scholarly journals Subspecialty training in Ophthalmology; How far?

2021 ◽  
Vol 23 (1) ◽  
pp. 36-38
Author(s):  
Kehinde Fasasi Monsudi ◽  
Abayomi Olusola Ayodapo
Keyword(s):  
Subspecialty Training

No Abstract.

scholarly journals Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Luckett ◽  
M. Nassali ◽  
T. Melese ◽  
B. Moreri-Ntshabele ◽  
T. Moloi ◽  
...  
Keyword(s):  
Training Programme ◽  
International Standards ◽  
Sub Saharan Africa ◽  
Subspecialty Training ◽  
Continuous Assessment ◽  
Curricular Development ◽  
Apprenticeship Training ◽  
University Of Botswana ◽  
Sub Saharan ◽  
The University

Abstract Background Sub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the first OBGYN Master of Medicine (MMed) training programme in Botswana to address this human resource shortage. Methods We developed a 4-year OBGYN MMed programme at the University of Botswana (UB) using the Kern’s approach. In-line with UB MMed standards, the programme includes clinical apprenticeship training complemented by didactic and research requirements. We benchmarked curriculum content, learning outcomes, competencies, assessment strategies and research requirements with regional and international programmes. We engaged relevant local stakeholders and developed international collaborations to support in-country subspecialty training. Results The OBGYN MMed curriculum was completed and approved by all relevant UB bodies within ten months during which time additional staff were recruited and programme financing was assured. The programme was advertised immediately; 26 candidates applied for four positions, and all selected candidates accepted. The programme was launched in January 2020 with government salary support of all residents. The clinical rotations and curricular development have been rolled out successfully. The first round of continuous assessment of residents was performed and internal programme evaluation was conducted. The national accreditation process was initiated. Conclusion Training OBGYNs in-country has many benefits to health systems in SSA. Curricula can be adjusted to local resource context yet achieve international standards through thoughtful design and purposeful collaborations.

Impact of subspecialty training on management of laryngopharyngeal reflux: results of a worldwide survey

2021 ◽  
Author(s):  
Jerome R. Lechien ◽  
Thomas L. Carroll ◽  
Jacqueline E. Allen ◽  
Tareck Ayad ◽  
Necati Enver ◽  
...  
Keyword(s):  
Laryngopharyngeal Reflux ◽  
Subspecialty Training

scholarly journals Clinical Decision Support for Ovarian Carcinoma Subtype Classification: A Pilot Observer Study With Pathology Trainees

2019 ◽  
Vol 144 (7) ◽  
pp. 869-877 ◽  
Author(s):  
Marios A. Gavrielides ◽  
Meghan Miller ◽  
Ian S. Hagemann ◽  
Heba Abdelal ◽  
Zahra Alipour ◽  
...  
Keyword(s):  
Decision Support ◽  
Ovarian Carcinoma ◽  
Clinical Decision Support ◽  
Clinical Decision ◽  
Subspecialty Training ◽  
Reference Standard ◽  
Observer Study ◽  
Subtype Classification ◽  
The Impact ◽  
Whole Slide Images

Context.— Clinical decision support (CDS) systems could assist less experienced pathologists with certain diagnostic tasks for which subspecialty training or extensive experience is typically needed. The effect of decision support on pathologist performance for such diagnostic tasks has not been examined. Objective.— To examine the impact of a CDS tool for the classification of ovarian carcinoma subtypes by pathology trainees in a pilot observer study using digital pathology. Design.— Histologic review on 90 whole slide images from 75 ovarian cancer patients was conducted by 6 pathology residents using: (1) unaided review of whole slide images, and (2) aided review, where in addition to whole slide images observers used a CDS tool that provided information about the presence of 8 histologic features important for subtype classification that were identified previously by an expert in gynecologic pathology. The reference standard of ovarian subtype consisted of majority consensus from a panel of 3 gynecologic pathology experts. Results.— Aided review improved pairwise concordance with the reference standard for 5 of 6 observers by 3.3% to 17.8% (for 2 observers, increase was statistically significant) and mean interobserver agreement by 9.2% (not statistically significant). Observers benefited the most when the CDS tool prompted them to look for missed histologic features that were definitive for a certain subtype. Observer performance varied widely across cases with unanimous and nonunanimous reference classification, supporting the need for balancing data sets in terms of case difficulty. Conclusions.— Findings showed the potential of CDS systems to close the knowledge gap between pathologists for complex diagnostic tasks.

The future of specialized pharmacy residencies: Time for postgraduate year 3 subspecialty training

2014 ◽  
Vol 71 (14) ◽  
pp. 1199-1203 ◽  
Author(s):  
Dennis K. Helling ◽  
Samuel G. Johnson
Keyword(s):  
Subspecialty Training ◽  
The Future

scholarly journals EWTD: incompatible with subspecialty training?

