Research in Pediatric Residency Programs

Background and Objectives. We have required residents in pediatrics at the Cleveland Clinic Foundation to give research presentations since 1989; this article reviews our experience with this program. Additionally, we sought to determine how many other accredited ted pediatric programs in the United States also require this. Methods. Retrospective review of the Cleveland Clinic program; descriptive statistics of other United States residency programs, obtained by questionnaire. Results. Pediatric residents at the Cleveland Clinic have given 108 research presentations since 1989, and have developed 33 (30.5%) of them into manuscripts or abstracts. We mailed questionnaires to 215 pediatric recidency program directors and received responses from 177 (82%). Of these, 48 (27%) indicated their programs had a research requirement; residents could present their findings in departmental meetings or submit an abstract or manuscript to a professional society or journal. Respondents cited several barriers to research: residents are too busy, there are too few faculty members to mentor them, financial resources are limited, and there is no residency review committee requirement. Conclusions. Even though only approximately one fourth of the pediatric residency programs in the United States require research, we feel it is worthwhile experience. Despite barriers, residents can and do perform research and publish their findings.

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MEDICAL TOURISM AND DIABETES CARE: EXPERIENCE FROM A TERTIARY REFERRAL CENTER

Endocrine Practice ◽

10.4158/ep-2020-0054 ◽

2020 ◽

Vol 26 (10) ◽

pp. 1125-1130

Author(s):

Khawla F. Ali ◽

Alexandra Mikhael ◽

Christine Zayouna ◽

Omar A. Barakat ◽

James Bena ◽

...

Keyword(s):

Diabetes Mellitus ◽

United States ◽

Hemoglobin A1c ◽

Medical Tourism ◽

Cleveland Clinic ◽

The United States ◽

Cleveland Clinic Foundation ◽

Clinic Foundation ◽

Group 2 ◽

Group 1

Objective: Medical tourism, a form of patient mobility across international borders to seek medical services, has gained significant momentum. We aimed to assess the outcomes of medical tourism consultations on chronic diseases, more specifically diabetes mellitus, amongst a cohort of international patients, originating from different healthcare systems, and referred to the United States for medical care. Methods: We identified international adults with established diabetes mellitus, referred globally from 6 countries to the United States between 2010 and 2016 for medical care, and were seen at the Cleveland Clinic Foundation (CCF). Group 1 included adults seen by an endocrinology provider during their CCF medical stay, whilst group 2 included those not seen by an endocrinology provider. To assess the impact of our consultations, changes in hemoglobin A1c (HbA1c) were assessed between visit(s). Results: Our study included 1,108 subjects (771 in group 1, 337 in group 2), with a mean age (± SD) of 61.3 ± 12.7 years, 62% male, and a median medical stay of 136 days (interquartile range: 57, 660). Compared to group 2, group 1 had a higher baseline mean HbA1c (8.0 ± 1.8% [63.9 mmol/mol] vs. 7.1 ± 1.4% [54.1 mmol/mol]; P<.001). After 1 visit with endocrinology, there was a significant decrease in mean HbA1c from 8.44 ± 1.98% (68.3 mmol/mol) to 7.51 ± 1.57% (58.5 mmol/mol) ( P<.001). Greatest reductions in mean HbA1c were −1.47% (95% CI: −2.21, −0.74) and −1.27% (95% CI: −1.89, −0.66) after 3 and 4 visits, respectively ( P<.001). Conclusion: Short-term diabetes mellitus consultations, in the context of medical tourism, are effective. Abbreviations: CCF = Cleveland Clinic Foundation; GCC = Gulf Cooperation Council; HbA1c = hemoglobin A1c; IQR = interquartile range; U.S. = United States

