Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.595
Filtrar
6.
Dig Dis Sci ; 65(8): 2161-2163, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32519138

RESUMO

Many GI training programs have needed to adjust to the serious disruption to the training and education of fellows worldwide due to the COVID-19 pandemic. A silent problem that has arisen within programs is the issue of burnout among their trainees. Burnout is common among gastroenterologists, especially in fellows (Keswani et al. in Gastroenterology 147(1):11-14, 2014. https://doi.org/10.1053/j.gastro.2014.05.023 , Am J Gastroenterol 106(10):1734-1740, 2011. https://doi.org/10.1038/ajg.2011.148 ), with negative consequences to patient care and the safety of the trainees if not effectively dealt with. In this article, the author describes several additional factors potentially contributing to the intensifying burnout of the fellows in their home institution during this pandemic. Moreover, he describes specific practical interventions that the hospital and program have taken in order to address these factors.


Assuntos
Esgotamento Psicológico , Infecções por Coronavirus/epidemiologia , Educação , Gastroenterologia/educação , Internato e Residência , Pneumonia Viral/epidemiologia , Betacoronavirus , Esgotamento Psicológico/etiologia , Esgotamento Psicológico/prevenção & controle , Educação/ética , Educação/organização & administração , Educação/tendências , Ética Institucional , Bolsas de Estudo/métodos , Gastroenterologistas/psicologia , Humanos , Internato e Residência/métodos , Internato e Residência/organização & administração , Internato e Residência/tendências , Pandemias
14.
J Pediatr Gastroenterol Nutr ; 71(1): 6-11, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32369320

RESUMO

BACKGROUND: The COVID-19 pandemic has drastically changed healthcare systems and training around the world. The Training Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition sought to understand how COVID-19 has affected pediatric gastroenterology fellowship training. METHODS: A 21 question survey was distributed to all 77 pediatric gastroenterology fellowship program directors (PDs) in the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition program director database via email on April 7. Responses collected through April 19, 2020 were analyzed using descriptive statistics. RESULTS: Fifty-one of 77 (66%) PDs from the United States, Canada, and Mexico responded to the survey. Forty-six of 51 (90%) PDs reported that they were under a "stay-at-home" order for a median of 4 weeks at the time of the survey. Two of the 51 (4%) programs had fellows participating in outpatient telehealth before COVID-19 and 39 of 51 (76%) at the time of the survey. Fellows stopped participating in outpatient clinics in 22 of 51 (43%) programs and endoscopy in 26 of 51 (52%) programs. Changes to inpatient care included reduced fellow staffing, limiting who entered patient rooms, and rounding remotely. Fellows in 3 New York programs were deployed to adult medicine units. Didactics were moved to virtual conferences in 47 of 51 (94%) programs, and fellows used various online resources. Clinical research and, disproportionately, bench research were restricted. CONCLUSIONS: This report provides early information of the impact of COVID-19 on pediatric fellowship training. Rapid adoption of telehealth and reduced clinical and research experiences were important changes. Survey information may spur communication and innovation to help educators adapt.


Assuntos
Infecções por Coronavirus/prevenção & controle , Educação de Pós-Graduação em Medicina/métodos , Bolsas de Estudo , Gastroenterologia/educação , Pandemias/prevenção & controle , Pediatria/educação , Pneumonia Viral/prevenção & controle , Telemedicina/métodos , Betacoronavirus , Humanos , América do Norte , Sociedades Médicas , Inquéritos e Questionários
16.
Dig Dis Sci ; 65(8): 2172-2175, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32356262

RESUMO

In recent years, gastroenterology has become one of the most competitive subspecialties included in the internal medicine fellowship match, which increases the stressful nature of an already potentially nerve-wracking process for the trainee. Though each applicant has unique strengths and thus the process is somewhat individualized, there are some basic principles that can render an applicant more competitive for a gastroenterology fellowship. These include establishing mentorship, achieving scholarly work, building your resume, honing interpersonal and networking skills, and writing a well-planned application. The goal of this article is to outline some basic principles that will help improve the competitiveness of an applicant, and also highlight some practical tips and tricks for applicants with diverse backgrounds, such as international medical graduates, minority applicants, and women in medicine.


