scholarly journals Resident satisfaction with the pediatric surgery training program

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tariq Altokhais ◽  
Mohammed Al Rajhi ◽  
Osama Bawazir ◽  
Gassan T. Almogbel ◽  
Abdullah I. Aljunaydil ◽  
...  
Keyword(s):  
Residency Program ◽  
Pediatric Surgery ◽  
Online Survey ◽  
High Rate ◽  
First Year ◽  
Chi Square ◽  
Frequency Distributions ◽  
Fear And Anxiety ◽  
Surgery Residency Program ◽  
Level Of Analysis

Abstract Background The pediatric surgery residency program is new in Saudi Arabia. As with any new program, residents experience a degree of fear and anxiety about their future in the program. The aim of this study is to examine residents’ satisfaction with the program. Methods This study included an online survey examining residents’ satisfaction. It consisted of demographic, financial, personality, program-specific, and burnout assessment questions. All questions were multiple-choice items. Descriptive statistical data are presented as frequency distributions and percentages. Cross-tabulations and chi-square tests were used at the bivariate level of analysis to compare subgroups and identify factors of satisfaction. Binary logistics regression was used at the multivariate level of analysis to compute the odds ratio of significant variables. Results Thirty-one out of 32 residents responded to the survey. The multivariate logistic regression showed that current year of residency, current relationship status and personality statistically affected the satisfaction of residents. Senior residents, i.e., residents who had spent four years or more in the program, were 40 times more likely to be satisfied than were residents in their first year; residents who were married were more than eight times more likely to be satisfied than were residents who were single; and residents who were neutral or who agreed that they were very indecisive were 8% less likely to be satisfied than were those who reported being decisive. Gender was statistically significant, such that males were more satisfied than females were. Conclusions Although the pediatric surgery residency program is new, this survey has shown that there is generally a high rate of satisfaction. Satisfaction was also observed more in senior residents. Further studies should be conducted in the future when residents graduate from the program.

scholarly journals The COVID-19 Pandemic Impact on Pediatric Surgery Residency Programs

2020 ◽  
Author(s):  
Gunadi ◽  
Naisya Balela ◽  
Alvin Santoso Kalim ◽  
William Widitjiarso ◽  
Fadil Fahri ◽  
...  
Keyword(s):  
Residency Program ◽  
Pediatric Surgery ◽  
High Standard ◽  
Clinical Practices ◽  
Residency Programs ◽  
Online Lectures ◽  
Academic Assignments ◽  
Almost All ◽  
Surgery Residency Program ◽  
The Impact

Abstract Objective: The COVID-19 pandemic has had an impact not only on clinical practices but also on residency programs as an important part of hospital medical services. We investigated the impact of the COVID-19 pandemic on the pediatric surgery residency program in our institution. Results: A questionnaire was developed, consisting of 24 questions: a) the perspectives of residents about COVID-19 infection during their residency program; b) the learning process; c) academic evaluations; and d) residents' suggestions to improve the quality of their residency program during the outbreak. Most (85.7%) pediatric surgery residents agreed that elective surgeries should be postponed during the pandemic. Before the outbreak, almost all (90.5%) residents used textbooks and journals as their primary sources of learning, while during the outbreak, 71.4% of residents shifted to use online lectures either from the school or Association of Pediatric Surgeons. Interestingly, 95.2% of participants agreed that they had more time to complete their academic assignments during the pandemic. In conclusions, the pandemic has had a significant impact on the development of pediatric surgery residency programs. A comprehensive approach is needed to maintain the high standard of competence of pediatric surgery without compromising our safety from the COVID-19 infection risk.

