Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.954
Filtrar
1.
World Neurosurg ; 185: e16-e29, 2024 05.
Artículo en Inglés | MEDLINE | ID: mdl-38741324

RESUMEN

OBJECTIVE: There has been a modest but progressive increase in the neurosurgical workforce, training, and service delivery in Nigeria in the last 2 decades. However, these resources are unevenly distributed. This study aimed to quantitatively assess the availability and distribution of neurosurgical resources in Nigeria while projecting the needed workforce capacity up to 2050. METHODS: An online survey of Nigerian neurosurgeons and residents assessed the country's neurosurgical infrastructure, workforce, and resources. The results were analyzed descriptively, and geospatial analysis was used to map their distribution. A projection model was fitted to predict workforce targets for 2022-2050. RESULTS: Out of 86 neurosurgery-capable health facilities, 65.1% were public hospitals, with only 17.4% accredited for residency training. Dedicated hospital beds and operating rooms for neurosurgery make up only 4.0% and 15.4% of the total, respectively. The population disease burden is estimated at 50.2 per 100,000, while the operative coverage was 153.2 cases per neurosurgeon. There are currently 132 neurosurgeons and 114 neurosurgery residents for a population of 218 million (ratio 1:1.65 million). There is an annual growth rate of 8.3%, resulting in a projected deficit of 1113 neurosurgeons by 2030 and 1104 by 2050. Timely access to neurosurgical care ranges from 21.6% to 86.7% of the population within different timeframes. CONCLUSIONS: Collaborative interventions are needed to address gaps in Nigeria's neurosurgical capacity. Investments in training, infrastructure, and funding are necessary for sustainable development and optimized outcomes.


Asunto(s)
Accesibilidad a los Servicios de Salud , Neurocirujanos , Neurocirugia , Nigeria , Humanos , Neurocirugia/tendencias , Neurocirugia/educación , Accesibilidad a los Servicios de Salud/tendencias , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Neurocirujanos/provisión & distribución , Neurocirujanos/tendencias , Fuerza Laboral en Salud/tendencias , Fuerza Laboral en Salud/estadística & datos numéricos , Procedimientos Neuroquirúrgicos/tendencias , Procedimientos Neuroquirúrgicos/estadística & datos numéricos , Recursos Humanos/estadística & datos numéricos , Recursos Humanos/tendencias , Internado y Residencia/tendencias , Encuestas y Cuestionarios , Predicción
2.
Curr Probl Cardiol ; 49(8): 102617, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38718932

RESUMEN

INTRODUCTION: Women have been historically underrepresented in Cardiology and its subspecialties. However, limited research has been done to examine the trends of representation of women in cardiology and its subspecialties over time. Our study aims to examine these trends and compare them to other internal medicine subspecialties. METHODS: We used data from the Accreditation Council for Graduate Medical Education (ACGME) to conduct a retrospective analysis of the gender trends of cardiology and its subspecialties over a decade from 2013 to 2023. Chi-square statistical testing was used to compare representation percentages across groups. A p-value <0.05 was considered statistically significant. RESULTS: Compared to all internal medicine subspecialties, cardiology and its subspecialties continues to remain the least represented by women. We found a statistically significant increase in women's representation in cardiovascular disease and interventional cardiology. However, there was no statistically significant changes in the representation of women in electrophysiology and advanced heart failure. We have found over the last decade that there was a positive trend in overall women fellows choosing cardiology and its subspecialties, especially since 2018. CONCLUSION: While strides have been made in increasing the number of female fellows in cardiology, it still lags compared to other internal medicine subspecialties. As we celebrate this minor milestone, it is crucial to emphasize the importance of persistently overcoming obstacles and fostering a supportive environment throughout all training phases to attract, retain, and mentor female trainees.


