Medical School Graduates Research Articles

Perspectives of osteopathic medical students on preclinical urology exposure: a single institution cross-sectional survey.

There is an increasing number of medical school graduates opting for surgical specialties, and the osteopathic applicant match rate for urology is lower than that of allopathic applicants. Factors influencing this may include alack of interest, perceived challenges in matching into urology, insufficient urology mentorship, limited research opportunities, and inadequate osteopathic representation in urology. The objective of this survey is to assess osteopathic medical students' perspectives on pursuing urology and enhancing preclinical exposure to and knowledge of urology. A 20-question survey addressing experiences andthe factors influencing osteopathic medical students' specialty selection and their interest in and perception of urology was designed by the investigators on Research Electronic Data Capture (REDCap) software. This survey was distributed via email listserv to all current osteopathic medical students attending Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine over 2months. Responses were collected and analyzed utilizing Fisher's exact test. Among 150 respondents, 91 % found mentors crucial in selecting a medical specialty, 95 % emphasized the importance of early exposure, and 68 % lacked familiarity with urology, with more M1 students unfamiliar with urology compared to M2 (70.4 % vs. 59 %). A larger proportion of combined M1 and M2 (preclinical) students are considering urology as a specialty compared to M3 and M4 (clinical) students who are actively on rotations (56.5 % vs. 28.6 %; p=0.0064). Also, a greater percentage of males are considering urology compared to females (64.2 % vs. 42.7 %; p=0.0164). Among those considering urology (n=75), 57.3 % lack awareness of urology's scope, and 84 % report no preclinical discussions with urologists. Those students who report that they are considering urology value early exposure significantly more than others (98.7 % vs. 78.7 %; p=0.0001). They also express greater interest in having acore urology course (73.3 % vs. 38.7 %; p<0.0001). More urology-considering students are interested in extracurricular urology-related workshops, seminars, or conferences (61.3 % vs. 17.3 %; p<0.0001). Students who are considering urology as a specialty show greater interest in having a mentorship program (85.3 % vs. 28 %; p<0.0001). Results suggested that increased urology exposure during the preclinical years is important. Urology elective offerings and urology mentorship are of high interest among those considering urology. However, additional investigation is needed to determine the impact ofpreclinical urology curricula implementation on urology match outcomes.

U.S. Medical School Graduates' Placement in Graduate Medical Education: A National Study.

This study describes graduate medical education (GME) placement outcomes for recent U.S. medical school graduates and examines racial and ethnic differences in GME placement among these graduates. This retrospective, observational study used data collected from and about U.S. medical school graduates for academic years 2015-2016 through 2021-2022. An individual-level, deidentified database was constructed to examine GME placement at graduation in association with race and ethnicity, as well as other demographic and academic and professional development variables. Multilevel (nested by school) logistic regression models identified variables independently associated with GME placement at graduation, reporting unadjusted odds ratios (UORs) and adjusted odds ratios (AORs) with 95% CIs. The study sample included 140,072 of 140,073 eligible graduates (> 99.9%; 1 graduate missing gender information was excluded), of whom 136,022 (97.1%) were placed in GME at graduation. Proportions of graduates placed in GME varied by race and ethnicity and by each covariable examined. In addition, proportions of graduates placed in GME varied by school (N = 152; mean [SD], 96.9% [3.4%]; P < .001). In multilevel (nested by school) models, GME placement UORs were lower for (among other groups examined) Asian (UOR, 0.76; 95% CI, 0.70-0.83), Black or African American (UOR, 0.44; 95% CI, 0.39-0.49), and Hispanic (UOR, 0.70; 95% CI, 0.60-0.80) graduates (vs White). The GME placement AORs, adjusted for all covariables, were similar for Asian (AOR, 0.96; 95% CI, 0.87-1.07), Black or African American (AOR, 0.89; 95% CI, 0.77-1.02), and Hispanic (AOR, 1.06; 95% CI, 0.89-1.25) graduates (vs White). The proportion of graduates placed in GME at graduation during the 7 years of the study was high. However, there were racial and ethnic differences in this outcome during the study period.

Oncologists’ management of non-cancer conditions: An observational study.

