scholarly journals A Survey of Training for Temporary Hemodialysis Catheter Insertion During Nephrology Fellowship in Canada: An Update

2019 ◽  
Vol 6 ◽  
pp. 205435811987598
Author(s):  
Richard Hae ◽  
Daniel Samaha ◽  
Pierre-Antoine Brown ◽  
Rory McQuillan ◽  
Swapnil Hiremath ◽  
...  
Keyword(s):  
Online Survey ◽  
Training Programs ◽  
Fellowship Training ◽  
Catheter Insertion ◽  
Survey Study ◽  
Hemodialysis Catheter ◽  
The Past ◽  
Mandatory Requirement ◽  
Simulation Based ◽  
Chi Squared

Background: Controversy exists as to whether the insertion of temporary hemodialysis catheters (THDCs) should remain a mandatory requirement of nephrology fellowship training in Canada. A survey conducted by our group in 2012 showed that many nephrology trainees reported inadequate training to achieve procedural competence. Objective: To determine the current practices and training of the insertion of THDCs in nephrology fellowship programs in Canada and how this has evolved since 2012. Design: A survey study was designed comprising the following sections: demographics, details regarding the number and types of THDCs inserted within the past 6 months of fellowship training, adherence to sterile techniques, the use of ultrasound guidance during THDC insertion, training for THDC insertion received before and during nephrology fellowship, and self-perceived adequacy of training and competence in THDC insertion. Setting: The survey was distributed by e-mail in May 2018 either directly or through Canadian nephrology training programs. Participants: Current trainees of Canadian adult nephrology training programs. Measurements: Descriptive statistics were used to analyze the summarized data. The means and interquartile ranges (IQRs) were used to summarize the number of THDC insertions performed, and the categorical data, including data on training and self-perceived competency, were reported using frequencies and percentages. A chi-squared test was used to evaluate the relationship between those who received simulation-based training and self-perceived confidence in either internal jugular or femoral catheter insertion. Methods: An online survey, available in both English and French, was distributed to all adult nephrology trainees in Canada in May 2018 either directly or through their respective programs. Results: Completed surveys were received from 46 of 136 nephrology trainees across Canada (34%). Of those who responded, the median (IQR) number of combined femoral and/or internal jugular THDCs inserted in the past 6 months of fellowship training was 3 (1-6). Eight respondents (17%) indicated that they had not inserted a THDC in the past 6 months. However, only 7 of 42 respondents (17%) indicated that they did not feel competent or adequately trained to perform either femoral or internal jugular THDC insertion. Limitations: Limitations of the study include participation of trainees at different stages of their training. Many trainees indicated that it was not a requirement to keep a formal log of their procedures performed and likely had recall bias when reporting their procedure details. Conclusions: Nephrology fellows in Canada are performing fewer THDC insertions compared to 2012 but report higher levels of self-perceived competence and better training. This may be as a result of significantly more simulation-based training. Our data suggest that training to procedural mastery using simulation-based techniques may be a path to ensuring adequate training for THDC insertion despite fewer procedures being performed during training.

Australian Orthodontists Utilization and Attitude Toward a Government Funded Cleft Scheme

2021 ◽  
pp. 105566562198912
Author(s):  
Morgan Wishney ◽  
Aziz Sahu-Khan ◽  
Peter Petocz ◽  
M. Ali Darendeliler ◽  
Alexandra K. Papadopoulou
Keyword(s):  
Cleft Palate ◽  
Online Survey ◽  
Cleft Lip ◽  
Training Programs ◽  
Capital City ◽  
Australian Society ◽  
Capital Cities ◽  
The Past ◽  
Orthodontic Training ◽  
University Training

Objectives: To (1) survey Australian orthodontists about their involvement with a government-funded scheme for patients with clefts, the Medicare Cleft Lip and Cleft Palate Scheme (MCLCPS) and (2) investigate their attitude toward treating patients with clefts and their training in this respect. Design: A 13-question online survey was distributed to members of the Australian Society of Orthodontists. The survey gathered information regarding respondent demographics, the number of MCLCPS-eligible patients seen in the past 12 months and usual billing practices. Results: A total of 96 complete responses were obtained. About 70% of respondents had treated MCLCPS-eligible patients in the past 12 months and 55% saw between 2 and 5 patients during this time. The likelihood of treating patients with clefts increased by a factor of 4.8 (95% CI: 1.2-18.9) if practicing outside of a capital city and 1.5 times for each decade increase in orthodontist’s age (95% CI: 1.0-2.2). The MCLCPS was utilized by 81% of orthodontists with 26% of these respondents accepting rebate only. Most orthodontists felt their university training could have better prepared them to treat patients with clefts. A minority of orthodontists felt that a rebate increase would make them more likely to treat these patients. Conclusions: Australian orthodontists who treat patients with clefts tend to be older and work outside of capital cities. The decision to treat these patients tends to not be financially motived. Specialty orthodontic training programs could improve the preparedness of their graduates to treat patients with clefts.