Asunto(s)
Cardiología , Médicos Mujeres , Humanos , Cardiología/tendencias , Femenino , Médicos Mujeres/tendencias , Médicos Mujeres/estadística & datos numéricos , Estudios Retrospectivos , Estados Unidos , Educación de Postgrado en Medicina/tendencias , Educación de Postgrado en Medicina/métodos , Selección de Profesión , Masculino , Internado y Residencia/tendencias , Internado y Residencia/estadística & datos numéricos
3.
Surg Endosc ; 38(5): 2344-2349, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38632119

RESUMEN

BACKGROUND: Groin hernia repair is one of the most commonly performed surgical procedures and is often performed by surgical interns and junior residents. While traditionally performed open, minimally invasive (MIS) groin hernia repair has become an increasingly popular approach. The purpose of this study was to determine the trends in MIS and open inguinal and femoral hernia repair in general surgery residency training over the past two decades. METHODS: Accreditation Council for Graduate Medical Education (ACGME) national case log data of general surgery residents from 1999 through 2022 were reviewed. We collected means and standard deviations of open and MIS inguinal and femoral hernia repairs. Linear regression and ANOVA were used to identify trends in the average annual number of open and MIS hernia repairs logged by residents. Cases were distinguished between level of resident trainees: surgeon-chief (SC) and surgeon-junior (SJ). RESULTS: From July 1999 to June 2022, the average annual MIS inguinal and femoral hernia repairs logged by general surgery residents significantly increased, from 7.6 to 47.9 cases (p < 0.001), and the average annual open inguinal and femoral hernia repairs logged by general surgery residents significantly decreased, from 51.9 to 39.7 cases (p < 0.001). SJ resident results were consistent with this overall trend. For SC residents, the volume of both MIS and open hernia repairs significantly increased (p < 0.001). CONCLUSIONS: ACGME case log data indicates a trend of general surgery residents logging overall fewer numbers of open inguinal and femoral hernia repairs, and a larger proportion of open repairs by chief residents. This trend warrants attention and further study as it may represent a skill or knowledge gap with significant impact of surgical training.


Asunto(s)
Hernia Inguinal , Herniorrafia , Internado y Residencia , Humanos , Hernia Inguinal/cirugía , Herniorrafia/educación , Herniorrafia/tendencias , Herniorrafia/estadística & datos numéricos , Herniorrafia/métodos , Internado y Residencia/tendencias , Procedimientos Quirúrgicos Mínimamente Invasivos/educación , Procedimientos Quirúrgicos Mínimamente Invasivos/estadística & datos numéricos , Procedimientos Quirúrgicos Mínimamente Invasivos/tendencias , Cirugía General/educación , Cirugía General/tendencias , Acreditación , Educación de Postgrado en Medicina/tendencias , Educación de Postgrado en Medicina/métodos , Competencia Clínica , Laparoscopía/educación , Laparoscopía/tendencias , Laparoscopía/estadística & datos numéricos , Estados Unidos , Estudios Retrospectivos
4.
Surgery ; 175(6): 1518-1523, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38503604

RESUMEN

BACKGROUND: Gastric surgery is a crucial component of general surgery training. However, there is a paucity of high-quality data on operative volume and the diversity of surgical procedures that general surgery residents are exposed to. METHODS: We conducted a retrospective analysis of operative case logs of all general surgery residents graduating from the American College of Graduate Medical Education-accredited program from 2009 to 2022. Data on the mean number of gastric procedures, including the mean in each subcategory, were retrieved. A Mann-Kendall trend test was used to investigate trends in operative volume. RESULTS: Between 2009 and 2022, the mean overall logged gastric procedures rose significantly (τ = 0.722, P < .001) from 36.2 in 2009 to 49.2 in 2022 (35.9% increase). The most substantial growth was seen in laparoscopic gastric reduction for morbid obesity (mean 1.9 in 2017 to 19 in 2022; τ = 0.670, P = .009). A statistically significant increase was also seen in laparoscopic partial gastric resections, repair of gastric perforation, and "other major stomach procedures" (P < .05 for all comparisons). Open gastrostomy, open partial gastric resections, and open vagotomy all significantly decreased (P < .05 for all comparisons). There was no significant change in the volume of laparoscopic gastrectomy, total gastric resections, and non-laparoscopic gastric reductions for morbid obesity (P > .05 for all comparisons). CONCLUSION: There has been a substantial increase in the volume of gastric surgery during residency over the past 14 years, driven mainly by an increase in laparoscopic gastric reduction. However, there may still be a need for further gastric surgical training to ensure well-rounded general surgeons.


