Doctor Satisfaction Research Articles

Application of checklist-based nursing care process in patients undergoing intervention for coronary chronic total occlusions: a quasi-randomized study

BackgroundCoronary chronic total occlusion (CTO) interventions are more complex than general percutaneous coronary intervention (PCI) procedures. However, only a few nursing methods are specifically applied to patients undergoing CTO interventions. And the conventional nursing effect is not ideal, urgent need to explore more effective nursing methods. The checklist is a simple and effective tool for error management and performance improvement that has been widely used in many fields. But there have been no reports of the checklist being used to improve care for CTO patients.ObjectiveThis study aimed to investigate the effectiveness of a checklist-based nursing care process in patients undergoing Coronary chronic total occlusion (CTO) interventions, including duration of care, patient anxiety, improved patient satisfaction, and occurrence of adverse events.MethodsA total of 120 CTO patients undergoing percutaneous coronary intervention (PCI) were selected at our hospital and divided into an intervention group (n = 60, adopted the checklist-based nursing care process for patient care) and a control group (n = 60, adopted nursing care according to the existing workflow) according to different nursing interventions. After surgery, the nurse in charge of the patient completed the nursing according to the “List of postoperative care for CTO patients” filled in by the patient within 24 h after surgery, conducted a doctor satisfaction survey, recorded adverse events, and completed the postoperative Self-Rating Anxiety Scale (SAS) score and patient satisfaction survey before the patient was discharged. Subsequently, the Qc team checks the completion of the patient’s checklist for safety and the completion of the questionnaire. Finally, the differences between the two groups in preoperative nursing time, incidence of adverse events caused by nurses’ omission or inadequate guidance, patient anxiety, and doctor and patient satisfaction were compared.ResultsThe intervention grouphad significantly shorter preoperative nursing care time and significantly lower the total number of adverse events than the control group (P < 0.05).The postoperative Self-Rating Anxiety Scale (SAS) score of the intervention group was significantly lower than that of the control group (P < 0.05).The satisfaction of doctors and patients in the intervention groupwas significantly higher than that in the control group (P < 0.05).ConclusionThe application of the checklist-based nursing care process in patients with CTO intervention can significantly reduce the preoperative nursing care time, reduce patient anxiety, improve patients’ and doctors’ satisfaction with nursing care, and effectively reduce the occurrence of adverse events caused by nurses’ omissions or inadequate instructions.Trial registrationThe protocol of the trial was registered retrospectively of Chinese Clinical Trial Registry (registration number ChiCTR2200056804, reg date17/02/2022).

Outcomes of rural generalist internship training in Victoria, Australia.

Victoria, Australia commenced its first Rural Community Internship Training program in 2012 to support the development of rural generalist (RG) doctors. These general practitioners have additional skills to work at a broad scope to deliver the range of primary care and additional specialist services that communities need. Unlike most internships, which are wholly hospital-based and delivered mostly within larger metropolitan and regional centres, this RG internship training model involves completing general practice experience in smaller rural communities working with RGs and visiting specialists. This study aimed to explore the characteristics and satisfaction of doctors who participate in RG internship training in Victoria and their workforce outcomes. Between October and November 2021, a retrospective 10-minute anonymous survey invitation was sent to all contactable interns (n=222) who had completed/were completing the RG internship training (2012-2021). The survey was co-designed with RG internship managers and other stakeholders of a statewide evaluation advisory group, informed by the latest evidence regarding RG medicine and rural training predictors, and outcomes of interest. Participants completed the survey using Microsoft Forms, with three invitations circulated to an up-to-date email address maintained by the internship program. Collected data were analysed descriptively, by subgroup, to explore training pathway outcomes by region, training stage and specialty choice. Workforce distribution outcomes were defined in line with objectives of the program and predetermined indicators of RG scope. Results were compared with the benchmarks of rural workforce training outcomes in Australia using recent research. There were 59 participants (27% response rate); 81% were in postgraduate years 3-7. Respondents included 54% male, 17% rurally bonded, 39% of rural origin, 34% having had more than 3 months rural undergraduate training and 48% doing RG training where they previously did undergraduate training. All were satisfied/very satisfied with the RG training and 61% were working in general practice (excluding the prevocational group). Overall, 40% were currently working in the same rural region as their internship (including three who were currently interns), 56% continued to complete some prevocational training in the same region as their RG internship, while 20% had gone on to be currently based in smaller rural communities (Modified Monash Model locations 4-7) and 44% to be working part-time in smaller rural communities. Overall, 42% self-identified as working as an RG and nearly all (97%) met at least one of the key indicators of extended (RG) scope. In all areas the RG internship outcomes were better than the national benchmarks from published evidence about rural training. This study provides evidence from doctors up to 9 years after completing their RG internship. Compared with industry benchmarks, the RG internships attract rurally intentioned and rurally experienced doctors who may be likely to remain in the same rural region as their undergraduate rural medical training and continue their postgraduate training in the same region. They were all satisfied with RG internship training, had high propensity to follow a general practice career and work at broad scope in smaller communities. Importantly, they intended to stay in the region where they trained. This suggests RG internship programs are a positive intervention for promoting an RG workforce.