23 Background: Cancer diagnoses introduce layers of complexity for care coordination. Oncologists often find themselves independently managing coincident, non-cancer illnesses. How often oncologists engage in direct management of non-cancer conditions, rather than coordinating with patients' other providers, is not well understood. We examined how often oncologists prescribe medications to manage non-oncologic conditions, as a proxy for assuming primary-care responsibilities. Methods: The cohort included all US physicians with a specialty of Hematology-Oncology or Medical Oncology from 2016-2020, available in the Centers for Medicare &amp; Medicaid Services Part D Prescribers dataset. Prescription drugs were categorized as “cancer-directed”, “cancer-related” (eg., opioid pain medications), or “non-cancer” (eg., antihypertensives). Primary outcomes included prescription of cancer-directed, non-cancer, and cancer-related medications. Multivariate logistic regression assessed the association between non-cancer medication prescriptions and provider location, medical school graduation year, gender, and practice affiliation during 2020. Results: A mean of 8.3% (median 5.3%, IQR 0% – 12.5%) of oncologists’ prescriptions were for non-cancer medications; this decreased during the study period, falling from 9.5% in 2016 to 7.4% in 2020 (p&lt;0.001 on Kruskal Wallis test for non-parametric data). Providers practicing in the Midwest (aOR 1.3, 95%CI [1.2-1.5]), Southeast (1.5 [1.3-1.7]), and Southwest (1.6 [1.4-1.9]) were more to prescribe non-cancer medications, as were providers who graduated &gt;10 years prior to the end of the study period, most notable in providers graduating 1990–1991 (2.2 [1.9-2.6]). Those at academic institutions (0.7 [0.6-0.8]) were less likely to prescribe non-cancer medications. Conclusions: A small but substantive portion of oncologists’ prescriptions are for medications unrelated to cancer care. The downtrend in non-cancer prescriptions may reflect that coordinated co-management of patients with cancer is increasing. The rise in telemedicine and digital health represents an opportunity to establish stronger multidisciplinary care for patients with cancer through hybrid cross-collaboration between primary care physicians and oncologists. This is especially advantageous in regions where in-person integration of physician groups may not be possible. Additionally virtual continuing medical education sessions may aid primary care physicians in managing non-cancer medications for the cancer population. Trends in oncologists’ prescribing patterns from 2016–2020: Mean per-provider proportion of non-cancer medication prescription (%). Medication Class 2016 2017 2018 2019 2020 Cancer-Directed 30.4 31.1 32.2 32.7 33.9 Non-Cancer 9.5 8.9 8.2 7.6 7.4

Disparities in cataract surgical training at the University of Toronto based on sex and medical school graduate type

ObjectiveTo compare sex and medical school graduate type differences in cataract surgical training volumes at Canada's largest residency program, the University of Toronto (UoT). DesignRetrospective cohort study ParticipantsOphthalmology residents completing cataract surgical training from 2015 to 2020. MethodsData collected from surgical logbooks at the main cataract surgical teaching site at UoT were analyzed from July 1, 2015, to June 30, 2020. Data collected included stage of resident training and degree of participation for each case. The main outcome measure was mean number of complete cataract cases as a function of resident sex, medical school graduate type, and level of training. ResultsThirty-five (19, 54.3% female) residents completed cataract surgical training during the study period. There were 24 (68.6%) Canadian medical graduates (CMGs) and 11 (31.4%) international medical graduates (IMGs). Female residents performed a lower mean number of complete cataract cases compared to males (464.2 versus 504.8, respectively). IMGs completed on average 110.0 (22.8%) fewer cataract cases compared to CMGs. Compared to all residents, female IMGs had the lowest number of complete cataract cases (mean of 380.8 versus 465.7, respectively). The greatest difference occurred between male CMGs and female IMGs, with male CMGs performing 153.8 (40.4%) more complete cases (534.6 vs 380.8, respectively). ConclusionThe greatest difference in surgical volumes occurred between CMGs and IMGs. Female IMGs had the lowest complete cataract case volumes compared to all residents. Our study highlights novel medical school graduate type disparities in cataract surgical training warranting further exploration.

The impact of current pediatric anesthesiology fellows shortfall on freestanding children's hospitals and practices

The pediatric anesthesiology workforce is currently facing a critical shortage, which will have significant consequences for patient care and the healthcare system as a whole. The workforce is aging, and despite increasing numbers of anesthesiology residents, fewer graduates are entering the field of pediatrics. It should also be noted that fewer medical school graduates are entering pediatrics as well. This situation raises concerns about the availability of specialists and the training of future physicians. To address this shortage, a comprehensive strategy is urgently needed, including outreach, mentorship, financial incentives, and policy changes to attract and retain new talent in pediatric anesthesiology. Immediate intervention is necessary to prevent a severe impact on the availability and quality of pediatric anesthesia care.

