scholarly journals Inserción laboral del cirujano joven en la Ciudad de Buenos Aires. Necesidad de reestructuración del sistema de formación del cirujano general

2021 ◽  
Vol 113 (1) ◽  
pp. 92-100
Author(s):  
Humberto F. Sarsur Fernández ◽  
◽  
Lucía M. Buchanan ◽  
Federico Cassani ◽  
María A. López ◽  
...  
Keyword(s):  
General Surgery ◽  
Initial Period ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Residency Programs ◽  
Selection Processes ◽  
Surgical Subspecialty ◽  
Professional Field ◽  
General Aspects ◽  
Graduate Trainees

Background: Training in surgery has remained relatively uniform since the residency programs were introduced. The continuous advances in science have led to the progressive super-specialization of surgeons; 70% of them continue their training with a subspecialty. Objectives: The aim of this study was to identify the proportion of surgeons who dedicate hours of their practice in another activity and to analyze how surgeons enter the workforce. Material and methods: We conducted a prospective and descriptive cross-sectional study with data from a survey, records of the General Directorate of Teaching and Research, and records of competitive selection processes and professional profiles available online. Results: Of 435 survey respondents, 73.3% of the resident graduates continued postresidency training in a surgical subspecialty. Only 24.7% immediately started working in general surgery. Among the graduate trainees in general surgery, only 17.4% were exclusively dedicated to general surgery. Conclusions: The lack of confidence to perform procedures independently and the need for completing 4 years of training in the residency program in general surgery to start training in the professional field of interest, appear as the issued to be solved. We propose a 5-year program with a 2+3 model. The initial period comprises 24 months of basic training covering the general aspects of surgical practice. The second period of advanced training will provide thorough training in the subspecialty chosen. In the last year of the 5-year program trainees will have the opportunity to act as attending surgeons. General surgery, conceived as a subspecialty, would regain its status as an objective and no longer a pathway to become a subspecialist.

scholarly journals Effect of COVİD-19 Pandemic on General Surgery Practice and Resident Education

2021 ◽  
Author(s):  
Timuçin Erol ◽  
Kamran Mahmudzada ◽  
Busenur Kırımtay ◽  
Doğukan Doğu ◽  
Mustafa Oruç ◽  
...  
Keyword(s):  
General Surgery ◽  
Sudden Change ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Case Volume ◽  
Cross Sectional ◽  
Residency Programs ◽  
Surgical Residency ◽  
Surgery Department ◽  
Hospital General

Abstract Background Sudden change in general surgery practice during pandemic caused a detrimental effect on residency training. The main objective of this study is to reveal the effect of Covid-19 pandemic on general surgery practice and surgical residency education. Methods This retrospective cross sectional study included all patients operated at a tertiary university hospital, general surgery department between 11-March 2019/ 11- January-2019 (Pre-Covid 19 Period) and 11-march 2020- 11- January − 2020 (Covid 19 period). Two period compared in terms of case volume, complexity difference and effect of this difference on residents training. Results Overall 2740 cases included to study. Elective case volume significantly decreased during pandemic (p = 0.001). This decrease is much more obvious for B-C category operations. Intermediate seniority resident’s case volumes and complexity of the cases they performed decreased during pandemic. Conclusion Surgical residency programs must be revised urgently in order to provide adequte training which altered due to Covid-19 pandemic.

OHNS Residency Program and Applicant Social Media Presence During the COVID-19 Pandemic

2021 ◽  
pp. 000348942098797
Author(s):  
Shadi Ahmadmehrabi ◽  
Deborah X. Xie ◽  
Bryan K. Ward ◽  
Paul C. Bryson ◽  
Patrick Byrne
Keyword(s):  
Social Media ◽  
The United States ◽  
Cross Sectional Study ◽  
Application Process ◽  
Cross Sectional ◽  
Residency Programs ◽  
Social Media Presence ◽  
Residency Application ◽  
The Impact ◽  
Residency Match

Objectives: In addition to clinical and social disruption, the Coronavirus Disease 2019 (COVID-19) pandemic has affected many aspects of the otolaryngology residency application process. With delays in the 2021 Electronic Residency Applications Service (ERAS) timeline, students and programs have had more time to interact prior to the formal application process. This communication will report recent trends in social media presence by OHNS residency programs, and discuss mechanisms to compensate for decreased applicant-program interactions using social media ahead of the 2021 Match. Methods: In a cross-sectional study of the accredited otolaryngology residency programs in the United States, the number of social media profiles on Twitter, Instagram, and Facebook from 2009 to 2019 were recorded and compared. Results: Most programs (61%) have at least 1 social media profile. Over the past 10 years, the number of programs on social media has increased. During the COVID-19 pandemic, Twitter and Instagram showed higher rates of growth compared to Facebook. With the reduction of in-person opportunities for interactions, both applicants and programs are utilizing social media to showcase their values and their research. Twitter, in particular, also serves as a platform for professional networking. Conclusion: Both Twitter and Instagram are growing in popularity among programs and applicants to enhance networking. Social media is a powerful tool for networking and may help compensate for limitations imposed on the residency match process by the COVID-19 pandemic while maintaining professionalism considerations. The impact of social media on the 2021 otolaryngology residency match is an evolving phenomenon.