Measuring the job satisfaction of junior doctors in Singapore: validating the Satisfaction of Employees in Health Care tool.

Measuring the job satisfaction of junior doctors in Singapore: validating the Satisfaction of Employees in Health Care tool.

Contemporary Use Of Topical Decongestants: An Indian Perspective

Background: Allergic rhinitis and sinusitis are commonly encountered in primary practice, and nasal congestion is a common symptom experienced by these patients. Thus, it is important to address nasal congestion when treating these conditions. Despite the availability of several treatment options, therapy is impacted by adverse effects and patient dissatisfaction. We conducted a survey to evaluate the prescribing practices of physicians treating allergic rhinitis and sinusitis, with a focus on the formulation of topical xylometazoline with moisturizers (hypromellose and sorbitol). Methods: We surveyed the prescribing practices of 545 Indian ear, nose and throat (ENT) physicians for rhinitis and sinusitis to understand the place of the formulation containing xylometazoline and moisturizer (sorbitol, hypromellose) in clinical practice. Towards this, physicians provided their response to a 10-item questionnaire covering prescribing practice and patient satisfaction. Results: Overall, 91% of doctors reported that a decongestant along with a moisturizer would be beneficial to patients with nasal congestion due to allergic rhinitis and sinusitis, and a majority of doctors (89.5%) preferred prescribing xylometazoline with sorbitol and hypromellose. A majority of doctors reported high patient satisfaction with this formulation. Additionally, 78.35% of doctors reported high ratings for the reduction of nasal dryness. Conclusion: The overall satisfaction of doctors and patients is high, indicating that this formulation is an ideal choice for achieving relief from nasal congestion due to AR and sinusitis.

Satisfaction, research productivity, and socialization in doctoral students: Do teaching assistantship, research assistantship and the advisory relationship play a role?

Funding to doctoral students in the form of research and teaching assistantships help students become independent scholars and complete their programs. Insufficient funding, unforeseen financial obligations, and debt can discourage students from completing their programs in a timely fashion. However, supervisors may play an influential role in supporting doctoral student socialization and growth towards research autonomy. Girves and Wemmerus's (1988) doctoral student degree progress theoretical model claimed that financial assistance and students' perceptions of faculty support are key predictors of doctoral students' progress. They also proposed that students' satisfaction with their department, sense of isolation, and engagement in their programs may explain (or mediate) these associations. The aim of this study was to investigate how supervisor support and financial assistance influence doctoral students' satisfaction with their programs as well as their academic and social engagement. Using data from the Canadian Graduate and Professional Student Survey (n = 18,822 doctoral students), we evaluated a model of doctoral student productivity (i.e., publications and conference presentations) with teaching and research assistantships as key predictors and student satisfaction as mediators. We also examined how supervisor support and financial assistance relate to students' academic and social life. The results showed that teaching assistantships are negatively associated with general satisfaction and program satisfaction but positively associated with social involvement. Moreover, research assistantships were significantly and positively associated with social involvement and progress. Supervisor support was positively associated with doctoral students' general satisfaction, program satisfaction, and social involvement. The findings support Girves and Wemmerus's theory and highlight the importance of faculty support for doctoral student success. (258/300).

