Article
Health Care Sciences & Services
Chloe Wilder, Lyndsey J. Kilgore, Abbey Fritzel, Kelsey E. Larson
Summary: This study analyzed the impact of a clinical anatomy mentorship program (CAMP) on the anatomical knowledge and confidence of third-year medical students during their breast surgical oncology rotation. The results showed that students who participated in the program had better surgical anatomy knowledge, confidence in the operating room, and comfort in assisting compared to those who did not participate. Therefore, this near-peer teaching model can effectively prepare medical students for the breast surgical oncology rotation and enhance their anatomical knowledge and confidence.
Article
Radiology, Nuclear Medicine & Medical Imaging
Elana B. Smith, Alexis Boscak, Eric M. Friedman, Shterna Frand, Lori A. Deitte, Thad Benefield, Sheryl Jordan
Summary: The COVID-19 pandemic has had a significant impact on medical student education, particularly in the field of radiology. Faculty were able to adapt courses to an online environment and utilize interactive lectures, self-directed learning, flipped classroom sessions, and virtual readouts. Hybrid rotations with both on-site and online elements may offer the best options for medical students.
ACADEMIC RADIOLOGY
(2022)
Article
Surgery
Lucas S. Salgado, Leticia N. Campos, Angela T. Z. Yabrude, Alexandra M. Buda, Vivian F. Amaral, Lucas L. P. A. Ribeiro, Felipe S. Barbosa, Rodrigo C. S. Pimentel, Asher Mishaly, Joao B. Neto, Aristocles H. Bezerra, Nivaldo Alonso
Summary: Only around one-fifth of Brazilian medical students are aware of global surgery, with a preference for gaining knowledge through social media and webinars. Extracurricular classes and internships are the most preferred options for students to familiarize themselves with the field, highlighting the importance of national opportunities and adequate training as potential obstacles to pursuing a career in global surgery.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Education & Educational Research
Feria A. Ladha, Anthony M. Pettinato, Adam E. Perrin
Summary: This study investigated the changes in medical students' choice of medical specialty and the factors influencing those choices from the beginning to the end of medical school. The results showed that students' specialty preferences changed during medical school, and different motivational factors influenced specialty choices in the final year.
BMC MEDICAL EDUCATION
(2022)
Article
Education & Educational Research
Sarah D. Tait, Sachiko M. Oshima, Harold J. Leeras, Alexander Gunn, Melissa Sarver, Funda Gunes, Rachel A. Greenup
Summary: In the context of rising healthcare costs, many medical schools lack formal education on treatment-related financial hardship, leaving future physicians undereducated and unprepared for high-value care.
BMC MEDICAL EDUCATION
(2023)
Article
Surgery
Sophia Hernandez, Siyou Song, Ogonna N. Nnamani Silva, Chelsie Anderson, Alexander S. Kim, Andre R. Campbell, Edward H. Kim, Adnan Alseidi, Elizabeth C. Wick, Julie Ann Sosa, Jessica Gosnell, Matthew Y. C. Lin, Sanziana A. Roman
Summary: After participating in a virtual surgical didactic rotation and shortened in-person surgery rotation, third-year medical students displayed knowledge gaps in perioperative management, anatomy, surgical skills, OR etiquette, and team dynamics. There was a significant improvement in their confidence to perform inpatient tasks after completing the inpatient clinical experience. Future curricula should address these perceived gaps.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Sarah Nguyen, Tawni Johnston, Hilary C. McCrary, Candace Chow, Chanta'l Babcock, Boyd Richards, Brigitte K. Smith
Summary: This exploratory study investigates how medical students' attitudes and actions can enhance clinical teaching interactions during surgical rotations. Findings suggest that medical students play an important role in their own learning experience by adopting key attitudes and associated actions.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Audrey L. Chai, Kazuhide Matsushima, Matthieu Strickland, Maura E. Sullivan, Kenji Inaba, Demetrios Demetriades
Summary: There is limited information about medical student education in acute care surgery (ACS) and this study aimed to investigate the current status of ACS education provided to students in U.S. medical schools. Results showed varying levels of exposure and rotation education in ACS for medical students, highlighting the need for further research on the impact of ACS education on student career planning.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Education, Scientific Disciplines
Randall Waechter, Gabriel Stahl, Sara Rabie, Bora Colak, Debbi Johnson-Rais, Barbara Landon, Kristen Petersen, Shirin Davari, Thinn Zaw, Kesava Mandalaneni, Bianca Punch
Summary: This study implemented a randomized controlled trial on medical students to examine the effectiveness of assigning them to a wellness intervention. It was found that students who participated in the wellness intervention group engaged more in the assigned activities and showed better outcomes in terms of state anxiety and perceived stress. The twice-weekly wellness intervention sessions were effective in protecting medical students from anxiety and stress while not negatively impacting academic performance.
