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1.
Br J Anaesth ; 124(3): e63-e69, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31980155

RESUMO

The under-representation of women in academic leadership roles, including in anaesthesiology, is a well-documented phenomenon that has persisted for decades despite more women attending medical school, participating in anaesthesiology residencies, and joining academic faculties. The percentage of female anaesthesiologists who hold senior academic ranks or leadership roles, such as chair, lags behind the percentage of female anaesthesiologists overall. Trends towards increasing the numbers of women serving in educational leadership roles, specifically residency programme directors, suggest that there are areas in which academic anaesthesiology has been, and can continue, improving gender imbalance. Continued institutional efforts to recruit women into anaesthesiology, reduce gender bias, and promote interventions that foster gender equity in hiring and promotion will continue to benefit women, academic anaesthesiology departments, and the healthcare system overall.


Assuntos
Anestesiologia/tendências , Internato e Residência/tendências , Médicas/tendências , Sexismo/tendências , Centros Médicos Acadêmicos/organização & administração , Centros Médicos Acadêmicos/tendências , Anestesiologia/educação , Anestesiologia/organização & administração , Escolha da Profissão , Mobilidade Ocupacional , Educação de Pós-Graduação em Medicina/organização & administração , Educação de Pós-Graduação em Medicina/tendências , Feminino , Humanos , Internato e Residência/organização & administração , Liderança , Médicas/estatística & dados numéricos , Faculdades de Medicina/organização & administração , Faculdades de Medicina/tendências , Sexismo/prevenção & controle , Estados Unidos
2.
Crit Rev Oncol Hematol ; 146: 102798, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31918958

RESUMO

In this review, we summarize the history of the 41 Masterclasses in Clinical Oncology (MCO) organized by ESO or ESO-ESMO during the last 17 years. MCOs have been held in five different geographical regions including: a) Central Europe, b) Eastern Europe and Balkans, c) Baltic and Euroasia, d) Arab World and Southern European Countries and e) Latin America. More than 2.000 young oncologists have attended and more than 250 distinguished faculty members have actively participated. The program exposes students to sessions covering all major tumors ("big killers") and to spotlights updating information on various important cancers and related topics. Participants are able to present their own clinical case in front of a tumor board or in parallel group sessions and are evaluated by a Learning Assessment Test (LAT) at the end of the event. They are asked to discuss the programme, using a questionnaire on the goals, quality and organization of the MCOs, which has been very highly scored by most of the participants. The Masterclass in Clinical Oncology has become the major educational event of ESO, intending to educate young oncologists from various countries within or outside Europe, providing an up-to-date interactive program based on solid evidence for all presented topics.


Assuntos
Educação de Pós-Graduação em Medicina/organização & administração , Oncologia/educação , Oncologistas/educação , Educação de Pós-Graduação em Medicina/tendências , Europa (Continente) , Humanos , Oncologia/tendências , Sociedades Médicas , Inquéritos e Questionários , Ensino
3.
Br J Radiol ; 93(1105): 20190340, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31596121

RESUMO

OBJECTIVE: To compare key characteristics of interventional radiology (IR) training in the UK with four other English-speaking countries (USA, Canada, Australia and New Zealand) and summarise requirements for training. METHODS: Main features examined were career pathway and requirements, examinations required, specific competition for IR and the process of applying for training as an international medical graduate. Data were collected from official governing body publications, literature and personal experience. RESULTS: Several differences were highlighted, including length of training (ranging from 6 to 9 years after medical school), length of IR-specific training (ranging from 1 to 3 years) and examinations required (USA and Canada have additional IR-specific examinations). The level of competition is generally high, in all countries. CONCLUSIONS: With the demand for IR services set to increase over the next few years, it is crucial that more IR specialists are trained to meet this demand. Awareness of training structures in other countries can highlight opportunity and pitfalls, and help ensure the number of highly trained interventional radiologists in the UK continues to grow.