Asunto(s)
Competencia Clínica , Cirugía General , Internado y Residencia , Humanos , Estudios Retrospectivos , Internado y Residencia/estadística & datos numéricos , Internado y Residencia/tendencias , Estados Unidos , Cirugía General/educación , Cirugía General/tendencias , Competencia Clínica/estadística & datos numéricos , Laparoscopía/tendencias , Laparoscopía/estadística & datos numéricos , Laparoscopía/educación , Gastrectomía/tendencias , Gastrectomía/educación , Gastrectomía/estadística & datos numéricos , Femenino , Masculino
5.
World Neurosurg ; 187: e42-e53, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38522786

RESUMEN

OBJECTIVE: The process surrounding application to the national residency matching program changed drastically because of COVID. Virtual interviews, pre-interview Zoom socials, and limitations on sub-internships are major changes that applicants worldwide have had to overcome. The available literature does not reflect the impact of major changes to the interview process. Here, we examine the neurosurgery resident cohort from 2021-2023 to investigate differences between United States medical schools pre- and post-COVID. METHODS: A database was constructed reporting the number of students matched to neurosurgery for U.S. medical schools (M.D. and D.O.) from 2021-2023. Percentage of total graduates matched to neurosurgery was calculated and institutions were ranked by this metric. This rank was compared to a rank reported in 2021. Variables were compared across the pre- and post-COVID cohorts. RESULTS: Case Western, Johns Hopkins, Mayo Clinic, Vanderbilt, University of Illinois, and University of California San Francisco produced the most neurosurgical residents as a percentage of total graduates. There was a statistically significant difference in the post-COVID cohort between medical schools with a home program versus those without. For the top 20 ranked U.S. News and World Report medical schools, there was a statistically insignificant increase in the number of graduates matched to neurosurgery. CONCLUSIONS: With the data provided, there have not been many significant changes in which medical schools produce the most neurosurgery residents since COVID changes were implemented. The playing field has remained relatively stable in the setting of major changes.


Asunto(s)
COVID-19 , Internado y Residencia , Neurocirugia , Facultades de Medicina , Internado y Residencia/tendencias , Estados Unidos/epidemiología , Humanos , COVID-19/epidemiología , Neurocirugia/educación
6.
World Neurosurg ; 185: e969-e975, 2024 05.
Artículo en Inglés | MEDLINE | ID: mdl-38458250

RESUMEN

BACKGROUND: Within the current medical workforce, diversity is limited among surgical specialties. However, diversity allows physicians to provide culturally competent care. This paper discusses the trends in racial, ethnic, and gender representation within different surgical subspecialties with an emphasis on neurosurgery over a 20-year time frame. METHODS: A retrospective review of data collected by the Accreditation Council for Graduate Medical Education over the past twenty years, as reported in Journal of the American Medical Association, was conducted. Residents from 5 surgical specialties were evaluated based on gender, race, and ethnic identifications from 2002 to 2022. One-way analysis of variance was performed to compare the levels and retention rates of racial, ethnic, and gender diversity within these specialties. RESULTS: Analysis of resident demographics of the 5 surgical specialties reveals an overall trend of increasing diversity over the study period. Over the past 20 years, neurosurgery had an overall increase in Asian (+5.1%), Hispanic (+3.0%), and female (+11.4%) residents, with a decrease in White residents by 2.1% and Black residents by 1.1%. Among the surgical specialties analyzed, otolaryngology had the greatest overall increase in minority residents. Notably, there has been an overall increase in female residents across all 5 surgical specialties, with the highest in otolaryngology (+20.3%) which was significantly more than neurosurgery (P < 0.001). CONCLUSIONS: This chronological analysis spanning 20 years demonstrates that neurosurgery, like other specialties, has seen a growth in several racial and ethnic categories. Relative differences are notable in neurosurgery, including Black, Asian, Hispanic, and White ethnic categories, with growth in females, but at a significantly lesser pace than seen in otolaryngology and plastic surgery.


Asunto(s)
Acreditación , Diversidad Cultural , Educación de Postgrado en Medicina , Internado y Residencia , Neurocirugia , Humanos , Estados Unidos , Educación de Postgrado en Medicina/tendencias , Femenino , Masculino , Internado y Residencia/tendencias , Neurocirugia/educación , Neurocirugia/tendencias , Estudios Retrospectivos , Etnicidad , Grupos Minoritarios/estadística & datos numéricos
7.
Urology ; 187: 39-45, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38354914

