Resident Knowledge Research Articles

Utilizing Program of Vacant Land on Public Facilities for Diabetes Mellitus Self-Medication Parks in Benteng Village, Bogor Regency

The prevalence of diabetes in Indonesia has increased substantially in the last 30 years, where individual chances of developing diabetes are higher for women than for men; and level of education is negatively related to diabetes mellitus. Independent therapy garden, is one of the functions of public park which is designed thematically for therapy (medication).The objectives of Program are: (1) Development of a participatory Diabetes Mellitus Self-therapy Garden at partner locations; (2) Cultivation training and education in using/processing of medicinal plants for self-therapy for Diabetes. Program partners are the Kecapi Posyandu RW 6 Benteng Village Bogor Regency, West Java Province. Partner problems are: (1) There are a large number of elderly people who have the potential to suffer from Type 2 Diabetes; (2) Lack of knowledge of partners and residents around partner locations about Diabetes: its characteristics, treatment and prevention; (3) Lack of skills in cultivating and processing of medicinal plants to maintain health, especially diabetes. The participatory approach was carried out by involving partners from the beginning of the program, started from discussing the activity plan, determining the location of the public facility land to be built into a therapy park, and determining program participants. The determination of the location of the park was chosen based on area that was easily visited by residents, so that they can interact with fellow residents in the park. Education about diabetes therapy was carried out by conveying information about diabetes mellitus and how to handle it. Education on the use of medicinal plants, processing them, concocting them, was carried out in practice. There has been an increase in knowledge, skills, and positive attitudes in the prevention and treatment of diabetes independently by partners. The sustainability of the program is carried out by providing diabetes self-therapy manuals, and mentoring through groups through periodic discussions.

Edukasi Masyarakat Dalam Meningkatkan Pengetahuan Tentang Penyakit Hepatitis Akut Misterius Di Kelurahan Tanjung Merdeka Kota Makassar

In developed countries outbreaks often run very slowly, outbreaks with a "common source" pattern can spread quickly. Outbreaks due to the "Common source" pattern of transmission are related to food contaminated by food handlers and contaminated food products. The purpose of this activity is to increase public knowledge regarding acute hepatitis and how to prevent it. The method used in this activity is in the form of lectures, discussions and demonstrations. With a sample of 20 residents. The results obtained after the counseling that has been carried out is that the level of knowledge of residents increases about acute hepatitis and how to prevent it. Suggestions to residents are expected to disseminate information that has been obtained to other communities.

The Implementation of Health Promotion Concept During the Covid-19 Pandemic: The Case of the Neighborhood Alert Program in Surabaya City, Indonesia

Coronavirus disease 2019 (Covid-19) is a disease caused by a virus from the Coronavirus group. Covid-19 has spread to almost all parts of the world and has increased the number of accumulative cases continuously to date. In Indonesia, East Java Province is one of the provinces with the highest cumulative confirmed cases of Covid-19. This problem has prompted the government to make efforts to contain Covid-19. Covid-19 Task Force Neighborhood Association Alert is a form of collaboration between Healthcamp.id and the Provincial Government of East Java through the East Java Covid-19 Task Force to promote health with a community approach within the Neighborhood Association. Therefore, one of the authors participated in this activity in helping to prevent and overcome Covid-19 in East Java Province, especially in the City of Surabaya. Volunteer activities are participatory observational with online and offline methods. Volunteer activities were carried out on 12 May 2020 - 2 July 2020. Volunteers made various efforts to tackle Covid-19, including health education, health screening, data collection of aid, monitoring of citizen health, monitoring of residents' territorial conditions, and distributing aid. These activities are then analyzed and evaluated based on what is health promotion action means. This activity concludes that all efforts to combat Covid-19 have been carried out according to the program. It is known that the knowledge of residents in the Neighborhood Association (NbA) Alert the City of Surabaya program area is mostly good with the implementation of the Covid-19 health protocol, namely as many as 99% of respondents. The attitude of residents in the NbA Alert the City of Surabaya program area is good with the protocol for implementing the Covid-19 health, which is 100% of respondents. Most of the actions of residents in the NbA Alert the City of Surabaya program area have been good with the implementation of the Covid-19 health protocol, namely as many as 97% of respondent.

Implementation of a Business of Healthcare Curriculum for General Surgery Residents

To better prepare general surgery residents for handling the business aspects of healthcare, this project evaluation reports on the implementation of a business of healthcare curriculum (BHC) in a general surgery residency program. We evaluated (pre and post curriculum) self-perceived knowledge and attitudes toward common business topics. General surgery residents were administered a 13-item survey (7 Likert-type and 3 open-ended items assessing self-perceived knowledge and attitudes toward BHC, and 3 demographic questions) prior to the start of the curriculum. The curriculum was comprised of four core sessions, which included didactic lectures and group projects, including the creation of a business plan. At the conclusion of the curriculum, a post-test with the same items was administered. A total of 21 residents completed both the pre and post-tests. The BHC was a mandatory part of the general surgery residency program and was conducted in Honolulu, Hawaii (University of Hawaii at Manoa). All general surgery residents, PGY-1 to PGY-5, were required to participate in the curriculum. Statistically significant increases in resident knowledge were found overall and specifically for healthcare reform legislation, differences between practice settings, financial matters, contracting and coding and billing for services. Additionally, responses to open-ended questions showed that residents had a positive attitude toward the curriculum and found it useful. General surgery residency programs can successfully create an impactful business of healthcare curriculum with minimal cost if volunteers and existing resources are utilized.

956. Improving Understanding and Utilization of the Antibiogram among Medical Residents

Abstract Background The antibiogram is a powerful tool for providers when selecting empiric antibiotic coverage. Its use is recommended by the Infectious Disease Society of America, Center for Disease Control, and clinical decision support resources to aid in antibiotic stewardship and patient care. Antibiograms are a key component of antimicrobial stewardship programs. A quality improvement project was implemented for the family medicine, internal medicine, and surgery residency programs at Creighton University to assess and improve early trainees' comfort with, utilization of, and understanding regarding antibiograms. Methods Forty-two first year residents making up 100% of the post graduate year one classes of the family medicine, internal medicine, and surgery residency programs at a Midwest Academic institution were interviewed in April 2021. Questions collected data regarding the function of, knowledge regarding, comfort and personal experience with antibiograms, as well as past exposure to infectious disease training. Antibiogram training lectures, informational posters, and new methods of accessing the antibiogram were implemented in July 2021. Post implementation of these interventions thirty-seven second year residents and forty first year residents, consisting of 100% of the respective classes of the three residency programs, were interviewed in January 2022. Survey Questionnaire Nine-question survey to gather data regarding residents knowledge and use of antibiograms. Educational Poster Information about how to use an antibiogram and quick response codes to access institutions antibiogram. