scholarly journals Canadian Plastic Surgery Resident Work Hour Restrictions: Practices and Perceptions of Residents and Program Directors

2018 ◽  
Vol 26 (1) ◽  
pp. 11-17
Author(s):  
Colin W. McInnes ◽  
Joshua Vorstenbosch ◽  
Ryan Chard ◽  
Sarvesh Logsetty ◽  
Edward W. Buchel ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Online Survey ◽  
Program Directors ◽  
Surgical Skills ◽  
Resident Work ◽  
Resident Wellness ◽  
Work Hour ◽  
Controversial Topic ◽  
Surgery Resident ◽  
The Impact

Background: The impact of resident work hour restrictions on training and patient care remains a highly controversial topic, and to date, there lacks a formal assessment as it pertains to Canadian plastic surgery residents. Objective: To characterize the work hour profile of Canadian plastic surgery residents and assess the perspectives of residents and program directors regarding work hour restrictions related to surgical competency, resident wellness, and patient safety. Methods: An anonymous online survey developed by the authors was sent to all Canadian plastic surgery residents and program directors. Basic summary statistics were calculated. Results: Eighty (53%) residents and 10 (77%) program directors responded. Residents reported working an average of 73 hours in hospital per week with 8 call shifts per month and sleep 4.7 hours/night while on call. Most residents (88%) reported averaging 0 post-call days off per month and 61% will work post-call without any sleep. The majority want the option of working post-call (63%) and oppose an 80-hour weekly maximum (77%). Surgical and medical errors attributed to post-call fatigue were self-reported by 26% and 49% of residents, respectively. Residents and program directors expressed concern about the ability to master surgical skills without working post-call. Conclusions: The majority of respondents oppose duty hour restrictions. The reason is likely multifactorial, including the desire of residents to meet perceived expectations and to master their surgical skills while supervised. If duty hour restrictions are aggressively implemented, many respondents feel that an increased duration of training may be necessary.

Canadian Plastic Surgery Resident Work Hour Restrictions

2014 ◽  
Vol 134 ◽  
pp. 107
Author(s):  
Colin W. McInnes ◽  
Edward W. Buchel ◽  
Avinash Islur
Keyword(s):  
Plastic Surgery ◽  
Resident Work ◽  
Work Hour ◽  
Surgery Resident

Attitude of Saudi Plastic Surgery Residents Towards Pursuing Burn Practice

2021 ◽  
Author(s):  
Khalid Asem Arab ◽  
Faisal Ahmad Alfaqeeh ◽  
Fahad Abdullah Alowais
Keyword(s):  
Saudi Arabia ◽  
Plastic Surgery ◽  
Online Survey ◽  
Burn Care ◽  
Relative Paucity ◽  
Humanitarian Mission ◽  
Emotional Aspects ◽  
Major Factors ◽  
Surgery Resident ◽  
Academic Year

Abstract Burn injuries comprise the most common accidents world-wide. The delivery of burn care has been adversely impacted by the absence of effective burn management and aesthetic services. This study attempts to address the attitude of Saudi residents of plastic surgery towards obtaining a burn fellowship, and to examine the factors that might influence their decisions in this regard. An online survey was sent to 39 plastic surgery residents in Saudi Arabia including levels from PGY 1-6 in the academic year of 2019. The questionnaire conducted to demonstrate interest, knowledge and major factors influencing or discouraging residents from choosing Burn as a sub-specialty in their future career. Residents responded to knowledge questions on a scale of three (below average/ average/ above average). The response rate was 84%. A 33 residents completed the questionnaire. The age group was between 30 and 34 years. only 27% of the respondents expressing interest in burn practice. The main factors that make the plastic surgery resident refrain from pursing burn as fellowship were: multiple operations sessions, lifestyle, financial outcome and emotional aspects. On the other hand, the paucity of burn surgeons and being involved humanitarian mission were an attracting factors. Most of the residents believe that burn must be obligatory and continue to be part of all plastic surgery training programs (100%). In Saudi Arabia, the relative paucity of specialist mentors on plastic surgery programs may limit residents’ exposure to subspecialties such as burn during plastic surgery rotational experiences. The findings from this survey may help plastic surgery program directors or burn surgeons in particular to find out strategies to attract future trainees.