scholarly journals Association between Industry Payments and Scholarly Impact among Academic Ophthalmologists

2019 ◽  
Vol 11 (01) ◽  
pp. e1-e8
Author(s):  
Michael Solotke ◽  
Susan Forster ◽  
Jessica Chow ◽  
Jenesis Duran ◽  
Hasna Karim ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Cross Sectional Study ◽  
Academic Rank ◽  
Cross Sectional ◽  
H Index ◽  
Residency Programs ◽  
Scholarly Impact ◽  
The Mean ◽  
And Gender ◽  
Open Payments

Purpose The aim of this article is to examine the association between industry payments to ophthalmologists and scholarly impact. Design Retrospective cross-sectional study. Methods All ophthalmology faculty at United States accredited ophthalmology residency programs were included in this study. The main exposure was industry payments to ophthalmologists in 2016, as reported in the Centers for Medicare and Medicaid Services Open Payments Database. The primary outcome was Hirsch index (H-index), a measure of scholarly impact. Results Among 1,653 academic ophthalmologists in our study, 1,225 (74%) received industry payments in 2016. We did not observe a difference between the mean H-index of ophthalmologists receiving any industry payments versus those not receiving any payments (p = 0.68). In analysis including only ophthalmologists who received industry payments, H-index differed significantly by payment amount: 12.6 for ophthalmologists receiving less than $100, 12.2 for those receiving $100 to 1,000, 18.8 for those receiving $1,000 to 10,000, 21.3 for those receiving $10,000 to 100,000, and 29.4 for those receiving greater than $100,000 (p < 0.001). Within each academic rank and gender, industry payments greater than $1,000 were associated with a higher H-index (p < 0.05). Conclusions Although our analysis cannot prove causality, we observed a significant association between industry payments and scholarly impact among academic ophthalmologists, even after adjusting for gender, academic rank, and subspecialty. Prospective studies should further evaluate this relationship.

Cross-Sectional Analysis of Global Surgery Opportunities Among General Surgery Residency Programs

2020 ◽  
Vol 77 (5) ◽  
pp. 1179-1185
Author(s):  
Peter J. Abraham ◽  
Mackenzie N. Abraham ◽  
Britney L. Corey ◽  
Brenessa Lindeman ◽  
Herbert Chen
Keyword(s):  
General Surgery ◽  
Global Surgery ◽  
Cross Sectional ◽  
Residency Programs ◽  
General Surgery Residency ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Emergency general surgery in Rwandan district hospitals: a cross-sectional study of spectrum, management, and patient outcomes

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Christophe Mpirimbanyi ◽  
Alexandre Nyirimodoka ◽  
Yihan Lin ◽  
Bethany L. Hedt-Gauthier ◽  
Jackline Odhiambo ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
General Surgery ◽  
Cross Sectional Study ◽  
Spectrum Management ◽  
Sectional Study ◽  
Emergency General Surgery ◽  
Cross Sectional ◽  
District Hospitals

scholarly journals The superior service based on the highest number of visits and income of Hajj Hospital Surabaya in The National Health Insurance era

2020 ◽  
Author(s):  
Rachmad Cahyadi ◽  
Stefanus Supriyanto ◽  
Ratna Dwi Wulandari
Keyword(s):  
Internal Medicine ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
General Surgery ◽  
Cross Sectional Study ◽  
Medical Rehabilitation ◽  
Cross Sectional ◽  
Study Approach ◽  
Number Of Visits

Background: A hospitals’ superior service is expected to be of higher value than other available provisions, which consequently differentiates the facility from others, as the branding easily attracts the community attention. The purpose of this study, therefore, is to identify the most needed and profitable health services from existing hospitals. Design and methods: This was a descriptive research performed with a cross sectional study approach. The variables studied include the number of visits, and revenue based on National Health Insurance (JKN). Results: Findings show that the polyclinics were the highest number of visits between 2016 and 2017 include Cardiac, Internal Medicine, Medical Rehabilitation, Nerve, General Surgery, and also Dental & Mouth. Conversely, those with the most significant income include Heart, Polyclinics, Dental & Mouth, as well as General Surgery Polyclinics. Moreover, the Medical Rehabilitation and Internal Medicine outpatient installations demonstrated negative INA income, while the already running featured Services in high demand were Heart, Nerve, Dental & Oral, and also General Surgery polyclinics. Conclusions: In can be concluded that not all polyclinics with high traffic generate positive income, hence it is necessary to monitor and analyze National Health Insurance (JKN) monthly income.

