Teaching quality in neurosurgery: quantitating outcomes over time

2021 ◽  
pp. 1-10
Author(s):  
Raymund L. Yong ◽  
William Cheung ◽  
Raj K. Shrivastava ◽  
Joshua B. Bederson
Keyword(s):  
Training Program ◽  
Performance Improvement ◽  
Educational Outcomes ◽  
Evaluation System ◽  
Residency Training Program ◽  
Teaching Quality ◽  
The United States ◽  
Teaching Performance ◽  
Faculty Teaching ◽  
The Impact

OBJECTIVE High-quality neurosurgery resident training is essential to developing competent neurosurgeons. Validated formative tools to assess faculty teaching performance exist, but are not used widely among Accreditation Council for Graduate Medical Education (ACGME) residency programs in the United States. Furthermore, their longer-term impact on teaching performance improvement and educational outcomes remains unclear. The goal of this study was to assess the impact of implementing an evaluation system to provide faculty with feedback on teaching performance in a neurosurgery residency training program over a 4-year period. METHODS The authors performed a prospective cohort study in which a modified version of the System for Evaluation of Teaching Qualities (SETQ) instrument was administered to neurosurgical trainees in their department regularly every 6 months. The authors analyzed subscale score dynamics to identify the strongest correlates of faculty teaching performance improvement. ACGME program survey results and trainee performance on written board examinations were compared for the 3 years before and after SETQ implementation. RESULTS The overall response rate among trainees was 91.8%, with 1044 surveys completed for 41 faculty. Performance scores improved progressively from cycle 1 to cycle 6. The strongest correlate of overall performance was providing positive feedback to trainees. Compared to the 3 years prior, the 3 years following SETQ implementation saw significant increases in written board examination and ACGME resident survey scores compared to the national mean. CONCLUSIONS Implementation of SETQ was associated with significant improvements in faculty teaching performance as judged by trainees over a 4-year period, and guided curricular changes in the authors’ training program that resulted in improved educational outcomes.

scholarly journals Training in neurology: Flexibility and adaptability of a neurology training program at the epicenter of COVID-19

Neurology ◽  
2020 ◽  
Vol 94 (24) ◽  
pp. e2608-e2614 ◽  
Author(s):  
Shashank Agarwal ◽  
Sakinah Sabadia ◽  
Nada Abou-Fayssal ◽  
Arielle Kurzweil ◽  
Laura J. Balcer ◽  
...  
Keyword(s):  
New York ◽  
Training Program ◽  
Structural Changes ◽  
Medical Training ◽  
Residency Training Program ◽  
The United States ◽  
Outpatient Services ◽  
Continuity Clinic ◽  
Global Pandemic ◽  
Medical Crisis

ObjectiveTo outline changes made to a neurology residency program in response to coronavirus disease 2019 (COVID-19).MethodsIn early March 2020, the first cases of COVID-19 were announced in the United States. New York City quickly became the epicenter of a global pandemic, and our training program needed to rapidly adapt to the increasing number of inpatient cases while being mindful of protecting providers and continuing education. Many of these changes unfolded over days, including removing residents from outpatient services, minimizing the number of residents on inpatient services, deploying residents to medicine services and medical intensive care units, converting continuity clinic patient visits to virtual options, transforming didactics to online platforms only, and maintaining connectedness in an era of social distancing. We have been able to accomplish this through daily virtual meetings among leadership, faculty, and residents.ResultsOver time, our program has successfully rolled out initiatives to service the growing number of COVID-related inpatients while maintaining neurologic care for those in need and continuing our neurologic education curriculum.ConclusionIt has been necessary and feasible for our residency training program to undergo rapid structural changes to adapt to a medical crisis. The key ingredients in doing this successfully have been flexibility and teamwork. We suspect that many of the implemented changes will persist long after the COVID-19 crisis has passed and will change the approach to neurologic and medical training.

Evaluation System in a Psychiatric Residency Training Program

1977 ◽  
Vol 1 (2) ◽  
pp. 180-187
Author(s):  
Lionel W. Rosen ◽  
John M. Schneider ◽  
Dianne Singleton ◽  
Terry S. Stein
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Evaluation System ◽  
Residency Training Program ◽  
Psychiatric Residency ◽  
Psychiatric Residency Training

The Effectiveness of the Nurse Care Coordinator Role on Patient-Reported and Health Service Outcomes: A Systematic Review

2017 ◽  
Vol 42 (3) ◽  
pp. 263-296 ◽  
Author(s):  
Aaron Conway ◽  
Chris O’Donnell ◽  
Patsy Yates
Keyword(s):  
Systematic Review ◽  
Health Service ◽  
Care Coordination ◽  
Evaluation System ◽  
The United States ◽  
Care Coordinator ◽  
Nurse Care ◽  
Patient Reported ◽  
Service Outcomes ◽  
The Impact

