scholarly journals The Impact of COVID-19 on Surgical Education: A Monocentric Survey of Residents Training in Surgical Specialties

2021 ◽  
Author(s):  
Nicolas Tassé ◽  
Etienne Auger-Dufour
Keyword(s):  
Resident Education ◽  
Clinical Teaching ◽  
Survey Study ◽  
Quebec City ◽  
Surgical Resident ◽  
Web Based ◽  
Surgical Residents ◽  
The Mean ◽  
The Impact ◽  
Descriptive Statistical Analysis

Abstract BACKGROUND: This study aims to identify the effects of the COVID-19 on surgical resident education at University Laval during first wave of the pandemic of spring 2020.METHODS: We conducted a web-based survey study to all residents training within one of the ten surgical specialties at University Laval, Quebec City. The survey focused on clinical teaching hours, appreciation of activities and novelties experienced and the impacts of virtual teaching. Descriptive statistical analysis was performed to summarize the data.RESULTS: There were 48 surgical residents who responded to our survey. There were participants from ten specialties. During the pandemic the mean number of weekly teaching hours dropped from 4.31 to 3.69 hours. The most appreciated activity was teaching sessions lead by a staff surgeon. More than 80% of respondents reported having partaken in other activities at some time during an online class while over 70% expressed retaining less when material was taught online rather than in person.CONCLUSION: Our survey provides insight for surgical programs to improve resident teaching and illustrates the necessity to optimize teaching schedules rapidly in times of pandemic. Even though the appreciation of virtual learning seems unsatisfactory by certain residents, trainees still require and appreciate teaching by their mentors.

scholarly journals The Characteristics of West Season Wind and Wave as well as Their Impacts on Ferry Cruise in The Kalianget-Kangean Cruise Route, Madura, Indonesia

2021 ◽  
Vol 29 (3) ◽  
Author(s):  
Viv Djanat Prasita ◽  
Lukman Aulia Zati ◽  
Supriyatno Widagdo
Keyword(s):  
Wind Speed ◽  
Wave Height ◽  
The West ◽  
Wind Speeds ◽  
Wave Patterns ◽  
Time Stamps ◽  
The Mean ◽  
Two Peaks ◽  
The Impact ◽  
Descriptive Statistical Analysis

The wind and wave conditions in the waters of the Kalianget-Kangean cruise route in the west season are relatively high so that these winds and waves can have a dangerous impact on that cruise route. The aim of this research was to analyze the characteristics of wind speed and wave height over a 10 year period (2008-2017), as well as to evaluate the weekly patterns for three months (December 2017-February 2018). These time stamps represent the west season in waters at Kalianget-Kangean route, and to identify the impact of winds and wave on this path. The method used in this research is descriptive statistical analysis to obtain the mean and maximum values ​​of wind speed and wave height. Wind and wave patterns were analyzed by WRPlot and continued with mapping of wind and wave patterns in the waters of Kalianget-Kangean and its surroundings. The data used was obtained from the Meteorology, Climatology and Geophysics Agency. The results show wind and wave characteristics with two peaks formed regularly between 2008-2017, marking the west and east monsoons. In addition, the wind speed and wave height were generally below the danger threshold, ie <10 knots and <2 m, respectively. However, there are exceptions in the west season, especially at the peak in January, where the forces are strengthened with a steady blowing direction. The maximum wind speed reaches and wave height reaches 29 knots and 6.7 m, respectively. The weekly conditions for both parameters from December 2017 to February 2018 were relatively safe, for sailing. Moreover, January 23-29, 2018 featured extreme conditions estimated as dangerous for cruise due to the respective maximum values of 25 knots and 3.8 m recorded. The channel is comparably safe, except during the western season time in December, January, February, characterized by wind speeds and wave height exceeding 21 knots and 2.5 m, correspondingly.

scholarly journals Artificial Intelligence and Its Effect on Dermatologists’ Accuracy in Dermoscopic Melanoma Image Classification: Web-Based Survey Study (Preprint)

