4.2 Article

Early Intervention to Promote Medical Student Interest in Surgery and the Surgical Subspecialties

期刊

JOURNAL OF SURGICAL EDUCATION
卷 70, 期 1, 页码 81-86

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jsurg.2012.09.001

关键词

medical student; education; surgery; intervention

向作者/读者索取更多资源

OBJECTIVE: Concerns about projected workforce shortages are growing, and attrition rates among surgical residents remain high. Early exposure of medical students to the surgical profession may promote interest in surgery and allow students more time to make informed career decisions. The objective of this study was to evaluate the impact of a simple, easily reproducible intervention aimed at increasing first- and second-year medical student interest in surgery. DESIGN: Surgery Saturday (SS) is a student-organized half-day intervention of four faculty-led workshops that introduce suturing, knot tying, open instrument identification, operating room etiquette, and basic laparoscopic skills. Medical students who attended SS were administered pre-/post-surveys that gauged change in surgical interest levels and provided a self-assessment (1-5 Likert-type items) of knowledge and skills acquisition. PARTICIPANTS: First- and second-year medical students. OUTCOME MEASURES: Change in interest in the surgical field as well as perceived knowledge and skills acquisition. RESULTS: Thirty-three first- and second-year medical students attended SS and completed pre-/post-surveys. Before SS, 14 (42%) students planned to pursue a surgical residency, 4 (12%) did not plan to pursue a surgical residency, and 15 (46%) were undecided. At the conclusion, 29 (88%) students indicated an increased interested in surgery, including 87% (13/15) who were initially undecided. Additionally, attendees reported a significantly (p < 0.05) higher comfort level in the following: suturing, knot tying, open instrument identification, operating room etiquette, and laparoscopic instrument identification and manipulation. CONCLUSIONS: SS is a low resource, high impact half-day intervention that can significantly promote early medical student interest in surgery. As it is easily replicable, adoption by other medical schools is encouraged. (J Surg 70:81-86. (C) 2012 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.2
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Surgery

The impact of machine perfusion of the heart on warm ischemia time and organ yield in donation after circulatory death

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

Dynamic risk profiling of HCC recurrence after curative intent liver resection

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.

HEPATOLOGY (2022)

Editorial Material Gastroenterology & Hepatology

Correlation of LI-RADS 3 or 4 Observations with Histopathologic Diagnosis in Patients with Cirrhosis

Colin Dunn, Bo Lin, Nicole E. Rich, Madhukar S. Patel, Purva Gopal, Amit G. Singal

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2023)

Article Pediatrics

Normothermic Machine Perfusion in pediatric liver transplantation: A survey of attitudes and barriers

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

Outcomes of Adult Liver Retransplantation: A Canadian National Database Analysis

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

Long-term outcomes of ablation, liver resection, and liver transplant as first-line treatment for solitary HCC of 3 cm or less using an intention-to-treat analysis: A retrospective cohort study

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

Is there value in volume? An assessment of liver transplant practices in the United States since the inception of MELD

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.

SURGERY (2022)

Article Immunology

Short-term kidney transplant outcomes from severe acute respiratory syndrome coronavirus 2 lower respiratory tract positive donors

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

Low utilization of adult-to-adult LDLT in Western countries despite excellent outcomes: International multicenter analysis of the US, the UK, and Canada

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

Long-term outcomes of retransplantation after live donor liver transplantation: A Western experience

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.

SURGERY (2023)

Article Surgery

Machine learning-based mortality prediction models using national liver transplantation registries are feasible but have limited utility across countries

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

Outcomes after liver transplantation using deceased after circulatory death donors: A comparison of outcomes in the UK and the US

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

Delayed graft function in pediatric living donor kidney transplantation

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

Letter to the Editor: Technical advances in living donor liver transplantation: Maintaining a view of both donor and recipient outcomes

Madhukar S. Patel, Nicolas Goldaracena

LIVER TRANSPLANTATION (2023)

Article Oncology

Phase IIa Clinical Biomarker Trial of Dietary Arginine Restriction and Aspirin in Colorectal Cancer Patients

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.

CANCERS (2023)

暂无数据