The Israeli anesthesiology workforce crisis: a reassessment survey

BackgroundAnesthesiologists provide crucial anesthesiology services in the operating room and non-operating room locations. Combined with an aging and growing Israeli population, there is an increasing demand for anesthesiology services. A previous study performed in 2005 showed that most anesthesiologists are immigrant physicians with few Israeli medical school graduates. Since then, physician immigration decreased, many have retired and demand for anesthesia services has increased while insufficient numbers of new anesthesiologists were trained, leading to a shortage, limiting surgeries and other procedures in many hospitals. The present study examined the composition of the Israeli anesthesiology workforce in 2021and compared it to the 2005 workforce.MethodsA cross-sectional survey of demographic and professional information about each Israeli hospital anesthesiologists was solicited from 34 anesthesiology department chairs responsible for 36 Israeli acute care hospitals.ResultsThere are 1313 anesthesiologists in the 36 hospitals, resulting in a ratio of 14.2 anesthesiologists per 100,000 population. 22.6% of anesthesiologists will reach retirement age over the next ten years. The proportion of female anesthesiologists was 28.7%. While Israeli medical school graduates increased to 18.1% from 12.2% in 2005, non-Israeli citizens and non-permanent residents comprised 8.5% of the workforce.ConclusionsDespite growth in the ratio of anesthesiologists per population, a workforce shortage is expected to worsen over the next ten years due to retirements, shortened call hours, and the Yatziv reform which bans graduates of certain overseas medical schools from obtaining Israeli Medical Licenses. The current workforce has compensated for the existing shortage of anesthesiologists by enlisting non-Israeli trainees from overseas. Yet, it is crucial to maintain and enlarge the local Israeli workforce to forestall a worsening shortage.

Crafting the Future Doctor: Mentorship in the First Year of Medical School.

Background: The Clinically Reimagined Apprenticeship For Physician Training (CRAFT) program is a volunteer, student-run, clinical mentorship program that started in 2015 at an academic medical center in the Mid-Atlantic region. Clinical exposure during the first year of medical school may influence a student's decision to pursue internal medicine for their residency program of choice.Methods: A retrospective chart analysis of CRAFT program volunteers was conducted. First-year medical school students at an academic medical center in the Mid-Atlantic region (first-year classes of 2020 to 2022) who participated in the CRAFT program (N=77) were followed from first year until their medical school graduation. Information regarding first year mentor's specialty and student's match list data were collected.Results: Students (51%) who participated in CRAFT matched into the same specialty of medicine as their CRAFT program mentors (P=0.765, Chi Square Test). The top specialties represented included emergency medicine, internal medicine, obstetrics/gynecology, and surgery. Of students (23%) who chose mentors in internal medicine, 50% matched into internal medicine residency programs (P<0.0001, Chi Square Test).Conclusion: Clinical mentorship programs during the first year of medical school may be important for choosing future residency programs, leading to successful career goals. Timely engagement with mentors can be crucial in influencing career choices in the field of internal medicine.

Diversity, Equity, and Inclusion in US Anesthesiology Residency Matching.

