The Experts below are selected from a list of 11952 Experts worldwide ranked by ideXlab platform
Gretchen Purcell Jackson - One of the best experts on this subject based on the ideXlab platform.
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care delivered by pediatric Surgical Specialties through patient portal messaging
Journal of Surgical Research, 2019Co-Authors: Katherine M Riera, Jamie R Robinson, Kyle J Van Arendonk, Gretchen Purcell JacksonAbstract:Abstract Background Patient portals are online applications that typically allow users to interact with providers using secure messaging. Portal messaging use and content have not been studied in pediatric Surgical Specialties. Materials and methods We obtained all message threads initiated by pediatric patients/caregivers and sent to pediatric Surgical providers through the Vanderbilt University Medical Center patient portal from June 1, 2014 to December 31, 2014. We collected patient demographics and providers' Surgical Specialties. We determined the number of message threads and individual messages sent by patients/caregivers and providers by specialty. Message content was analyzed by semantic types using a validated consumer health taxonomy. Results Most threads were about male (176, 60.3%), white (239, 81.8%), non-Hispanic (278, 95.2%) patients with a median age of 6 y (range: 0-21 y). A total of 292 message threads containing 1679 individual messages were sent with mean 5.8 (standard deviation [SD] 5.0) messages per thread. Messages were sent more frequently regarding younger patients (P = 0.001). Physicians directly contributed to 161 (55%) message threads. Otolaryngology received the most threads (123, 42.1%) and messages (790, 47.1%). Specialties exchanging the most messages per thread were cardiac surgery (mean 7.0, SD 11.7), and dermatology (7.0, SD 6.9). Most message threads (273, 93.5%) involved delivery of medical care with 123 (42.1%) involving appointments/scheduling; 99 (33.9%) medical problems; 81 (27.7%) treatments; 68 (23.3%) testing; and 29 (9.9%) referrals. Conclusions Pediatric surgeons deliver substantial care within portal messages exchanged with pediatric patients and caregivers. Institutions adopting portals should consider effects on provider workload and potential disparities in access to care.
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recruiting women to vascular surgery and other Surgical Specialties
Journal of Vascular Surgery, 2013Co-Authors: Leigh Anne Dageforde, Melina R Kibbe, Gretchen Purcell JacksonAbstract:Vascular surgery is a subspecialty that attracts future surgeons with challenging technical procedures and complex decision making. Despite its appeal, continued promotion of the field is necessary to recruit and retain the best and brightest candidates. Recruitment of medical students and residents may be limited by the lifestyle inherent to vascular surgery and the length of residency training. The young adults of the current applicant and resident pool differ from prior generations in their desire for hands-on mentoring, aspirations to affect change daily, a penchant for technology, and strong emphasis on work-life balance. Furthermore, the percentage of women pursuing careers in vascular surgery is not representative of the eligible workforce. Women are now the majority of graduates in all of higher education, and thus, vascular surgery may need to make a concerted effort to appeal to women in order to attract the most talented young professionals to the field. Recruiting strategies for both men and women of Generation Y should target a diverse group of potential candidates with an awareness of the unique characteristics and needs of this generation of rising surgeons.
D A Hill - One of the best experts on this subject based on the ideXlab platform.
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integration of the Surgical Specialties into an innovative undergraduate curriculum
Medical Education, 1993Co-Authors: D A HillAbstract:Summary. A dilemma exists concerning the most effective way to incorporate Surgical specialty teaching into an innovative undergraduate curriculum. Should the Specialties form part of the core curriculum or should they be available as electives? The aim of this study is to describe an educationally sound and time-effective way to give all students an exposure to the Surgical Specialties while maintaining the philosophy of an innovative curriculum. The SCORPIO method was used, on a trial basis, in 1992 to teach cardiothoracic surgery, neurosurgery, plastic surgery and urology to fourth-year medical students at a university teaching hospital. The teaching was evaluated by comparing group pretest performance with a posttest assessment given one month after each of the teaching sessions. Student perceptions were assessed by a questionnaire and a time analysis was carried out comparing SCORPIO with the traditional ward tutorial system. Students completed the sequence pretest, teaching and posttest on 169 occasions. Group performance increased from a pretest mean 28% (SD16) to a posttest mean 44% (SD13) P<0.0001. Student acceptance was favourable, with high ratings given to the structured, problem-based style of teaching. The time to run the programme was one-eighth that to teach by the ward tutorial system. This teaching model is a practical way to incorporate the Surgical Specialties into the core curriculum of a school moving towards a student centred, problem-based, integrated curriculum.