Satisfaction Levels in Doctors About Workplace Environment During the COVID-19 Pandemic: Experiences from Tertiary Hospitals in Dhaka, Bangladesh.

The satisfaction level of doctors regarding the workplace environment signifies both the psychological and physical environment. One of the many challenges to conquer was the adaptation to a steadily changing working environment and the development of a proper working environment during the COVID-19 pandemic. The objective of this study was to evaluate the level of satisfaction of doctors regarding the workplace environment. Methods: A cross-sectional study was conducted from January to December 2020. A total of 217 conveniently selected doctors working at selected tertiary hospitals in Dhaka city were interviewed using a pretested, structured questionnaire. The Minnesota Satisfaction Questionnaire (MSQ) was used to assess the level of job satisfaction on a 5-point Likert scale consisting of 20 items. The percentile score was used to categorize the respondents as highly satisfied (75 and above), averagely satisfied (26 to 74), and dissatisfied (below 25). Bivariate and multivariate analyses were performed. Result: Among the 217 respondents, the total mean MSQ score was 3.62±0.23 regarding job satisfaction. About two-thirds of the respondents (63.1%) reported an average level of satisfaction. More than two-thirds of respondents (69.6%) expressed high satisfaction regarding the physical work environment, while the majority of respondents (93.1%) expressed high satisfaction with the psychosocial work environment. However, no significant association was found between outcome and input variables (p>0.05). Conclusion: The study findings showed that satisfaction regarding the psychological environment was higher among the respondents than that of physical working conditions. Evidence-based measures are to be addressed in hospitals to achieve the optimum level of satisfaction among doctors during pandemics.

Application of a Negative Intrauterine Pressure Suction Device for Prophylactic Management of Atonic Postpartum Hemorrhage: A Quality Improvement Study.

Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide. PPH-preventing interventions need to be prioritized and can be integrated with conventional methods of PPH prevention. The introduction of negative intrauterine pressure using a suction cannula can be one of the cheapest modalities to decrease PPH secondary to uterine atonicity. This method has brought a renaissance to practical obstetrics in low-middle income countries (LMIC), where the cost and availability of uterotonics are major health issues. It was a prospective quality improvement (QI) study conducted in the labor and delivery wards of a tertiary care medical institute and teaching center over the duration of one year. We aimed to assess the decrease in the incidence of atonic PPH with a negative intrauterine pressure suction device (NIPSD) integrated with active management of the third stage of labor (AMTSL) in the prevention of atonic PPH following normal vaginal delivery in low-risk antenatal women. In the initial six months, routine AMTSL was instituted for all consenting women (group 1). In the next six months, NIPSD was integrated with AMTSL (group 2). Data pertaining to the amount of blood loss, the incidence of primary PPH, uterine tone, fall in hemoglobin and hematocrit levels post-delivery, need for blood transfusion, and doctor and patient satisfaction were tabulated for all patients. A total of 1324 consenting women were eligible for enrollment during the study time frame. In the initial six months (baseline period, group 1), 715 participants were subjected to routine AMTSL in the third stage of labor. During the intervention phase (group 2), 609 parturient women were recruited. There was no significant difference in baseline parameters between the two groups. With the introduction of NIPSD to routine AMTSL, there was a significant decrease in the average volume of blood loss during vaginal delivery (group 1 = 389.45+65.42 ml, group 2 = 216.66+34.27 ml; p-value = 0.012). The incidence of atonic PPH was reduced by more than 75% (group 1 = 13 women, group 2 = 3 women; p-value = 0.001) after the introduction of NIPSD complementing routine AMTSL. The introduction of NIPSD has also been instrumental in reducing the cost burden on patient and hospital expenditures. The net benefit of its introduction resulted in a reduction of the overall cost burden of blood transfusions by around 70%. PPH is a public health problem, and measures to reduce PPH must be implemented to decrease this health burden. In countries with low resources, complementing routine AMTSL with NIPSD can be instrumental in decreasing the incidence of PPH. Considering its cost-effectiveness and reusability, LMIC can adopt NIPSD as a routine measure in all vaginal deliveries.

