Journal of surgical education
-
Although there is great interest in providing training for surgical residents who are interested in practicing in a rural environment, guidelines for creating a curriculum are nonexistent. ⋯ A suburban, community hospital with academically oriented faculty is a good environment for training residents interested in rural or subspecialty-sparse working environments. Proficiency and credentials in basic subspecialty procedures and care can be achieved during a 1-year fellowship.
-
Blunt injury to the inferior vena cava (IVC) is a rare event, which occurs in 1% to 10% of blunt-trauma patients. Injuries usually result from deceleration, which causes atriocaval rupture or tearing of the hepatic veins, and are sometimes complicated by uncontrollable hemorrhage. An unusual case of focal extrinsic compression of the vessel caused by retrohepatic hemorrhage is reported, which ultimately has required no operative intervention and seems to have had no long-term ill effects. The literature on blunt injury to the IVC is reviewed, which includes a review of posttraumatic Budd-Chiari syndrome.
-
The amount of financial debt incurred by Texas medical students and residents during training was examined as well as the impact of this debt on these trainees' career choices. ⋯ Medical students and residents incur considerable financial debt, which seems to affect their career choices. Approximately half of the students and one third of the residents surveyed indicated that they would consider participating in a loan repayment program that required practice in an underserved area.
-
Comparative Study
Comparison of surgical residency applicants from U.S. medical schools with U.S.-born and foreign-born international medical school graduates.
Compare characteristics of U.S. medical school graduates with U.S.-born and foreign-born international medical school (IMG) graduates. ⋯ IMGs are older, frequently male, hold more advanced degrees, and produce more scholarly works but require multiple attempts to pass the USMLE. IMGs also hold more jobs after graduation with most positions being in research or surgery.
-
The objectives for this study are as follows: (1) to determine whether a weekly educational program for surgical residents resulted in an improvement in 5-year first-time pass rates on the ABS qualifying (QE), certifying (CE), and combined (QE/CE) examinations at our institution and (2) to determine a minimum ABSITE threshold for predicting ABS pass rates. ⋯ An educational program of weekly assigned reading, followed by weekly examinations prepared and administered by the PD, resulted in an increase in the 5-year first-time pass rates on the QE, CE, and combined QE/CE. An ABSITE score less than the 30th percentile, or scoring less than the 35th percentile more than once during residency, identified a group at significantly increased risk of failing the QE. Programs that seek to increase the ABS examinations passage rates should consider instituting this type of program.