PP29 ‘Breaking down Barriers: experiences from the first year of an ED to EMS feedback ‘Postbox

2019 ◽  
Vol 36 (10) ◽  
pp. e13.1-e13
Author(s):  
Nicola Sommers ◽  
Lauren Evans ◽  
Terry Collingwood ◽  
Linda Dykes
Keyword(s):  
Reflective Practice ◽  
User Satisfaction ◽  
Feedback Loop ◽  
Online Survey ◽  
Feedback System ◽  
High Rate ◽  
First Year ◽  
Free Text ◽  
List Type ◽  
Educational Benefits

Background‘Closing the feedback loop’ is an important part of clinical reflective practice, but case feedback can be difficult for EMS staff to access. Our ‘Paramedic Postbox’ opened in July 2017, enabling paramedics to request case feedback directly from Emergency Department doctors.AimsTo review utilisation of our PostboxTo assess user satisfaction and user–reported educational benefits of the feedbackMethodThe first 12 months of feedback requests were analysed.User satisfaction data was obtained by inviting participation in an online survey (consent was obtained at the time of the feedback requests(s)).ResultsThere were 148 feedback requests from 60 individuals in the first year. 76% used the Postbox more than once, with 15% using it more than five times. 33/60 Postbox users responded to the user survey, of which 32 had received their requested feedback and completed the questionnaire. All respondents were satisfied with the service (75% excellent, 25% good), would use it again, and recommend it to colleagues. User-reported goals when requesting feedback were to check their pre-hospital diagnosis (67%) or treatment given (39%), ascertain patient outcome (64%), as a specific question (15%) and all of these in 36%.Two-thirds of users agreed the Postbox had allowed them to reflect on a case or clarify something they were unsure about, and half said they’d learned something new. 42% agreed their ‘practice had changed’ as a result. Free-text comments confirmed the Postbox is encouraging learning and changing behaviour.DiscussionThis feedback system is now well established in our ED and has been adopted by multiple other UK Emergency Departments. We are encouraged by the positive reception our Postbox has received, and especially the high rate of repeat use. In time, we hope to identify topics where paramedics feel under-confident, and explore the characteristics of the 15% ‘super-reflectors’.

scholarly journals A Multi-Country Survey on the Impact of COVID-19 on Dentists in Latin America

2021 ◽  
Author(s):  
Rafael R. Moraes ◽  
Carlos E. Cuevas-Suárez ◽  
Wilfredo G. Escalante-Otárola ◽  
María R. Fernández ◽  
Andrés Dávila-Sánchez ◽  
...  
Keyword(s):  
Latin America ◽  
Latin American ◽  
Dental Care ◽  
Online Survey ◽  
Work Practice ◽  
High Rate ◽  
Chi Square ◽  
Financial Gain ◽  
Professional Challenges ◽  
The Impact

Abstract Background: The COVID-19pandemic has significantly impacted the dental sector worldwide.Methods: The impact of the pandemic on dentistsfrom Latin America was investigated by an online survey with professionals working in 11 Spanish-speaking countries in September–December 2020. The invitations were sent to registered professionals. An open campaign was promoted on social media. The questions investigated dental care routines, work practice changes, andfeelings about the pandemic, in addition toreasons for engaging in furthersurveys.Descriptive statistics were used to identify frequencies and distributions of variables. Proportions were compared using chi-square tests.Results: A total of 2,127 responses were collected from a samplewith diverse demographic, sex, work, and education characteristics. The impact of the pandemic was considered high/very high by 60% of respondents.The volume of patients assisted weekly was significantly lower compared with the pre-pandemic period (mean reduction=14 ±15 patients). A high rate of fear to contracting the COVID-19 at work was observed (85%); 4.9% of participants had a positive COVID-19 test. The mask most frequently worn was PFF2/N95 (42%). The main professional challenges faced by respondents were reduction in the number of patientsor financial gain (35%), fear of contracting COVID-19 (34%), and burden with or difficulty in purchasing new PPE (22%).The fear to contracting COVID-19 was influenced by the number of weekly appointments. A positive test by the dentists was associated with their reports of having assisted COVID-19 patients. The most cited feelings about the pandemic were uncertainty, fear, worry, anxiety, and stress. When asked about incentives to participating in further surveys, the most common responses were receiving articles that originated from the investigation (44%)and priority access to research data (15%). Conclusion:This multi-countrysurvey indicated a high impact of the pandemic on dental care routines in Latin American offices.

scholarly journals A Study of anxiety and fear level in dental practitioners from coronavirus and need of clinical practice modification to combat Covid -19