Job satisfaction of village doctors in a rural-oriented tuition-waived medical education program in China.

To address health inequity and relieve shortage of rural doctors, China initiated Rural-oriented Tuition-waived Medical Education (RTME) to train doctors in rural areas for free since 2010. Little is known about job satisfaction of this particular group of rural doctors. Job Satisfaction Questionnaires for Village Doctors were distributed to 240 village doctors with RTME program in China, and 40 received in-depth semi-structured interviews. Descriptive analysis, chi-square test, univariate and multivariate logistic regressions in SPSS23.0 were conducted, and thematic analysis was applied to interviews. Job satisfaction rate of village doctors with RTME program was 56.50%. Full understanding of RTME policy, recognition of rural medical work, relevance of RTME curriculum with present job, education background, rural origin and renumeration were positively correlated with job satisfaction. Preferential policies of RTME program, relaxing working atmosphere, more promotion opportunity, and easier access to higher technical titles were the key factors to retain rural doctors. Our findings may interest healthcare authorities, medical colleges and primary healthcare establishments. Studying the job satisfaction of village doctors in China may also be beneficial in developing community and rural health services, and provide valuable insights into the training and retention of primary healthcare providers in other countries.

ЗНАЧИМОСТЬ УДОВЛЕТВОРЕННОСТИ РАБОТОЙ В ПРОФЕССИОНАЛЬНОЙ ДЕЯТЕЛЬНОСТИ СОВРЕМЕННОГО ВРАЧА

Currently, the national project «Healthcare» is being actively implemented in the Russian Federation, the most important tasks of which are to increase the availability of medical care and the quality of medical services, the development of high-tech methods of diagnosis and treatment of diseases, strengthening the personnel reserve of the industry and achieving maximum staffing of medical organizations at various levels with doctors, secondary and junior medical personnel. As a basis for achieving these goals, of course, an increase in the level of motivation, satisfaction and psycho-emotional well-being of healthcare workers should be considered, which can contribute to the retention of existing and influx of young personnel, increase the level of staff working capacity, increase the quality of services provided and the availability of medical care. The peculiarities of the doctor’s work determine a consistently high level of work stress, which to a certain extent is determined by individual factors and personal characteristics of the specialist, as well as a number of organizational predictors. The degree of satisfaction of healthcare professionals with the workflow largely determines the quality and availability of medical care. This article presents data from domestic and foreign literary scientific sources that highlight the level of satisfaction of doctors with work and various factors associated with it, the impact of this indicator on the social and professional life of doctors, as well as possible measures to increase the satisfaction of specialists with their own work.

Effectiveness of the "Internet-Plus"-Based Life-Cycle Management on Pediatric Chronic Diseases.

We aimed to assess the effect of life-cycle management on the satisfaction and health outcomes of children with chronic diseases and their parents, as well as the career benefits of healthcare workers. Participants were children with chronic diseases who received long-term treatment at the Three Gorges Hospital Affiliated to Chongqing University from January 2021 to November 2022. From the first admission, compare the children's disease onset, satisfaction and professional benefits of medical staff among "Medical and Nursing Integration" + "Internet plus"-based life cycle management group (n = 221, the experimental group), the routine management group (n = 53, the control group 1) and the "Medical and Nursing Integration" group (n = 67, control group 2). The overall satisfaction of children in the experimental group (100 %) was higher than that in the control group 1 (98.11%) and control group 2 (98.51%). The times of second admission and third admission of patients in the experimental group were significantly lower than those in control group 1 were (both P<0.001) and control group 2 (both P<0.01). Nurses' sense of professional benefit, professional identity, and doctor's satisfaction with nurses in the experimental group were significantly higher than those in control group 1 (P<0.05, P<0.01, P<0.001) and control group 2 (all P<0.05). The application of "Medical and Nursing Integration" + "Internet plus"-based life cycle management in chronic disease nursing management can effectively improve the management on pediatric chronic diseases.

