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The neonatal wards from BFHI designated hospitals, obtained a significantly higher mean global score, and in 9 of 14 items than the non-accredited ones.
Both international and national results indicate an improvement in breastfeeding practices in neonatal units. The benefits of the BFHI accreditation of maternity reach neonatal wards. Spain has several key points below the international score.
Both international and national results indicate an improvement in breastfeeding practices in neonatal units. The benefits of the BFHI accreditation of maternity reach neonatal wards. Spain has several key points below the international score.
Medical trainees often report barriers to their active engagement with academic medical literature. We assessed whether subscription to The Lens, a weekly newsletter summarizing recent ophthalmology literature, improved readers' knowledge of the literature.
The implementation, uptake, and feasibility of The Lens are described. To assess newsletter efficacy, a 14 question multiple-choice quiz was designed with seven questions based on research articles featured in The Lens and seven based on articles published in high impact ophthalmology journals that were not featured in The Lens. The quiz was statistically validated in a sub-sample of non-subscribers to confirm similar difficulty between Lens and non-Lens quiz items. Among subscribers, within-participant scores on each subsection were compared using paired t-tests. Linear regression was used to determine if participation-adjusted subscription length was associated with quiz scores, after covariate adjustment.
Medical student subscribers of The Lens.
and improve their knowledge of recently published studies.
Weekly newsletters can help trainees across medical specialties overcome barriers to engagement with the academic literature and improve their knowledge of recently published studies.
As the COVID-19 pandemic dynamically changes our society, it is important to consider how the pandemic has affected the training and wellness of surgical residents. Using a qualitative study of national focus groups with general surgery residents, we aim to identify common themes surrounding their personal, clinical, and educational experiences that could be used to inform practice and policy for future pandemics and disasters.
Six 90-minute focus groups were conducted by a trained qualitative researcher who elicited responses on six predetermined topics. De-identified transcripts and audio recordings were later analyzed by two independent researchers who organized responses to each topic into themes.
Focus groups were conducted virtually and anonymously.
General surgery residents were recruited from across the country. Cyclopamine Demographic information of potential participants was coded, and subjects were randomly selected to ensure a diverse group of participants.
The impact of the COVID-19 pandemic on resvital to resident resilience and success in a pandemic setting.
These data gathered from our qualitative study highlight a clear, urgent need for thoughtful institutional planning and policies for the remainder of this and future pandemics. Residency programs must ensure a balanced training program for surgical residents as they attempt to master the skills of their craft while also serving as employed health care providers in a pandemic. Furthermore, a focus on wellness, in addition to clinical competency and education, is vital to resident resilience and success in a pandemic setting.
Teaching performance evaluations are commonly used for career development and advancement. Due to possible gendered expectations, implicit or explicit bias may emerge in evaluations completed by learners. This study investigated how third-year medical students evaluated teaching performance of obstetrics and gynecology resident physicians based on resident gender.
This study was conducted at the Medical College of Wisconsin in Milwaukee, Wisconsin.
This retrospective mixed methods study examined teaching performance evaluations of obstetrics and gynecology resident physicians from 2010 to 2018, completed by third-year medical students. A two-sample, two-sided t-test was used to compare numerical scores. Deductive content analysis of written comments focused on specific categories positive or negative agentic or communal demeanors and characteristics, teaching skills, character and professionalism, leadership abilities, clinical skills and knowledge, and frequency of words and phrases used to describe resion" terms ("kind," "compassionate").
Student-completed teaching performance evaluations are a valuable assessment of teaching skills and influence department recognition, award distribution, fellowship and employment opportunities. This study found that medical students did evaluate female residents differently than male residents. Understanding gendered expectations may assist in findings ways to address discrepancies between male and female physician evaluations.
Student-completed teaching performance evaluations are a valuable assessment of teaching skills and influence department recognition, award distribution, fellowship and employment opportunities. This study found that medical students did evaluate female residents differently than male residents. Understanding gendered expectations may assist in findings ways to address discrepancies between male and female physician evaluations.
Each year, our institution performs more than 34,000 surgical cases and obtains close to 10,000 surgical specimens. Within those procedures, we averaged 10 errors for every 1,000 surgical specimens. Any level of preventable harm is unacceptable, as it could lead to risks of treatment delay, improper therapy selection, or missed diagnoses. This quality improvement (QI) effort aimed to decrease errors in surgical specimens from 10 errors per 1,000 surgical specimens to 0 errors each month.
Using the Institute for Healthcare Improvement Model for Improvement QI methodology, we determined the root causes of error, identified key drivers, and tested change interventions. We implemented changes in surgical specimen labeling, standardized specimen time-out and reconciliation processes, and optimized a method of communication between consultants, surgeons, operating room staff, and laboratory staff with the implementation of a Specimen Request Form.
Over 46 months, we identified 234 specimen errors in 33,962 surgical pathology specimens.