RESUMEN

OBJECTIVE: To project the proportion of the urology workforce that is from under-represented in medicine (URiM) groups between 2021-2061. METHODS: Demographic data were obtained from AUA Census and ACGME Data Resource Books. The number of graduating urology residents and proportion of URiM graduating residents were characterized with linear models. Stock and Flow models were used to project future population numbers and proportions of URiM practicing urologists, contingent on assumptions regarding trainee demographics, retirement trends, and growth in the field. RESULTS: Currently, there is an increase in the percentage of URiM graduates by 0.145% per year. If historical trends continue, URiM urologists will likely comprise 16.2% of urology residency graduates and 13.3% of the practicing urological workforce in 2061. These percentages would constitute an underrepresentation of URiM urologists relative to the projected 44.2% of the U.S. population who would identify as American Indian/Alaskan Native, Black/African American, Latinx/Hispanic and Native Hawaiian/Pacific Islander by 2060.1 An increase in the percentage of URiM graduates by 0.845% per year would result in 44.2% URiM urology residency graduates and 26.1% URiM practicing urologists by 2061. An interactive app was designed to allow for a range of assumptions to be explored and for future data to be incorporated. CONCLUSION: URiM physician representation within urology over the next 40years will remain disproportionately low compared to that of the projected share of people of color in the general U.S. POPULATION: In order to achieve the AUA's Diversity, Equity and Inclusion goals, a concerted effort to implement interventions to recruit, train, and retain a generation of racially diverse urologists appears necessary.


Asunto(s)
Predicción , Urología , Urología/estadística & datos numéricos , Urología/educación , Urología/tendencias , Humanos , Estados Unidos , Recursos Humanos/estadística & datos numéricos , Recursos Humanos/tendencias , Internado y Residencia/estadística & datos numéricos , Internado y Residencia/tendencias , Fuerza Laboral en Salud/estadística & datos numéricos , Fuerza Laboral en Salud/tendencias , Grupos Raciales/estadística & datos numéricos , Urólogos/estadística & datos numéricos , Urólogos/provisión & distribución , Urólogos/tendencias , Etnicidad/estadística & datos numéricos , Masculino
8.
J Neurosurg ; 141(1): 48-54, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38306646

RESUMEN

OBJECTIVE: The number of women graduating from United States medical schools has reached parity with that of men. However, persistent inequalities and barriers have slowed the pace toward equity in application and representation in neurosurgery residency despite initiatives to increase female representation. The objective of the present study was to assess the advancement of gender parity within neurosurgery residency programs. Additionally, the study aimed to analyze the pipeline dynamics by investigating the effects of attrition on women in neurosurgery, as well as exploring the patterns of female applications to neurosurgery residency programs versus other surgical specialties. METHODS: Data on the number of active female neurosurgery residents and female applicants to neurosurgery were collected from the Accreditation Council for Graduate Medical Education Data Resource Book from 2007 to 2021 and Electronic Residency Application Service from 2014 to 2022. Linear regression analysis was used to predict the percent of active female residents based on academic year (AY). A Pearson chi-square test was used to determine the odds of a female applying to neurosurgery. RESULTS: The percent of active female residents in neurosurgery increased from 11.0% in 2007 to 21.8% in 2021. Bivariate linear regression analysis using AY as a predictor of the percent of active females showed a statistically significant correlation. On average, the percent of active female residents increased by 0.65% per year. If trends persist, parity for females in neurosurgery will not be reached until 2069. Linear regression analysis of the overall rate of attrition in neurosurgery as a predictor of the percent of active female residents revealed that for every 1% increase in the rate of attrition, the percent of active female residents decreased by 2.91% (p = 0.001). The percent of female applicants to neurosurgery increased from 19.6% in 2014 to 29.8% in 2022 (p = 0.009), yet the odds of a female applying to neurosurgery remain low. CONCLUSIONS: Neurosurgery continues to struggle with the recruitment of female medical students even as parity has been reached for female medical school matriculants. Greater effort is needed to recruit and retain female applicants to neurosurgery, including increased transparency in match and attrition metrics.


Asunto(s)
Internado y Residencia , Neurocirugia , Médicos Mujeres , Humanos , Neurocirugia/educación , Femenino , Internado y Residencia/estadística & datos numéricos , Internado y Residencia/tendencias , Médicos Mujeres/estadística & datos numéricos , Estados Unidos , Masculino , Selección de Profesión
9.
J Am Acad Orthop Surg ; 31(23): 1197-1204, 2023 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-37703543