Follicular unit extraction megasession treatment of high-grade androgenetic alopecia in Asians: Introducing novel principles for surgical design.

Male androgenetic alopecia (MAGA) has been one of the most common reasons for hair consultation, which affects more than half of men under the age of 50. Recently, follicular unit extraction (FUE) megasession has been an attractive treatment option for patients with severe AGA. However, compared with hair transplant surgery by traditional FUE or follicular unit transplantation (FUT), a megasession lacks a suitable surgical design solution for Asian high-grade AGA patients. Therefore, we introduced novel principles for surgical design into FUE megasession for Asians. The goal was to investigate the naturalness of hair, patient and doctor satisfaction level, and safety assessment of FUE megasession with the specific surgical design, to explore a novel technique for an efficient, satisfactory, and safe FUE megasession procedure. Thirty-six Asian male patients with AGA in Hamilton Grade V-VI were enrolled in the research. All participants underwent FUE megasession treatment with the specific surgical design. The investigators observed the patients' general conditions, surgical information, naturalness of hair, and patient and doctor satisfaction level and adverse reactions. Before surgery, the average age of patients was 36.8 ± 9.6 years, and average duration of disease was 8.3 ± 3.8 years. During surgery, we harvested an average of 3705 ± 383 grafts. Recipient density ranged from 30 FUs/cm2 to 50 FUs/cm2 , and the total operation time was 10.6 ± 0.9 h. After surgery, patient-rated Likert score for naturalness of hair was as high as 4.72, and the doctor rated 4.61. Patient satisfaction score was up to 4.64, and the doctor scored 4.75. No serious side effects occurred in the study. FUE megasession with the introduced surgical design is a satisfactory treatment option for patients with high-grade AGA in Asians, with few side effects. The application of the novel design method can effectively lead to relatively natural density and appearance in one operation. Due to its remarkable effect, high satisfaction level, and few postoperative complications, FUE megasession with the introduced surgical design has great potential for Asian high-grade AGA patients.

An Intelligent Whole-Process Medical System Based on Cloud Platform

ABSTRACT In response to the shortage of high-quality medical resources, long waiting times, and difficulties finding the right doctor, a smart medical system design scheme is proposed. This system is built on a cloud platform to increase capacity and improve operating speed. It offers intelligent triage, disease diagnosis, intelligent question-and-answer, online doctor diagnosis, online registration, patient-patient communication, doctor-patient communication, online payment, map navigation, and other functions. By using machine learning and deep learning methods, the system analyzes the patient’s disease description, laboratory test sheets, and other medical image materials to diagnose the disease suffered by the patient. The matching degree of the doctor and the patient is calculated based on the doctor’s expertise, patient evaluation, and doctor satisfaction, and doctors are arranged for patients to choose. The system also integrates the diagnosis results made by multiple doctors to help patients understand their illnesses conveniently. Additionally, an intelligent question-and-answer module analyzes the patient’s inquiry intention and gives feedback to the patient’s question. The system’s feasibility and practicability have been demonstrated by experts in the fields of medical treatment, computer, and economic management. Overall, this system has high application value and can effectively solve the problems that exist in the current medical field.

Research on the improvement path of job satisfaction of doctors in a tertiary public hospital in Yinchuan city from the perspective of psychological contract

research purpose: This study aims to explore the relationship between doctors' psychological contract and job satisfaction, and to further explore the impact of the four dimensions of hospital responsibility and doctor responsibility on overall satisfaction and interpersonal relationships, work itself, working conditions, training and promotion, compensation and benefits , The specific impact of the six dimensions of leadership and management. Research methods: Using the public hospital doctor's psychological contract scale and doctor's job satisfaction scale, Spss software was used to conduct multiple linear regression analysis to explore the relationship between the psychological contract and its various dimensions and the various dimensions of doctor's job satisfaction. Analysis conclusion:(1) Hospital development, relationship, and concept responsibility have a significant positive predictive effect on "interpersonal relationship", and the impact of hospital relationship responsibility is greater; (2) Hospital development, relationship, and concept responsibility have a significant positive effect on "work itself" (3) Hospital transaction and development responsibilities have a significant positive impact on "working conditions", and hospital transaction responsibilities have a greater impact on working conditions; (4) Hospital development and relationship responsibilities have a significant impact on "working conditions" "Training and promotion" has a significant positive impact, and hospital development responsibilities have a greater impact; (5) Hospital responsibilities and only hospital transaction responsibilities have a significant impact on "remuneration and benefits"; (6) Hospital development, relationship, and concept responsibilities , doctor's conceptual responsibility has a significant positive predictive effect on "leadership and management", and hospital relationship responsibility has the greatest impact on leadership and management.

