Personal recollections of Walter E. Dandy and his Brain Team

2006 ◽  
Vol 105 (3) ◽  
pp. 487-493 ◽  
Author(s):  
Irving J. Sherman ◽  
Ryan M. Kretzer ◽  
Rafael J. Tamargo

✓ Walter Edward Dandy (1886–1946) began his surgical training at the Johns Hopkins Hospital in 1910 and joined the faculty in 1918. During the next 28 years at Johns Hopkins, Dandy established a neurosurgery residency training program that was initially part of the revolutionary surgical training system established by William S. Halsted but eventually became a separate entity. Dandy’s residents were part of his “Brain Team,” a highly efficient organization that allowed Dandy to perform over 1000 operations per year, not counting ventriculograms. This team also provided rigorous training in the Halsted mold for the neurosurgical residents. Although exacting and demanding, Dandy was universally admired by his residents and staff. This article describes Dandy’s neurosurgical residency program at Johns Hopkins, and provides personal recollections of training under Walter Dandy.

2021 ◽  
Vol 6 (3) ◽  
pp. 62-69
Author(s):  
Chetan V Kantharia ◽  
Sharvari Pujari ◽  
Kishor Jain

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


Author(s):  
Hamza Alrabai ◽  
Abdulaziz Al-Ahaideb ◽  
Osama Alrehaili ◽  
Abdulaziz Aljurayyan ◽  
Ranyah Alsaif ◽  
...  

2019 ◽  
Vol 6 ◽  
pp. 237428951983918
Author(s):  
Thomas S. Rogers ◽  
Rebecca Wilcox ◽  
Sarah K. Harm

Miscommunication is a source of clinical errors. Tools to decrease the risk of miscommunication (ie, patient handoff tools) are routinely used in clinical specialties that see patients but not routinely used in pathology residency programs. Our primary goal was to develop a structured handoff tool for pathology residents useful for both patient-specific communication and information about general laboratory operation with a secondary goal to increase resident confidence in on-call situations. The CATCH tool was developed and implemented in a pathology residency program with a pre- and postimplementation survey given to residents. The structured handoff tool for pathology residents provided consistent and timely communication between residents and attending physicians. Resident confidence with pathology on-call issues was more likely related to progression through the residency training program rather than implementation of a structured handoff tool.


2019 ◽  
Author(s):  
Xin Chen ◽  
Liang Gao ◽  
Hu Zhang ◽  
Hong Chai

As a crucial part of China’s healthcare reform, the Chinese Standardized Residency Training Program was released in mainland China in 2013. At the end of 2014, 55000 resident physicians had been trained in 8500 residency programs from 559 hospitals across the country. In 2016, the national government initiated the Chinese Subspecialty Fellowship Training Program (CSFTP) with the aim to establish an initial framework of the training by 2020. On June 12, 2017, the Chinese Medical Doctor Association, directly affiliated with the National Health and Family Planning Commission of China, officially announced the first group of hospitals for the pilot phase of CSFTP in three subspecialties, including neurosurgery, respiratory and critical care medicine, and cardiovascular disease. This paper highlights the current status and challenges of chinese residency and fellowship training system.


Author(s):  
Deena Hadedeya ◽  
Ghofran Ageely ◽  
Nourah Alsaleh ◽  
Hajar Aref ◽  
Omar Al-Sharqi ◽  
...  

Background: This study investigates leadership skills and Canadian Medical Education Directives for Specialists (CanMEDS) competencies acquisition within the General Surgery Residency Training Program (GSRTP). The Saudi Commission for Health Specialties (SCFHS) incorporates the CanMEDS Competency Framework into its curriculum to prepare the resident for healthcare needs. Methods: This is a descriptive-analytical study. A questionnaire was used to collect data from 117 General Surgery residents (GS) at seven institutes in Jeddah, Saudi Arabia. Results: The GS residents reported an acceptable self-perceived level of Clinical Leadership Skills (mean ± standard deviation). The most dominant skill was working with others (1.98 ± 1.03), followed by demonstrating personal qualities (2.07 ± 0.88), the ability to manage services (2.21 ± 1.37), improving services (2.22 ± 1.84) and last, setting directions (2.39 ± 0.95). Regarding the CanMEDS competencies, the respondents showed a generally positive perception with an “agree” level (Mean = 1.83). Of the CanMEDS competency roles, Collaborator ranked first followed by Professional and then Communicator. Leader competency ranked fourth followed by Health Advocate, Medical Expert and last, Scholar. Conclusion: The GSRTP residents showed satisfactory self-assessed clinical leadership skills and acquirement of the CanMEDS competencies during their training, which will prepare them to lead in the future.


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