This systematic review examined the effectiveness of nurse care coordinator (CC) roles on patient-reported and health service outcomes. Multiple electronic databases (Medline, CINAHL, and EMBASE) were searched and the Cochrane Risk of Bias Assessment Tool was applied by two independent reviewers. The Grades of Recommendation, Assessment, Development, and Evaluation system was used to assess the quality of evidence. A total of 45 articles (reporting on 36 studies) were included. The majority of studies ( n = 28, 78%) were conducted in the United States and published after 2009 ( n = 24, 67%). Thirteen studies (36%) used a randomized controlled trial design. A total of 17 studies evaluated patient-reported outcomes and 29 studies reported health service outcomes. The individual components of nurse CC roles that were evaluated ranged considerably. The impact of nurse care coordination on patient-reported and health service outcomes was inconsistent. There was an indication from higher quality studies that nurse care coordination roles were more likely to result in improved patient and health service outcomes where they involved frequent, in-person interactions, had ongoing follow-up with monitoring of disease status, and involved transition care and the application of behavior change principles.

scholarly journals Impact of COVID-19 on Surgical Residency Training: Indian Perspective - A Review

2021 ◽  
Vol 6 (3) ◽  
pp. 62-69
Author(s):  
Chetan V Kantharia ◽  
Sharvari Pujari ◽  
Kishor Jain
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Surgical Training ◽  
Clinical Training ◽  
Clinical Teaching ◽  
Residency Training Program ◽  
Academic Program ◽  
Remedial Measures ◽  
Surgical Residency ◽  
The Impact

Introduction: The COVID-19 pandemic has severely affected the health delivery system. The residency training program has had a major setback, with a maximum impact on Surgical residency training. This study attempts to explore the extent of impact of COVID-19 on Surgical Residency training and the corrective measures to be taken from the trainee’s perspective. Methods: A Questionnaire was made and response was sought from the surgical trainees. The aspects of surgical training assessed were; the impact on hands on surgical training, bed-side clinical teaching, efficacy of the alternative virtual academic program and the OSCE based assessment. Suggestions were also sought with regards to the remedial measures needed to be taken. The responses were compiled and conclusion was drawn. Statistical analysis was made using SPSS software programme. Results: A total of 68 residents participated in the survey. Of these, 17 (25.37%) were first year residents (6 from Govt and 11 from private institute), 26 (38.23%) second year (9 from Govt and 17 from private institute), and 25 (36.76%) third year residents (10 from Govt and 15 from private institute). The responses were analysed. All respondents reported decrease in clinical workload ranging from 50 to 90 %. The reported loss of surgical experience too ranged from 50-90% depending on the seniority of the residents. Operative autonomy too was experienced by only 13.23% of respondents. Reported decrease in the Bed side clinical training ranged from 50 to 95% All the respondents reported increase and benefits of online academic sessions with overall score >5 on a scale of 1-10. All the respondents (100%) approved of the OSCE pattern of exams held by the NBE board. Conclusions: The COVID-19 pandemic has adversely impacted surgical training. There is a need to assess the future training program advancement, with the need to include remedial measures, and adopting an individualized approach. The OSCE pattern of examination conducted has been accepted by all and recommended to be integrated as a part of the practical exams in future too. The virtual learning and telemedicine embraced in the time of pandemic, has had a great impact in enhancing surgical education Keywords: COVID 19-infection, Impact on Residency training Program

scholarly journals Napoleon C. Ejercito, MD (1921 – 2007)

2007 ◽  
Vol 22 (1-2) ◽  
pp. 41
Author(s):  
Joselito C. Jamir
Keyword(s):  
Head And Neck ◽  
Training Program ◽  
Residency Training ◽  
Chief Resident ◽  
Residency Training Program ◽  
Neck Surgery ◽  
The United States ◽  
The Philippines ◽  
Head And Neck Surgery ◽  
Martial Law