Challenges Posed by COVID-19 on Doctoral Students' Wellbeing in Russia: Of International and Domestic Doctoral Students, Who Suffers More?

While universities closed, implementing remote teaching and learning in response to COVID-19, this change significantly impacted the lives of graduate students, given their exposure to unique and diverse experiences. It thus has become essential to understand the possible differences in regard to the pandemic's impact on international and domestic students. The aim of this study was to explore the consequences of the challenges posed by COVID-19 on doctoral students' wellbeing in Russia. The study surveyed 4454 doctoral students across 249 Russian public universities. The challenges posed by COVID-19 negatively affected international doctoral students' learning experience (β= -0.269, p<0.001); students' satisfaction with supervision (β= -0.098, p<0.001); dissertation experience (β= -0.039, p<0.001); and doctoral program satisfaction (β= -0.034, p<0.001). Furthermore, the challenges posed by COVID-19 affected domestic doctoral students' learning experience (β=-0.368, p<0.001); students' satisfaction with supervision (β=-0.194, p<0.001) and doctoral program satisfaction (β=-0.034, p<0.001). However, the influence of the challenges posed by COVID-19 on communication frequency was relatively positive for both international (β=0.060, p<0.001) and domestic students (β=0.021, p<0.001), and dissertation experience (β=0.061, p<0.001) was also positive for only domestic students. Furthermore, controlled factors comprising field of study (β=-0.033, p<0.001); year of study (β=0.127, p<0.001); and university region (β=-0.056, p<0.001) influenced the effect of the challenges posed by COVID-19 on international doctoral students. The COVID-19 challenges had the greatest impact on the wellbeing of international students. Furthermore, both international and domestic students' communication frequency with their supervisors underwent a relatively positive impact (which implies no effect on both categories of students). Furthermore, the challenges posed by COVID-19 had no effect on domestic students' dissertation experiences. Finally, among the controlled variables, field of study, year of study, and university region were discovered to be significant factors in relation to the challenges posed by COVID-19 for international students.

Safety and effectiveness of the combination of remimazolam tosilate and propofol in gastroscopy: a multicenter, randomized controlled, single-blind clinical trial.

Remimazolam tosilate (RT) is a new short-acting γ-aminobutyric acid A (GABAA) receptors agonist. However, its optimal use mode and dosage still remain unclear. This study aimed to examine the safety and effectiveness of the combination of RT and propofol in gastroscopy. This was a prospective, single-blind, randomized, multicenter, parallel-group study. All eligible 256 patients were randomized into the following 3 groups. Patients were anesthetized with propofol (Group P), RT (Group R) or the combination of RT and propofol (Group RP). The primary efficacy endpoints were: body movement score; satisfaction of gastroscopy doctors; success rate of sedation and effects on sleep status. Sedation induction time, time to be fully alert and adverse events were also recorded. The probability of complete immobility was lower in group R (33.73%) than in group P (86.67%) and RP (83.13%). The rate of doctors' satisfaction was much lower in group R (28.92%) than in group P (77.78%) and RP (72.29%). The success rate of sedation and sleep outcome score has no difference in the three groups. The time to adequate sedation was longer in group RP (77.27 ± 18.63s) than in group P (64.47 ± 24.36s), but much shorter than that in group R (102.84 ± 46.43s). The time to be fully alert was shorter in group R (6.30 ± 1.52min) and RP (6.54 ± 1.13min) than in group P (7.87 ± 1.08min). The proportion of sedative hypotension was significantly higher in group P (41.11%) than in group R (1.20%) and group RP (3.61%) (p < 0.001). The incidence of respiratory depression was much higher in group P (17.78%) than in group R (no patient) and group RP (1.2%). The incidence of adverse events was lower in groups R (4.82%) and RP (9.64%) than in group P (31.11%). The combination of RT and propofol takes effect quickly, makes patients alert quickly, provides a sufficient depth of sedation, reduces body movement, does not inhibit circulation and respiratory function, does not affect sleep, and is the preferred mode for gastroscopy doctors and anesthesiologists.