2020 ◽  
Author(s):  
Roman C Maron ◽  
Jochen S Utikal ◽  
Achim Hekler ◽  
Axel Hauschild ◽  
Elke Sattler ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Personal Experience ◽  
Real Life ◽  
Survey Study ◽  
Final Decision ◽  
Web Based ◽  
Additional Information ◽  
Control Step ◽  
Average Confidence ◽  
The Mean

BACKGROUND Early detection of melanoma can be lifesaving but this remains a challenge. Recent diagnostic studies have revealed the superiority of artificial intelligence (AI) in classifying dermoscopic images of melanoma and nevi, concluding that these algorithms should assist a dermatologist’s diagnoses. OBJECTIVE The aim of this study was to investigate whether AI support improves the accuracy and overall diagnostic performance of dermatologists in the dichotomous image–based discrimination between melanoma and nevus. METHODS Twelve board-certified dermatologists were presented disjoint sets of 100 unique dermoscopic images of melanomas and nevi (total of 1200 unique images), and they had to classify the images based on personal experience alone (part I) and with the support of a trained convolutional neural network (CNN, part II). Additionally, dermatologists were asked to rate their confidence in their final decision for each image. RESULTS While the mean specificity of the dermatologists based on personal experience alone remained almost unchanged (70.6% vs 72.4%; <i>P</i>=.54) with AI support, the mean sensitivity and mean accuracy increased significantly (59.4% vs 74.6%; <i>P</i>=.003 and 65.0% vs 73.6%; <i>P</i>=.002, respectively) with AI support. Out of the 10% (10/94; 95% CI 8.4%-11.8%) of cases where dermatologists were correct and AI was incorrect, dermatologists on average changed to the incorrect answer for 39% (4/10; 95% CI 23.2%-55.6%) of cases. When dermatologists were incorrect and AI was correct (25/94, 27%; 95% CI 24.0%-30.1%), dermatologists changed their answers to the correct answer for 46% (11/25; 95% CI 33.1%-58.4%) of cases. Additionally, the dermatologists’ average confidence in their decisions increased when the CNN confirmed their decision and decreased when the CNN disagreed, even when the dermatologists were correct. Reported values are based on the mean of all participants. Whenever absolute values are shown, the denominator and numerator are approximations as every dermatologist ended up rating a varying number of images due to a quality control step. CONCLUSIONS The findings of our study show that AI support can improve the overall accuracy of the dermatologists in the dichotomous image–based discrimination between melanoma and nevus. This supports the argument for AI-based tools to aid clinicians in skin lesion classification and provides a rationale for studies of such classifiers in real-life settings, wherein clinicians can integrate additional information such as patient age and medical history into their decisions.

scholarly journals The impact of COVID-19 pandemic on orthopaedic resident education: a nationwide survey study in South Korea

2020 ◽  
Vol 44 (11) ◽  
pp. 2203-2210 ◽  
Author(s):  
Dong-Gune Chang ◽  
Jong-Beom Park ◽  
Goo Hyun Baek ◽  
Hong Jin Kim ◽  
Aju Bosco ◽  
...  
Keyword(s):  
South Korea ◽  
Resident Education ◽  
Nationwide Survey ◽  
Survey Study ◽  
Orthopaedic Resident ◽  
The Impact

scholarly journals Psychological impact of managing COVID-19 patients among doctors: A pre- and post-survey study

2021 ◽  
Vol 19 (9) ◽  
pp. 91-97
Author(s):  
Amber Tahir, MBBS, FCPS-I (Psychiatry) ◽  
Anaam Bugti, MBBS, FCPS-I (Psychiatry) ◽  
Ayesha Sarwat, MBBS, MCPS (Psychiatry), FCPS (Psychiatry) ◽  
Azizullah Khan Dhiloo, MBBS, FCPS (Medicine), FCPS (Infectious Diseases) ◽  
Mahnoor Yousif Shaikh, MBBS
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Negative Impact ◽  
Psychological Impact ◽  
Survey Study ◽  
Care Providers ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
The Mean ◽  
The Impact

