scholarly journals Why residents quit: Prevalence of and reasons for attrition among anaesthesia residents in a single sponsoring institution

2020 ◽  
Vol 29 (2) ◽  
pp. 94-103
Author(s):  
Daphne Moo ◽  
Wei Shyan Siow ◽  
Ee Teng Ong
Keyword(s):  
Residency Training ◽  
Postgraduate Training ◽  
Demographic Data ◽  
Training Programme ◽  
Full Time ◽  
Postgraduate Training Programme ◽  
Residency Programme ◽  
Individualized Training ◽  
The Individual ◽  
And Training

Background: The SingHealth Anaesthesiology Residency Programme (SHARP) is a 5-year postgraduate training programme in Singapore. Since its inauguration in 2011, SHARP has taken in the largest number of anaesthesia residents in Singapore. However, we noticed significant attrition over the years. As attrition is a costly and disruptive affair, both to the individual and the programme, we seek to investigate the prevalence of and reasons for separation, in order to determine ways to minimize attrition. Methods: An online anonymous survey was conducted among all residents who have separated from SHARP. The questionnaire comprised questions regarding demographic data, reasons behind separation, obstacles faced during residency, and potential ways to reduce attrition. Results: From 2011 to 2018, 22 out of 127 residents have separated from the programme, giving an overall attrition prevalence of 17%. Nineteen (86%) of the separated residents responded to our questionnaire. The most common reason for separation was due to difficulties in juggling childcare and training commitments. Of the residents who have separated, more than half of them would consider rejoining the programme if a less than full time (LTFT) option was available. Conclusion: One out of every six residents in the SHARP quits residency training. The reasons behind separation are often varied due to each resident’s unique social circumstances. An individualized training programme with a LTFT option that allows for flexibility may boost retention in the programme.

The Royal Medico-Psychological Association Reports on Psychiatric Education

1969 ◽  
Vol 115 (519) ◽  
pp. 225-231 ◽  
Keyword(s):  
Postgraduate Training ◽  
Psychiatric Hospitals ◽  
Psychiatric Education ◽  
The United Kingdom ◽  
Psychiatric Units ◽  
Adult Psychiatry ◽  
Hospital Boards ◽  
The Individual ◽  
First Time ◽  
And Training

In 1965 the Education Committee drew up a questionnaire on postgraduate training which was circulated to recognized psychiatric hospitals and psychiatric units in general hospitab. The results have been published in this Journal (November 1968, 114, 1441). The Committee recognized that this method of inquiry was by no means ideal, and in order to provide confirmatory information another questionnaire on postgraduate experience and training was circulated to a group of consultant psychiatrists in the United Kingdom. This group comprised all those who were appointed as consultants in adult psychiatry (including psychotherapy) by public appointment (i.e. not personally upgraded) for the first time between 1 October 1963 and 30 September 1966, and who had six or more N.H.S. sessions. A list of all those consultants who were thought to fall into this group was compiled with the help of Regional Hospital Boards and the Ministry of Health, and 191 questionnaires were sent out, with a request that the form be returned uncompleted if the individual had been wrongly assigned.

Medical education: an audit of an Overseas postgraduate training programme in ENT

1994 ◽  
Vol 108 (12) ◽  
pp. 1072-1075 ◽  
Author(s):  
M. E. Baraka
Keyword(s):  
Postgraduate Training ◽  
Arab World ◽  
Selection Process ◽  
Internal Audit ◽  
Dropout Rate ◽  
Developed Countries ◽  
Training Programme ◽  
Postgraduate Training Programme ◽  
The Developed Countries ◽  
Training Programmes

AbstractFor overseas doctors, looking for higher training posts, the chance of being employed in the developed countries is becoming bleaker. This article considers the need for an increase in the number of local postgraduate training programmes in the Arab world in keeping with other developing countries. The model used for this study was an internal audit, of the postgraduate programme in ENT offered by King Faisal University in Dammam, Saudi Arabia. A dropout rate of more than 30 per cent among those who joined the programme reflected either the tougher standard of the course, or an inappropriate selection process. A major reason was the frustrating inability of the trainees to cope with the basic sciences course. This point was also addressed in the audit with a view to rationalizing the course to meet specific objectives.