Assuntos
Educação de Pós-Graduação em Medicina/tendências , Radiologia Intervencionista/educação , Austrália , Canadá , Escolha da Profissão , Avaliação Educacional , Humanos , Nova Zelândia , Reino Unido , Estados Unidos
4.
Gynecol Oncol ; 155(2): 359-364, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31575391

RESUMO

OBJECTIVE: To assess whether there were any significant changes in surgical training volume over the past 20 years that might have ramifications toward preparedness for practice. METHODS: We used deidentified annual summaries of fellow case numbers for the academic years 1999 through 2018. Unpaired t-tests with Welch's correction were performed on all surgical categories for 10-year and 5-year periods. RESULTS: The total number of hysterectomies performed each year did not change significantly. The percent of hysterectomies performed by minimally invasive surgery increased significantly starting in 2008. There was a significant decline in the number of radical hysterectomies conducted starting after 2004, which then remained stable. There was also a significant decline in the number of bowel resections/anastomoses performed by fellows on the gynecologic oncology services that occurred and stabilized during the same time frame. There were other significant trends associated with the introduction of minimally invasive techniques. CONCLUSION: The results of this study suggest the need to reevaluate fellowship training and/or the scope of surgical practice in gynecologic oncology.


Assuntos
Educação de Pós-Graduação em Medicina/tendências , Bolsas de Estudo/tendências , Procedimentos Cirúrgicos em Ginecologia/educação , Ginecologia/educação , Oncologia/educação , Bolsas de Estudo/estatística & dados numéricos , Feminino , Florida , Procedimentos Cirúrgicos em Ginecologia/tendências , Ginecologia/tendências , Humanos , Histerectomia/estatística & dados numéricos , Laparoscopia/estatística & dados numéricos , Excisão de Linfonodo/estatística & dados numéricos , Oncologia/tendências , Padrões de Prática Médica/estatística & dados numéricos , Padrões de Prática Médica/tendências , Procedimentos Cirúrgicos Robóticos/estatística & dados numéricos
7.
Semin Vasc Surg ; 32(1-2): 14-17, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540649

RESUMO

The recognition of vascular surgery as an independent surgical specialty is inevitable, but the pathway to full autonomy remains uncertain. Vascular surgery emerged from general surgery in the mid-1950s with the advent of synthetic grafts and microvascular techniques. By the early 1980s, Accreditation Council for Graduate Medical Education-approved fellowships were established in most large academic medical centers. The American Board of Surgery recognized this additional specialty training by awarding vascular graduates a Certificate of Special Qualifications distinguishing them from general surgeons. The emergence of endovascular surgery radically changed the face of vascular surgery from a general surgery subspecialty to a unique surgical specialty with a growing array of minimally invasive tools. With the establishment of a primary Certificate in Vascular Surgery and the subsequent development of integrated residencies, vascular surgery moved ever closer to recognition as an independent surgical specialty. Despite the remarkable progress that has been observed over the past 50 years, there is a desire in the vascular community for formal recognition of the unique body of knowledge and surgical skills that serve as the foundation of contemporary vascular care.


Assuntos
Educação de Pós-Graduação em Medicina/métodos , Autonomia Profissional , Conselhos de Especialidade Profissional , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/educação , Competência Clínica , Currículo , Educação de Pós-Graduação em Medicina/história , Educação de Pós-Graduação em Medicina/normas , Educação de Pós-Graduação em Medicina/tendências , Previsões , História do Século XX , História do Século XXI , Humanos , Conselhos de Especialidade Profissional/história , Conselhos de Especialidade Profissional/normas , Conselhos de Especialidade Profissional/tendências , Cirurgiões/história , Cirurgiões/normas , Cirurgiões/tendências , Estados Unidos , Procedimentos Cirúrgicos Vasculares/história , Procedimentos Cirúrgicos Vasculares/normas , Procedimentos Cirúrgicos Vasculares/tendências
10.
Clin Dermatol ; 37(3): 282-283, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31178110

RESUMO

Corporate studies have consistently shown that millennials prefer more frequent and detailed feedback in the workplace. With most dermatology residents fitting the description of a millennial, we sought to study their preferences in feedback and then compare this to current feedback practices and cultures. Our study supports that residents prefer more frequent informal feedback, especially compared with residency program directors. We also showed a desire for formal feedback training programs, which can help to overcome some of the noted barriers to providing feedback. Building a strong, positive, and open feedback culture can help to set the stage for giving and receiving constructive feedback in a safe environment. The results of this study can help to improve residency training moving forward.


