Training Surgical Residents Utilizing an Animal Shelter Fracture Program

2021 ◽  
Author(s):  
Barbro Filliquist ◽  
Amy S. Kapatkin ◽  
Karen M. Vernau ◽  
Jamie Y. Nakatani ◽  
Po-Yen Chou ◽  
...  
Keyword(s):  
Surgical Care ◽  
Standard Of Care ◽  
Skills Training ◽  
Teaching Hospitals ◽  
Fracture Treatment ◽  
Veterinary Students ◽  
Surgical Resident ◽  
Case Load ◽  
Surgical Residents ◽  
Operative Care

Working relationships between veterinary medical teaching hospitals, animal shelters, and rescue groups are one way to increase veterinary students’ and residents’ hands-on training. The goal of this study is to describe the use of a shelter fracture program to improve the surgical skills of surgical residents. In this program, the participating shelter and rescue organizations electronically submit cases. Following evaluation of radiographs and case approval by the orthopedic faculty, the case is scheduled for a physical evaluation. A resident takes primary surgical care together with a fourth-year student rotating through the orthopedic surgery service to ensure the proper pre-, peri-, and post-operative standard of care. All care is overseen by the orthopedic faculty. A veterinary student–run fracture foster program allows students to gain additional experience in the pre-, peri-, and post-operative care of shelter animals. The total number of shelter animals treated during a 9-year period was 373, with a mean annual case load of 41.1 cases (± 10.3). During the same time period, a total of 435 client-owned cases underwent surgical fracture treatment, with a mean annual case load of 48 cases (± 11.7). Surgical resident and student surveys show that this program contributes to their knowledge, skills, and confidence in treating fracture patients. A successful cooperative program provides advanced surgical fracture treatment of shelter animals, improving animals’ quality of life as well as surgical residents’ and veterinary students’ skills training.

scholarly journals Bethune Round Table 2012: 12th Annual Conference: Filling the GapImpact of international collaboration on surgical services in a Nigerian tertiary centreSurgeons OverSeas Assessment of Surgical Needs (SOSAS) Rwanda: a useful rural health experience for medical studentsPreinternship Nigerian medical graduates lack basic musculoskeletal competencyDecompressive craniectomy: a low-cost surgical technique from a developing countryEfficacy of surgical management with manual vacuum aspiration versus medical management with misoprostol for evacuation of Lrst trimester miscarriages: a randomized trial in PakistanGaps in workforce for surgical care of children in Nigeria: increasing capacity through international partnershipsAnalyses of the gap between surgical resident and faculty surgeons concerning operating theatre teaching: report from Addis Ababa University, EthiopiaIntroduction of structured operative obstetric course at Mbarara Regional Referral Hospital with resultant reduction in maternal mortalityA training cascade for Ethiopian surgical and obstetrical care: an interprofessional, educational, leadership and skills training programUndergraduate surgery clerkship and the choice of surgery as a career: perspective from a developing countryIntramedullary nail versus external Lxation in management of open tibia fractures: experience in a developing countryThe College of Surgeons of East, Central and Southern Africa (COSECSA) Llling the gap; increasing the number of surgeonsClinical officer surgical training in Africa: COST-AfricaSecondary neuronal injuries following cervical spine trauma: audit of 68 consecutive patients admitted to neurosurgical services in Enugu, NigeriaCapacity building and workforce expansion in surgery, anesthesia and perioperative care: the GPAS model in UgandaKnowledge retention surveys: identifying the effectiveness of a road safety education program in Dar es Salaam, TanzaniaA tale of 2 fellowships: a comparative analysis of Canadian and East-African pediatric surgical trainingOutcomes of closed diaphyseal femur fractures treated with the SIGN nailManaging surgical emergencies: delivering a new course for the College of Surgeons of East Central and Southern AfricaAn evaluation of the exam for the University of Guyana Diploma in SurgeryPriority setting for health resource allocation in Brazil: a scoping literature reviewForeign aid effects on orthopedic capacity at the Hospital Saint Nicholas, HaitiReTHINK aid: international maternal health collaborationsEffect of electronic medical record implementation on patient and staff satisfaction, and chart completeness in a resource-limited antenatal clinic in KenyaImplementation of awake craniotomy in the developing world: data from China, Indonesia and AfricaRegionalization of diabetes care In Guyana, South AmericaQuantifying the burden of pediatric surgical disease due to delayed access to careImplementation of oncology surgery in Western Kenya