Fellowship Trends of Pathology Residents

2009 ◽  
Vol 133 (9) ◽  
pp. 1431-1436 ◽  
Author(s):  
Nikolaj Lagwinski ◽  
Jennifer L. Hunt
Keyword(s):  
Online Survey ◽  
Training Programs ◽  
Clinical Pathology ◽  
Residency Education ◽  
Fellowship Training ◽  
The Internet ◽  
Gastrointestinal Pathology ◽  
First Choice ◽  
Fellowship Programs ◽  
Pathology Training

Abstract Context.—Recent changes in pathology residency education have included a decrease in the program length (from 5 years to 4 years for combined anatomic and clinical pathology training) and a national mandate for programs to assess 6 general competencies of trainees. These have undoubtedly led to changes in program curricula and in residents' desires to seek fellowship training. Objective.—This study was designed to gather information about what residents are seeking from fellowship training programs. Design.—This study used an online survey to assess attitudes of residents in training programs toward fellowship training. The survey instrument had 26 questions pertaining to fellowship choices, motivations for pursuing fellowships, expectations of the fellowships, and postresidency concerns. Results.—There were 213 respondents from a mix of program types and representing each postgraduate year. Most residents will seek at least 1 or 2 fellowships after residency training. The most popular first-choice fellowship was surgical pathology (26%), followed by cytopathology (16%), hematopathology (15%), gastrointestinal pathology (10%), dermatopathology (8%), and forensic pathology (5%). The most common reasons for pursuing fellowship training were to “increase marketability” (43%) or to “become an expert in a particular area” (33%). Most trainees got their information about fellowship training programs from Internet sources. Conclusions.—Fellowship programs will benefit from an optimally designed Web site because residents seek information predominantly from the Internet. Residents seeking fellowships are particularly concerned with selecting programs that provide job connections, an increase in their marketability, and the opportunity to develop diagnostic expertise.

Training residents and fellows in paediatric cardiac anaesthesia

2016 ◽  
Vol 26 (8) ◽  
pp. 1525-1530 ◽  
Author(s):  
Dean B. Andropoulos
Keyword(s):  
Training Programs ◽  
Fellowship Training ◽  
Specialized Training ◽  
The Past ◽  
Cardiac Anaesthesia ◽  
Anaesthetic Care ◽  
Adolescents And Adults ◽  
Fellowship Programs ◽  
Second Year ◽  
The U.S

AbstractThe significant increase in complex anaesthetic care for infants, children, adolescents, and adults with CHD has given rise to specialized fellowship training programs. Specialized paediatric cardiac anaesthesia training for residents and fellows has advanced significantly since the 1970’s, when there a handful of programs. With the advent of formal paediatric anaesthesia fellowship programs in the U.S., more specialized training became available in the 1990’s and early 2000’s. In the past decade, increasing numbers of second year advanced fellowships in paediatric cardiac anaesthesia have been organized; today in North America there are 18 programs with 25 positions. Standardized recommendations for case numbers and curriculum have been devised and are widely available via journal publications.

scholarly journals Optimizing the Implementation of Practice Improvement Modules in Training: Lessons from Educators

2013 ◽  
Vol 5 (1) ◽  
pp. 74-80 ◽  
Author(s):  
Elizabeth Bernabeo ◽  
Sarah Hood ◽  
William Iobst ◽  
Eric Holmboe ◽  
Kelly Caverzagie
Keyword(s):  
Online Survey ◽  
Training Programs ◽  
Program Directors ◽  
Fellowship Training ◽  
Leadership Roles ◽  
Practice Improvement ◽  
Protected Time ◽  
Sustainable Improvement ◽  
Common Activity ◽  
Fellowship Training Program