Assuntos
Cultura , Dermatologia/educação , Educação de Pós-Graduação em Medicina , Retroalimentação Psicológica , Internato e Residência , Estudantes de Medicina/psicologia , Local de Trabalho/psicologia , Educação de Pós-Graduação em Medicina/tendências , Humanos , Inquéritos e Questionários
12.
J Vasc Surg ; 70(3): 921-926, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31147113

RESUMO

OBJECTIVE: The objective of this study was to review our institute's open aortic surgery volume experience and its impact on Accreditation Council for Graduate Medical Education trainees. METHODS: A review was conducted of the vascular surgery department's operative database for all cases that underwent aortic aneurysm repair, whether open aortic repair (OAR), endovascular aneurysm repair (EVAR), or fenestrated EVAR (FEVAR). We also reviewed our graduating trainees' case logs. In the setting of our regionalized referral center, all patients who underwent open or endovascular aortic intervention between 2010 and 2014 at our main campus were included. The total number of aortic procedures performed by our graduation trainees was determined. All aortic aneurysm interventions, both open and endovascular (both EVAR and FEVAR), were included. The main outcome measures were the total number of aortic interventions, any change in trends of intervention, and the total number of open aortic cases that our graduation trainees had. RESULTS: During the 5-year period analyzed, a total of 1389 abdominal aortic aneurysm repair procedures were performed by OAR, EVAR, and FEVAR. Of those, 462 were OARs, representing 33.2% of the total; 440 were EVARs, representing 31.6%; and 487 were FEVARs, representing 35.2%. For all OAR procedures, there was a significant increase in the proportion of these cases over time (P = .014). The total number of EVAR and FEVAR cases performed annually during this time did not change, whereas the number of OAR cases has increased. Of the OARs, 59.3% were performed for juxtarenal aneurysms, whereas 22.9% involved type IV thoracoabdominal aortic aneurysms. On average, graduating vascular surgery trainees performed 23.1 OARs before graduation (range, 19-26). CONCLUSIONS: In contrast to the documented national trend of decreased OAR, our institute continues to see increased OAR relative to EVAR and FEVAR. Moreover, we theorized that the preservation of OAR volume in our program and other similar institutions might offer a practical solution to the challenge of addressing vascular surgery training in aortic surgery by OAR, EVAR, and FEVAR. Inclusive discussions at the national and international levels are needed to reach consensus regarding the future of vascular surgery training and key issues, such as additional, mandatory, subspecialized training in OAR and FEVAR for both residents and fellows who wish to receive certification in OAR; creation of centers of excellence for open aortic surgery that would centralize OAR and direct trainees to those centers for their needed training; and possibly development of new training strategies whereby single cases can be shared among trainees with alternating roles as exposure and closure vs repair.


Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Aneurisma da Aorta Torácica/cirurgia , Serviços Centralizados no Hospital , Educação de Pós-Graduação em Medicina , Procedimentos Endovasculares/educação , Hospitais com Alto Volume de Atendimentos , Regionalização , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/educação , Carga de Trabalho , Serviços Centralizados no Hospital/tendências , Competência Clínica , Currículo , Bases de Dados Factuais , Educação de Pós-Graduação em Medicina/tendências , Procedimentos Endovasculares/tendências , Hospitais com Alto Volume de Atendimentos/tendências , Humanos , Ohio , Encaminhamento e Consulta/tendências , Regionalização/tendências , Cirurgiões/tendências , Fatores de Tempo , Procedimentos Cirúrgicos Vasculares/tendências
14.
Actas urol. esp ; 43(4): 169-175, mayo 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-181081

