Directors ◽  
P Value ◽  
Cross Sectional Survey ◽  
Case Volume ◽  
Cross Sectional ◽  
Web Based ◽  
Clinical Exposure ◽  
Residency Programs ◽  
Near Future

Objective To determine the availability and purpose of away rotations during otolaryngology residency. Study Design Cross-sectional survey. Setting Otolaryngology residency programs. Subjects and Methods An anonymous web-based survey was sent to 98 allopathic otolaryngology training program directors, of which 38 programs responded. Fisher exact tests and nonparametric correlations were used to determine statistically significant differences among various strata of programs. A P value of <.05 was considered statistically significant. Results Thirty-nine percent (n = 38) of queried programs responded. Mandatory away rotations and elective away rotations were both present in 6 of 38 programs (16%). Neither number of faculty ( P = .119) nor residents ( P = .88) was predictive of away rotation. Away rotations were typically >151 miles from the home institution and typically used to address deficiencies in clinical exposure (67%) or case volume (50%). Participants of mandatory away rotations were universally provided housing, with other consideration such as stipend (33%), relocation allowance (33%), or food allowance (16%) sometimes offered. In contrast to mandatory rotations, half of elective rotations were to obtain a unique international mission trip experience. Nearly one-third of surveyed program directors (29%) would consider adding an away rotation to their curriculum in the next 3 years. Conclusions Mandatory and elective away rotations play a role in a small, but not insignificant, number of training programs. The rationale for these rotations is variable. Given that nearly one-third of program directors would consider adding an away rotation in the near future, further research into components of a meaningful away rotation and how to optimize the away rotation experience is warranted.

scholarly journals Craniomaxillofacial Trauma Experience in Otolaryngology Residency: A National Survey of Program Directors

2019 ◽  
Vol 12 (2) ◽  
pp. 134-140
Author(s):  
Melissa S. Oh ◽  
Anita B. Sethna ◽  
Oswaldo A. Henriquez
Keyword(s):  
Pediatric Trauma ◽  
Program Directors ◽  
The United States ◽  
Cross Sectional Survey ◽  
Case Volume ◽  
Cross Sectional ◽  
Residency Programs ◽  
Level 1 ◽  
Didactic Lecture ◽  
Lecture Time

This article aimed to assess the depth and volume of craniomaxillofacial (CMF) trauma exposure and education in otolaryngology residency training in the United States. This is a cross-sectional survey. A 15-question web-based survey was distributed to program directors of 106 Accreditation Council for Graduate Medical Education (ACGME)-approved otolaryngology residency programs to inquire about program size and demographics, trauma coverage, case volume, and education. Responses were collected anonymously. A total of 77 responses were received, representing 73% of residency programs. Seventy-five programs (97%) reported that their residents rotated at a level 1 trauma center, and 72 (94%) covered CMF trauma. Sixty-one programs (79%) included pediatric CMF trauma. The majority of programs (76%) allocated less than 10% of residency-dedicated didactic lecture time to CMF trauma. Residents in all programs typically logged at least 11 to 20 cases before graduation with 24% of programs averaging more than 50 cases per resident. Ninety percent of respondents described the training as “somewhat” to “very adequate.” CMF coverage by the otolaryngology department, number of cases, and dedicated didactic lecture time to CMF trauma were significant factors on the perception of adequate training. The majority of program directors felt that the training in CMF trauma was adequate. Reasons for this may include that most residents rotate at level 1 trauma centers, have exposure to pediatric trauma, encounter an adequate volume of cases, and have dedicated didactic time to CMF education.

Current Models for Inpatient and Emergency Room Ophthalmology Consultation in U.S. Residency Programs

2020 ◽  
Vol 12 (02) ◽  
pp. e171-e174
Author(s):  
Donna H. Kim ◽  
Dongseok Choi ◽  
Thomas S. Hwang
Keyword(s):  
Emergency Department ◽  
Medical Education ◽  
Emergency Room ◽  
Program Directors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Direct Supervision ◽  
Residency Programs ◽  
Residency Program Directors ◽  
Competency Assessments

