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At least 1,693 records · Page 94Linked to original sources
PubMed1983

Emergency drills in a pediatric residency training program.

A variety of common pediatric emergencies were created in anesthetized cats to provide pediatric house officers and practicing physicians with an opportunity to refine diagnostic and management skills in a controlled environment under supervision. We describe the format of the animal model drill, outline protocols for stimulating pediatric critical care emergencies, and present preliminary evaluation data from a continuing medical education workshop and from house staff drills regarding the efficacy of the program.

Animals↗
PubMed2003

Evaluation of a training program for healthcare professionals about breast-feeding.

OBJECTIVE: To assess the impact of a continuing medical education program based on the WHO's 10 steps to successful breast-feeding. STUDY DESIGN: An observational before-and-after study at a teaching hospital. Data for two random samples of 50 women before and 50 after the intervention were collected from medical records and completed by a mail questionnaire. RESULTS: Seventy-six percent of mothers initiated breast-feeding in the two samples. The median duration of breast-feeding was 12 weeks and did not differ between the before and after groups. The percentage of newborns separated from their mother more than 4h a night decreased substantially after the intervention (13% versus 52% before the intervention, P<0.01). In-hospital formula provision also decreased after the intervention (63% of newborns versus 82% before intervention, P=0.07). CONCLUSION: This pilot study has enabled authors to document the feasibility of evaluating the impact of continuing education of maternity ward staff.

Breast Feeding↗
PubMed2002

Array multifocal intraocular lens in a charity hospital training program: a resident's experience.

PURPOSE: To evaluate the frequency of spectacle use for distance and near activities and the satisfaction with visual acuity for distance and near activities in low-income patients implanted with the Arra multifocal intraocular lens (IOL) (Allergan, Inc.) by residents in a charity hospital. SETTING: E.A. Conway Medical Center, Monroe, Louisiana, USA. METHODS: This retrospective study compared patients who had bilateral implantation of the Array multifocal IOL and those who had bilateral implantation of a monofocal IOL. The primary outcome measures were postoperative spherical equivalent, cylinder, corrected and uncorrected distance visual acuities, frequency of spectacle use for distance and near, satisfaction with overall vision, satisfaction with the ability to see at distance and near with and without spectacles, and problems with unwanted visual phenomena such as glare, rings, and halos. RESULTS: There were 17 patients in the multifocal group and 14 patients in the monofocal group. Postoperatively, more patients in the monofocal group used spectacles (86% and 53%, respectively; P =.068). Significantly fewer patients in the multifocal group used spectacles for near vision (P =.018). Problems with glare, rings, and halos were more frequent in the multifocal group (P =.041). The multifocal group reported significantly greater satisfaction with the ability to see at distance (P =.002) and at near (P =.002) without spectacles. CONCLUSION: Implantation with the multifocal IOL may be a cost-effective option for low-income patients because it reduces the need for spectacles after cataract surgery.

Charities↗
PubMed1999

A collaborative regional ocular anesthesia training program: successes and failures.

STUDY OBJECTIVE: To describe a collaborative effort of the departments of ophthalmology and anesthesiology to teach anesthesiology residents regional ocular anesthesia; to detect any differences in positive or negative outcomes after blocks performed by anesthesiology residents versus blocks performed by ophthalmology residents. DESIGN: Prospective descriptive, study. SETTING: Outpatient surgery in a university-affiliated veterans affairs hospital. PATIENTS: 614 patients requiring elective ocular surgery. INTERVENTIONS: Outcomes from patients who underwent regional anesthesia performed by ophthalmology residents were compared to outcomes from patients who received anesthesia from anesthesiology residents. MEASUREMENTS AND MAIN RESULTS: A detailed description of the collaborative teaching program in ocular anesthesia is presented. Ophthalmology residents performed the majority of regional ocular blocks (87% vs. 13%). There was no statistical difference in the incidence of negative outcomes, such as retrobulbar hemorrhage, between ophthalmology residents and anesthesiology residents (3/534 vs. 1/80) or in the incidence of successful blocks (90% for ophthalmology residents vs. 88% for anesthesiology residents). CONCLUSIONS: Regional ocular anesthetic techniques can be safely and successfully taught to residents in anesthesiology.

Ambulatory Surgical Procedures↗
PubMed1990

Cardiopulmonary resuscitation: a mandatory training program for nursing staff.