RESUMO

Objetivo: Conocer el estado actual de la actividad y formación académica de los residentes y urólogos jóvenes en España. Material y métodos: Se diseñó una encuesta anónima de 32 preguntas, desde el Grupo de Trabajo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología (RAEU), dirigida a evaluar la actividad académica de los residentes, definida por: número de comunicaciones a congresos, publicaciones en revistas nacionales e internacionales, rotaciones clínicas dentro de España y en el extranjero, realización de máster, doctorado (PhD), aplicaciones para presentar el examen de la European Board of Urology y competencias en idiomas de residentes. La encuesta fue enviada vía email y difundida vía redes sociales. Resultados: Se obtuvieron 91 respondedores; el 66% afirmaron no tener publicaciones en revistas científicas, el 67% no han realizado rotaciones en el extranjero. Solo el 21% afirmaron presentarse al examen EBU. Solo el 2% de los respondedores han realizado un fellowship, aunque la mayoría (82%) no lo han realizado, pero sí estarían interesados. Sin embargo, el 67% de los respondedores opinan que la relevancia de la actividad académica/investigadora es alta a muy elevada. Conclusiones: Los resultados indican que la actividad académica, la producción científica y la publicación de artículos de los residentes y urólogos jóvenes en España es baja. Así también, la participación en el examen EBU, así como la realización de máster, PhD, rotaciones y fellowship, son bajas. Sin embargo, la valoración de la actividad científica es considerada como muy relevante


Objective: To study the current status of the activity and academic training of residents and young urologists in Spain. Material and methods: From the working group of residents and young urologists of the Spanish Association of Urology (AEU), an anonymous survey of 32 questions was designed. Its aim was to evaluate the academic activity of residents, defined by: number of communications to congresses, publications in national and international journals, clinical rotations within Spain and abroad, master's degree, Doctorate (PhD), applications to the European Board of Urology exam and language competences. The survey was sent via email and disseminated through social networks. Results: Ninety-one respondents were obtained; 66% affirmed not having publications in scientific journals, 67% did not perform rotations abroad. Only 21% claimed to have taken the EBU exam. Only 2% of the respondents had completed a Fellowship. Although most of them (82%) had not done so, they would be interested. However, 67% of respondents believed that the relevance of academic/research activity is from high to very high. Conclusions: Our results indicate that academic activity, scientific production and publication of articles of the residents and young urologists in Spain is low. Moreover, participation in the EBU exam, the completion of a master's degree, PhD, rotations and fellowship is low. In contrast, the assessment of scientific activity is considered to be very relevant


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Urologistas/educação , Internato e Residência/estatística & dados numéricos , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Espanha , Inquéritos e Questionários , Urologistas/estatística & dados numéricos , Educação de Pós-Graduação em Medicina/tendências
16.
BMC Med Educ ; 19(1): 110, 2019 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-30991988

RESUMO

BACKGROUND: The medical education system based on principles advocated by Flexner and Osler has produced generations of scientifically grounded and clinically skilled physicians whose collective experiences and contributions have served medicine and patients well. Yet sweeping changes launched around the turn of the millennium have constituted a revolution in medical education. In this article, a critique is presented of the new undergraduate medical education (UME) curricula in relationship to graduate medical education (GME) and clinical practice. DISCUSSION: Medical education has changed and will continue to change in response to scientific advances and societal needs. However, enthusiasm for reform needs to be tempered by a more measured approach to avoid unintended consequences. Movement from novice to master in medicine cannot be rushed. An argument is made for a shoring up of biomedical science in revised curricula with the beneficiaries being nascent practitioners, developing physician-scientists --and the public. CONCLUSION: Unless there is further modification, the new integrated curricula are at risk of produce graduates deficient in the characteristics that have set physicians apart from other healthcare professionals, namely high-level clinical expertise based on a deep grounding in biomedical science and understanding of the pathologic basis of disease. The challenges for education of the best possible physicians are great but the benefits to medicine and society are enormous.