Abstract Objective This article examines models of patient care and supervision for hospital-based ophthalmology consultation in teaching institutions. Design This is a cross-sectional survey. Methods An anonymous survey was distributed to residency program directors at 119 Accreditation Council for Graduated Medical Education accredited U.S. ophthalmology programs in the spring of 2018. Survey questions covered consult volume, rotational schedules of staffing providers, methods of supervision (direct vs. indirect), and utilization of consult-dedicated didactics and resident competency assessments. Results Of the 119 program directors, 48 (41%) completed the survey. Programs most frequently reported receiving 4 to 6 consults per day from the emergency department (27, 55.1%) and 4 to 6 consults per day from inpatient services (26, 53.1%). Forty-seven percent of programs reported that postgraduate year one (PGY-1) or PGY-2 residents on a dedicated consult rotation initially evaluate patients. Supervising faculty backgrounds included neuro-ophthalmology, cornea, comprehensive, or a designated chief of service. Staffing responsibility is typically shared by multiple faculty on a daily or weekly rotation. Direct supervision was provided for fewer of emergency room consults (1–30%) than for inpatient consults (71–99%). The majority of programs reported no dedicated didactics for consultation activities (27, 55.1%) or formal assessment for proficiency (33, 67.4%) prior to the initiation of call-related activities without direct supervision. Billing submission for consults was inconsistent and many consults may go financially uncompensated (18, 36.7%). Conclusion The majority of hospital-based ophthalmic consultation at academic centers is provided by a rotating pool of physicians supervising a lower level resident. Few programs validate increased levels of graduated independence using specific assessments.

Extremes in Otolaryngology Resident Surgical Case Numbers: An Update

2017 ◽  
Vol 156 (6) ◽  
pp. 1060-1066 ◽  
Author(s):  
Tiffany P. Baugh ◽  
Christine B. Franzese
Keyword(s):  
National Database ◽  
Cross Sectional Survey ◽  
Case Volume ◽  
Cross Sectional ◽  
Residency Programs ◽  
Key Indicator ◽  
Resident Surgeon ◽  
The Mean ◽  
Minimum Numbers

Objectives The purpose of this study is to examine the effect of minimum case numbers on otolaryngology resident case log data and understand differences in minimum, mean, and maximum among certain procedures as a follow-up to a prior study. Study Design Cross-sectional survey using a national database. Setting Academic otolaryngology residency programs. Subjects and Methods Review of otolaryngology resident national data reports from the Accreditation Council for Graduate Medical Education (ACGME) resident case log system performed from 2004 to 2015. Minimum, mean, standard deviation, and maximum values for total number of supervisor and resident surgeon cases and for specific surgical procedures were compared. Results The mean total number of resident surgeon cases for residents graduating from 2011 to 2015 ranged from 1833.3 ± 484 in 2011 to 2072.3 ± 548 in 2014. The minimum total number of cases ranged from 826 in 2014 to 1004 in 2015. The maximum total number of cases increased from 3545 in 2011 to 4580 in 2015. Multiple key indicator procedures had less than the required minimum reported in 2015. Conclusion Despite the ACGME instituting required minimum numbers for key indicator procedures, residents have graduated without meeting these minimums. Furthermore, there continues to be large variations in the minimum, mean, and maximum numbers for many procedures. Variation among resident case numbers is likely multifactorial. Ensuring proper instruction on coding and case role as well as emphasizing frequent logging by residents will ensure programs have the most accurate data to evaluate their case volume.

scholarly journals Hubungan Peran Ketua Tim dengan Kinerja Perawat dalam Dokumentasi Asuhan Keperawatan di Rumah Sakit Jiwa Provinsi Jambi

2021 ◽  
Vol 10 (1) ◽  
pp. 196
Author(s):  
Fithriyani Fithriyani ◽  
Miko Eka Putri
Keyword(s):  
Nursing Care ◽  
Significant Relationship ◽  
Sampling Technique ◽  
Team Leader ◽  
P Value ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Team Members