Patient outcomes are improved with physician-patient gender, racial, and ethnic concordance. However, female, Black, Hispanic or Latino, Native Hawaiian-Pacific Islander (NH-PI), and American Indian-Native Alaskan (AI-AN) physicians are underrepresented in anesthesiology. The American Association of Medical Colleges 2018 Diversity in Medicine Report revealed that women comprise only 35% of anesthesiologists yet nearly half of medical school graduates are women. More than 77% of anesthesiologists are White or Asian. Anesthesiology applicant and match trends may provide insights needed to address underrepresentation within anesthesiology. We hypothesized that proportionally fewer women and racially and ethnically minoritized applicants apply and match into anesthesiology. This retrospective observational study identified 47,117 anesthesiology applicants among the 546,298 residency applicants in the Electronic Residency Application Service (ERAS) system between 2011 and 2022 and stratified applicants by self-reported gender, race, and ethnicity. The demographics of anesthesiology trainees reported in the 2014 to 2015, 2018 to 2019, and 2022 to 2023 Accreditation Counsel of Graduate Medical Education (ACGME) Data Resource Books were used as surrogates for matched applicants as demographics are not reported by the National Residency Match Program. To facilitate comparisons, ERAS applicants were grouped into 4-year epochs to align with consolidated ACGME reports corresponding to the application years. Odds ratios (OR); 95% confidence interval of applying to and matching into anesthesiology were analyzed. Women had lower odds of applying to anesthesiology compared to men overall (OR, 0.55; 95% CI, 0.54-0.56, P < .0001) and maintained significantly lowered odds of applying within each epoch. Women had similar odds of matching into anesthesiology residency compared to men (OR, 1.10; 95% CI, 1.06-1.14, P < .0001). Black, Hispanic or Latino, Asian and NH-PI, and AI-AN applicants had similar odds to White applicants of applying to anesthesiology but odds of matching were significantly lower overall (P < .0001) for Asian and NH-PI (OR, 0.66; 95% CI, 0.63-0.70), Black (OR, 0.49; 95% CI, 0.45-0.53), Hispanic or Latino (OR, 0.50; 95% CI, 0.46-0.54), and AI-AN (OR, 0.20; 95% CI, 0.15-0.28) applicants. The odds of matching among some minoritized applicants increased in the ACGME 2022 to 2023 report year. From 2011 to 2022, women had lower odds of applying to anesthesiology residency than men yet had similar odds of matching. Racial and ethnic minoritized groups had significantly lower odds of matching compared to White applicants despite similar odds of applying. These findings highlight disparities in the anesthesiology match and may help identify opportunities to promote workforce diversity within the field. More detailed reporting of gender, race, and ethnicity in annual match data may better define barriers to entry and identify opportunities for improvement.

Reimagining Undergraduate Critical Care Medical Education: A Path for the Next Decade.

Foundational training in critical care medicine is an integral part of both undergraduate and graduate medical education. Yet, many medical school graduates enter residency underprepared to care for critically ill patients because of a lack of ubiquity of undergraduate critical care education and the heterogeneity of existing didactic and clinical experiences. This Perspective explores the importance of undergraduate critical care education, the current national and international landscape, innovative educational strategies and exemplar curricula, and recent advances in assessment that may better reflect learner-centered educational outcomes. As broad curricular reforms push medical education toward a more innovative, interactive, and collaborative future, now is the time to rethink and reimagine undergraduate critical care education.

A Comparative Analysis of ChatGPT and Medical Faculty Graduates in Medical Specialization Exams: Uncovering the Potential of Artificial Intelligence in Medical Education.

Background This study aims to evaluate the performance of ChatGPT in the medical specialization exam (MSE) that medical graduates take when choosing their postgraduate specialization and to reveal how artificial intelligence-supported education can increase the quality and academic success of medical education. The research aims to explore the potential applications and advantages of artificial intelligence in medical education and examine ways in which this technology can contribute to student learning and exam preparation. Methodology A total of 240 MSE questions were posed to ChatGPT, 120 of which were basic medical sciences questions and 120 were clinical medical sciences questions. A total of 18,481 people participated in the exam. The performance of medical school graduates was compared with ChatGPT-3.5 in terms of answering these questions correctly. The average score for ChatGPT-3.5 was calculated by averaging the minimum and maximum scores. Calculations were done using the R.4.0.2 environment. Results The general average score of graduates was a minimum of 7.51 in basic sciences and a maximum of 81.46, while in clinical sciences, the average was a minimum of 12.51 and a maximum of 80.78. ChatGPT, on the other hand, had an average of at least 60.00 in basic sciences and a maximum of 72.00, with an average of at least 66.25 and a maximum of 77.00 in clinical sciences. The rate of correct answers in basic medical sciences for graduates was 43.03%, while for ChatGPT was 60.00%. In clinical medical sciences, the rate of correct answers for graduates was 53.29%, while for ChatGPT was 64.16%. ChatGPT performed best with a 91.66% correct answer rate in Obstetrics and Gynecology and an 86.36% correct answer rate in Medical Microbiology. The least successful area for ChatGPT was Anatomy, with a 28.00% correct answer rate, a subfield of basic medical sciences. Graduates outperformed ChatGPT in the Anatomy and Physiology subfields. Significant differences were found in all comparisons between ChatGPT and graduates. Conclusions This study shows that artificial intelligence models such as ChatGPT can provide significant advantages to graduates, as they score higher than medical school graduates. In terms of these benefits, recommended applications include interactive support, private lessons, learning material production, personalized learning plans, self-assessment, motivation boosting, and 24/7 access, among a variety of benefits. As a result, artificial intelligence-supported education can play an important role in improving the quality of medical education and increasing student success.