Objective: In any struggling healthcare system, it is always the frontline workers—doctors, nurses, and paramedical staff – that are affected first. This study aimed to assess the psychological impact—anxiety, stress, depression, and post-traumatic stress disorder (PTSD) —among doctors working in COVID-19 wards and the underlying triggers in a public hospital in Karachi. Methods: Pre- and post-survey methodologies were adopted. Post-graduate trainees working in COVID-19 isolation facilities from April till September 2020 were interviewed before starting their one-month rotation and after completing it. The psychological impact was assessed using two standard instruments—Depression Anxiety and Stress 21 (DASS-21) and the Impact of Event Scale-Revised (IES-R). Data were entered and analyzed through SPSS version 22.0. Results: For 100 doctors, the mean score for stress, anxiety, stress, and depression on DASS-21 and PTSD on IES-R significantly increased after the rotation (p 0.01). The mean score of depression and IES-R was higher in younger (28 years) doctors (p ≤ 0.05). Married doctors scored higher on anxiety and IES-R (p ≤ 0.05). Doctors who were not willfully performing their duties scored worse on all measures of DASS-21 and IES-R (p 0.01). Doctors facing family resist­ance scored significantly higher on stress, anxiety, and IES-R (p 0.01). Conclusion: Working in COVID-19 facilities is imparting a negative impact on the psychological health of doctors. Healthcare administration should be aware of this psychological distress and should introduce mental health aid at administrative levels to prevent a mental health epidemic among care providers.

scholarly journals Beliefs Related to Participation in a Large Web-Based Prospective Survey on Diet and Health Among Individuals With a Low Socioeconomic Status: Qualitative Study

10.2196/13854 ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. e13854 ◽  
Author(s):  
Mélina Côté ◽  
Annie Lapointe ◽  
Catherine Laramée ◽  
Simone Lemieux ◽  
Sophie Desroches ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Prospective Study ◽  
Focus Groups ◽  
Low Socioeconomic Status ◽  
Quebec City ◽  
Low Ses ◽  
Community Centers ◽  
Web Based ◽  
Low Socioeconomic ◽  
The Impact

Background NutriQuébec is a Web-based prospective study on the relationship between diet and health as well as the impact of food-related health policies in the adult population of Québec, Canada. Recruitment and retention of individuals with a low socioeconomic status (SES) in such a study are known to be challenging, yet critical for achieving representativeness of the entire population. Objective This study aimed to identify the behavioral, normative, and control beliefs of individuals with a low SES regarding participation in the NutriQuébec project and to identify their preferences regarding recruitment methods. Methods A total of four focus groups were conducted in community centers located in low-income areas of Québec City, Canada. On the basis of the theory of planned behavior, participants’ beliefs associated with attitude, subjective norm, and perceived behavioral control regarding hypothetical participation in the NutriQuébec project were identified. Focus groups were recorded, transcribed, and coded by two analysts. Results Participants (16 men and 12 women) were aged between 28 and 72 years, and a majority of the participants had an annual household income of Can $19,999 or less. The main perceived advantages of participating in the NutriQuébec project were contributing to improved collective health and supporting research. The only disadvantage identified was the risk of having to fill out too many questionnaires. Participants could not, in general, identify persons from their entourage who would approve or disapprove their participation in the study. The main facilitators identified were obtaining a brief health assessment and the ability to complete questionnaires in a way that is not Web-based. The main barrier was the lack of internet access. The preferred means of recruitment were through social media, television, and community centers. Conclusions These results provide insightful information regarding the best methods and messages to use in order to recruit and retain individuals with a low SES in a population-based prospective study on lifestyle and health on the internet.

scholarly journals The Advantages and Disadvantages of Online and Blended Therapy: Survey Study Amongst Licensed Psychotherapists in Austria (Preprint)

2018 ◽  
Author(s):  
Raphael Schuster ◽  
Raffaela Pokorny ◽  
Thomas Berger ◽  
Naira Topooco ◽  
Anton-Rupert Laireiter
Keyword(s):  
New Technologies ◽  
Theoretical Orientation ◽  
Survey Study ◽  
Detectable Effect ◽  
Computer Assisted ◽  
Web Based ◽  
Face To Face ◽  
Advantages And Disadvantages ◽  
Positive Attitudes ◽  
The Impact