The quality of service can be determined from the performance of the nurse in providing nursing care. The success of the team method in carrying out the nursing process is determined by the ability of the team leader to assign tasks to team members and direct work to the team. This study aims  to knowing  the relationship between the role of the team leader and the performance of nurses in documenting nursing care at the Jambi Provincial Psychiatric Hospital. A quantitative method with a cross-sectional survey using self-administered questionnaires The sampling technique was total sampling so that the sample size was 106 nurseswith analysis using the chi square test. The data were analyzed using statistical software. This study investigates the role of team leaders and nurses' performance in documenting nursing care. the role of the team leader in documenting nursing care was 54.1% good. the performance of nurses in documenting nursing care was 53.2% good. The statistical test results showed that the p value (0,000) <0.05, which means that there is a significant relationship between the role of the team leader and the performance of nurses in nursing care documentation.This significant relationship explains that the role of the team leader will have a good influence on the documentation of nursing care carried out by the nurse in charge

scholarly journals Are healthcare aides underused in long-term care? A cross-sectional study on continuing care facilities in Canada

BMJ Open ◽  
2017 ◽  
Vol 7 (5) ◽  
pp. e015521 ◽  
Author(s):  
Mubashir A Arain ◽  
Siegrid Deutschlander ◽  
Paola Charland
Keyword(s):  
Long Term Care ◽  
Continuing Care ◽  
P Value ◽  
Educational Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Care Facilities

ObjectivesOver the last 10 years, appropriate workforce utilisation has been an important discussion among healthcare practitioners and policy-makers. The role of healthcare aides (HCAs) has also expanded to improve their utilisation. This evolving role of HCAs in Canada has prompted calls for standardised training, education and scope of practice for HCAs. The purpose of this research was to examine the differences in HCAs training and utilisation in continuing care facilities.DesignFrom June 2014 to July 2015, we conducted a mixed-method study on HCA utilisation in continuing care. This paper presents findings gathered solely from the prospective cross-sectional survey of continuing care facilities (long-term care (LTC) and supportive living (SL)) on HCA utilisation.Setting and participantsWe conducted this study in a Western Canadian province. The managers of the continuing care facilities (SL and LTC) were eligible to participate in the survey.Primary outcome measuresThe pattern of HCAs involvement in medication assistance and other care activities in SL and LTC facilities.ResultsWe received 130 completed surveys (LTC=64 and SL=52). Our findings showed that approximately 81% of HCAs were fully certified. We found variations in how HCAs were used in SL and LTC facilities. Overall, HCAs in SL were more likely to be involved in medication management such as assisting with inhaled medication and oral medication delivery. A significantly larger proportion of survey respondents from SL facilities reported that medication assistance training was mandatory for their HCAs (86%) compared with the LTC facilities (50%) (p value <0.01).ConclusionThe utilisation of HCAs varies widely between SL and LTC facilities. HCAs in SL facilities may be considered better used according to their required educational training and competencies. Expanding the role of HCAs in LTC facilities may lead to a cost-effective and more efficient utilisation of workforce in continuing care facilities.

scholarly journals Surgical Aptitude Testing among Ophthalmology Residency Applicants: Current Utilization and Residency Program Directors' Perspectives

2019 ◽  
Vol 11 (02) ◽  
pp. e10-e17
Author(s):  
Amy Lu ◽  
Samuel Beckstead ◽  
Michael Wilkinson ◽  
Ingrid U. Scott
Keyword(s):  
Program Directors ◽  
Application Process ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Residency Programs ◽  
Aptitude Testing ◽  
Testing Strategies ◽  
Current Utilization ◽  
Residency Application ◽  
Residency Program Directors

Purpose To investigate the proportion of United States ophthalmology residency programs that utilize surgical aptitude testing during the applicant interview, and the perspectives of program directors (PDs) regarding surgical aptitude testing of applicants. Design This is a cross-sectional survey. Methods An anonymous survey constructed on REDCap was emailed to the PD of each ophthalmology residency accredited by the Accreditation Council for Graduate Medical Education. Main outcome measures are proportion of programs which include surgical aptitude testing during the applicant interview, and proportion of PDs who (1) believe the current residency application process adequately assesses applicants' surgical aptitude; (2) believe surgical aptitude testing results predict surgical success; and (3) favor inclusion of surgical aptitude testing for applicant evaluation. Results Of 115 PDs, 63 completed the survey (54.8%). One (1.6%) reported current use of surgical aptitude testing during the interview and 6 (9.5%) used such testing previously. Fifty-five (87.3%) respondents do not believe the residency application process adequately assesses surgical aptitude. Most respondents (40/63, 63.5%) do not support using results from currently available surgical aptitude testing strategies performed during the interview to rank applicants; 47 (74.6%) do not believe results of such testing predict ultimate surgical potential. However, 35 (55.6%) would use surgical aptitude data for applicant screening if valid testing could be performed before the interview. Conclusion While most PDs do not believe the current ophthalmology residency application process adequately assesses surgical aptitude, screening for surgical aptitude during the application process is seldom employed, largely due to a perceived lack of valid testing strategies available.