An Update on the Independent Plastic Surgery Match (2019-2022): Trends, Predictors, and Program Leaders' Perspectives.

A previous study by the authors noted a decline in independent plastic surgery residency programs and rising applicant participation. This study provides updates on match trends and influential predictors, and gathers program leaders' views on the future of the independent track. Match data (2019-2022) were obtained from the San Francisco match after American Council of Educators in Plastic Surgery approval. Variables influencing match success were analyzed, and program leaders were surveyed about desirable applicant traits and program trajectories. From 2019 to 2022, 243 of 428 applicants matched. Programs and positions declined by 10% and 9.5%, respectively. Applicants rose to 42.3%, but match rates fell from 82% to 56%. Osteopathic graduates doubled, whereas international graduates increased to 53.8%. Successful matches were associated with US allopathic medical school graduates, university-affiliated general surgery residencies, eight or more interviews, United States Medical Licensing Examination scores greater than 230, and high post graduate year (PGY)1-3 American Board of Surgery In-service Training Examination scores (PGY1-64.7%, PGY2-61.2%, PGY3-60.7%; P < 0.05). Of surveyed programs, 55.6% aimed to continue running the independent track in the next year. Conversely, 7.4% planned to discontinue in the next year, 22.2% within 2-5 years, 7.4% within the next decade, and 7.4% were unsure. Although support for the independent plastic surgery track remains, program participation diminishes as applicant interest increases, intensifying match challenges. Increasing number of interviews improves match potential. Program leaders display varied commitments, with looming plans for some programs to discontinue offering this track. Applicant evaluation pivots on strong recommendations, research, and test scores.

Should Obtaining Informed Consent Be Considered an Entrustable Professional Activity? Insights From Whether and How Attendings Entrust Surgical Trainees.

Because residents are frequently delegated the task of obtaining consent early in their training, the American Association of Medical Colleges describes "obtaining informed consent" as a core entrustable professional activity (EPA) for medical school graduates. However, prior studies demonstrated that residents frequently perform this task without receiving formal instruction or assessment of competency. This study sought to understand how attending physicians decide to delegate obtaining informed consent for surgical procedures to trainees. The authors conducted a survey of attending surgeons at a university-based health care system of 6 affiliated teaching hospitals (October-December 2020) to collect data about current entrustment practices and attendings' knowledge, experience, and attitudes surrounding the informed consent process. Summary statistics and bivariate analyses were applied. Eighty-five attending surgeons participated (response rate, 49.4%) from diverse specialties, practice types, and years in practice. Fifty-eight of 85 (68.2%) stated they "never" granted responsibility for the consent conversation to a trainee, and 74/81 (91.4%) reported they typically repeated their own consent conversation whenever a trainee already obtained consent. The most common reasons they retained responsibility for consent were ethical duty (69/82, 84.1%) and the patient relationship (65/82, 79.3%), while less than half (40/82, 48.8%) described concerns about trainee competency. Reflecting on hypothetical clinical scenarios, increased resident competency did not correspond with increased entrustment ( P = .27-.62). Nearly all respondents (83/85, 97.7%) believed residents should receive formal training; however, only 41/85 (48.2%) felt additional training and assessment of residents might change their current entrustment practices. Attendings view informed consent as an ethical and professional obligation that typically cannot be entrusted to trainees. This practice is discordant with previous literature studying residents' perspectives. Furthermore, resident competency does not play a predominant role in this decision, calling into question whether informed consent can be considered an EPA.