2012 ◽  
Vol 55 (4) ◽  
pp. 275-284
Author(s):  
A. A. Nasir ◽  
F. Niyonkuru ◽  
T. E. Nottidge ◽  
A. Olufemi Adeleye ◽  
S. Ali ◽  
...  
Keyword(s):  
Addis Ababa ◽  
Low Cost ◽  
Surgical Care ◽  
Round Table ◽  
Skills Training ◽  
Antenatal Clinic ◽  
Annual Conference ◽  
Surgical Resident ◽  
East Central ◽  
Femur Fractures

Implementation of a Blended Learning Module to Teach Handling, Restraint, and Physical Examination of Cats in Undergraduate Veterinary Training

2021 ◽  
pp. e20200160
Author(s):  
Mirjam B.H.M. Duijvestijn ◽  
Bente M.W.K. Van der Wiel ◽  
Claudia M. Vinke ◽  
M. Montserrat Diaz Espineira ◽  
Harold G.J. Bok ◽  
...  
Keyword(s):  
Physical Examination ◽  
Blended Learning ◽  
Learning Outcomes ◽  
Clinical Training ◽  
Skills Training ◽  
Veterinary Students ◽  
Learning Modules ◽  
Learning Module ◽  
E Learning ◽  
Standard Module

Cats can be easily stressed in a clinical (training) setting and may show unpredictable reactions and patterns of defensive aggression. This can be a complicating factor in undergraduate veterinary training. Inexperienced veterinary students can evoke defensive feline behavior that negatively affects learning outcomes and animal welfare. As a result, restraint techniques and physical examination of cats was hardly practiced in pre-clinical training at Utrecht University. To overcome this, a new blended learning module was developed using a lecture on feline behavior; e-learning modules about feline behavior, handling, restraint, and physical examination skills; and redesigned practical sessions in which live animals and manikins were used. The aim of this study was to investigate how students’ perceptions of competence and confidence changed regarding feline behavior, handling, restraint, and physical examination skills after the new module was implemented. Questionnaires were used for quantitative analysis, and focus groups were used for qualitative analysis. The results show that compared with students who followed the standard module, students who participated in the blended learning module scored higher in feeling confident with handling animals, feeling competent to perform physical examination on cats, and ability to assess whether a cat is stressed. Students with less experience with cats were more likely to show improvement in assessing a cat’s stress level than students who had much experience with cats. The results demonstrate that the blended learning module improves students’ learning outcomes regarding feline skills training and adds to reduction, refinement, and replacement of the use of live cats.

scholarly journals EMPOWERING OLDER ADULTS IN HEALTHCARE SETTINGS: COMMUNICATION SKILLS TRAINING FOR SURGICAL RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S298-S298
Author(s):  
Linda Roberts ◽  
Charles Cornell ◽  
Mathias Bostrom ◽  
Sandra Goldsmith ◽  
Titilayo Ologhobo ◽  
...  
Keyword(s):  
Older Adults ◽  
Communication Skills ◽  
Low Cost ◽  
Medical Knowledge ◽  
Skills Training ◽  
Negative Stereotypes ◽  
Healthcare Settings ◽  
Surgical Residents ◽  
Age Related ◽  
Aging Attitudes