2021 ◽  
Vol 6 (3) ◽  
pp. 92-97
Author(s):  
Rakhi Bharat ◽  
Rinku Jagnade ◽  
Gopal Katare ◽  
Sonal Daga
Keyword(s):  
Clinical Practice ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Fear Level ◽  
Corona Virus ◽  
Dental Practitioners ◽  
Fear And Anxiety ◽  
Anxiety And Fear

An outbreak of novel corona virus (COVID-19) in China has influenced several aspects of the life of healthcare professionals, especially dentists, who are actually exposed to a higher risk of getting infected due to close interaction with their patients during treatments. The study was conducted to understand the anxiety and fear level of dental practitioners in getting infected during practice in the current corona virus (COVID-19) situation. In addition, also to evaluate their awareness about various practice modifications needed or required to combat COVID-19 during clinical practice. A cross-sectional study was conducted by an online survey from 3rd Aug to 8th Sept 2020. For the central region, a well-defined survey was planned at Google doc. A total of 239 participants from 16 different states of India had responded. Post scrutiny, completed questionnaires (n = 210) were included in the study. Statistical analysis was performed using SPSS version 25. Chi-Square and tests were applied The fear and anxiety levels of dentists are found as; 69% of participants were afraid getting infected from a patient visiting their clinics. 74.8% were scared while providing treatment to patients. 47.1% felt suggest or think not to do practice until the number of COVID-19 patient cases decreases.54.3% participants felt anxiety and scared while interacting to patients while treatments, 81% have fear to carry the infection from  clinic to their home and can get their family infected. 40% were afraid of getting quarantined and 59.5% were concerned about the cost of treatment on the off chance if get Infected. Dental practitioners are in a state of anxiety and fear while treating their patients due to the pandemic impact around the community. A number of dental practitioners have either modified their clinical practice process as per recommended guidelines for emergency treatment only, or closed down clinics for an uncertain period.   

scholarly journals First-Year Ophthalmology Residency Call Structure and Its Association with Resident Anxiety and Confidence

2019 ◽  
Vol 11 (01) ◽  
pp. e9-e15 ◽  
Author(s):  
Makayla McCoskey ◽  
Brian Shafer ◽  
Akosua Nti ◽  
Gui-Shuang Ying ◽  
Paul Tapino ◽  
...  
Keyword(s):  
Residency Program ◽  
Online Survey ◽  
First Year ◽  
Call Duration ◽  
Call Structure ◽  
Call System ◽  
Preparatory Course ◽  
The Mean ◽  
Anxiety Levels ◽  
Residency Program Directors

Purpose The main purpose of this article is to characterize methods for preparing first-year ophthalmology residents for call and to evaluate the association between call structure and anxiety levels. Methods Data on call structure and preparatory courses were collected by a national online survey of residency program directors and first-year residents in 2016 and 2017. Anxiety was assessed using the Endler Multidimensional Anxiety Scale, and confidence in evaluating and managing critical diagnoses on call was evaluated using a modified Likert-type scale. Results In 2016, 132 first-year ophthalmology residents (28% of 465 total) responded to the survey, and in 2017, 103 first-year residents (22% of 469 total) responded, for a total of 235 residents participating. About 97.4% of residents reported that their residency program had a buddy call system, and 73.2% reported that their residency offered a preparatory course at the beginning of residency. In the resident cohort from 2017, there was a statistically significant association between length of buddy call duration and cognitive worry anxiety level (p = 0.01) with the lowest mean anxiety scores reported among those whose buddy call system lasted between 9 and 12 weeks. Higher confidence in making critical diagnoses on call was significantly associated with lower anxiety scores (p < 0.05 for all surveyed diagnoses). In the 2016 cohort, the mean cognitive worry score was significantly lower in those who had a preparatory course than those who did not (17.6 vs 22.2, p = 0.02), as was the mean overall anxiety score (33.8 vs 40.8, p = 0.04). Conclusion Buddy call and preparatory courses are associated with less anxiety and improved confidence among residents on call.