Evaluation of Healthcare Operations Management using TOPSIS Method

The daily activities of the facility that have an effect on consumer satisfaction and organizational goals are referred to as healthcare operations management. The goal of healthcare program management is to raise money to keep service levels and standards at a reasonable level. Planning, coordinating, and controlling a healthcare system's activities are all parts of operations management in hospitals. It comprises both clinical and quasi-function management. Follow the operating budget, financial goals, and performance standards with economy and efficiency. Develop policies and processes that support high-quality healthcare by working together with hospital management, clinical teams, and the neighborhood. directing a group of medical specialists. financial responsibilities such as managing the revenue cycle, procuring medical supplies, and tracking patient billing, claims, and reimbursements. administer the policies and procedures of the medical facility, make sure that best practices are implemented, and deal with instances of facility non-compliance. Understanding and observing current healthcare rules and regulations requires analytical skills. Encourages employees to give their best effort to patient care. Employing, training, and delegating work to the proper employees while coming up with innovative solutions to staff members and patient issues are all examples of managerial skills. More and more complicated operations were carried out by licensed surgeons. The average functional workload rises sharply with age, peaks between the ages of 40 and 44, and then drops linearly after that. Following medical school graduation, it takes a surgeon 18 years to work as much as they can. a facility created, staffed, and outfitted for the diagnostic of illness, the medical and surgical care of the ill and injured, and their housing while undergoing these procedures. A contemporary hospital frequently doubles as a training and research facility. Outlining the steps necessary to accomplish specified objectives is the process of strategic planning in healthcare systems. All strategies have the same objective, which is to bring an organization's activities into line with its declared goal or values, despite the fact that there are several strategy kinds and degrees. Hospitals, medical equipment, diagnostic testing, telemedicine, medical tourism, outsourcing, and health insurance are all part of the healthcare industry. Due to its development, rising spending on services, and governmental and private organizations, the Indian healthcare industry is expanding quickly. assisting many departments in cooperating to accomplish the hospital's objectives. Control hiring, training, and quality control procedures for patient care. involvement in setting the budget and calculating the price of healthcare services. The first group consists of regular patients who see their doctor each month. People must continue using the healthcare system since they have a chronic sickness of some kind. "Healthy" patients fall into the second category. Providing products and services that are used to practice medicine through prophylactic, prophylaxis, rehabilitative, and palliative care is the function of the healthcare industry, commonly referred to as the healthcare industry or the health economy. The Indian government is very important in the health industry. India happens to be among the world's most populated nations, and its people need access to high-quality healthcare. The Indian government contributes significantly to funding healthcare projects and enhancing the availability and standard of services. Health care may operate in a systematic manner thanks to hospital administration, which makes it easier to supply diverse services quickly and easily. It enables better financial control for major hospitals that provide a wide variety of services by managing cash flow, making smarter investments, and regulating costs. Successful health service leaders never stop stressing how important it is to provide safe, excellent treatment that is compassionate. They make sure that customers' voices are regularly heard at all levels, and they continuously monitor patient experiences, worries, wants, and comments (both positive and negative). TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) analysis using Knowledge areas, Procedures, Medical conditions, Patient groups, Planning horizons, Levels of difficulty Alternative value, and New Karolinska, Sabbatsberg, Dander yd hospital Evaluation Parameters in value. Knowledge areas, Procedures, Medical conditions, Patient groups, Planning horizons, and Levels of difficulty. New Karolinska, Sabbatsberg, Dander yd hospital. Patient groups got the first rank whereas Medical conditions had the lowest rank.