Abstract Older adults often perceive themselves as stigmatized and powerless in healthcare settings. Communication with them is complicated by age-related issues and negative stereotypes about older adults and aging. It is therefore vital for physicians and surgeons, who encounter the most vulnerable elderly, to communicate successfully with this population, who wish to maintain quality and dignity in their lives. Successful patient communication leads to better recall of information, compliance, adherence to medications, satisfaction, and overall better outcomes. We developed a two-part training program comprised of small group interactive didactic sessions on aging issues with third year surgical residents, and workshop demonstrations given by the residents to a group of older adults, followed by a question and answer session. Residents were assessed using a 22-item pre–post questionnaire covering medical knowledge of aging, attitudes toward older adults, and personal anxiety about aging. Since its inception, the program has reached 88 residents and 711 older adults. For residents, knowledge scores (p ≤ 0.001), six of nine attitude items (p ≤ 0.01) and one of four anxiety items (p ≤ 0.001) improved significantly. This is notable as well since attitudes and anxiety levels are attributes that are deep-seated and hard to change. For older adults, post surveys showed that 96% strongly agreed/agreed that residents had demonstrated sensitivity toward them and 96% were very satisfied/satisfied with the program. Our replicable, low-cost program enables residents to learn and realistically practice universal underlying communication skills in order to maintain effective and sensitive communication with this vulnerable population.

Intra-operative care

2016 ◽  
Author(s):  
Mark Radford
Keyword(s):  
Airway Management ◽  
Local Anaesthesia ◽  
Surgical Care ◽  
Patient Positioning ◽  
Operating Theatre ◽  
Further Training ◽  
Operative Care ◽  
Challenging Environment ◽  
Care Systems ◽  
Intraoperative Period

The intraoperative period is a complex and challenging environment where specific nursing skills are developed through further training. A requirement of the surgical nurse is to understand this environment and the implications for pre- and post-operative care. This chapter highlights the staffing and care systems in the operating theatre, with a focus on the anaesthesia and surgical care given to patients. This includes general, regional, and local anaesthesia, airway management, patient positioning, and risks.

scholarly journals The July Spike in Operating Room Management: Reality or Perception?

2016 ◽  
Vol 8 (2) ◽  
pp. 244-247
Author(s):  
Joseph A. Sanford ◽  
Mitchell H. Tsai ◽  
Bassam Kadry ◽  
Christopher R. Mayhew ◽  
David C. Adams
Keyword(s):  
Operating Room ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Care Hospital ◽  
Local Regression ◽  
Surgical Residents ◽  
Significant Difference ◽  
Monthly Total ◽  
Primary Hypothesis ◽  
July Phenomenon

ABSTRACT  Some research has found increased incidence of medical errors in teaching hospitals at the beginning of the academic year and have termed this the “July Phenomenon.”Background  Our primary hypothesis was that the “July Phenomenon” for anesthesiology and surgical residents might manifest itself as operational inefficiency, measured by monthly total operating room (OR) minutes. Secondary measures were monthly elective overutilized minutes (OR workload minus OR allocated time, after 5:30 pm at our institution), 80th percentile number of ORs running at 7:00 pm, and mean last room end time.Objective  Data were collected retrospectively from a 525-bed academic tertiary care hospital from January 2010 to September 2014 and were deconstructed to assess for a seasonal component using local regression (Loess). Variable month length was addressed by transforming the monthly totals to average daily minutes and overutilized minutes. Linear regression quantified significance for all primary and secondary analyses.Methods  In the regressions, monthly average minutes showed no significant difference in July (P = .65) compared to the baseline month of April. There were no significant differences for any month for overutilized minutes or 80th percentile number ORs working at 7:00 pm. Only August was significant (P = .005) for mean last room end time.Results  Data from a single institution study did not show a “July Phenomenon” in the number of operating minutes, overutilized minutes, or the number of ORs working late in July.Conclusions

Quality and Safety Performance in Teaching Hospitals

2006 ◽  
Vol 72 (11) ◽  
pp. 1051-1054
Author(s):  
Richard M. Knapp
Keyword(s):  
Pay For Performance ◽  
Surgical Care ◽  
Hospital Performance ◽  
Teaching Hospitals ◽  
Improvement Project ◽  
Specific Patient ◽  
Surgical Services ◽  
Surgical Care Improvement Project ◽  
Care Improvement ◽  
Hospital Compare