  A Strong Pillar   After completing his residency training program in the United States, Dr. Napoleon Ejercito came back to join the faculty of the then combined Department of Eye Ear Nose and Throat (EENT) at the Philippine General Hospital. Unhappy with the fact that ORL in the Philippines was not yet a separate and distinct specialty with no existing standard and organized form of training, Dr. Ejercito and seven other optimistic and young ENT surgeons gathered together to form the Otolaryngology Society of the Philippines under the leadership of Dr. Tierry Garcia. These men became the historic pillars of the society.   With the birth of this society, the development and maturation of the specialty was simply a matter of time.   Fifteen years later, Dr. Ejercito spearheaded the founding of the Philippine Board of Otolaryngology and Bronchoesophagology in order to standardize and professionalize the practice of ORL. Initially composed of diplomates and candidates of the American Board of Otorhinolaryngology, the rigorous process of accreditation and qualification was patterned after the American Board. This organization was subsequently incorporated and evolved into what is now known as the Philippine Board of Otolaryngology Head and Neck Surgery. This board became his youngest child whose growth he fostered and whose interests he promoted and protected.   A Dedicated Leader   Dr. Ejercito was Chairman of the Department of ORL of the UP-PGH from 1970 to 1974, when Martial Law was declared. He was a staunch critic of the Marcos regime, but the repression did not deter him from leading the department in achieving its goals.   During his time as chair of the department, only a total of 12 residency slots were available. It was Dr. Ejercito who pioneered the restructuring of the residency training program into three ORL residents per year level. Furthermore, it was during Dr. Ejercito’s term that a post-residency graduate was chosen as the chief resident.   His integrity was beyond question. Rather than face the possibility of naming his eldest son as chief resident, he compelled his son to seek further fellowship abroad. A Trailblazer   Dr. Napoleon Ejercito can be called the father of head and neck surgery in the Philippines. While Dr. Tierry Garcia initiated the expansion of the specialty of Otorhinolaryngology to include head and neck surgery, it was Dr. Ejercito who nurtured and strengthened it to what it is today. As a testament to Dr. Ejercito’s legacy, the stipend of the fellow of the Head and Neck Program of the Department of ORL –PGH was made available by an alumnus of the department, and was named after him.   His dedication to the discipline was beyond comparison. Even when he was the Chair, Dr. Ejercito continued to operate on charity patients and demonstrated operative procedures to residents on a regular basis.   His retirement did not dampen his zeal to further the cause of ORL. He continued to support the different programs of the society and attended society conventions and departmental conferences whenever possible, which gained the admiration of younger generation of residents. Dr. Napoelon Ejercito: A strong pillar, a dedicated leader, a trailblazer. Such a man will truly be missed.

scholarly journals Effects of a Process-Oriented Goal Setting Model on Swimmer's Performance

2012 ◽  
Vol 32 (1) ◽  
pp. 65-76 ◽  
Author(s):  
Paulo Simões ◽  
José Vasconcelos-Raposo ◽  
António Silva ◽  
Helder Fernandes
Keyword(s):  
Longitudinal Study ◽  
Training Program ◽  
Goal Setting ◽  
Evaluation System ◽  
Psychological Intervention ◽  
Mental Training ◽  
Process Oriented ◽  
The Impact

Effects of a Process-Oriented Goal Setting Model on Swimmer's Performance The aim of this work was to study the impact of the implementation of a mental training program on swimmers' chronometric performance, with national and international Portuguese swimmers, based on the goal setting model proposed by Vasconcelos-Raposo (2001). This longitudinal study comprised a sample of nine swimmers (four male and five female) aged between fourteen and twenty, with five to eleven years of competitive experience. All swimmers were submitted to an evaluation system during two years. The first season involved the implementation of the goal setting model, and the second season was only evaluation, totaling seven assessments over the two years. The main results showed a significant improvement in chronometric performance during psychological intervention, followed by a reduction in swimmers' performance in the second season, when there was no interference from the investigators (follow-up).

scholarly journals The Impact of the Veteran’s Affairs Medical System on an Otolaryngology Residency Training Program

2018 ◽  
Vol 183 (11-12) ◽  
pp. e671-e675
Author(s):  
Alexander Lanigan ◽  
Mark Spaw ◽  
Christopher Donaghe ◽  
Joseph Brennan
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Residency Training Program ◽  
Medical System ◽  
The Impact ◽  
Veteran's Affairs

scholarly journals Implementing a Telemedicine Curriculum for Internal Medicine Residents during a Pandemic: The Cleveland Clinic Experience

2020 ◽  
Author(s):  
David J. Savage ◽  
Omar Gutierrez ◽  
Bryce Montane ◽  
Achintya Dinesh Singh ◽  
Eric Yudelevich ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Training Program ◽  
Evaluation System ◽  
Cleveland Clinic ◽  
The United States ◽  
Assessment Instrument ◽  
New Paradigm ◽  
Residency Programs ◽  
Virtual Visits ◽  
And Training

AbstractIntroductionTelemedicine is an important element of healthcare. However, until the COVID-19 pandemic, training in telemedicine was not a substantial element of most residency programs. Social distancing measures changed this. The Cleveland Clinic Internal Medicine Residency Program (IMRP) is one of the largest programs in the United States, which made the task of developing and adopting an effective, expedited telemedicine curriculum challenging. Our goal was to implement a system for teaching telemedicine care skills and supervising the care provided by residents during virtual visits.MethodsThis study was started in April 2020. We developed and implemented a resident-led curriculum and training program for providing telemedicine care in less than five weeks. This entailed creating a formal training program for residents, creating a resource guide for the different video communication tools, and training preceptors to safely supervise care in this new paradigm. We also created an assessment instrument in our education evaluation system that allows residents to receive feedback on their performance during virtual appointments.ResultsOver 2000 virtual visits were performed by residents in a span of 10 weeks. Of 148 residents, 38% responded to the pre-participation survey. A majority had no prior telemedicine experience and expressed only slight comfort with the modality.DiscussionThrough collaboration with experienced residents and faculty, we expeditiously developed an enhancement to our ambulatory care curriculum to teach residents how to provide virtual care and help faculty with supervision. We share our insights on this experience for other residency programs to utilize.

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