Evaluation of Healthcare Operations Management using TOPSIS Method

The daily activities of the facility that have an effect on consumer satisfaction and organizational goals are referred to as healthcare operations management. The goal of healthcare program management is to raise money to keep service levels and standards at a reasonable level. Planning, coordinating, and controlling a healthcare system's activities are all parts of operations management in hospitals. It comprises both clinical and quasi-function management. Follow the operating budget, financial goals, and performance standards with economy and efficiency. Develop policies and processes that support high-quality healthcare by working together with hospital management, clinical teams, and the neighborhood. directing a group of medical specialists. financial responsibilities such as managing the revenue cycle, procuring medical supplies, and tracking patient billing, claims, and reimbursements. administer the policies and procedures of the medical facility, make sure that best practices are implemented, and deal with instances of facility non-compliance. Understanding and observing current healthcare rules and regulations requires analytical skills. Encourages employees to give their best effort to patient care. Employing, training, and delegating work to the proper employees while coming up with innovative solutions to staff members and patient issues are all examples of managerial skills. More and more complicated operations were carried out by licensed surgeons. The average functional workload rises sharply with age, peaks between the ages of 40 and 44, and then drops linearly after that. Following medical school graduation, it takes a surgeon 18 years to work as much as they can. a facility created, staffed, and outfitted for the diagnostic of illness, the medical and surgical care of the ill and injured, and their housing while undergoing these procedures. A contemporary hospital frequently doubles as a training and research facility. Outlining the steps necessary to accomplish specified objectives is the process of strategic planning in healthcare systems. All strategies have the same objective, which is to bring an organization's activities into line with its declared goal or values, despite the fact that there are several strategy kinds and degrees. Hospitals, medical equipment, diagnostic testing, telemedicine, medical tourism, outsourcing, and health insurance are all part of the healthcare industry. Due to its development, rising spending on services, and governmental and private organizations, the Indian healthcare industry is expanding quickly. assisting many departments in cooperating to accomplish the hospital's objectives. Control hiring, training, and quality control procedures for patient care. involvement in setting the budget and calculating the price of healthcare services. The first group consists of regular patients who see their doctor each month. People must continue using the healthcare system since they have a chronic sickness of some kind. "Healthy" patients fall into the second category. Providing products and services that are used to practice medicine through prophylactic, prophylaxis, rehabilitative, and palliative care is the function of the healthcare industry, commonly referred to as the healthcare industry or the health economy. The Indian government is very important in the health industry. India happens to be among the world's most populated nations, and its people need access to high-quality healthcare. The Indian government contributes significantly to funding healthcare projects and enhancing the availability and standard of services. Health care may operate in a systematic manner thanks to hospital administration, which makes it easier to supply diverse services quickly and easily. It enables better financial control for major hospitals that provide a wide variety of services by managing cash flow, making smarter investments, and regulating costs. Successful health service leaders never stop stressing how important it is to provide safe, excellent treatment that is compassionate. They make sure that customers' voices are regularly heard at all levels, and they continuously monitor patient experiences, worries, wants, and comments (both positive and negative). TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) analysis using Knowledge areas, Procedures, Medical conditions, Patient groups, Planning horizons, Levels of difficulty Alternative value, and New Karolinska, Sabbatsberg, Dander yd hospital Evaluation Parameters in value. Knowledge areas, Procedures, Medical conditions, Patient groups, Planning horizons, and Levels of difficulty. New Karolinska, Sabbatsberg, Dander yd hospital. Patient groups got the first rank whereas Medical conditions had the lowest rank.

Roadmap for Research and Scholarship in General Surgery Residency Training: Report of The Research Subcommittee of Blue Ribbon Committee II on Surgical Education and Training.

To review the current state of research training during surgical residency and make recommendations commensurate with current surgical training and academic environment. Research training has been a mainstay of academic surgical programs, yet the scientific disciplines have evolved significantly from the traditional years of bench research. It is time to reconsider how research training should prepare surgeons for future academic practice and ensure the foundational knowledge of research evidence. As part of the Blue Ribbon Committee II, a research subcommittee was tasked to make recommendations on research training during surgical residency. Our eight-member panel brought diverse perspectives of the roles and goals of research training. We also sought input from a convenience sample of current and recent surgical residents on impact of research training during their residency. We identified a lack of a common framework and foundational research training for all surgical residents. Participation in dedicated years of scholarly activity helped trainees meet several professional and personal goals. The lack of an integrated, dedicated research track may dissuade some medical school graduates from pursuing surgery. We recommend incorporating a minimum standard for all trainees and flexibility in dedicated scholarly training to meet the needs of future academic surgeons.

Four Lessons on the Journey Ahead for the Medical School Graduates of 2024

Four Lessons on the Journey Ahead for the Medical School Graduates of 2024

Вихованці німецької вищої медичної школи у витоках Харківського національного медичного університету: до 220-річчя заснування університету (1804–2024)

The article is devoted to the 220th anniversary of the Kharkiv National Medical University and the contribution of the first heads of the university’s departments, in particular professors, graduates of the German Higher Medical School of that time, in the formation of the Kharkiv Higher Medical School. Key words: History of medicine, Kharkiv National Medical University, German medical professors.

Development and Implementation of an Experiential Longitudinal Health Systems Science Thread Into an Existing Medical School Curriculum.

