Does Resident Ranking During Recruitment Accurately Predict Subsequent Performance as a Surgical Resident

Thrombosis in antithrombin-III-deficient persons. Report of a large kindred and literature review

Background The interview is one of the most important factors in selecting candidates for general surgery residency. There is significant research on best practices for conducting interviews. Blinded interviews and standardized questions improve interview utility and accuracy; however, their utilization in surgical residency programs is unclear. The purpose of this study was to determine the current practices of surgery residency programs in the interview process and the application of established best practices. Methods An online survey consisting of 26 questions was distributed to program directors of accredited surgery residency programs in the United States and Canada. Results Overall, 108 responses (40%) were received. The vast majority of programs (90%) reported basing at least 25% of their final ranking on the interview score. Only 22 (20%) programs reported using some form of blinding for their interviewers. Five programs (5%) reported using standardized interview questions. Conclusions Few residency programs use blinded interviews or standardized questions. This may indicate a gap between research findings and practice and may represent an area for improvement in the resident selection process.

General surgery residency interviews: are we following best practices?

Visual agnosia they could see, but were unable to recognise familiar objects or their use. Oral tendencies they would examine their surroundings with their mouths instead of their eyes. Hypermetamorphosis a desire to explore everything. Emotional changes emotion was dulled and facial movements and vocalisations were far less expressive. They lost fear where it would normally occur. Even after being attacked by a snake, they would casually approach it again. This was called 'placidity'. Hypersexuality a dramatic increase in overt sexual behaviour, including masturbation. They may even attempt copulation with inanimate objects.

Kluver Bucy syndrome.

The February 2020 announcement that United States Medical Licensing Examination (USMLE) Step 1 results will be reported as pass/fail instead of numerical scores has been controversial. Step 1 scores have played a key role in residency selection, including screening for interviews. Although Step 1 scores are viewed as an objective criterion, they have been shown to disadvantage female and underrepresented minority applicants, cause student anxiety and financial burden, and affect student well-being. Furthermore, Step 1 scores incompletely predict applicants' overall residency performance. With this paradigm shift in Step 1 score reporting, residency programs will have fewer objective, standardized metrics for selection decisions, which may lead to greater emphasis on USMLE Step 2 Clinical Knowledge scores or yield unintended consequences, including shifting weight to metrics such as medical school reputation.Yet, greater breadth in residency selection metrics will better serve both applicants and programs. Some students excel in coursework, others in research or leadership. All factors should be recognized, and broader metrics should be implemented to promote and recognize diversity of excellence. Given the need for metrics for residency selection as well as for a more holistic approach to evaluating residency applicants, assessment during medical school should be revisited and made more meaningful. Another opportunity may involve use of situational judgment tests to predict professionalism and performance on other competencies. It will be important to evaluate the impact of the new Step 1 paradigm and related initiatives going forward. Residency application overload must also be addressed.

The New USMLE Step 1 Paradigm: An Opportunity to Cultivate Diversity of Excellence.

The Importance of Basic Science and Clinical Research as a Selection Criterion for General Surgery Residency Programs

Results and Conclusions
Pancreatic pseudocysts may simulate renal cysts symptomatically and radiographically.

Unusual presentation of a pancreatic pseudocyst. A case report and review of literature.

Objective: This manuscript reviews the etiology, presentation and treatment options of hypersexuality. Methods: A MEDLINE search was conducted for English-language articles published over the past 35 years and was supplemented by a search of bibliographies of relevant articles [Compulsive Sexual Behavior, Sexual Addiction, altered sexual preference or Hypersexuality (hetero-, homo-, autosexual)]. Results: Hypersexuality is a change in types and increase in frequency of sexual behaviors. The etiology of hypersexuality is complex and involves a variety of physiological and psychological mechanisms. Frontal lobe dysfunction can lead to disinhibition of sexual behavior and hypersexual behavior. Temporal lobe abnormalities, which have been associated with hypersexuality, also seem to be involved in development of various fetishes, paraphilias, and pedophilia. This sexual behavior may also be the result of other neurologic disorders or a side effect of medications Conclusions: Hypersexuality can be idiopathic or the end result of many underlying disease processes. When the underlying cause may be treated, sexually disinhibited behavior is discontinued. Hypersexuality can cause behaviors in patients that are difficult to manage. But pharmacologic methods can successfully control hypersexual behaviors and paraphilias in most patient population.

https://print.ispub.com/api/0/ispub-article/7683

etiology, diagnosis & management ofHypersexuality: a review

Erectile dysfunction (ED) is frequently a symptom of underlying vascular disease. Vascular risk factors are the most common cause of erectile dysfunction. Endothelium of the penile vasculature plays an important role in the physiology of penile erection. Most patients presenting with vascular erectile dysfunction have a combination of trivascular disease, that being diabetes, hypertension and dyslipidemia, which may result in endothelial dysfunction. Other co-morbidities for vascular erectile dysfunction include smoking, sedentary life style, obstructive sleep apnea syndrome and obesity. When common vascular risk factors are absent, the critical role of a hypercoagulable state as contributing risk factor should be suspected. The inherited hypercoagulable syndromes primarily have an effect on veins, and only occasionally result in arterial thrombosis. The acquired hypercoagulable states which may cause endothelial dependent erectile dysfunction include antiphospholipid antibody syndrome, protein s, protein c and antithrombin III deficiencies, factor V Leiden and prothrombin gene mutation, hyperhomocysteinemia, dysfibrogenenmia and plasminogen deficiency. This paper reviews common hypercoagulable states that may result in endothelial dysfunction, and be an unsuspected cause of ED.