The Hospital Quality Alliance created a vehicle to display Hospital Performance data which is known as Hospital Compare. Overall, the data shows that teaching hospitals perform very well in the areas of Heart Failure and Heart Attack and not as well in Pneumonia care. Unique issues at teaching hospitals, such as timing for specific patient services, continue to be a concern in achieving high scores relative to their non-teaching peers. Most hospitals and specifically surgical services will be challenged in the upcoming years with the addition of the Surgical Care Improvement Project (SCIP) measures as we move into the pay-for-performance era.

scholarly journals The Use of Clinical Practise Guidelines for Community-Acquired Pneumonia in Hospitals in Atlantic Canada

2004 ◽  
Vol 11 (4) ◽  
pp. 301-303 ◽  
Author(s):  
Samuel G Campbell
Keyword(s):  
New Brunswick ◽  
Prince Edward Island ◽  
Telephone Survey ◽  
Implementation Strategies ◽  
Standard Of Care ◽  
Community Acquired Pneumonia ◽  
Teaching Hospitals ◽  
Atlantic Canada ◽  
X Ray ◽  
Clinical Practise

BACKGROUND:Clinical practice guidelines (CPGs) have been shown to improve the care of patients presenting to hospital with community-acquired pneumonia (CAP) and are considered the 'standard of care'. The extent of adoption of CPGs in Canada is unclear.OBJECTIVE:To determine the use of CPGs by hospitals in Atlantic Canada (Newfoundland, Nova Scotia, New Brunswick, Prince Edward Island).METHODS:Telephone survey of all hospitals listed in the Canadian Medical Directory as being situated in Atlantic Canada. Hospitals were included if they had all three of the following: an emergency department, x-ray facilities and acute care inpatient beds.RESULTS:Of 143 hospitals, 93 were included for analysis. Of these, 41 (44.1%) used CAP CPGs. Hospitals were less likely to be using CAP CPGs if they were smaller, rural or community hospitals, or if they did not have an intensive care unit. Of the four provinces, New Brunswick had the most hospitals using CAP CPGs (73.1%), while Newfoundland had the least (17.2%).CONCLUSIONS:Although larger teaching hospitals are using CAP CPGs, the degree of adoption of CPGs in smaller hospitals in Atlantic Canada is low. Efforts to produce standard CPGs that can be adapted to different sites, as well as implementation strategies, are indicated.

Maintaining Baseline, Corrective Surgical Care during Asymmetrical Warfare: A Case Study of a Humanitarian Mission in the Safe Zone of a Neighboring Country

2007 ◽  
Vol 22 (1) ◽  
pp. 3-7 ◽  
Author(s):  
K.A. Kelly McQueen ◽  
Frederick M. Burkle ◽  
Eaman T. Al-Gobory ◽  
Christopher C. Anderson
Keyword(s):  
Cleft Lip ◽  
Surgical Care ◽  
Safe Zone ◽  
Developed Country ◽  
Assistance Programs ◽  
Unconventional Warfare ◽  
Operation Smile ◽  
War Zone ◽  
Post Conflict ◽  
Operative Care

AbstractThe current insurgency warfare in Iraq is of an unconventional or asymmetrical nature. The deteriorating security has resulted in problems recovering and maintaining essential health services. Before the 2003 war, Iraq was considered a developed country with the capacity to routinely perform baseline medical and surgical care. These procedures now are performed irregularly, if at all. Due to the unconventional warfare, traditional Military Medical Civilian Assistance Programs (MEDCAPs) and civilian humanitarian missions, which routinely are mobilized post-conflict, are unable to function. In December 2005, an international medical mission conducted by the Operation Smile International Chapter in neighboring Jordan employed civilian physicians and nurses to provide surgery and post-operative care for Iraqi children with newly diagnosed cleft lip and palates and the complications that had occurred from previous surgical repair. Seventy-one children, their families, and a team of Iraqi physicians were safely transported to Jordan and returned to Iraq across the Iraqi western province war zone. Although complications may occur during transport, treatment within a safe zone is a solution for providing services in an insecure environment.

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