Medical school graduates enter a complex health care delivery system involving interprofessional teamwork and multifaceted value-based patient care decisions. However, current curricula on health systems science (HSS) are piecemeal, lecture based, and confined to preclinical training. The VISTA program is a longitudinal, immersive learning curriculum integrated into the University of Chicago Pritzker School of Medicine curriculum between 2016 and 2018. Key components include a unit-based nursing interprofessional team experience, a discharge objective structured clinical examination (OSCE), a patient safety simulation, and the implementation of a Choosing Wisely SmartPhrase. Graduates before 2016-2017 and after 2018-2020 VISTA implementation completed a Likert-style survey assessing attitudes, knowledge, and behaviors on HSS topics. A free response question solicited improvement areas. The Association of American Medical Colleges (AAMC) Graduation Questionnaire (GQ) was also examined. The overall VISTA survey response rate was 59%, with 126 fourth-year medical student respondents before VISTA and 120 after VISTA. Compared with pre-VISTA graduates, post-VISTA graduates reported a significantly higher rate of competence on the HSS questions, with the greatest increases seen in effective communication at discharge (n = 73/126 [57.9%] to 116/120 [96.7%], P < .001), knowledge on safety event reporting (n = 53/126 [42.1%] to 96/120 [79.8%], P < .001), and considering costs in making health care decisions (n = 76/126 [60.3%] to 117/120 [97.5%], P < .001). All were directly addressed through experiential learning interventions, and 2 were intended practice behaviors. VISTA graduate responses to free-text questions demonstrated a more nuanced understanding of HSS compared with pre-VISTA responses. The AAMC GQ data showed increased agreement with an item that mapped to HSS understanding. The VISTA program provides a model for institutions to enhance HSS education between curricular overhauls. Next steps include implementing value-added roles and additional immersive learning exercises.

Evaluation of the Effectiveness of Otorhinolaryngology Examination and Hearing Evaluation Training for Family Physicians

Objective: In our study, we aimed to investigate the level of knowledge of family physicians working in primary health care organizations about ENT diseases, to examine how they manage frequently admitted ENT patients, to identify the problems they experience during examination and to examine the effect of the training given. Method: Participants were first administered a 30-question pre-test created by the researcher based on the literature. Then, a collective training lasting 2 days and 1.5 hours per day was given by an ENT specialist from the researchers and a post-test was applied. Afterwards, the topics in which the researchers made the most mistakes or remained uninterpreted were recorded and a training program including these topics was created and training was given. Results: Of the 21 family physicians over 30 years of age, 2 (14.29%) were male and 18 (85.71%) were female. When the time of graduation from medical school of the family physicians in the study was analyzed, the number of family physicians with 5-10 years of medical school graduation was 4 (19.05%), 10 (47.62%) with 10-20 years of medical school graduation, and 7 (33.33%) with more than 20 years of medical school graduation. All of the family physicians who participated in the study think that ENT education is important for primary care medicine. Conclusion: ENT diseases are common in primary care. In order for family physicians to manage their patients more comfortably, we believe that rotations in the field of ENT diseases in the postgraduate period would be appropriate.

A Comparison of Psychometric Properties of the American Board of Anesthesiology’s In-Person and Virtual Standardized Oral Examinations

Abstract Purpose The COVID-19 pandemic prompted training institutions and national credentialing organizations to administer examinations virtually. This study compared task difficulty, examiner grading, candidate performance, and other psychometric properties between in-person and virtual standardized oral examinations (SOEs) administered by the American Board of Anesthesiology. Method This retrospective study included SOEs administered in person from March 2018 through March 2020 and virtually from December 2020 through November 2021. The in-person and virtual SOEs share the same structure, including 4 tasks of preoperative evaluation, intraoperative management, postoperative care, and additional topics. The Many-Facet Rasch Model was used to estimate candidate performance, examiner grading severity, and task difficulty for the in-person and virtual SOEs separately; the virtual SOE was equated to the in-person SOE by common examiners and all tasks. The independent-samples and partially overlapping–samples t tests were used to compare candidate performance and examiner grading severity between these 2 formats, respectively. Results In-person (n = 3,462) and virtual (n = 2,959) first-time candidates were comparable in age, sex, race and ethnicity, and whether they were U.S. medical school graduates. The mean (standard deviation [SD]) candidate performance was 2.96 (1.76) logits for the virtual SOE, which was statistically significantly better than that for the in-person SOE (mean [SD], 2.86 [1.75]; Welch independent-samples t test, P = .02); however, the effect size was negligible (Cohen d = 0.06). The difference in the grading severity of examiners who rated the in-person (n = 398; mean [SD], 0.00 [0.73]) vs virtual (n = 341; mean [SD], 0.07 [0.77]) SOE was not statistically significant (Welch partially overlapping–samples t test, P = .07). Conclusions Candidate performance and examiner grading severity were comparable between the in-person and virtual SOEs, supporting the reliability and validity of the virtual oral exam in this large-volume, high-stakes setting.