RESUMEN
BACKGROUND: During the COVID-19 pandemic, opportunities for hands-on surgical and procedural skills training and practice were significantly reduced, as many curricular activities were deferred or converted to a virtual format. This study focused on whether these changes contributed to increased anxiety and decreased confidence for medical students performing these skills. METHODS: The Surgical Skills Technology Elective Program (SSTEP) is an annual five-day intensive procedural skills program after second-year medical school. Surveys assessing anxiety and confidence with respect to procedural skills were distributed and completed before and after SSTEP in 2016 and 2022. RESULTS: Pre-SSTEP scores were higher for anxiety and lower for confidence in the 2022 cohort compared to the prepandemic group. Post-SSTEP scores for anxiety and confidence were comparable between cohorts. CONCLUSIONS: Curricular changes and restrictions during the pandemic likely played a major role in the 2022 cohort having more anxiety and less confidence in their skills than prepandemic cohorts. However, these changes were effectively mitigated after participation in SSTEP. Medical schools should consider using and expanding on in-person bootcamps to support those with decreased exposure to surgical and procedural skills related to resource constraints and/or curricular changes.
RESUMEN
We conducted a systematic review to examine perioperative outcomes for adults undergoing minimally invasive Roux-en-Y gastric bypass (RYGB) with and without concurrent cholecystectomy (CCE). We reviewed the literature using OVID MEDLINE(R), Embase, Cochrane CENTRAL, Web of Science, and medRxiv and identified studies published between 1946 and May 2023. We identified a total of 2402 studies with 11 included in the final analysis (combined 149,356 patients). Studies suggested increased operative time associated with RYGB-CCE, with mixed results regarding length of stay and rates of bile duct injury. Presently available data is not robust enough to conclude whether minimally invasive RYGB with CCE harms or benefits patients compared to RYGB alone.
Asunto(s)
Colecistectomía Laparoscópica , Derivación Gástrica , Tiempo de Internación , Obesidad Mórbida , Adulto , Humanos , Colecistectomía Laparoscópica/efectos adversos , Colecistectomía Laparoscópica/métodos , Derivación Gástrica/efectos adversos , Derivación Gástrica/métodos , Tiempo de Internación/estadística & datos numéricos , Obesidad Mórbida/cirugía , Tempo Operativo , Complicaciones Posoperatorias/epidemiología , Resultado del TratamientoRESUMEN
The Canadian Ophthalmology Student Interest Group (COSIG) is the first national medical student-led specialty interest group in Canada. COSIG has run several initiatives aimed at increasing students' opportunities for ophthalmology exposure and learning, including a resident-medical student mentorship program, an annual 6-week introductory course, amongst other events, and webinars.