Computational Journalism Analysis on Young Adults' Body Images and Attitudes Toward Plastic Surgery

2021 ◽  
Vol 17 (4) ◽  
pp. 89-108
Author(s):  
Chutisant Kerdvibulvech ◽  
Pattaragun Wanishwattana
Keyword(s):  
Social Media ◽  
Young Adults ◽  
Plastic Surgery ◽  
Online Survey ◽  
Media Analysis ◽  
Social Media Analysis ◽  
Body Images ◽  
Negative Body Image ◽  
Self Perceptions ◽  
The Impact

Computational journalism, especially social media analysis, is a very popular field in computational science. This study was conducted to explore and analyze the impact of the intensity of the exposure to social media on young Thai adults' body images and attitudes toward plastic surgery. The purposive sampling method was used for choosing 250 young Thai men and women aged 21 to 40 who used Facebook and/or Instagram on a regular basis. Online survey questionnaires were posted on Facebook for one month to achieve the results. It was found that young Thai adults frequently and heavily used both social media. Having appearance pressure from and repeated social comparison with idealistic media images, a considerable number of participants displayed more negative self-perceptions and engaged in appearance-changing strategies through increased appearance investment. The results showed that the more these young adults were exposed to social media, the more they were likely to develop a negative body image of themselves, which later caused their attitude toward plastic surgery to be positive.

scholarly journals What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential Articles

2016 ◽  
Vol 8 (5) ◽  
pp. 795-805 ◽  
Author(s):  
Ingrid Philibert
Keyword(s):  
Patient Safety ◽  
Scientific Literature ◽  
Well Being ◽  
Work Hours ◽  
Small Samples ◽  
Empirical Literature ◽  
Future Research ◽  
Resident Work ◽  
Work Hour ◽  
The Impact

ABSTRACT Background  Examining influential, highly cited articles can show the advancement of knowledge about the effect of resident physicians' long work hours, as well as the benefits and drawbacks of work hour limits. Objective  A narrative review of 30 articles, selected for their contribution to the literature, explored outcomes of interest in the research on work hours—including patient safety, learning, and resident well-being. Methods  Articles were selected from a comprehensive review. Citation volume, quality, and contribution to the evolving thinking on work hours and to the Accreditation Council for Graduate Medical Education standards were assessed. Results  Duty hour limits are supported by the scientific literature, particularly limits on weekly hours and reducing the frequency of overnight call. The literature shows declining hours and call frequency over 4 decades of study, although the impact on patient safety, learning, and resident well-being is not clear. The review highlighted limitations of the scientific literature on resident hours, including small samples and reduced generalizability for intervention studies, and the inability to rule out confounders in large studies using administrative data. Key areas remain underinvestigated, and accepted methodology is challenged when assessing the impact of interventions on the multiple outcomes of interest. Conclusions  The influential literature, while showing the beneficial effect of work hour limits, does not answer all questions of interest in determining optimal limits on resident hours. Future research should use methods that permit a broader, collective examination of the multiple, often competing attributes of the learning environment that collectively promote patient safety and resident learning and well-being.

149. Surgery Resident Work-Hour Restrictions: Impact on Patient Care, Surgical Education and Resident Quality of Life

2009 ◽  
Vol 151 (2) ◽  
pp. 241-242
Author(s):  
S.D. Holubar ◽  
V.L. Tsikitis ◽  
K. Malireddy ◽  
R.R. Cima ◽  
D.W. Larson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Surgical Education ◽  
Resident Work ◽  
Work Hour ◽  
Surgery Resident

scholarly journals Supplementary Educational Models in Canadian Neurosurgery Residency Programs

2016 ◽  
Vol 44 (2) ◽  
pp. 177-183 ◽  
Author(s):  
Won Hyung A. Ryu ◽  
Sonny Chan ◽  
Garnette R. Sutherland
Keyword(s):  
Surgical Education ◽  
Online Survey ◽  
Teaching Method ◽  
Program Directors ◽  
Educational Models ◽  
Residency Programs ◽  
Educational Methods ◽  
Current Implementation ◽  
Neurosurgical Society ◽  
Work Hour

AbstractBackground: The proposed implementation of work hour restrictions has presented a significant challenge of maintaining the quality of resident education and ensuring adequate hands-on experience that is essential for novice surgeons. To maintain the level of resident surgical competency, revision of the apprentice model of surgical education to include supplementary educational methods, such as laboratory and virtual reality (VR) simulations, have become frequent topics of discussion. We aimed to better understand the role of supplementary educational methods in Canadian neurosurgery residency training. Methods: An online survey was sent to program directors of all 14 Canadian neurosurgical residency programs and active resident members of the Canadian Neurosurgical Society (N=85). We asked 16 questions focusing on topics of surgeon perception, current implementation and barriers to supplementary educational models. Results: Of the 99 surveys sent, 8 out of 14 (57%) program directors and 37 out of 85 (44%) residents completed the survey. Of the 14 neurosurgery residency programs across Canada, 7 reported utilizing laboratory-based teaching within their educational plan, while only 3 programs reported using VR simulation as a supplementary teaching method. The biggest barriers to implementing supplementary educational methods were resident availability, lack of resources, and cost. Conclusions: Work-hour restrictions threaten to compromise the traditional apprentice model of surgical training. The potential value of supplementary educational methods for surgical education is evident, as reported by both program directors and residents across Canada. However, availability and utilization of laboratory and VR simulations are limited by numerous factors such as time constrains and lack of resources.