Present Status of Autonomy in Surgical Residency—a Program Director's Perspective

2015 ◽  
Vol 81 (8) ◽  
pp. 786-790 ◽  
Author(s):  
Mitesh Patel ◽  
Jasneet S. Bhullar ◽  
Gokulakkrishna Subhas ◽  
Vijay Mittal
Keyword(s):  
General Surgery ◽  
Residency Program ◽  
Online Survey ◽  
Program Directors ◽  
The United States ◽  
General Surgery Residency ◽  
Surgery Residency Program ◽  
Residency Program Directors ◽  
E Mail

As surgery residents graduate and begin their careers as junior attending surgeons, the question of whether a surgeon can complete a case alone still lingers. Allowing autonomy during residency answers this question. The purpose of this study was to gather input from general surgery residency program directors on how they achieve autonomy for residents in their programs. An online survey of 18 questions was sent to all general surgery residency program directors in the United States between April and June of 2013 via e-mail. Questions were asked regarding classification of autonomy, percentage of case completed by the resident independently, and in what area a resident worked with minimal supervision. Of the 202 delivered, 85 program directors were responded (42%). Seventy-eight per cent of programs classified a resident as surgeon junior whether the resident completed more than 50 per cent of the case. Most classified autonomy as either the resident completing >75 per cent of a case (41%) or completing the critical steps of a surgery (41%). Eighty-eight per cent stated that chief residents completed the majority of cases under supervision, whereas only 12 per cent stated the chief had autonomy in the operating room and also acted as teaching assistant. While, 60 per cent stated their chief residents did not work in any area of the hospital independently. Despite differences in how autonomy is defined among programs, most program directors feel that their chief residents do not achieve complete autonomy. Programs should allow their residents to work in a progressive responsibility as they progress into their fourth and fifth years of residency to achieve autonomy.

Suicide Risk Among College Student

Crisis ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 416-423 ◽  
Author(s):  
Richard Shadick ◽  
Faedra Backus Dagirmanjian ◽  
Baptiste Barbot
Keyword(s):  
Sexual Minority ◽  
Students Of Color ◽  
Structural Equation ◽  
Suicide Risk ◽  
Equation Modeling ◽  
First Year ◽  
Chi Square ◽  
First Year College ◽  
Marginalized Groups ◽  
First Year College Students

Abstract. Background: Research on young adults in the general population has identified a relationship between sexual minority identification and risk for suicide. Differential rates of suicidal ideation and attempts have also been found across racial and ethnic groups. Aims: This study examined risk for suicide among university students, based on membership in one or more marginalized groups (sexual minority and racial minority identification). Method: Data were collected from first-year college students (N = 4,345) at an urban university. Structural equation modeling was employed to model a suicidality construct, based on which a "risk for suicide" category system was derived. Chi-square and logistic regression analyses were then conducted to estimate the relationship between the background variables of interest and suicide risk. Results: Students who identified as lesbian, gay, or bisexual (LGB) were associated with higher suicide risk than their heterosexual peers. Students of color were slightly less at risk than their heterosexual peers. However, LGB students of color were associated with elevated suicide risk relative to heterosexual peers. Conclusion: Results indicate that belonging to multiple marginalized groups may increase one's risk for suicide, though these effects are not simply additive. Findings highlight the complexity of the intersection between marginalized identities and suicidality.

Evaluation of the effects of Covid-19 in a dentist’s daily routine - A Survey

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 591-601
Author(s):  
Akansha Kishen ◽  
Anjali A K ◽  
Brundha M P ◽  
Muralidharan N P
Keyword(s):  
Online Survey ◽  
Dental Students ◽  
Cross Infection ◽  
Daily Routine ◽  
Significant Extent ◽  
Chi Square ◽  
Daily Routines ◽  
Routine Basis ◽  
Chi Square Test ◽  
Spss Software

Covid 19 is considered to be a pandemic virus infection. SARS-Cov-2 causes it. It is a viral infection that is transmitted through aerosol and droplet contamination, cross-infection, etc. Dentists are at a higher risk due to this corona. It has affected daily routines of dentist's life as they are unavailable to run the clinic and attend to patients. Different search engines like PubMed, and Google Scholar was used. The questionnaire consisting of twenty questions was prepared by using online survey google forms and circulated among the participants. SPSS software was used to evaluate the results and data collection. Statistical analysis was done by chi-square test. Later, results were being tabulated. This survey that is taken among dental students, dentists, and random public, it is seen that the majority of them are well aware of this recent pandemic attack. (COVID-19). It is concluded that dentists are affected to a significant extent due to coronavirus as their daily routine is affected severely. This study aims to identify the effect on dentist life on a routine basis due to the pandemic COVID - 19.