BACKGROUND Web-based and blended (face-to-face plus Web-based) interventions for mental health disorders are gaining significance. However, many licensed psychotherapists still have guarded attitudes toward computer-assisted therapy, hindering dissemination efforts. OBJECTIVE The objective of this study was to provide a therapist-oriented evaluation of Web-based and blended therapies and identify commonalities and differences in attitudes toward both formats. Furthermore, it aimed to test the impact of an information clip on expressed attitudes. METHODS In total, 95 Austrian psychotherapists were contacted and surveyed via their listed occupational email address. An 8-minute information video was shown to half of the therapists before 19 advantages and 13 disadvantages had to be rated on a 6-point Likert scale. RESULTS The sample resembled all assessed properties of Austrian psychotherapists (age, theoretical orientation, and region). Therapists did not hold a uniform overall preference. Instead, perceived advantages of both interventions were rated as neutral (t94=1.89, P=.06; d=0.11), whereas Web-based interventions were associated with more disadvantages and risks (t94=9.86, P<.001; d=0.81). The information clip did not excerpt any detectable effect on therapists’ attitudes (r95=−.109, P=.30). The application of modern technologies in the own therapeutic practice and cognitive behavioral orientation were positively related to the given ratings. CONCLUSIONS This study is the first to directly compare therapists’ attitudes toward Web-based and blended therapies. Positive attitudes play a pivotal role in the dissemination of new technologies, but unexperienced therapists seem to lack knowledge on how to benefit from technology-aided treatments. To speed up implementation, these aspects need to be addressed in the development of new interventions. Furthermore, the preference of blended treatments over Web-based interventions seems to relate to avoidance of risks. Although this study is likely to represent therapists’ attitudes in countries with less advanced electronic health services, therapists’ attitudes in more advanced countries might present differently.

scholarly journals Virtual Noon Conferences: Providing Resident Education and Wellness During the COVID-19 Pandemic

PRiMER ◽  
2020 ◽  
Vol 4 ◽  
Author(s):  
Thomas W. Hahn
Keyword(s):  
Resident Education ◽  
Clinical Work ◽  
Well Being ◽  
Organ System ◽  
Learning Activities ◽  
Social Connection ◽  
Perceived Knowledge ◽  
Web Based ◽  
Survey Results ◽  
The Impact

Introduction: The COVID-19 pandemic has drastically impacted graduate medical education. Family medicine residents are now doing substantial clinical work and learning from home. We continued to offer academic half-day didactics virtually, but sensed a need for daily resident education and social support, so we implemented a virtual daily noon conference to address these needs. Methods: The virtual noon conferences used web-based technology and had weekly organ system themes with consistent daily learning activities like cases and review questions. Four key components made the conferences collaborative and inclusive; they were led by residents, required minimal preparation by using available materials, were interactive, and promoted social connection with wellness activities. We evaluated the impact on resident-perceived knowledge and wellness over 6 weeks with weekly surveys for residents attending at least one conference that week and a postintervention survey. Results: Of 66 responses to the weekly surveys, 98% agreed that noon conferences helped to increase knowledge and social connection. Of 46 total residents, 35 (76%) answered the postintervention survey, and all agreed that noon conferences helped to increase knowledge, were interactive, and increased social connection. Ninety-one percent favored continuing the noon conferences. More than three-quarters of postintervention survey respondents agreed that virtual noon conferences were equally or more beneficial compared to academic half days for both their education and well-being during the pandemic. Conclusions: Virtual noon conferences have provided regular interactive learning and fostered resident well-being during the pandemic. They can supplement resident curriculum and wellness and can be easily adopted by other programs.  

The Impact of Work Hour Restrictions on Surgical Resident Education

2008 ◽  
Vol 65 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Emily Tompkins Durkin ◽  
Robert McDonald ◽  
Alejandro Munoz ◽  
David Mahvi
Keyword(s):  
Resident Education ◽  
Surgical Resident ◽  
Work Hour ◽  
The Impact
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