scholarly journals Knowledge of cholera and its prevention amongst urban residents of a district in Abuja: The pivotal role of health education

2020 ◽  
Vol 8 (2) ◽  
pp. 102-112
Author(s):  
G.O. Anetor ◽  
F. Abraham
Keyword(s):  
Health Education ◽  
Preventive Measures ◽  
Control Measures ◽  
P Value ◽  
Age Group ◽  
Cross Sectional Survey ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Validated Questionnaire

Objectives: Cholera is endemic in many Africa countries including Nigeria, where it is still endemic despite all the control measures put in place. It is still a disease of public health importance. The northern parts of Nigeria been implicated in the recent spike in cholera cases in Nigeria. Durumi, one of the communities in the Federal Capital Territory (FCT) has been observed to have cases of cholera in recent times but with paucity of data on the occurrence of the disease in Durumi. This study examined the knowledge of cholera and its prevention amongst the residents of Durumi to get baseline information and ascertain the role of health education in curtailing cholera in the community.Methods: A Descriptive (cross-sectional) survey design. Multistage sampling was used to select 360 participants (171 females and 159 males) and a self-developed validated questionnaire was used to collect data. Data was analyzed using descriptive statistics of frequency counts and percentages and inferential statistics of Chi-square to test the hypotheses at 0.05 significant levels.Results: Knowledge of cholera significant (p-value .000<0.05); age group below 50 years contributed higher percentage scores than those above 50 years old. Awareness of preventive measures to cholera also significant (p-value .000<0.05); the age group below 50 years contributed higher scores than those above 50 years old. Findings suggest insufficient knowledge and awareness of preventive measures of cholera for age > 50 years.Conclusion: Durumi residents appear to have adequate knowledge and awareness of cholera preventive measures. Targeted health education may be employed to prevent cholera in Durumi. Keywords: Cholera, knowledge, prevention, Abuja, health education

Internet Access and Usage Survey among Stroke Survivors and Informal Caregivers (Preprint)

2020 ◽  
Author(s):  
Imama Ali Naqvi ◽  
Tahani Casameni Montiel ◽  
Yazan Bittar ◽  
Norma Hunter ◽  
Munachi Okpala ◽  
...  
Keyword(s):  
Informal Caregivers ◽  
Internet Access ◽  
White Men ◽  
Stroke Survivors ◽  
Limited Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Internet Users

BACKGROUND Web-based telehealth interventions have shown promise for chronic disease management but have not been widely applied to stroke populations. Limited information is known about the accessibility and usability of web-based electronics post-stroke. The purpose was to explore internet access and use of web-based electronics in stroke survivors (SS) and their informal caregivers (IC). OBJECTIVE To describe access and usage of web-based electronics in a cohort of SS and IC. METHODS A cross-sectional survey of 378 participants (SS=251; IC=127). Descriptive statistics were generated. RESULTS Internet-users were on average 8 years younger than non-users (Mean years; SS 59; IC 51) and the majority were Non-Hispanic White men. Two hundred (81%) stroke survivors reported internet access compared to 123 (97%) caregivers (p<0.001). Smart phones were the most common device used to access the internet. CONCLUSIONS Web-based telehealth stroke interventions should consider participant age and race/ethnicity, the role of the IC to positively impact SS internet accessibility and usability, and the use of smartphone applications.

scholarly journals COVID-19’s Impact on the 2020-2021 Resident Match: A Survey of Otolaryngology Program Directors

2020 ◽  
pp. 000348942096704
Author(s):  
David A. Kasle ◽  
Sina J. Torabi ◽  
Said Izreig ◽  
Rahmatullah W. Rahmati ◽  
R. Peter Manes
Keyword(s):  
Program Directors ◽  
Large Majority ◽  
Free Text ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Residency Programs ◽  
Research Involvement ◽  
Historical Importance ◽  
The Impact ◽  
Question Survey