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Clinical Roentgenology. Volume IV. The Digestive Tract, the Gall Bladder, Liver and Pancreas, the Excretory Tract and Special Studies Emphasizing Differential ConsiderationsClinical Roentgenology. Volume IV. The Digestive Tract, the Gall Bladder, Liver and Pancreas, the Excretory Tract and Special Studies Emphasizing Differential Considerations. By de LorimierAlfred A., M.D., Radiologist, Saint Francis Memorial Hospital, San Francisco, California; Consultant in Radiology for the United States Army, at the Letterman Army Hospital; Consultant in Radiation Therapy for the United States Public Health Service at the U. S. Marine Hospital, San Francisco; Former Commandant, The Army School of Roentgenology; MoehringHenry G., M.D., Radiologist, Duluth Clinic, Duluth, Minnesota; Former Director, The Army School of Roentgenology; and HannanJohn R., M.D., Radiologist, Cleveland, Ohio, and Lake County Memorial Hospital, Painesville, Ohio; Former Director, The Army School of Roentgenology; Associate Professor of Diagnostic Roentgenology, the Frank E. Bunts Educational Institute, Cleveland Clinic Foundation; Department of Roentgenology, Cleveland Clinic Foundation. A volume of 700 pages, with 1,112 illustrations. Published by Charles C Thomas, Springfield, Ill., 1956. Price $24.50.

Radiology ◽

10.1148/68.3.429a ◽

1957 ◽

Vol 68 (3) ◽

pp. 429-429

Keyword(s):

United States ◽

Gall Bladder ◽

Digestive Tract ◽

San Francisco ◽

Cleveland Clinic ◽

The United States ◽

Cleveland Clinic Foundation ◽

Clinic Foundation ◽

Liver And Pancreas ◽

Special Studies

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Clinical Roentgenology. Volume I. Developmental and Systemic Conditions and Local Lesions in the ExtremitiesClinical Roentgenology. Volume I. Developmental and Systemic Conditions and Local Lesions in the Extremities. By de LorimierAlfred A., M.D., Radiologist, Saint Francis Memorial Hospital, San Francisco, Calif.; Consultant in Radiology for the United States Army at the Letterman Army Hospital; Consultant in Radiation Therapy for the United States Public Health Service at the U. S. Marine Hospital, San Francisco, Calif.; Formerly, Commandant, the Army School of Roentgenology; MoehringHenry G., M.D., Radiologist, Duluth Clinic Duluth, Minn.; Formerly, Director, the Army School of Roentgenology; and HannanJohn R., M.D., Radiologist, Cleveland, Ohio; Radiologist, Lake County Memorial Hospital, Painesville, Ohio; Formerly, Director, the Army School of Roentgenology; Associate Professor, Diagnostic Roentgenology, the Frank E. Bunts Educational Institute, Cleveland Clinic Foundation; Staff, Department of Roentgenology, Cleveland Clinic Foundation. A volume of 492 pages, with 782 illustrations. Published by Charles C Thomas, Springfield, Ill., 1953. Price $18.50.

Radiology ◽

10.1148/62.4.597c ◽

1954 ◽

Vol 62 (4) ◽

pp. 597-598

Keyword(s):

United States ◽

San Francisco ◽

Cleveland Clinic ◽

United States Public Health ◽

The United States ◽

Cleveland Clinic Foundation ◽

Memorial Hospital ◽

Army Hospital ◽

Clinic Foundation ◽

Local Lesions

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Clinical Roentgenology. Volume III. The Lungs and the Cardiovascular System, Emphasizing Differential ConsiderationsClinical Roentgenology. Volume III. The Lungs and the Cardiovascular System, Emphasizing Differential Considerations. By de LorimierAlfred A., M.D., Radiologist, Saint Francis Memorial Hospital, San Francisco, Calif.; Consultant in Radiology for the United States Army at the Letterman Army Hospital; Consultant in Radiation Therapy for the United States Public Health Service at the U. S. Marine Hospital, San Francisco, Calif.; formerly, Commandant, The Army School of Roentgenology; MoehringHenry G., M.D., Radiologist, Duluth Clinic, Duluth, Minn.; formerly Director, The Army School of Roentgenology; and HannanJohn R., M.D., Radiologist, Cleveland, Ohio; Radiologist, Lake County Memorial Hospital, Painesville, Ohio; formerly Director, Medical Training, The Army School of Roentgenology; Associate Professor of Diagnostic Roentgenology, The Frank E. Bunts Educational Institute, Cleveland Clinic Foundation; Staff, Department of Roentgenology, Cleveland Clinic Foundation. A volume of 508 pages, with numerous roentgenograms and 2 color plates. Published by Charles C Thomas, Springfield, Ill., 1955. Price $20.50.