Abstract Background The American Board of Internal Medicine approved the use of Practice Improvement Modules (PIMs) to help training programs teach and assess practice-based learning and improvement (PBLI) and systems-based practice (SBP). Methods We surveyed individuals who ordered a PIM in a residency or fellowship training program between June 2006 and August 2009. The 43 programs that volunteered to participate completed a 30-minute anonymous online survey. Results Program directors or associate program directors led the PIM process in 30 programs (70%). Trainees' degrees of involvement in PIMs were highly variable between programs, and several respondents felt that trainees were either not sufficiently engaged or not engaged with enough consistency. The most common activity for trainee involvement was data collection through patient surveys or chart review, although only 17 programs (40%) provided protected time for this activity. Few trainees participated in higher level activities such as data analysis or identification for areas of improvement or were given leadership roles; yet most respondents reported that completing the PIM helped trainees learn basic principles of QI and develop competence in PBLI and SBP and that PIM completion improved the program's ability to develop QI initiatives and resulted in program or institutional improvements, including sustainable improvement in patient care. Most respondents reported that the outcome warranted the effort to complete PIMs. Conclusions PIMs may be a valuable but underused educational experience for trainees as well as training programs. Focusing on particular themes and facets of PIMs may facilitate implementation.

scholarly journals Community Workforce Differences in Mental Health Across Gender and Job Description in Southwest Indiana

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Victoria Rone ◽  
Majed Koleilat ◽  
Kara Garcia
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Survey Study ◽  
Anxiety And Depression ◽  
Job Description ◽  
Health Trends ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
The Past ◽  
And Gender

Background and Hypothesis: In May 2020, a community partnership was built in Southwest Indiana to determine the local prevalence of COVID-19 to guide reopening in the region. One year later, a follow-up survey study was launched to address new, pressing questions related to mental health in the community workforce. We hypothesized that adverse mental health symptoms would be disproportionately experienced by specific worker groups based on degree of in-person contact over the past year and demographic characteristics such as age and gender.   Methods: For the 2021 survey, participants were invited through their place of employment or via phone to participate in a short online survey consisting of questions related to demographics, general work roles, company policies over the past year, and wellness. When examining mental health, the Patient Health Questionnaire-2 (PHQ-2) and General Anxiety Disorder-2 (GAD-2) were used to determine feelings of depression and anxiety, respectively.   Results: 480 participants filled out the 2021 online survey (73% of which were returning). 442 of these responses were complete and eligible for analysis of mental health and degree of in-person contact. 345 responses were complete and eligible for information regarding age. No correlation was found between age and mental health. However, differences were observed based on gender and job description. Women (n=244) and customer-facing employees (n=99) reported more frequent symptoms of anxiety and depression, with customer-facing women reporting the most. Comparing only employees that did not work remotely during the pandemic, customer-facing employees still reported more frequent symptoms of anxiety and depression.  Conclusion and Potential Impact: The impacts of COVID-19 on the workforce are still being studied, but the pandemic continues to take its toll. These mental health trends will help guide future policies to support and improve employee wellbeing, both within participating companies and the workforce at large.  

scholarly journals Why Can't We Sleep? Impact of Race and Social Status on Sleep in College

2019 ◽  
Author(s):  
Jillian Silva-Jones
Keyword(s):  
Racial Identity ◽  
White Students ◽  
Students Of Color ◽  
Online Survey ◽  
Sleep Hygiene ◽  
Survey Study ◽  
Daily Diary Study ◽  
The Past ◽  
The Impact ◽  
Detrimental Impact

This study assessed the impacts of discrimination, microaggressions, and socioeconomic status (SES) on sleep in college students. The study also assessed moderators of racial identity and sleep hygiene as potential buffers of the impact from discrimination. Method: The impacts of lifetime discrimination and microaggressions over the past six months on sleep over the past month was assessed using an online survey (Study 1), and daily impacts of microaggressions on sleep was assessed from a daily diary study (Study 2). Results: The results showed modest correlations for the impact of discrimination, microaggressions, and SES on sleep, with the overall patterns suggesting a detrimental impact on sleep for students of color. The moderators of racial identity and sleep hygiene did not indicate significant effects. Conclusion: The impact of discrimination and microaggressions on sleep for students of color is promoting poorer sleep outcomes in comparison to White students. Additionally, higher SES contributed to better sleep outcomes; however, for students of color, higher SES was not shown to buffer the impact of discrimination on sleep outcomes.

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