Article
Surgery
Summary: The study found that the majority of medical students and faculty members believe global surgery should be an integral part of the curriculum, but only a small portion of students have been exposed to this field and understand what a career in GS entails. This highlights the need for further incorporation of GS into curricula to train a new generation of clinicians who are prepared for the challenges of the 21st century.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Education, Scientific Disciplines
Agra Dilshani Hunukumbure, Kathleen E. Leedham-Green, Abirami Rajamanoharan, Kirtan Patel, Alison Tang, Saroj Das
Summary: Theatre-based learning is crucial in undergraduate surgical education, but students may not always benefit due to reasons like intimidation, hierarchies, and fear of mistakes. The approach of lead surgical educators significantly influences students' experience and learning, so learner-centered guidance is essential to improve student engagement and learning experiences in the operating theatre.
Article
Surgery
Deanna Palenzuela, Alyssa Pradarelli, Sophia McKinley, Joy Moses, Noelle Saillant, Roy Phitayakorn
Summary: This study aims to design and refine a clinical immersion experience to address the lack of preclinical exposure to surgery among medical students. The feedback and evaluation results showed that this experience can change students' perceptions of surgery and inspire their interest in surgical specialties.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Judith A. Gadde, Andres Ayoob, Michelle M. Miller-Thomas, Shannon Falcon, Caroline W. T. Carrico, Donna Magid, David M. Naeger
Summary: Since the establishment of the Alliance of Medical Student Educators in Radiology (AMSER) curriculum 20 years ago, significant advancements have occurred in medical imaging, patient care, and medical education. In response to these changes, the 2020 update of the AMSER curriculum aims to provide a comprehensive resource that remains useful in the coming years. The updated curriculum can be freely accessed and downloaded through the AMSER website.
ACADEMIC RADIOLOGY
(2022)
Article
Education & Educational Research
Irene Masini, Katherine Rosecrance, Yamini Patibandla, Margot Barker, Anna Cardall Jarvis, Jasmine Patel
Summary: This study describes and evaluates the impact of an abortion didactic session implemented during the pre-clinical years of medical school. The results show that the session was effective in improving participants' knowledge and attitudes towards abortion care, and received positive feedback from the participants.
BMC MEDICAL EDUCATION
(2023)
Article
Surgery
Y. Kang, B. R. Sinco, Grace J. Kim
Summary: Due to the COVID-19 pandemic, virtual care has become a regular method of healthcare delivery. Virtual clinical education has been studied, but little is known about the learner experience. Understanding the perspectives of medical students and residents can provide insight for optimizing the educational experience in virtual care.
Article
Surgery
Cyrus A. Feizpour, Katrina Gauntt, Madhukar S. Patel, Bob Carrico, Parsia A. Vagefi, David Klassen, Malcolm MacConmara
Summary: The study shows that the use of MPH in DCD procurements does not cause delays in WIT and does not negatively affect organ yield of other concurrently procured organs.
AMERICAN JOURNAL OF TRANSPLANTATION
(2022)
Article
Gastroenterology & Hepatology
Tommy Ivanics, Carla Fiorella Murillo Perez, Marco P. A. W. Claasen, Madhukar S. Patel, Gabriela Morgenshtern, Lauren Erdman, Chaya Shwaartz, Luckshi Rajendran, Grainne M. O'Kane, Bettina E. Hansen, Sean P. Cleary, Gonzalo Sapisochin
Summary: We evaluated the natural progression, pattern, and timing of various disease states after liver resection for HCC using multistate modeling and created a practical calculator to provide prognostic information for patients and clinicians.