Assuntos
Bolsas de Estudo , Gastroenterologia/educação , Candidatura a Emprego , Gastroenterologistas , Humanos
17.
Dig Dis Sci ; 65(7): 1895-1898, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32350721

RESUMO

In recent years, gastroenterology has become one of the most competitive subspecialties included in the internal medicine fellowship match, which increases the stressful nature of an already potentially nerve-wracking process for the trainee. Though each applicant has unique strengths and thus the process is somewhat individualized, there are some basic principles that can render an applicant more competitive for a gastroenterology fellowship. These include establishing mentorship, achieving scholarly work, building your resume, honing interpersonal and networking skills, and a writing a well-planned application. The goal of this article is to outline some basic principles that will help improve the competitiveness of an applicant, and also highlight some practical tips and tricks for applicants with diverse backgrounds, such as international medical graduates, minority applicants, and women in medicine.


Assuntos
Educação de Pós-Graduação em Medicina , Bolsas de Estudo , Gastroenterologia/educação , Mentores , Comunicação Acadêmica , Escolha da Profissão , Humanos , Candidatura a Emprego , Habilidades Sociais
18.
Am J Gastroenterol ; 115(9): 1453-1459, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32453055

RESUMO

INTRODUCTION: Competency-based medical education (CBME) for interpretation of esophageal manometry is lacking; therefore, motility experts and instructional designers developed the esophageal manometry competency (EMC) program: a personalized, adaptive learning program for interpretation of esophageal manometry. The aim of this study was to implement EMC among Gastroenterology (GI) trainees and assess the impact of EMC on competency in manometry interpretation. METHODS: GI fellows across 14 fellowship programs were invited to complete EMC from February 2018 to October 2018. EMC includes an introductory video, baseline assessment of manometry interpretation, individualized learning pathways, and final assessment of manometry interpretation. The primary outcome was competency for interpretation in 7 individual skill sets. RESULTS: Forty-four GI trainees completed EMC. Participants completed 30 cases, each including 7 skill sets. At baseline, 4 (9%) participants achieved competency for all 7 skills compared with 24 (55%) at final assessment (P < 0.001). Competency in individual skills increased from a median of 4 skills at baseline to 7 at final assessment (P < 0.001). The greatest increase in skill competency was for diagnosis (Baseline: 11% vs Final: 68%; P < 0.001). Accuracy improved for distinguishing between 5 diagnostic groups and was highest for the Outflow obstructive motility disorder (Baseline: 49% vs Final: 76%; P < 0.001) and Normal motor function (50% vs 80%; P < 0.001). DISCUSSION: This prospective multicenter implementation study highlights that an adaptive web-based training platform is an effective tool to promote CBME. EMC completion was associated with significant improvement in identifying clinically relevant diagnoses, providing a model for integrating CBME into subspecialized areas of training.


Assuntos
Competência Clínica , Transtornos da Motilidade Esofágica/diagnóstico , Esôfago/fisiopatologia , Gastroenterologia/educação , Manometria , Educação Baseada em Competências , Transtornos da Motilidade Esofágica/fisiopatologia , Bolsas de Estudo , Humanos
20.
Hepatology ; 72(1): 287-304, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32298473

RESUMO

BACKGROUND AND AIMS: Coronavirus disease 2019 (COVID-19), the illness caused by the SARS-CoV-2 virus, is rapidly spreading throughout the world. Hospitals and healthcare providers are preparing for the anticipated surge in critically ill patients, but few are wholly equipped to manage this new disease. The goals of this document are to provide data on what is currently known about COVID-19, and how it may impact hepatologists and liver transplant providers and their patients. Our aim is to provide a template for the development of clinical recommendations and policies to mitigate the impact of the COVID-19 pandemic on liver patients and healthcare providers. APPROACH AND RESULTS: This article discusses what is known about COVID-19 with a focus on its impact on hepatologists, liver transplant providers, patients with liver disease, and liver transplant recipients. We provide clinicians with guidance for how to minimize the impact of the COVID-19 pandemic on their patients' care. CONCLUSIONS: The situation is evolving rapidly, and these recommendations will need to evolve as well. As we learn more about how the COVID-19 pandemic impacts the care of patients with liver disease, we will update the online document available at https://www.aasld.org/about-aasld/covid-19-and-liver.


Assuntos
Betacoronavirus , Consenso , Infecções por Coronavirus/epidemiologia , Hepatopatias/terapia , Transplante de Fígado , Pneumonia Viral/epidemiologia , Guias de Prática Clínica como Assunto , Comorbidade , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/transmissão , Interações Medicamentosas , Gastroenterologia/educação , Humanos , Imunossupressão , Internato e Residência , Hepatopatias/epidemiologia , Transplante de Fígado/ética , Transplante de Fígado/métodos , Saúde do Trabalhador , Pandemias , Segurança do Paciente , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/transmissão , Doadores de Tecidos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...