Gut ◽  
2011 ◽  
Vol 60 (Suppl 1) ◽  
pp. A119-A120
Author(s):  
E. Giles ◽  
R. Hansen ◽  
A. R. Barclay ◽  
A. Burtt ◽  
P. B. Sullivan ◽  
...  
Keyword(s):  
Subspecialty Training

scholarly journals Laboratory management curriculum for cytopathology subspecialty training

2018 ◽  
Vol 7 (2) ◽  
pp. 61-78 ◽  
Author(s):  
Ritu Nayar ◽  
Güliz A. Barkan ◽  
Cynthia Benedict ◽  
Christine Booth ◽  
David C. Chhieng ◽  
...  
Keyword(s):  
Subspecialty Training ◽  
Laboratory Management ◽  
Management Curriculum

The impact of subspecialty training on the management of advanced ovarian cancer

1992 ◽  
Vol 47 (2) ◽  
pp. 203-209 ◽  
Author(s):  
Scott M. Eisenkop ◽  
Nick M. Spirtos ◽  
Thomas W. Montag ◽  
Richard H. Nalick ◽  
He-Jing Wang
Keyword(s):  
Ovarian Cancer ◽  
Advanced Ovarian Cancer ◽  
Subspecialty Training ◽  
The Impact

Trends of core versus subspecialty operative procedures completed in general surgery residency training programs

2021 ◽  
pp. postgradmedj-2021-140503
Author(s):  
Faiz Tuma ◽  
Rafael D Malgor ◽  
Nikit Kapila ◽  
Mohamed K Kamel
Keyword(s):  
Residency Training ◽  
General Surgery ◽  
Operative Procedures ◽  
Steady Increase ◽  
Subspecialty Training ◽  
Paediatric Surgery ◽  
Case Volume ◽  
General Surgery Residency ◽  
The Core ◽  
Case Logs

IntroductionGeneral surgery residency involves performing subspecialty procedures in addition to the core general procedures. However, the proportion of core general surgery versus subspecialty procedures during training is variable and its temporal changes are unknown. The goal of our study was to assess the current trends in core general surgery and subspecialty procedure distributions during general surgery residency training.MethodsData were collected from the ACGME core general surgery national resident available report case logs from 2007 to 2019. Descriptive and time series analyses were used to compare proportions of average procedures performed per resident in the core general surgery category versus the subspecialty category. F-tests were conducted to show whether the slopes of the trend lines were significantly non-zero.ResultsThe mean of total procedures completed for major credit by the average general surgery resident increased from 910.1 (SD=30.31) in 2007 to 1070.5 (SD=37.59) in 2019. Over that same period, the number of general, cardiothoracic, plastic and urology surgery procedures increased by 24.9%, 9.8%, 76.6% and 19.3%, respectively. Conversely, vascular and paediatric surgery procedures decreased by 7.6% and 30.7%, respectively. The neurological surgery procedures remain stable at 1.1 procedures per resident per year. A significant positive correlation in the trend reflecting total (p<0.0001), general (p<0.0001) and plastic (p<0.0016) surgery procedures and the negative correlation in the trend lines for vascular (p<0.0006) and paediatric (p<0.0001) surgery procedures were also noted.ConclusionsTrends in overall surgical case volume performed by general surgery residents over the last 12 years have shown a steady increase in operative training opportunity despite the increasing number of subspecialty training programmes and fellowships. Further research to identify areas for improvement and to study the diversity of operative procedures, and their outcomes is warranted in the years to come.

Cosmetic Surgery: A Subspecialty That Needs Specialized Training and Recognition

2021 ◽  
pp. 074880682110518
Author(s):  
Kamran Dastoury ◽  
Jacob Haiavy ◽  
Jane Petro ◽  
Martha Ayewah
Keyword(s):  
American Academy ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Training Programs ◽  
Aesthetic Surgery ◽  
Fellowship Training ◽  
Subspecialty Training ◽  
Plastic And Reconstructive Surgery ◽  
Surgery Training ◽  
American Society

Introduction: This study was performed to provide a comprehensive review of the breadth and depth of fellowship training provided by the American Academy of Cosmetic Surgery (AACS), with direct comparison with other current aesthetic surgery training programs available in the United States. We hypothesized that this subspecialty training provides essential experience and confidence to perform aesthetic procedures, which are likely not adequately imparted during traditional residency training. We also address the notion that Cosmetic Surgery is not under the sole ownership of one specialty, but rather a subspecialty that flourishes by collaboration between multidisciplinary surgical backgrounds. Materials and Methods: We performed a cross-sectional study of survey data from 2 distinct groups—current fellows in a 1-year AACS program and surgeons who completed an AACS fellowship between July 2008 and June 2017, who have been in active cosmetic surgery practice ranging from 6 months to over 6 years. A survey was administered via email and distributed by the AACS central office. The responses were compared with data published in the Annals of Plastic Surgery concerning Recent Trends in Resident Career Choices after Plastic Surgery Training. Results: The Accreditation Council for Graduate Medical Education (ACGME) requirements for aesthetic surgical cases in a 6-year Plastic Surgery program are 150 cases, but 50% of graduating seniors feel inadequately prepared to transition straight into aesthetic surgery practice, whereas among AACS graduating fellows, 100% feel very prepared to go on the aesthetic surgery practice, having completed an average of 687 cases within the yearlong training program. We note that the survey response rate was 81% among current fellows versus 35% among practicing surgeons. Discussion: We believe that focused subspecialty training in cosmetic surgery after completion of a primary surgical residency in a form of a structured fellowship through AACS, American Society of Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, Commission on Dental Accreditation, and American Society of Ophthalmic Plastic and Reconstructive Surgery (Oculoplastic) is the ideal preparation for the future. As we learn from each other through fellowship training, academic conferences, and research, this will further advance the subspecialty and ultimately improve patient care and outcomes. There is no evidence that these training programs provide less adequate preparation, although they are not accredited by the ACGME. To the contrary, the additional experience and knowledge gained during these fellowship training programs result in better outcomes and more competent practitioners. Conclusions: The development of subspecialty training and board certification for surgeons committed to cosmetic surgery yields the highest level of qualified providers. The diverse backgrounds of these providers continue to allow us to expand and innovate in this field. This study is aimed at moving this conversation forward in a positive direction.

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