Editorial Material
Gastroenterology & Hepatology
Colin Dunn, Bo Lin, Nicole E. Rich, Madhukar S. Patel, Purva Gopal, Amit G. Singal
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2023)
Article
Pediatrics
Yash Kadakia, Malcolm MacConmara, Madhukar S. Patel, Jigesh A. Shah, Lucia de Gregorio Muniz, Dev M. Desai, Steven Hanish, Parsia A. Vagefi, Christine S. Hwang
Summary: This study investigated the interest and barriers to incorporating non-invasive monitoring of marginal donor livers in pediatric liver transplantation. The survey showed that there is significant interest in using non-invasive monitoring, especially in regions with longer wait times for suitable pediatric donors.
PEDIATRIC TRANSPLANTATION
(2022)
Article
Gastroenterology & Hepatology
Peter D. Yoon, Madhukar S. Patel, Carla F. Murillo Perez, Tommy Ivanics, Marco P. A. W. Claasen, Hala Muaddi, David Wallace, Bettina Hansen, Gonzalo Sapisochin
Summary: This study analyzed the incidence, outcomes, and risk factors of liver retransplantation recipients in Canada. The results showed that retransplantation was a safe treatment for graft failure, with comparable outcomes to initial retransplantation even in patients requiring more than two grafts.
CANADIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Medicine, General & Internal
T. Ivanics, L. Rajendran, P. A. Abreu, M. P. A. W. Claasen, C. Shwaartz, M. S. Patel, W. J. Choi, A. Doyle, H. Muaddi, I. D. McGilvray, M. Selzner, R. Beecroft, J. Kachura, M. Bhat, N. Selzner, A. Ghanekar, M. Cattral, B. Sayed, T. Reichman, L. Lilly, G. Sapisochin
Summary: This study evaluated the oncologic outcomes of patients with solitary HCC < 3 cm receiving different treatments and found that while the overall intention-to-treat survival was similar, disease-free survival was significantly higher in LR and LT groups compared to RFA.
ANNALS OF MEDICINE AND SURGERY
(2022)
Article
Surgery
Madhukar S. Patel, Benjamin K. Wang, Malcolm MacConmara, Christine Hwang, Jigesh A. Shah, Lucia De Gregorio, Steven Hanish, Dev M. Desai, Song Zhang, Herbert J. Zeh, Parsia A. Vagefi
Summary: This study evaluates the value of liver transplantation and finds that all centers have increased in value over time, with large centers showing the most significant changes. Despite providing more complex care, large centers are able to deliver higher value. Learning from the practices of large centers can help optimize healthcare delivery for liver transplantation.
Article
Immunology
Jorge A. Sanchez-Vivaldi, Madhukar S. Patel, Jigesh A. Shah, Benjamin K. Wang, Juan D. Salcedo-Betancourt, Christine S. Hwang, David Wojciechowski, Ricardo M. La Hoz, Parsia A. Vagefi
Summary: This study assessed short-term allograft outcomes in patients who received kidney transplants from deceased donors with lower respiratory tract (LRT) positive nucleic acid testing (NAT) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The results showed excellent short-term allograft outcomes and no clinical evidence of donor-derived COVID-19 post-transplantation, regardless of whether the recipients were vaccinated or not. This suggests that the use of SARS-CoV-2 LRT NAT positive deceased donors could be considered.
TRANSPLANT INFECTIOUS DISEASE
(2022)
Article
Gastroenterology & Hepatology
Tommy Ivanics, David Wallace, Marco P. A. W. Claasen, Madhukar S. Patel, Rushin Brahmbhatt, Chaya Shwaartz, Andreas Prachalias, Parthi Srinivasan, Wayel Jassem, Nigel Heaton, Mark S. Cattral, Nazia Selzner, Anand Ghanekar, Gabriela Morgenshtern, Neil Mehta, Allan B. Massie, Jan van der Meulen, Dorry L. Segev, Gonzalo Sapisochin
Summary: This multicenter international comparative analysis shows that the long-term outcomes of living donor liver transplantation in the United States, the United Kingdom, and Canada are excellent, despite low utilization rates. There is no statistically significant difference in mortality risk between the evaluated countries. However, the incidence and risk of retransplantation vary between countries, with the highest in the United Kingdom and the lowest in the United States.