Assuntos
Currículo/tendências , Educação de Pós-Graduação em Medicina/tendências , Educação de Graduação em Medicina/tendências , Pesquisa sobre Serviços de Saúde , Médicos , Pesquisadores/educação , Educação de Pós-Graduação em Medicina/normas , Educação de Graduação em Medicina/normas , Humanos , Colaboração Intersetorial , Médicos/normas
17.
J Emerg Med ; 56(4): e61-e64, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30979407

RESUMO

The number of allopathic emergency medicine (EM) programs has been progressively increasing over the years. In 2018, allopathic EM postgraduate year-1 spots, compared with 2012, increased by around 60% to reach 2278 positions. EM is considered a competitive specialty and therefore, in this article we help guide students interested in EM through the allopathic match requirements, application process, interviews, and ranking EM programs. Additionally, we tackle the combined emergency medicine residency programs, namely the combined EM-Family Medicine (FM), EM-Anesthesiology, EM-Internal Medicine (IM), EM-IM-Critical Care Medicine, and EM-Pediatrics residency programs. Finally, we explain the increased likelihood of matching with the single graduate medical education accreditation system expected to happen in the year 2020.


Assuntos
Medicina Osteopática/educação , Critérios de Admissão Escolar/estatística & dados numéricos , Educação de Pós-Graduação em Medicina/tendências , Humanos , Internato e Residência/métodos , Internato e Residência/tendências , Estados Unidos
18.
J Emerg Med ; 56(4): e65-e69, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30979408

RESUMO

The number of osteopathic students choosing emergency medicine (EM) as a specialty is continuously increasing. However, EM remains a competitive specialty. Accordingly, in this article we guide osteopathic students interested in EM through the Comprehensive Osteopathic Medical Licensing Examination (COMLEX), the United States Medical Licensing Examination (USMLE), third- and fourth-year rotations, and the match process. Additionally, we provide tips on the process of applying to allopathic programs and we discuss the timeline of both the allopathic and osteopathic match. Finally, we discuss the effect of the Single Accreditation System and the Memorandum of Understanding, an agreement to merge the allopathic and osteopathic graduate medical education systems into a single graduate medical education accreditation system. This is expected to be completed as of July 1, 2020. Therefore, we elucidate the expectations for osteopathic applicants (particularly with regards to the USMLE and COMLEX examinations).


Assuntos
Medicina Osteopática/educação , Critérios de Admissão Escolar , Educação de Pós-Graduação em Medicina/métodos , Educação de Pós-Graduação em Medicina/tendências , Avaliação Educacional/normas , Avaliação Educacional/estatística & dados numéricos , Medicina de Emergência/educação , Humanos , Licenciamento/tendências , Medicina Osteopática/tendências , Estudantes de Medicina/estatística & dados numéricos , Estados Unidos
19.
Acad Med ; 94(8): 1071-1073, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30998580

RESUMO

In this Invited Commentary, the author probes current events overlapping with his early medical education for unwritten lessons. Today's generation of trainees studies the careful application of science to suffering in the roiling context of resurgent white supremacy, anti-immigrant hatred, climate disasters, contentious public health epidemics, and attacks on the structures undergirding access to health care for millions. The author reflects on the connections between sociopolitical events and his own experiences, as well as those of his classmates, friends, and family members. These experiences, he argues, have galvanized his and his fellow medical students' commitment to decency, truth, diversity, and equity. He concludes that, in the current climate, the practice of healing is inextricably tied to the social and political context, such that advocacy and activism have become essential to a career in medicine.


Assuntos
Defesa do Consumidor/psicologia , Educação de Pós-Graduação em Medicina/tendências , Meios de Comunicação de Massa/normas , Racismo/psicologia , Grupo com Ancestrais do Continente Africano/etnologia , Grupo com Ancestrais do Continente Africano/psicologia , California/etnologia , Defesa do Consumidor/normas , Educação de Pós-Graduação em Medicina/métodos , Educação de Pós-Graduação em Medicina/normas , Humanos , Meios de Comunicação de Massa/tendências , Racismo/etnologia
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