Continuity of Specialty Pharmacy Practice: A Survey of PGY-2 Pharmacy Residency Graduates

2018 ◽  
Vol 33 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Ardis M. Copenhaver ◽  
Amy Haver ◽  
Aaron J. Pickering ◽  
Ronald J. Campbell ◽  
Stephen A. Wilson ◽  
...  
Keyword(s):  
Critical Care ◽  
Residency Program ◽  
Pharmacy Practice ◽  
Cross Sectional Study ◽  
Career Trajectory ◽  
Cross Sectional ◽  
Residency Programs ◽  
Care Training ◽  
Residency Program Directors ◽  
Training Practice

Background: Literature regarding career trajectory for postgraduate year 2 (PGY-2) pharmacy residency specialty–trained pharmacists is limited. Objective: The objective of our study is to describe PGY-2 pharmacy residency training on career practice and satisfaction. Methods: A cross-sectional study surveyed graduates of PGY-2 pharmacy residency programs. Respondents were identified by current PGY-2 residency program directors requesting participation from their program alumni. The primary outcome was whether PGY-2 residency–trained pharmacists continued working within their specialty or not. Secondary outcomes included alternative specialty areas, current satisfaction with their specialty, and the necessity of completing a PGY-2. Results: Among 647 respondents, 84% completed their program in the past 6 years. The top 3 represented pharmacy specialties were critical care (19%), ambulatory care (14%), and oncology (13%). Most respondents continue to practice in the same specialty as their PGY-2 residency program (n = 572, 87%) compared with pharmacists who currently practice in other clinical specialties or areas of pharmacy (n = 83, 13%). Critical care (n = 28, 33%) had the largest specialty response no longer practicing in their PGY-2 residency program specialty with 42% (n = 12) now practicing within the emergency medicine specialty. The average satisfaction for their current specialty was 4.7 ± 0.82 (Likert scale of 1 = extremely dissatisfied to 5 = extremely satisfied). Conclusions: The vast majority PGY-2 pharmacy residency–trained pharmacists experienced training-practice concordance and are satisfied with their trained specialty. Among those with specialty training practice discordance, critical care training was most prevalent.

scholarly journals MERCADO DE TRABALHO DA ENFERMAGEM: ASPECTOS GERAIS

2016 ◽  
Vol 7 (ESP) ◽  
pp. 35 ◽  
Author(s):  
Maria Helena Machado ◽  
Eliane De Oliveira ◽  
Waldirlando Lemos ◽  
Wagner Ferraz De Lacerda ◽  
Wilson Aguiar Filho ◽  
...  
Keyword(s):  
Labor Market ◽  
Complexity Analysis ◽  
Health Sector ◽  
Working Hours ◽  
Target Population ◽  
Cross Sectional Study ◽  
Urban Centers ◽  
Cross Sectional ◽  
El Sistema ◽  
General Aspects