RESUMEN

INTRODUCTION: Studies on diversity in orthopaedic surgery have exclusively examined challenges from a race or sex perspective. This study examines trends in the diversity of entering orthopaedic surgery residents from the intersection of race and sex. METHODS: The American Association of Medical Colleges was queried for individuals entering orthopaedic surgery residencies in the United States from 2001 to 2020. Deidentified data on self-reported sex and race were collected. Proportions by the intersection of sex and race were calculated for 5-year intervals. RESULTS: From 2001 to 2020, most of the new female residents identified as White (mean, 71.0%). The average proportion of White female residents was lower in 2016 to 2020 than in 2001 to 2005 (71.0% vs. 73.2%) but higher than that in 2011 to 2015 (66.8%). The 2016 to 2020 average was lower than that of 2001 to 2005 for those who identified as Asian (11.7% vs. 14.9%), Black (4.1% vs. 4.8%), Hispanic (3.0% vs. 4.4%), and American Indian/Alaska Native (0.0% vs. 1.5%). Most of the new male orthopaedic surgery residents from 2001 to 2020 identified as White (mean, 74.1%), but the average decreased across every 5-year interval from 2001 to 2005 (76.1%) to 2016 to 2020 (71.1%). The 2016 to 2020 average was lower than that of 2001 to 2005 for those who identified as Asian (12.2% vs. 13.6%), Black (3.5% vs. 4.2%), Hispanic (3.0% vs. 3.4%), American Indian/Alaska Native (0.0% vs. 0.6%), and Native Hawaiian/Other Pacific Islander (0.1% vs. 0.3%). In 2020, White male residents made up to 54.2% of new residents. White female residents were the second highest group represented (12.1%). CONCLUSION: Increases in representation were observed for some subgroups of new orthopaedic surgery residents from 2001 to 2020. Although the proportion of both White female and male residents decreased by 11.5% during the 20-year study period, these individuals still made up most of the trainees in 2020. These results underscore the need for conversations and recruitment practices to take into consideration the intersectionality of identities.


Asunto(s)
Internado y Residencia , Ortopedia , Femenino , Humanos , Masculino , Asiático/estadística & datos numéricos , Hispánicos o Latinos/estadística & datos numéricos , Nativos de Hawái y Otras Islas del Pacífico/estadística & datos numéricos , Ortopedia/educación , Ortopedia/estadística & datos numéricos , Ortopedia/tendencias , Estados Unidos/epidemiología , Internado y Residencia/estadística & datos numéricos , Internado y Residencia/tendencias , Indio Americano o Nativo de Alaska/estadística & datos numéricos , Negro o Afroamericano/estadística & datos numéricos , Blanco/estadística & datos numéricos , Distribución por Sexo
12.
Surgery ; 171(2): 354-359, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34247838

RESUMEN

BACKGROUND: In March 2020, the COVID-19 virus global pandemic forced healthcare systems to institute regulations including the cancellation of elective surgical cases, which likely decreased resident operative experience. The objective of this study was to determine whether the COVID-19 pandemic affected operative experiences of US general surgery residents. METHODS: The operative experience of general surgery residents was examined nationally and locally. Aggregate Accreditation Council for Graduate Medical Education (ACGME) case logs for 2018 to 2019 (pre-COVID) and 2019 to 2020 (COVID) graduates were compared using national mean cumulative operative volume for total major and surgeon chief cases. Locally, ACGME case logs were used to analyze the operative experience among residents at a single, academic center. Average operative volumes per month per resident during peak COVID-19 quarantine months were compared with those the previous year. RESULTS: Compared with 2019 graduates, 2020 graduates completed 1.5% fewer total major cases (1055 ± 155 vs 1071 ± 150, P = .011). This was most evident during chief year, with 8.4% fewer surgeon chief cases logged in 2020 compared with 2019 (264 ± 67 vs 289 ± 69, P < .001). Institutional data revealed that during the peak of the pandemic, residents across all levels completed 42.5% fewer total major operations (12 ± 11 vs 20 ± 14, P < .001). This effect was more pronounced among junior residents compared with senior and chief residents. CONCLUSION: The COVID-19 pandemic was associated with decreased resident case volume. The ramifications of the COVID-19 pandemic for operative competency and autonomy should be carefully examined.


