Tag: residency

1. In this direct observational study, first year internal medicine residents (interns) spent only 13% of their time on direct patient care, while spending 43% of their time documenting their work or using the electronic medical record. 2. Time for educational activities was even more infrequent, occupying only 7% of...
1. Advance practitioners and neonatal fellows had the highest rates of neonatal tracheal intubation (TI) attempts in the neonatal intensive care unit (NICU) and delivery room (DR), while residents had fewer attempts. There was a significant association between the degree of training held by the intubator and the success...
1. Dental, obstetric and gynecology and surgical residents were more likely to incur needlestick injuries. 2. First-year residents in the first 6 months of training were at highest risk for needlestick injuries. Evidence Rating Level: 2 (Good) Study Rundown: Healthcare professionals are at risk for needlestick injuries (NSI), putting them at risk...
1. The health care utilization of the region (high-intensity or low-intensity) in which internal medicine residents train may predict how conservatively or aggressively they will practice in the future. 2. Residents that trained in a low intensity region were more likely to select the "appropriately conservative" and "appropriately aggressive"...
Image: PD  1. Surgeons were not able to reliably predict their individual level of burnout compared to other physicians.  2. As a result of this survey and feedback tool, almost half stated that they would contemplate changing their behavior to enhance their well-being. Evidence Rating Level: 3 (Average) Study Rundown: The authors developed...
Image: PD  1. Pediatric trainees and intensivists report less autonomy and readiness for independent practice when training in an in-hospital attending coverage model versus a home-call model within the Pediatric Intensive Care Unit (PICU).  2. Almost all survey respondents, regardless of coverage model, felt the PICU was a good educational experience...
Image: PD  In this section, we will highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Rates of Medical Errors and Preventable Adverse Events Among Hospitalized Children Following Implementation of a Resident Handoff Bundle Miscommunication during patient handoffs is a leading cause of medical errors.  In...
Image: PD  1. Saccadic peak velocity magnitude during guided saccade tasks decreased with increased time-on-duty (mean precall = 0.634, mean postcall=0.619, P=0.04). 2. Time on duty did not affect saccadic peak velocity, nor did it affect performance during simulated laparoscopic tasks. Evidence Rating Level: 1 (Excellent)  Study Rundown: Long work shifts and resident...
Image: PD 1. A survey of surgical subspecialty program directors found that 21% of program directors (PDs) felt that new fellows were unprepared for the operating room.  2. Only 33.7% of subspecialty program directors felt that new fellows could operate for 30 minutes during a major procedure without supervision, and 30%...