At Flinders Medical Centre, a 600 bed teaching hospital in Adelaide, South Australia, there are between eighty and one hundred cardiac arrests in the general wards areas each year. From the time an arrest occurs until the arrest team arrives, the patient's life will depend on the speed with which Cardiopulmonary Resuscitation (CPR) is initiated and the effectiveness of the CPR performed by ward staff. The outcome of cardiac arrest patients who receive promptly administered CPR is extensively documented in literature on the subject. When an arrest occurs in the ward at Flinders, staff activate an emergency call to the "cardiac arrest team", which consists of three medical staff members and one nursing staff member. The nurse, from the Intensive Care Unit, is responsible for coordinating the actions of the nursing staff during the arrest. Following the arrest an audit sheet is completed with details of the patient, the arrest, treatment, and any other pertinent information. Until 1985 it was not unusual at Flinders for arrest audit sheets to have comments such as: "CPR not performed by ward staff" or "CPR not being performed correctly by ward staff" or, even worse, "Ward staff disappeared when the arrest team arrived". In many hospitals throughout Australia this was, and may still be, a familiar problem. The nursing department at Flinders believed that if a program could be established in which nurses were given the opportunity to learn and practise CPR, they could gain the skills necessary to perform basic CPR in the ward until the arrest team arrived. In 1985 a coordinator of such a program was appointed, and it became mandatory at Flinders for all nursing staff to learn and be accredited annually in basic CPR skills. This article describes how the CPR Program started, its progress, and its results.

Cardiopulmonary Resuscitation↗
PubMed1994

Laparoscopic Pomeroy tubal ligation in a residency training program.

STUDY OBJECTIVE: To evaluate the efficacy of the laparoscopic Pomeroy method of tubal ligation as a teaching tool during the initial acquisition of advanced laparoscopic skills by 14 residents in a 28-person, 4-year program. DESIGN: A prospective, nonrandomized study. SETTING: A metropolitan teaching hospital. PATIENTS: Fifty-seven women who desired permanent sterilization, and 56 controls who underwent laparoscopic sterilization by standard coagulation. One refused entry and had standard sterilization by bipolar coagulation. In two women, both with several previous laparotomies, visualization of the pelvic organs was incomplete and the procedure was abandoned at the discretion of the surgeon. One had a minilaparotomy Pomeroy tubal ligation and the other was sterilized by standard two-puncture laparoscopic coagulation. One patient was excluded due to an incomplete data profile. INTERVENTIONS: Laparoscopic sterilizations using the Pomeroy technique and standard coagulation were performed by gynecology residents with an attending physician present. First-year residents performed 36 (68%) of the 53 procedures. MEASUREMENTS AND MAIN RESULTS: Operative times to teach this technique to house officers rotating on the gynecologic service were recorded by postgraduate year and stratified by the number of cases performed by each operator. The average operative times for residents in postgraduate years 1 through 4 were 18.6, 15.4, 21.7, and 14.8 minutes, respectively. These diminished with experience. A statistically longer time of 7.1 minutes was required to teach residents the Pomeroy technique compared with standard bipolar coagulation (p<0.0003). CONCLUSION: Laparoscopic Pomeroy tubal ligation as a method to begin educating residents in advanced operative video-laparoscopy appears to have great potential.

Female↗
PubMed1994

Use of the Laparoscopic Pomeroy Tubal Ligation in a Residency Training Program

To evaluate the efficacy of the laparoscopic Pomeroy method of tubal ligation as a method for the initial acquisition of advanced laparoscopic skills, a y prospective, non-randomized study was done on 57 consecutive patients undergoing permanent sterilization using the Pomeroy technique involving videolaparoscopy, a three puncture approach, and plain catgut endoloops. Fifty-three of 56 patients completed the study. Two patients with previous multiple Cesarean sections required minilaparotomies and one patient's hospital data could not be located. Fourteen residents in a 28 person program were evaluated; 5 were first year residents, 2 were second year, 3 were third year, and 4 were fourth year. The average operative time for the PGY-1, PGY-2, PGY3 and PGY4 residents were 18.6, 15.4, 21.7, and 14.8 minutes respectively. No significant difference in operating time between residents within years (p=.54) or at differing PGY levels (p=.64) were noted. The time required to do each subsequent case diminished with experience. There were two minor complications. We conclude that the application of the laparoscopic Pomeroy tubal ligation as a method to begin educating residents in advanced operative video laparoscopy has great potential.

Journal Article↗