scholarly journals SWIMMING – THE STRUCTURE AND VOLUME OF TRAINING LOADS IN THE FOUR-YEAR TRAINING CYCLE OF AN ELITE OLYMPIC ATHLETE

2017 ◽  
Vol 24 (3) ◽  
pp. 162-169 ◽  
Author(s):  
Paweł Słomiński ◽  
Aleksandra Nowacka
Keyword(s):  
Training Programme ◽  
Individual Characteristics ◽  
Training Process ◽  
Physical Effort ◽  
Training Cycle ◽  
Measurable Parameter ◽  
The Individual ◽  
The Impact ◽  
Olympic Athlete ◽  
And Training

Abstract Introduction. The improvement of outcomes in sport requires the creation of appropriate conditions for training and the search for more effective forms of its organisation and effective technology. Starting with this belief, the aim of the work is to identify the size and structure of the training loads and determine the effectiveness of the training process of an elite athlete in the Olympic macrocycle (2004-2008). Material and methods. We analysed loads in the four-year training cycle from 2004 to 2008. The parameters of the loads relating to the intensity (T1-T5) and type of training (general, special, and specific) were analysed. The present study also attempted to assess the impact of the work on the results obtained. Due to the nature of the competitive effort, we used the measurable parameter of distance (m, km) in the load analysis depending on the type and intensity of the physical effort. Results. This work reports on the implementation of a specially designed four-year training programme. The material gathered and the conclusions resulting from its analysis have made it possible to identify organisational and training solutions suitable for the athletic proficiency phase. The analysis of training loads indicated that in the training of a highly skilled swimmer, the general work is particularly important and that the largest volume was realised in the second intensity range (T2). Conclusions. The positive training and competition outcomes were the result of a deliberate training process. The training proved to be effective, leading to an increase in the athlete’s training status. This was achieved primarily owing to the training loads, which were accurately planned and implemented according to the special requirements of the race distance and the individual characteristics of the swimmer.

scholarly journals Implementing a telemedicine curriculum for internal medicine residents during a pandemic: the Cleveland Clinic experience

2021 ◽  
pp. postgradmedj-2020-139228
Author(s):  
David J. Savage ◽  
Omar Gutierrez ◽  
Bryce Edward Montané ◽  
Achintya Dinesh Singh ◽  
Eric Yudelevich ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Cleveland Clinic ◽  
Training Programme ◽  
New Paradigm ◽  
Resource Guide ◽  
Internal Medicine Residents ◽  
Virtual Visits ◽  
The Usa ◽  
Residency Programme ◽  
And Training

Telemedicine training was not a substantial element of most residency programmes prior to the COVID-19 pandemic. Social distancing measures changed this. The Cleveland Clinic Internal Medicine Residency Programme (IMRP) is one of the largest programmes in the USA, which made the task of implementing a telemedicine curriculum more complex. Here we describe our experience implementing an effective, expedited telemedicine curriculum for our ambulatory resident clinics. This study was started in April 2020 when we implemented a resident-led curriculum and training programme for providing ambulatory telemedicine care. The curriculum was finalised in less than 5 weeks. It entailed introducing a formal training programme for residents, creating a resource guide for different video communication tools and training preceptors to safely supervise care in this new paradigm. Residents were surveyed before the curriculum to assess prior experience with telemedicine, and then afterward to assess the curriculum’s effectiveness. We also created a mini-CEX assessment for residents to solicit feedback on their performance during virtual appointments. Over 2000 virtual visits were performed by residents in a span of 10 weeks. Of 148 residents, 38% responded to the pre-participation survey. A majority had no prior telemedicine experience and expressed only slight comfort with the modality. Through collaboration with experienced residents and faculty, we expeditiously deployed an enhancement to our ambulatory care curriculum to teach residents how to provide virtual care and help faculty with supervision. We share our insights on this experience for other residency programmes to use.

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