JOURNAL OF HEPATOLOGY
(2022)
Article
Surgery
Tommy Ivanics, Ashley Limkemann, Madhukar S. Patel, Marco P. A. W. Claasen, Luckshi Rajendran, Woo Jin Choi, Chaya Shwaartz, Nazia Selzner, Les Lilly, Mamatha Bhat, Cynthia Tsien, Markus Selzner, Ian McGilvray, Blayne Sayed, Trevor Reichman, Mark Cattral, Anand Ghanekar, Gonzalo Sapisochin
Summary: Despite the increase in living donor liver transplants, the outcomes of retransplantation after living donor liver transplant need further investigation. This study compared the waitlist outcomes and survival post-retransplant in recipients of initial living or deceased donor grafts. The results showed similar waitlist mortality and survival rates for both types of transplants.
Article
Surgery
Tommy Ivanics, Delvin So, Marco P. A. W. Claasen, David Wallace, Madhukar S. Patel, Annabel Gravely, Woo Jin Choi, Chaya Shwaartz, Kate Walker, Lauren Erdman, Gonzalo Sapisochin
Summary: Many countries have national registries of liver transplant data, which are used to generate predictive models. However, the performance and transferability of these models are unclear. This study developed machine learning algorithm-based models using data from 3 national registries to predict 90-day post-transplant mortality and evaluated the predictive performance and external validity of each model.
AMERICAN JOURNAL OF TRANSPLANTATION
(2023)
Article
Gastroenterology & Hepatology
Tommy Ivanics, Marco P. A. W. Claasen, Madhukar S. S. Patel, Emmanouil Giorgakis, Shirin E. E. Khorsandi, Parthi Srinivasan, Andreas Prachalias, Krishna Menon, Wayel Jassem, Miriam Cortes, Blayne A. A. Sayed, Amit K. K. Mathur, Kate Walker, Rhiannon Taylor, Nigel Heaton, Neil Mehta, Dorry L. L. Segev, Allan B. B. Massie, Jan H. P. van Der Meulen, Gonzalo Sapisochin, David Wallace
Summary: Comparing the utilization and outcomes of DCD LT between the UK and the US provides insights into the international differences. The study found that although the use of DCD livers increased in both countries, the long-term transplant outcomes in the UK were superior to those in the US.
LIVER INTERNATIONAL
(2023)
Article
Pediatrics
Christine S. Hwang, Yash Kadakia, Jorge A. Sanchez-Vivaldi, Madhukar S. Patel, Jigesh A. Shah, Lucia DeGregorio, Dev M. Desai, Parsia A. Vagefi, Malcolm MacConmara
Summary: This study examined the incidence, risk factors, and outcomes of delayed graft function (DGF) in pediatric recipients of living donor kidneys. The results showed that pediatric patients who experienced DGF had significantly poorer allograft survival, and small recipients and those with focal segmental glomerulosclerosis (FSGS) had a higher rate of DGF.
PEDIATRIC TRANSPLANTATION
(2022)
Letter
Gastroenterology & Hepatology
Madhukar S. Patel, Nicolas Goldaracena
LIVER TRANSPLANTATION
(2023)
Article
Oncology
Jason A. Zell, Thomas H. Taylor, C. Gregory Albers, Joseph C. Carmichael, Christine E. McLaren, Lari Wenzel, Michael J. Stamos
Summary: This study presents a phase IIa clinical biomarker trial of colorectal cancer (CRC) survivors treated with a polyamine-inhibitory regimen. The intervention successfully reduced dietary arginine intake and plasma arginine levels, but did not affect rectal tissue polyamine levels. These findings suggest that further research is needed to explore alternative strategies for tertiary prevention of CRC.