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Integration of the Surgical Specialties into an innovative undergraduate curriculum.
Medical Education, 1993Co-Authors: D A HillAbstract:Summary. A dilemma exists concerning the most effective way to incorporate Surgical specialty teaching into an innovative undergraduate curriculum. Should the Specialties form part of the core curriculum or should they be available as electives? The aim of this study is to describe an educationally sound and time-effective way to give all students an exposure to the Surgical Specialties while maintaining the philosophy of an innovative curriculum. The SCORPIO method was used, on a trial basis, in 1992 to teach cardiothoracic surgery, neurosurgery, plastic surgery and urology to fourth-year medical students at a university teaching hospital. The teaching was evaluated by comparing group pretest performance with a posttest assessment given one month after each of the teaching sessions. Student perceptions were assessed by a questionnaire and a time analysis was carried out comparing SCORPIO with the traditional ward tutorial system. Students completed the sequence pretest, teaching and posttest on 169 occasions. Group performance increased from a pretest mean 28% (SD16) to a posttest mean 44% (SD13) P
Sandy Shiralkar - One of the best experts on this subject based on the ideXlab platform.
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the experience of burnout across different Surgical Specialties in the united kingdom a cross sectional survey
Surgery, 2012Co-Authors: Dominic Upton, Victoria Mason, Bethany Doran, Kazia Solowiej, Uttam Shiralkar, Sandy ShiralkarAbstract:Background. We used a cross-sectional e-mail survey to assess the prevalence of psychological morbidity across different Surgical Specialties and identify predictor variables of burnout in surgeons. Method. The survey was sent to 1971 surgeons from 127 National Health Service (NHS) hospital trusts across the United Kingdom. Burnout prevalence and mood were assessed using the Maslach Burnout Inventory-General Survey and Profile of Mood States (POMS), respectively. Demographic and POMS factors were investigated as predictors of burnout using linear and stepwise regression analyses. Results. Responses to the survey were received from 342 surgeons (17% response rate). One-third of 313 respondents showed high mean levels of burnout on exhaustion (2.32; standard deviation [SD], 1.62) and cynicism (2.34; SD, 1.44) subscales. Some Specialties worked significantly more hours per week (F[8, 252] = 2.89; P = .004), but burnout prevalence did not differ significantly between specialty, grade, age, gendei; hours worked per week, or years spent in post. The number of years in specialty (beta = -0.17; P =.003) independently predicted surgeons' scores on exhaustion. POMS factors significantly predicted burnout, where fatigue (beta = 0.58; P <.001) was the best predictor of exhaustion scores, depression = (beta = 0.28; P <.001) the best predictor of cynicism, and vigor (beta = 0.29; P <.001) the best predictor of professional efficacy. Management issues were cited as contributing to psychological morbidity. Conclusion. UK surgeons show high levels of cynicism and exhaustion burnout irrespective of their specialty, grade, or hours worked per week. Surgeons' mood profiles significantly predicted burnout, indicating the POMS could be used as part of an, assessment for preventive interventions. NHS management and infrastructure are highlighted as influences on surgeons' psychological health
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The experience of burnout across different Surgical Specialties in the United Kingdom: a cross-sectional survey.