O artigo tem como objetivo analisar os aspectos gerais do mercado de trabalho da equipe de enfermagem, quanto a forma que se insere nos setores estruturantes do setor da saúde, seja, público, privado, filantrópico e ensino.É um estudo transversal cuja população alvo é constituída por todos os enfermeiros, técnicos e auxiliares de enfermagem do Brasil, que possuem registro ativo no Conselho Federal de Enfermagem (COFEN). O estudo tem representatividade nacional, sendo capaz de gerar resultados para cada unidade da federação. Os resultados apontam para hegemônica empregabilidade do setor público; concentração da Força de trabalho da Enfermagem (FTEn) nos grandes centros urbanos; escassez de enfermeiros nos interiores do país; nova composição intra-categorias, entre outros. Sinalizam ainda para uma extensa jornada de trabalho, vínculos precários, rendimentos mensais aquém do básico para um trabalho decente, ou seja, subjornadas, subsalários e subempregos. Uma equipe que soma 1,8 milhão de profissionais, sendo 414 mil enfermeiros e 1,4 milhão de técnicos e auxiliares, ou seja, 65% da equipe de saúde que atua no sistema, traz uma diversidade e complexidade de análises. Os dados da pesquisa permite subsidiar a construção de políticas públicas adequadas com a realidade desse imenso contingente de trabalhadores, fundamentais para o Sistema Único de Saúde.Descritores: perfil da enfermagem, mercado de trabalho, equipe de enfermagem.The article aims to analyze the general aspects of the nursing staff labor market, as the way they operate in structuring sectors of the health sector, that is, (public, private, philanthropic and education). It is a cross-sectional study whose target population consists of all nurses, technicians and nursing assistants from Brazil, which have active registration with the Federal Nursing Council (COFEN). The study has a national presence, being able to generate results for each state. The results point to the hegemonic employment in the public sector; concentration of the Nursing Workforce (FTEn) in large urban centers; shortage of nurses in the country’s interior; intra-composition new categories. Signal yet for an extensive working hours, precarious links, monthly income below the basics for a decent job, sub journeys, sub wages and underemployment. A team that sum 1.8 million professionals, 414,000 nurses and 1.4 million technicians and assistants, namely 65% of the health team working in the system, brings a diversity and complexity analysis. The survey data may subsidize the construction of public policies adequate to the reality of the huge number of workers, essential for the Health System.Descriptors: profile of nursing, the labor market, the nursing staff.El artículo tiene como objetivo analizar los aspectos generales del mercado de trabajo del personal de enfermería, ya que la forma en que operan en los sectores de estructuración del sector de la salud, es decir, (públicas, privadas, filantrópicas y la educación). Se trata de un estudio transversal cuya población objetivo consta de todas las enfermeras, técnicos y auxiliares de enfermería de Brasil, que tienen el registro activo con el Consejo Federal de Enfermería (COFEN). El estudio tiene una presencia nacional, siendo capaz de generar resultados para cada estado. Los resultados apuntan a la hegemónica de empleo en el sector público; concentración de la Fuerza Laboral de Enfermería (FTEn) en los grandes centros urbanos; escasez de enfermeras en el interior del país; intra-composición nuevas categorías. Señal sin embargo, para una extensa jornada de trabajo, vínculos precarios, ingresos mensuales por debajo de lo básico para un trabajo decente, es decir subjornadas, subsalários y subempleo. Un equipo que suma 1,8 millones profesionales, 414.000 enfermeras y 1,4 millones de técnicos y auxiliares, es decir, 65% del equipo de salud que trabajan en el sistema, trae una diversidad y complejidad de análisis. Los datos de la encuesta pueden subsidiar la construcción de políticas públicas adecuadas a la realidad de la gran cantidad de trabajadores, esenciales para el Sistema de SaludDescriptores: el perfil de la enfermería, el mercado de trabajo, el personal de enfermería.

scholarly journals The Effect of Scheduling on Operating Room Utilization at an Affiliated Hospital of Shahid Sadoughi University of Medical Sciences in Yazd

2019 ◽  
Author(s):  
Seyed Jamaledin Tabibi ◽  
Bahram Delgoshaei ◽  
Maryam Nikfard
Keyword(s):  
Operating Room ◽  
General Surgery ◽  
Cross Sectional Study ◽  
Utilization Rate ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Research Findings ◽  
Turn Over ◽  
Surgical Unit ◽  
Nose And Throat

Introduction: Resource management and efficiency analysis assist the hospitals in controlling the expenses and optimum utilization. Operating room (OR) is one of the most critical and expensive resources in a hospital. Operating room utilization is a measure calculated as a ratio between the available time and the used actual minutes. In the current study, we aimed to measure OR utilization in Yazd Shahid Sadoughi Hospital. Methods: This is a descriptive cross-sectional study in which all the surgeries performed in ORs of Shahid Sadoughi Hospital were investigated during a 15-day period. Data were collected from four randomly-selected rooms in the surgical unit in January 2013 using some pre-designed checklists. Results: A total of 151 surgeries were conducted during a 53-day period in four ORs. We found that OR utilization was 68% for the Orthopedics, 61% for the Ophthalmology, 89% for the General Surgery, and 86% for the ear, nose and throat (ENT) ORs. Total adjusted utilization was 77% and raw utilization rate was 70%. Of the 19080 minutes dedicated for surgeries, 13400 minutes were spent on surgeries and 1215 minutes were used for the turn-over-time or the delay between two surgeries. Of 53 days, the ORs were used efficiently for 7 days, under-utilized for 27 days, and over-utilizedfor 19 days. Conclusion: Data analysis showed that the Orthopedics and Ophthalmology ORs were under-utilized; whereas, the General Surgery room was over-utilized. The ENT utilization was in an appropriate range. The lowest utilization rate in a day was recorded for the Orthopedics OR (17%), while the highest rate was 158% for ENT. Further studies are recommended to measure OR utilization in a longer period of time and use the research findings to have accurate  scheduling for the ORs leading to their efficiency improvement.

Sign in / Sign up

Export Citation Format

Share Document