Implementation of artificial intelligence in speech (voice input) in the conditions of a high-flow endoscopy

Artificial intelligence (AI) and digitalization are used in all spheres of life, including medicine: in making diagnoses, in working with patients, in creating and using an Electronic Medical Record (EMC) for fast and accessible document management. Attempts have been made repeatedly to facilitate work with medical protocols. Technologies related to speech recognition are a promising direction in this area. The purpose of the research work was to optimize the time of writing the protocol using voice input. The object of the study was a template protocol of endoscopic examination. This work was carried out on the basis of 2 large endoscopic centers in Moscow, created as part of the pilot project of the DM within the framework of the colorectal cancer screening program in the Russian Federation in 2021. The software of the Voice2Med Speech Technology Center (MDG) was used to fill out the research protocol. Using mathematical calculations, 4 metrics were created to evaluate the work of the software: the time of protocol formation; the proportion of protocol formation time from the study; the level of speech recognition accuracy; satisfaction of doctors when working with technology. Standardized protocol templates for various nosologies related to voice commands have been developed; medical thesaurus. In the course of the work, the accuracy of speech recognition was investigated and improved. Control measurements of the time of writing the protocol were carried out. The results of the evaluation of the use of the technology by endoscopists were obtained - the time of protocol formation decreased by 29%, the evaluation of the work by endoscopists was positive. Thus, the use of speech technologies related to the formation of a doctor’s protocol “from the voice” is a promising direction for the further development of the IT sphere in practical medicine.

Evaluation of donut mastopexy as a conservative breast surgery in juxta areolar early breast cancer

Background In order to give a treatment as effective as mastectomy with the added benefit of a preserved breast, breast conserving surgery has evolved into the accepted course of action for the diagnosis and treatment of breast cancer. Donut mastopexy is one of the cancer breast surgery techniques that is used. Objective Evaluation of donut mastopexy as a conservative breast surgery in juxta areolar breast cancer. Methods A total of 50 female patients with early breast cancer near nipple-areolar complex were enrolled. Cosmetic outcome was evaluated during the early postoperative period and on follow-up. Operative time, intra and postoperative bleeding, drain content, wound complication as seroma or surgical site infection, symmetry, patient and doctor satisfaction were evaluated. Results Breast imaging reporting and data system (BI-RADS) classification of the obtained specimens of the study population showed that 12 (24%) had grade 4 and 38 (76%) had grade 5. Preoperative tru-cut biopsies of the obtained specimens of the study showed that 34 women (68%) had infiltrative ductal carcinoma, 10 women (20%) had ductal carcinoma in situ, four women (8%) had infiltrative lobular carcinoma and two women (4%) had mucinous carcinoma. Preoperative true-cut biopsies of the obtained specimens showed that 34 patients (68%) had infiltrative ductal carcinoma, 10 patients (20%) had ductal carcinoma in situ, four patients (8%) had infiltrative lobular carcinoma and two patients (4%) had mucinous carcinoma in-situ component of the obtained specimens showed that 13 patients (26%) had no in-situ component, 16 patients (32%) had less than or equal to 5% and 21 patients (42%) had greater than 5-25% intraoperative bleeding were three patients (6%); mean of drain content (volume) was 26.29±2.79 and mean of operative time (min) was 93.16±13.62. The most common complication was seroma (10%) and four patients (8%) were bleeding; followed by hematoma and delayed wound healing, and there was agreement on the ratio (6%) and infection and axillary wound seroma, and there was agreement on the ratio (4%), on the other hand partial nipple/skin necrosis and wound dehiscence was the lowest noticed complication, and there was agreement on the ratio (2%); as for the surgical site infection was five patients (10%) were hotness, four patients (8%) were redness and three patients (6%) were swelling. The patient satisfaction was 33 patients (66%) were excellent of satisfaction, nine patients (18%) were very good of satisfaction, seven patients (14%) were good satisfaction, and one case (2%) was poor satisfaction. Additionally, there was 31 doctors (62%) were excellent of satisfaction, 11 doctors (22%) were very good of satisfaction, 8 doctors (16%) were good satisfaction, while there is no poor cases among doctor satisfaction. Conclusion Donut mammography results in good cosmetic results. The study’s overall cosmetic outcome was more gratifying, and this was evident in the patients’ psychological health and sense of self-worth.

