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

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
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Surgical Training ◽  
Residency Program ◽  
Residency Training Program ◽  
Training System ◽  
Johns Hopkins Hospital ◽  
Separate Entity ◽  
Efficient Organization ◽  
Highly Efficient

✓ 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.

Factors Affecting Choice of Surgical Residency Training Program

2001 ◽  
Vol 98 (2) ◽  
pp. 71-75 ◽  
Author(s):  
Kathrin L. Mayer ◽  
Richard V. Perez ◽  
Hung S. Ho
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Residency Training Program ◽  
Factors Affecting ◽  
Surgical Residency

Organizational Ethics in Residency Training: Moral Conflict with Supervising Physicians

2003 ◽  
Vol 12 (1) ◽  
pp. 119-123 ◽  
Author(s):  
ERIN A. EGAN
Keyword(s):  
Training Program ◽  
Residency Training ◽  
Clinical Training ◽  
Residency Training Program ◽  
Moral Conflict ◽  
Residency Programs ◽  
Safety Mechanism ◽  
Resident Physicians ◽  
The Individual ◽  
Training Physicians

It is inevitable that physicians in training will be exposed to behavior by supervising physicians that the trainees find unethical. By nature these events are rare. It is imperative within any residency training program that resident physicians have immediate access to a meaningful review process in cases of moral conflict with supervising physicians. Here, I discuss the reasons why this issue must be recognized and what it entails. Most important, I discuss the procedural steps that are essential for the training program to make this a meaningful safety mechanism in residency training. This issue is central to promoting conscious development of professionalism in clinical training. Physicians in training, especially resident physicians, need to be taught to value and protect their own professional integrity. The responsibility for fulfilling this ethical duty falls on the individual residency programs as well as the administrative organizations that regulate residency training. Thus, ensuring this process of review is an organizational ethical imperative. Availability of this process is fundamental to promoting and ensuring ethical behavior by all participants in residency training.

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 A TEMPLATE FOR SURGICAL RESIDENCY TRAINING PROGRAM (SURGICAL POSTGRADUATE TRAINING) IN DEVELOPING COUNTRIES.

2019 ◽  
pp. 1-4
Author(s):  
Ajao Oluwole Gbolagunte
Keyword(s):  
Developing Countries ◽  
Training Program ◽  
Residency Training ◽  
Third World ◽  
Postgraduate Training ◽  
Residency Training Program ◽  
Developed Countries ◽  
Host Countries ◽  
Surgical Residency ◽  
The Third World

Background: Many doctors who trained in developing countries always travelled to developed countries for specialization. After specialization, many of them do not return to their countries of origin but stay put in the host countries, and get absorbed into the health delivery system of the host countries. To stop this exodus of much needed man-power in the developing countries, many of these developing countries devised their own postgraduate programs so that there will be no need for doctors that aspire to specialize to leave the country any more. This review article is to assess the quality of the various postgraduate programs in the Third World countries. Study design: The postgraduate programs in some developing countries like Nigeria, Ghana and some countries in the South Pacific were studied and compared with some programs in the developed countries like the United States of America and Canada. There are differences in these programs. We therefore attempt to identify the weaknesses of the programs in the developing countries and make suggestions in some aspects of the programs so as to produce Residency training programs that will satisfy the needs and the peculiarities of the developing countries, and yet measure up to international standards. Results and findings: Many of the postgraduate programs in the developing countries, as they are now, fall far short of international acceptable standard. There are essentially two main reasons for this: some of the programs are directly under the control of the Governments in those countries, where the priorities are more economic than quality. Also, there is this notion among the doctors in the developing countries that surgical postgraduate training must be treated like preparation for a university PhD degree, even though university Senate has no in-put in awarding fellowship certificate. In the Third World countries, it is felt that “special breed” of surgeons must work in the university environment because it is considered “prestigious” to work in the universities. Conclusion:Even though the aim to retain doctors in their countries can be said to have been achieved, it came at a great price because the programs are very different from the well established residency training program as introduced by William Halsted and Churchill. This gives rise to a program comparative to residency training in the specialty of General Medical Practice, which is very different and of lower standard than internationally accepted surgical residency training program. It also equates the training, in some aspects, to that of a university Master's and PhD degrees. Abbreviations: RTP, Residency Training Program; LSP, Local Specialist Program; GCPS, Ghana College of Physician and Surgeons; NPGMC, National Post Graduate Medical College; WACS, West African College of Surgeons; LST, Local Surgical Training; MCQ, Multiple Choice Questions; OSCE, Objective Structured Clinical Examination; SRTP, Surgical Residency Training Program; MMed, Master's degree in Medicine.