https://print.ispub.com/api/0/ispub-article/7404

Role and Management of Coagulopathies in Vascular Erectile Dysfunction

Purpose: We evaluated the feasibility, effectiveness, tolerance, and morbidity of transrectal ultrasound (TRUS) guided periprostatic infiltration with lidocaine / bupivacaine for provision of anesthesia during biopsy or minimally invasive surgery of the prostate. Methods: The study has two arms, with two groups per arm. The first arm, TRUS guided prostate biopsy, comprises patients with peri-prostatic block (n=10) and patients without such a block (n=10). The second arm, combined thermotherapy for symptomatic benign prostatic hyperplasia, had patients with transurethral lidocaine jelly and periprostatic block (n=10), and patients with transurethral jelly only (n=5). A mixture of equal volumes of 1% lidocaine and 0.25% bupivacaine, each with epinephrine (1:100,000 concentration ratio) was used. 5-10cc of the mixture was infiltrated at the base of the prostate, mid aspect and apex. No sedation, narcotic, or analgesic was required. All patients were monitored during their procedures. Pain control was assessed using a visual analog scale, a 10-point linear analog pain scale, and a global pain questionnaire. Results: Arm 1: Mean pain scores following peri-prostatic nerve block were significantly lower compared with control (2.1 ± 0.48 versus 8.2 ± 0.55, p<.0001). All patients in the infiltration group reported that they were satisfied with pain control, whereas only 5 control patients (50%) were satisfied. Arm 2: Mean pain scores of those following combined peri-prostatic infiltration and topical transurethral lidocaine jelly were significantly lower than transurethral lidocaine jelly only (2 ± 0.42 versus 7.2 ± 0.49, p=0.0004). All patients in the double block group reported that they were satisfied with their pain control, whereas only 3 control patients (60%) were satisfied. During the study no patient had any adverse effect. All procedures were performed in the outpatient setting. Conclusions: Peri-prostatic nerve block results in significant pain control during TRUS guided prostate biopsy and prostatic thermotherapy. The method is safe, convenient, does not require monitoring, and is well accepted by patients. For thermotherapy or other minimally invasive procedures, considerable cost is saved because of the absent need for anesthesia team support, recovery room facility and conscious sedation monitoring

/pdf/ultrasound-guided-peri-prostatic-neurovascular-infiltration-4d687vrih0.pdf

Ultrasound Guided Peri-Prostatic Neurovascular Infiltration for Biopsy and Minimally Invasive Prostate Surgery

Handle everyday research tasks with reliable, citation-backed results

Your personal Research Agent to handle research tasks with citation-backed results

Popular Tasks used by Researchers

How can I help with your research?

Meet SciSpace

Get more enhanced response by uploading the PDFs you want me to reference.

No relevant PDFs in your library

SciSpace is the AI research assistant for academics. Run systematic literature reviews on 280M+ papers, and write papers with cited sources. Trusted by 1M+ students, PhDs & researchers.

SciSpace | AI for Research

Analyze PDFs

Code & Manuscripts

Funding & Grants

Literature & Patents

Medical & Clinical Data

Systematic Review

Visualize & Present

Web & Data

Build a Google Scholar-like website for your research.

Build a website

Create charts and images for your research

Create a Chart

Write a paper for submission to a journal

Draft a manuscript

Patent Search

Design eye-catching scientific posters in minutes.

Scientific Poster Generation

Systematic Literature Review

One task is running at the moment. Your messages will be shown right after.

Drag and drop or click here to browse

Loved by <highlight>1 million+</highlight> researchers

Extract a list of specific topics and their sources from unstructured text

Topics

Compare and analyze relevant papers that matches with your search

Papers

Get insights from PDFs and bookmarked papers from your library

My library

Recent searches

Try searching for:

Catch AI-generated content in scholarly and non-scholarly content

{ai} Detector

Ai Writer

Get PDF Summaries, highlighted text explanations 

Chat with PDF

Effortlessly create in-text citations and bibliographies in APA and 2,500 other formats

Citation generator

Get explanations, summaries, and answers on academic papers

Ease up your research workflow with {scispace}'s cohort of exciting AI tools

Elevate your academic writing skills and convey your ideas the way you want

Paraphraser

Explore our range of reading and writing tools

Your file is being prepared and should be ready in a few minutes. If it's a large file, it might take a bit longer. You can close this window, and we'll email you the file when it's done.

You have reached a maximum limit of <strong>{limit}</strong> columns in the table. Remove at least <strong>1</strong> column to add or create another one.

Eugene Mohan

Author Tools

Chat about Author