Objective: To determine the impact coronavirus disease of 2019 (COVID-19) will have on the 2020-2021 otolaryngology (OTO-HNS) resident application cycle. Methods: A cross-sectional survey targeting OTO-HNS program directors (PD) was created and disseminated via email to PDs on May 28th 2020. Descriptive analyses of the 19-question survey was performed, and free text responses for certain suitable questions were thematically categorized into groups determined to be relevant during analysis. Results: Twenty-nine of 123 solicited PDs (23.6%) completed the survey. Nineteen (65.5%) respondents indicated they would not host away rotations (AR) in 2020, and 9 (31.0%) reported that they would consider away rotators without home programs. Regarding the historical importance of AR, 21 (72.4%) PDs stated they were either “extremely” or “very” important in evaluating candidates. Sixteen (55.2%) PDs stated that virtual interviews would impact their ability to properly gauge candidates and 12 (41.4%) were unsure. Eight PDs (27.6%) stated their evaluation of candidates will likely change, with a shift toward an increased reliance on letters of recommendation, research involvement, and clerkship grades. The large majority of PDs—25 (86.2%)—were not worried that the COVID-19 pandemic would affect the abilities of new interns beginning in 2021. Conclusion: Virtual interviews and engagement activities will mostly supplant sub-Is and AR for the 2020-2021 OTO-HNS application cycle. Surveyed PDs largely believe these will be insufficient in providing a comprehensive assessment of candidates, and will similarly limit applicants’ ability to gauge residency programs. Criteria utilized to evaluate students is expected to change.

scholarly journals Medical Librarians may be Underutilised in EBM Training within Pediatric Resident Programs

2018 ◽  
Vol 13 (4) ◽  
pp. 105-107
Author(s):  
Alisa Howlett
Keyword(s):  
Residency Training ◽  
Evidence Based Medicine ◽  
Program Directors ◽  
Evidence Based ◽  
Web Based ◽  
Residency Programs ◽  
Journal Clubs ◽  
Pediatric Residency ◽  
Based Medicine

A Review of:  Boykan, R., & Jacobson, R. M. (2017). The role of librarians in teaching evidence-based medicine to pediatric residents. Journal of the Medical Library Association, 105(4), 355-360. https://doi.org/10.5195/jmla.2017.178 Abstract Objective – To identify the use and role of medical librarians in pediatric residency training, specifically in the teaching of evidence-based medicine (EBM) to medical residents. This research also aims to describe current strategies used for teaching evidence-based medicine in pediatric residency training programs. Design – Web-based survey. Setting – Pediatric residency programs within the United States of America. Subjects – 200 members of the Association of Pediatric Program Directors (APPD). Methods – The 13-question, web-based survey used multiple choice and short answer questions to ask how pediatric residency programs used medical librarians. The survey collected demographic information such as program name, geographic region, and program size. Where respondents indicated their programs utilised librarians, the survey asked about their specific role, including involvement in EBM curricula. For respondents who indicated their programs did not use librarians, the survey asked about their reasons for not doing so, and to describe their EBM curricula. Researchers used SPSS software to analyse the quantitative data. Main Results – Overall 91 (46%) APPD-member program directors responded to the online survey. Of these, 76% of program directors indicated a formal EBM curriculum in their residency programs. Medical librarians were responsible for teaching EBM in 37% of responding pediatric programs. However, only 17% of responding program directors stated that medical librarians were involved in teaching EBM on a regular basis. The EBM skills most commonly taught within the pediatric residency programs included framing questions using PICO (population, intervention, comparator, outcome), searching for relevant research literature, and critical appraisal of studies. The strategies reported as most effective for teaching EBM in pediatric residency training programs were journal clubs, regular EBM conferences or seminars, and ‘morning reports.’ Conclusion – The study concluded that medical librarians may be important in the teaching of EBM in pediatric residency programs, but are likely underutilised. The librarian might not be seen has having a significant role in forums such as journal clubs, despite these being a predominant venue for EBM teaching. The authors recommend that program directors and faculty work together to better integrate medical librarians’ expertise into clinical teaching of EBM.

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