O.O.12.4 - Factors mediating doctor communication and patients satisfaction with care and trust in their doctor: Presenter(s): Carlos Campos, University of Auckland, New Zealand

O.O.12.4 - Factors mediating doctor communication and patients satisfaction with care and trust in their doctor: Presenter(s): Carlos Campos, University of Auckland, New Zealand

Level of Doctors’ Satisfaction in Ophthalmology Telemedicine at the Philippine General Hospital

Objectives. This quantitative, cross-sectional, descriptive research aims to determine the level of satisfaction ofdoctors using telemedicine in Ophthalmology.Methods. An online questionnaire was sent to ophthalmologists at the Philippine General Hospital, a tertiary referral center, that partially shifted to ophthalmology telemedicine during the COVID-19 pandemic.Results. Respondents perceived telemedicine positively in terms of usefulness (Mean 2.92, Slightly Satisfied), ability to do quick follow-ups and patient updates (Mean 2.90, Slightly Satisfied), simplicity, and ease of use of technology (Mean 2.78, Slightly Satisfied). They were least satisfied with its effectiveness (Mean 2.37, Slightly Dissatisfied).Conclusion. Ophthalmologists expressed only slight satisfaction with telemedicine. The telemedicine platform was simple and useful for end-users, but some aspects may be improved based on questionnaire results.

Advantages of Sedation With Remimazolam Compared to Midazolam for the Removal of Impacted Tooth in Patients With Dental Anxiety

Although midazolam is commonly used to sedate patients with dental anxiety, it has shortcomings that reduce the satisfaction of patients and doctors. The aim of this study was therefore to explore the advantages of remimazolam as a sedative. The study design was a prospective randomized controlled trial. Patients with dental anxiety and who were to undergo impacted tooth removal were randomized into remimazolam and midazolam groups. They were sedated with remimazolam or midazolam prior to receiving nerve blocker. The predictor variable was the type of sedative, while the primary outcome variables were the onset time, awakening time, recovery time, and postoperative side effects. Secondary outcome variables were the Modified Dental Anxiety Scale score before and after surgery, patient satisfaction and comfort levels scores, and doctor satisfaction level scores. Other variables included the patient demographics and the operation time. Data were analyzed using the Student's t-test, Mann-Whitney test, χ2 test, and two-way repeated measurement ANOVA test (SPSS Version 25.0). A total of 83 patients were included in this study, with 42 randomized to the remimazolam group and 41 to the midazolam group. There were no significant differences between the two groups in terms of demographic features and operation time. Patients in the remimazolam group had significantly shorter onset time, awakening time, and recovery time compared to those in the midazolam group (each P<.001). Postoperative side effects were more frequent in the midazolam group (P<.001). Following surgery, the Modified Dental Anxiety Scale scores in both groups were significantly lower than prior to surgery (P<.001). Satisfaction levels scores for the patients and doctor were higher in the remimazolam group than in the midazolam group (P<.001). The use of remimazolam results in faster onset, more rapid recovery, and lower incidence of postoperative side effects compared to midazolam, leading to improved satisfaction for patients and doctors. Remimazolam therefore appears to have several advantages over midazolam for the sedation of patients with dental anxiety associated with the removal of impacted teeth.