Asunto(s)
COVID-19/prevención & control , Cirugía General/educación , Internado y Residencia/tendencias , Pandemias/prevención & control , Procedimientos Quirúrgicos Operativos/educación , Procedimientos Quirúrgicos Operativos/tendencias , COVID-19/epidemiología , Competencia Clínica , Femenino , Cirugía General/tendencias , Humanos , Masculino , Cuarentena , Estados Unidos/epidemiología
13.
JAMA Otolaryngol Head Neck Surg ; 148(1): 13-19, 2022 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-34792563

RESUMEN

Importance: Monitoring the evolution of gender diversity within medicine is essential to understanding the medical workforce and anticipating its future. Objective: To evaluate gender distribution and trends among trainees and practicing physicians in the field of otolaryngology-head and neck surgery (OHNS) across Canada. Design, Setting, and Participants: This cross-sectional study collected demographic data on the Canadian population, medical students, resident physicians, fellows, practicing physicians, and full-time professors from the following publicly available databases: the Canadian Post-MD Education Registry, the Canadian Medical Education Statistics from the Association of Faculties of Medicine of Canada, the Canadian Medical Association Masterfile, the Canadian Resident Matching Service archives, and the Canadian Institute for Health Information from 2000 to 2019. Information about the gender distribution in leadership positions and fellowships was obtained through publicly available websites where gender was either listed or assigned by authors. Main Outcomes and Measures: The primary outcomes were the proportion of women in OHNS and the evolution of gender diversity over time. Results: In 2019, 65 of 155 of OHNS trainees were female (41.9%), whereas female representation among all surgical trainees combined was 1225 of 2496 (49.1%). Female OHNS trainees and practicing physicians are underrepresented despite a 13.3% increase in female trainees and a 14.3% increase in female staff physicians from 2000 to 2019. Proportionally fewer female graduates pursued a fellowship during a 10-year period compared with their male counterparts, with otology and neurotology having the lowest female representation (6 of 27 [22.2%]). A minimal increase occurred in the number of women holding academic leadership positions (eg, 4 of 13 residency training programs had a previous or current female director). Conclusions and Relevance: Despite the overall increase in the representation of women in the field of OHNS in Canada, these findings suggest that persistent gender gaps remain with respect to academic leadership positions and fellowship training. Continuous monitoring of the surgical workforce is important to highlight and address gender disparities within OHNS.


Asunto(s)
Selección de Profesión , Educación de Postgrado en Medicina/tendencias , Educación de Pregrado en Medicina/tendencias , Internado y Residencia/tendencias , Otolaringología/educación , Médicos Mujeres/tendencias , Recursos Humanos/tendencias , Canadá , Estudios Transversales , Femenino , Humanos , Masculino , Razón de Masculinidad
14.
Am Surg ; 88(3): 414-418, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34730421

RESUMEN

BACKGROUND: Local, regional, and national diversity, equity, and inclusion (DEI) initiatives have been established to combat barriers to entry and promote retention in surgery residency programs. Our study evaluates changes in diversity in general surgery residency programs. We hypothesize that diversity trends have remained stable nationally and regionally. MATERIALS AND METHODS: General surgery residents in all postgraduate years were queried regarding their self-reported sex, race, and ethnicity following the 2020 ABSITE. Residents were then grouped into geographic regions. Data were analyzed utilizing descriptive statistics, Kruskal-Wallis test, and chi-square analyses. RESULTS: A total of 9276 residents responded. Nationally, increases in female residents were noted from 38.0 to 46.0% (P < .001) and in Hispanic or Latinx residents from 7.3 to 8.3% (P = .031). Across geographic regions, a significant increase in female residents was noted in the Northwest (51.9 to 58.3%, P = .039), Midwest (36.9 to 43.3%, P = .006), and Southwest (35.8 to 47.5%, P = .027). A significant increase in black residents was only noted in the Northwest (0 to 15.8%, P = .031). The proportion of white residents decreased nationally by 8.9% and in the Mid-Atlantic, Southeast, and Southwest between 5.5 and 15.9% (P < .05). DISCUSSION: In an increasingly diverse society, expanding the numbers of underrepresented surgeons in training, and ultimately in practice, is a necessity. This study shows that there are region-specific increases in diversity, despite minimal change on a national level. This finding may suggest the need for region-specific DEI strategies and initiatives. Future studies will seek to evaluate individual programs with DEI plans and determine if there is a correlation to changing demographics.