Analysis of Korean adolescents' sexual experience and substance use

2017 ◽  
Vol 45 (5) ◽  
pp. 809-817
Author(s):  
Gyu-Young Lee ◽  
Yun-Jung Choi
Keyword(s):  
Alcohol Consumption ◽  
Sex Education ◽  
Online Survey ◽  
Illicit Drugs ◽  
Sexual Experience ◽  
National Policy ◽  
Unprotected Sex ◽  
Sexual Experiences ◽  
Chi Square ◽  
Korean Adolescents

We investigated the relationship between Korean adolescents' sexual experience—including, kissing, petting, and sexual intercourse—and their alcohol consumption and use of illegal drugs and tobacco. We analyzed data taken from the responses of 74,186 adolescents who had participated in the 2012 Korean Youth Health Behavior Online Survey. Variables regarding sexual experiences, experience of contraception, and substance and alcohol use were extracted and analyzed using descriptive statistics, chi-square tests, and logistic regression. The results showed that fewer than 30% of the respondents reported always using contraception, and almost half reported rarely using contraception. The number of boys and girls reporting having had sexual experiences increased from 2 to 4 times when they also reported use of illicit drugs, smoking tobacco, or alcohol consumption. The results highlight a need for school-based sex education supported by a national policy and the provision of basic resources to reduce the incidence of unprotected sex and to improve healthy behavior of adolescents.

scholarly journals Teaching Ethics and Professionalism: A National Survey of Ophthalmology Residency Program Directors

2021 ◽  
Vol 13 (01) ◽  
pp. e88-e94
Author(s):  
Alyssa M. Kretz ◽  
Jennifer E. deSante-Bertkau ◽  
Michael V. Boland ◽  
Xinxing Guo ◽  
Megan E. Collins
Keyword(s):  
Residency Program ◽  
Online Survey ◽  
Optimal Strategies ◽  
Program Directors ◽  
Global Evaluation ◽  
Teaching Ethics ◽  
Residency Programs ◽  
Unprofessional Behavior ◽  
Residency Program Directors ◽  
Trainee Competence

Abstract Background While ethics and professionalism are important components of graduate medical education, there is limited data about how ethics and professionalism curricula are taught or assessed in ophthalmology residency programs. Objective This study aimed to determine how U.S. ophthalmology residency programs teach and assess ethics and professionalism and explore trainee preparedness in these areas. Methods Directors from accredited U.S. ophthalmology residency programs completed an online survey about components of programs' ethics and professionalism teaching curricula, strategies for assessing competence, and trainee preparedness in these areas. Results Directors from 55 of 116 programs (46%) responded. The most common ethics and professionalism topics taught were informed consent (38/49, 78%) and risk management and litigation (38/49, 78%), respectively; most programs assessed trainee competence via 360-degree global evaluation (36/48, 75%). While most (46/48, 95%) respondents reported that their trainees were well or very well prepared at the time of graduation, 15 of 48 (31%) had prohibited a trainee from graduating or required remediation prior to graduation due to unethical or unprofessional conduct. Nearly every program (37/48, 98%) thought that it was very important to dedicate curricular time to teaching ethics and professionalism. Overall, 16 of 48 respondents (33%) felt that the time spent teaching these topics was too little. Conclusion Ophthalmology residency program directors recognized the importance of an ethics and professionalism curriculum. However, there was marked variation in teaching and assessment methods. Additional work is necessary to identify optimal strategies for teaching and assessing competence in these areas. In addition, a substantial number of trainees were prohibited from graduating or required remediation due to ethics and professionalism issues, suggesting an impact of unethical and unprofessional behavior on resident attrition.

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