Surgery, 2011Co-Authors: Dominic Upton, Victoria Mason, Bethany Doran, Kazia Solowiej, Uttam Shiralkar, Sandy ShiralkarAbstract:Background. We used a cross-sectional e-mail survey to assess the prevalence of psychological morbidity across different Surgical Specialties and identify predictor variables of burnout in surgeons. Method. The survey was sent to 1971 surgeons from 127 National Health Service (NHS) hospital trusts across the United Kingdom. Burnout prevalence and mood were assessed using the Maslach Burnout Inventory-General Survey and Profile of Mood States (POMS), respectively. Demographic and POMS factors were investigated as predictors of burnout using linear and stepwise regression analyses. Results. Responses to the survey were received from 342 surgeons (17% response rate). One-third of 313 respondents showed high mean levels of burnout on exhaustion (2.32; standard deviation [SD], 1.62) and cynicism (2.34; SD, 1.44) subscales. Some Specialties worked significantly more hours per week (F[8, 252] = 2.89; P = .004), but burnout prevalence did not differ significantly between specialty, grade, age, gendei; hours worked per week, or years spent in post. The number of years in specialty (beta = -0.17; P =.003) independently predicted surgeons' scores on exhaustion. POMS factors significantly predicted burnout, where fatigue (beta = 0.58; P
Vimercati Francesco - One of the best experts on this subject based on the ideXlab platform.
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epidemiological case survey of medical malpractice in some medical and Surgical Specialties
Forensic Science International, 2005Co-Authors: Nunzio Di Nunno, Vimercati Luigi, Luigi Viola, Vimercati FrancescoAbstract:Abstract According to the common view held by the general public, doctors can never make professional mistakes, as if by virtue of their profession they were bound to be infallible. Moreover, when mistakes do occur in the medical field they are seen in a personal light, being attributed to an individual professional figure who is expected to answer for them in both the penal and the civil field. In this paper, the authors made a retrospective analysis of 37 of all the 725 legal suits filed in some hospitals of the Apulian region (South Italy) during the period between 1991 and 2000, being all those lodged against operators in the neurological, urological, otorhino-laryngoiatric and cardioSurgical fields, recorded in the Archives of the Health Services of Bari, Brindisi, Lecce and Taranto or in those of our Forensic Department following consultations on medical and Surgical responsibility.
Eunice Y Huang - One of the best experts on this subject based on the ideXlab platform.
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telemedicine and telementoring in the Surgical Specialties a narrative review
American Journal of Surgery, 2019Co-Authors: Eunice Y Huang, Samantha Knight, Camila Roginski Guetter, Catherine H Davis, Mecker G Moller, Eliza Slama, Marie CrandallAbstract:Abstract Background The field of telemedicine has grown tremendously over the last decade. We present a systematic review of publications on telemedicine as it pertains to surgery, addressing six facets: 1) telerobotics, 2) telementoring, 3) teleconsulting, 4) telemedicine in post-operative follow-up, 5) tele-education, and 6) current technology. Data sources A search of relevant literature querying PubMed, Web of Science, and Science Direct was performed using the following keywords: telecommunication, telemedicine, telehealth, virtual health, virtual medicine, general surgery, surgery, Surgical or Surgical patients. Conclusions Telemedicine is being used to care for patients in remote areas, to help expert surgeons assist other specialists in the office or novice surgeons in the operating room, as well as to help teach the next generation of surgeons. There are many opportunities for surgeons to utilize this technology to optimize their practice.
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adherence of randomized trials within children s Surgical Specialties published during 2000 to 2009 to standard reporting guidelines
Journal of The American College of Surgeons, 2013Co-Authors: Martin L Blakely, Kuojen Tsao, Eunice Y Huang, Anthony Yuandun Tsai, Stacy T Tanaka, Shiraz A Younas, Zengqi Lu, Kevin P LallyAbstract:Background Randomized clinical trials (RCTs) are uncommon in pediatric Surgical Specialties and the quality of reporting is unknown. Our primary purpose was to analyze published Surgical RCTs involving children to measure adherence to the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Study Design Published RCTs from January 1, 2000 through December 31, 2009 were reviewed. The trials were evaluated for the presence of 7 CONSORT guidelines and also graded according to the Jadad scale. Results Two hundred and twenty-eight trials were included. Five trials met all 7 CONSORT criteria (2%) and 53 had a Jadad score of ≥3 (23%). Slightly more than 50% of all trials specified primary outcomes and Conclusions Adherence to CONSORT guidelines is low across the spectrum of children's Surgical Specialties, although significant differences do exist. Future RCTs in children's Surgical Specialties should specifically focus on areas of low adherence to reporting guidelines.