Asunto(s)
Diversidad Cultural , Cirugía General/estadística & datos numéricos , Internado y Residencia/estadística & datos numéricos , /estadística & datos numéricos , Pueblo Asiatico/estadística & datos numéricos , Población Negra/estadística & datos numéricos , Femenino , Cirugía General/tendencias , Hispánicos o Latinos/estadística & datos numéricos , Humanos , Internado y Residencia/tendencias , Masculino , Nativos de Hawái y Otras Islas del Pacífico/estadística & datos numéricos , Razón de Masculinidad , Estados Unidos , Población Blanca/estadística & datos numéricos , Indio Americano o Nativo de Alaska/estadística & datos numéricos
15.
Can J Surg ; 64(6): E613-E614, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34759047

RESUMEN

Most institutions have mitigated the impact of the COVID-19 pandemic on residency education by transitioning to web-based educational platforms and using innovative solutions, such as surgical video libraries, telehealth clinics, online question banks via social media platforms, and procedural simulations. Here, we assess the perceived impact of COVID-19 on Canadian surgical residency education and discuss the unique challenges in adapting to a virtual format and how novel training methods implemented during the pandemic may be useful in the future of surgical education.


Asunto(s)
COVID-19 , Educación a Distancia , Cirugía General/educación , Internado y Residencia , Pandemias , Canadá , Educación a Distancia/métodos , Educación a Distancia/tendencias , Predicción , Humanos , Internado y Residencia/métodos , Internado y Residencia/tendencias , SARS-CoV-2 , Encuestas y Cuestionarios
17.
World Neurosurg ; 156: e104-e110, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34506980

RESUMEN

OBJECTIVE: Burnout is experienced by up to two thirds of neurosurgery residents. Team sport participation as an adolescent protects against adverse mental health outcomes in adulthood. The objective of this study was to determine whether high school or collegiate team sport participation is associated with improved psychological well-being during neurosurgery residency. METHODS: A cross-sectional survey study of U.S. neurosurgery residents was conducted between June 2020 and February 2021. Outcomes included self-ratings of sadness, anxiety, stress, burnout, optimism, and fulfillment, on 100-point scales, which were averaged into a "Burnout Composite Score" (BCS). Respondents were grouped and compared according to their prior self-reported participation in team sports (participants vs. nonparticipants). A 3-way analysis of variance tested the effects of resident level, exercise days, and team sport participation on BCS. RESULTS: Of 229 submitted responses, 228 (99.5%) provided complete data and 185 (81.1%) residents participated in team sports. Days/week of exercise was similar across groups (2.5 ± 1.8 vs. 2.1 ± 1.8, P = 0.20). The team sport group reported lower mean BCS (37.1 vs. 43.6 P = 0.030, Cohen d = 0.369). There was a significant interaction between prior team sport participation and exercise regimen on BCS (F [3, 211] = 3.39, P = 0.019, n2 = 0.046), such that more exercise days per week was associated with decreased BCS for prior team sport athletes (F [3, 211] = 11.10, P < 0.0005), but not for nonparticipants (F [3, 211] = 0.476, P = 0.699). The positive impact of prior team sport participation was more pronounced for senior residents (-11.5 points, P = 0.016) than junior residents (-4.3 points, P = 0.29). CONCLUSIONS: Prior team sport participation was associated with lower BCS among neurosurgery residents, an effect more pronounced during senior residency. Lessons imparted during early team sport experience may have profound impacts on reducing burnout throughout a 7-year neurosurgery residency.


Asunto(s)
Agotamiento Profesional/prevención & control , Internado y Residencia/tendencias , Neurocirugia/educación , Neurocirugia/tendencias , Encuestas y Cuestionarios , Deportes de Equipo , Adulto , Agotamiento Profesional/psicología , Estudios Transversales , Femenino , Humanos , Masculino , Neurocirugia/psicología , Instituciones Académicas/tendencias , Universidades/tendencias
18.
Dermatol Clin ; 39(4): 609-618, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34556250

RESUMEN

COVID-19 has created challenges across medicine, including in medical education, with deeply rooted impacts in the dermatology residency experience. Its effects are both acute and chronic, including: shifts to virtual education and conferences, skewed clinical experiences, negatively impacted wellness, and uncertainty in the future. As educators and mentors, it is important to recognize and address these issues so that we may remain transparent, adaptable, and engaged as we continue to build a better tomorrow for our resident trainees.


Asunto(s)
COVID-19/epidemiología , Dermatología/educación , Becas/tendencias , Internado y Residencia/tendencias , Manejo de Atención al Paciente/tendencias , Enfermedades de la Piel/terapia , Actitud del Personal de Salud , Humanos , Percepción Social
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...