scholarly journals Social support, anxiety symptoms, and depression symptoms among residents in standardized residency training programs: the mediating effects of emotional exhaustion

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hui Zhang ◽  
Nianqi Cui ◽  
Dandan Chen ◽  
Ping Zou ◽  
Jing Shao ◽  
...  
Keyword(s):  
Social Support ◽  
Training Program ◽  
Residency Training ◽  
Emotional Exhaustion ◽  
Training Programs ◽  
Residency Training Program ◽  
Anxiety Symptoms ◽  
Depression Symptoms ◽  
Self Rating ◽  
The Impact

Abstract Background Although studies indicate that social support is related to emotional exhaustion, depression symptoms, and anxiety symptoms, the underlying mechanism between those variables remains unknown. Methods Based on a sample of 254 residents in standardized residency training programs, two mediation models were tested in which emotional exhaustion served as a mediator in the relationship between social support and anxiety symptoms/depression symptoms. We used the following self-reported questionnaires as instruments to collect data: zung self-rating depression scale, zung self-rating anxiety scale, social support rating scale, and emotional exhaustion scale. Results In the final study sample, the mean age of the residents was 25.92 years old (SD =1.88), and a total of 41.3% were male, and 58.7% were female. This current study suggested that social support was proven to be a relevant factor affecting anxiety symptoms and depression symptoms. Particularly, the results also indicated that emotional exhaustion partially mediated the impact of social support on anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. Conclusions Our study signifies that enhancements in social support and reduction of emotional exhaustion can directly or indirectly affect anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. These findings will offer insight for health-sector managers to develop programs aimed at social support and adopt individual-level interventions and organization-level interventions to reduce emotional exhaustion.

Quality and Patient Safety in a Pathology Residency Training Program

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S95-S96
Author(s):  
R Demkowicz ◽  
S Sapatnekar ◽  
D Chute
Keyword(s):  
Patient Safety ◽  
Residency Training ◽  
Chief Resident ◽  
Residency Training Program ◽  
Basic Structure ◽  
Learning Activities ◽  
Before And After ◽  
Quality And Patient Safety ◽  
The Impact ◽  
Quiz Scores

Abstract Introduction/Objective Since the start of the new millennium, optimization of Quality and Patient Safety (QPS) has taken a renewed focus in the healthcare industry. Consequently, the Accreditation Council for Graduate Medical Education has mandated that QPS be a part of residency training. We have previously presented our curriculum designed to meet the specific needs of Pathology training programs, and covering four content areas: Handoffs, Error Management, Laboratory Administration, and Process Improvement. We are now presenting implementation. Methods To implement this curriculum, we 1) created online modules for self-directed learning on basic topics (using courses developed by IHI and CAP, and assigned articles), and paired these with faculty-facilitated interactive learning activities on more complex topics, including proficiency testing, root cause analysis and test utilization, 2) assigned every resident to a QPS project that was aligned with departmental priorities, led by a faculty advisor, and ran over 8- 10 months, and 3) appointed a QPS Chief Resident to coordinate and support the residents’ QPS activities. We measured the impact of the curriculum by comparing RISE laboratory accreditation percentiles and QPS curriculum quiz scores before and after curriculum implementation. Results After its implementation, RISE percentiles increased by at least 25 for every PGY, and QPS quiz scores increased by at least 10% for 3 of 4 PGY. Every QPS project was presented at Grand Rounds, and 4 were presented externally, including 2 at national conferences. Conclusion Our curriculum was successful in improving residents’ knowledge and competence in QPS. Challenges included designing appropriate learning activities, tracking completion of activities, coordinating faculty schedules and maintaining resident buy-in to the curriculum. We believe that the basic structure of our curriculum offers a solid foundation to which revisions can be made as QPS priorities evolve, and which can be readily adapted to other programs and locations.

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