scholarly journals COVID-19 Restrictions Presented Opportunities and Challenges for Plastic Surgery Residents

2021 ◽  
pp. 229255032110248
Author(s):  
Maya Zaidman ◽  
Sultan Al-Shaqsi ◽  
Celine Yeung ◽  
Christine B. Novak ◽  
Jana Dengler
Keyword(s):  
Online Education ◽  
Plastic Surgery ◽  
Online Survey ◽  
Negative Impact ◽  
Skill Development ◽  
Surgical Skill ◽  
Surgical Resident ◽  
Clinical Exposure ◽  
Viral Spread ◽  
The Impact

Background: Restrictions placed during the COVID-19 pandemic to prevent viral spread led to substantial changes in surgical resident education. The aim of this study was to assess the positive and negative impact of COVID-19 on plastic surgery education and training and provide recommendations for continued competency. Methods: A cross-sectional online survey of plastic surgery residents across Canada was used to evaluate the impact of COVID-19 on clinical exposure, experience with virtual education, and long-term impact of COVID-19 on surgical training. Results: This study included 61 plastic surgery residents (40% participation rate). Common educational modalities used during COVID-19 included online seminars (95%) and workshops (58%). Teaching sessions were effective if structured around patient cases (72%), recorded (66%), and limited to 1 hour (64%). There were mixed reactions towards online education sessions; residents reported feeling grateful (54%), motivated (38%), enthusiastic (28%), overwhelmed (41%), pressured to participate (23%), and anxious (13%). There were significantly less residents who felt that their clinical exposure was sufficient during (21%) versus before (72%) pandemic restrictions ( P < .001). Overall, 87% of residents felt that the pandemic had a negative impact on their training, surgical skill development, fellowship plans, and job prospects. Conclusions: During the initial wave of COVID-19, residents faced altered educational opportunities, which elicited positive and negative emotions with concern regarding surgical skill development and impact on future career plans. Characterizing early educational impact on residency training to identify opportunities for change is worthwhile as the overall effect of the pandemic is ongoing and remains uncertain.

The Impact on ACGME Resident Work Hour Rules on PICU Resident Vigilence

2014 ◽  
Vol 14 (4) ◽  
pp. e9
Author(s):  
Nancy M. Tofil ◽  
Dawn T. Peterson ◽  
Amber Q. Youngblood ◽  
J Lynn Zinkan ◽  
John Doughton ◽  
...  
Keyword(s):  
Resident Work ◽  
Work Hour ◽  
The Impact

scholarly journals Pushed Across the Digital Divide: COVID-19 Accelerated Pathology Training onto a New Digital Learning Curve

2021 ◽  
Vol 8 ◽  
pp. 237428952199424
Author(s):  
Lewis A. Hassell ◽  
JoElle Peterson ◽  
Liron Pantanowitz
Keyword(s):  
Learning Curve ◽  
Teaching And Learning ◽  
Online Survey ◽  
New Technologies ◽  
Training Programs ◽  
Digital Pathology ◽  
Program Directors ◽  
Digital Learning ◽  
The Impact ◽  
Pathology Training

Bringing digital teaching materials into residency training programs has seen slow adoption, expected for many new technologies. The COVID-19 pandemic dramatically shifted the paradigm for many resident teaching modalities as institutions instituted social distancing to prevent spread of the novel coronavirus. The impact of this shift on pathology trainee education has not been well studied. We conducted an online survey of pathology trainees, program directors, and faculty to assess pre- and post-COVID-19 use of, and response to, various digital pathology modalities. Responses were solicited through both social media and directed appeals. A total of 261 respondents (112 faculty, 52 program directors, and 97 trainees) reported a dramatic and significant increase in the use of digital pathology-related education tools. A significant majority of faculty and program directors agreed that this shift had adversely affected the quality (59% and 62%, respectively) and effectiveness (66%) of their teaching. This perception was similar among learners relative to the impact on quality (59%) and effectiveness (64%) of learning. Most respondents (70%-92%) anticipate that their use of digital pathology education tools will increase or remain the same post-COVID. The global COVID-19 pandemic created a unique opportunity and challenge for pathology training programs. Digital pathology resources were accordingly readily adopted to continue supporting educational activities. The learning curve and utilization of this technology was perceived to impair the quality and effectiveness of teaching and learning. Since the use of digital tools appears poised to continue to grow post-COVID19, challenges due to impaired quality and effectiveness will need to be addressed.

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