Radiology ◽

10.1148/66.2.281b ◽

1956 ◽

Vol 66 (2) ◽

pp. 281-282

Keyword(s):

United States ◽

Cardiovascular System ◽

San Francisco ◽

Medical Training ◽

Cleveland Clinic ◽

United States Public Health ◽

The United States ◽

Cleveland Clinic Foundation ◽

Memorial Hospital ◽

Clinic Foundation

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Flexible Residency Programs for Women

PEDIATRICS ◽

10.1542/peds.75.5.991b ◽

1985 ◽

Vol 75 (5) ◽

pp. 991-992

Author(s):

NAOMI UCHIYAMA

Keyword(s):

United States ◽

American Academy ◽

Training Program ◽

Residency Training ◽

Training Programs ◽

The United States ◽

Residency Programs ◽

Pediatric Residency ◽

American Academy Of Pediatrics

To the Editor.— I am a member of the Committee on Women in Pediatrics of the American Academy of Pediatrics. The Committee recently studied the availability of flexible training and retraining programs in pediatric residency programs in the United States. We sent a questionnaire to the directors of the 292 pediatric training programs listed in the Directory of Residency Training Programs. At present, 200 of the 292 (68.5%) have a flexible training program. However, only two of these programs have this as a written policy; one such program was developed in 1973 and, in practice, this program was individually designed.

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Prevalence and Scope of Point‐of‐Care Ultrasound Education in Internal Medicine, Pediatric, and Medicine‐Pediatric Residency Programs in the United States

Journal of Ultrasound in Medicine ◽

10.1002/jum.14821 ◽

2018 ◽

Vol 38 (6) ◽

pp. 1433-1439 ◽

Cited By ~ 4

Author(s):

Michael Reaume ◽

Matthew Siuba ◽

Michael Wagner ◽

Alyssa Woodwyk ◽

Thomas A. Melgar

Keyword(s):

Internal Medicine ◽

United States ◽

Point Of Care ◽

The United States ◽

Point Of Care Ultrasound ◽

Ultrasound Education ◽

Residency Programs ◽

Pediatric Residency

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Clinical neurophysiology training and certification in the United States: 2000: American Board of Psychiatry and Neurology, Neurology Residency Review Committee

Neurology ◽

10.1212/wnl.55.12.1773 ◽

2000 ◽

Vol 55 (12) ◽

pp. 1773-1778 ◽

Cited By ~ 7

Author(s):

R. Burns ◽

J. Daube ◽

H. Royden Jones

Keyword(s):

United States ◽

Clinical Neurophysiology ◽

Residency Review Committee ◽

The United States ◽

Review Committee

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Postinterview Communication between Obstetrics and Gynecology Residency Programs and Candidates

Journal of Graduate Medical Education ◽

10.4300/jgme-d-11-00114.1 ◽

2012 ◽

Vol 4 (2) ◽

pp. 165-169 ◽

Cited By ~ 8

Author(s):

Diana S. Curran ◽

Pamela B. Andreatta ◽

Xiao Xu ◽

Clark E. Nugent ◽

Samantha R. Dewald ◽

...

Keyword(s):

United States ◽

Response Rate ◽

Educational Leaders ◽

Program Directors ◽

The United States ◽

Obstetrics And Gynecology ◽

Residency Programs ◽

Ethical Conflicts ◽

Communication Practices ◽

E Mail

Abstract Introduction Residency programs seek to match the best candidates with their positions. To avoid ethical conflicts in this process, the National Residency Matching Program (NRMP or Match) has rules regarding appropriate conduct, including guidelines on contact between candidates and programs. Our study examined communication between obstetrics and gynecology (Ob-Gyn) programs and residency candidates after interviewing and prior to ranking. Methods Ob-Gyn program directors in the United States were sent a self-administered survey via e-mail. Data were collected and analyzed using descriptive methods to examine communication practices of these programs. Results The response rate was 40%. The findings showed that respondents had variable interpretations of the NRMP rules and suggest that programs may be communicating their match intentions especially to favored candidates. Respondents' open text comments highlighted program directors' frustrations with current NRMP rules. Discussion NRMP communication rules are intended to minimize pressure on residency candidates. Our findings suggest they may be leading to unforeseen stresses on program directors and candidates. Conclusions As educational leaders in medicine, we must consider what professional communications are acceptable without increasing the pressure on candidates during the ranking and match process.

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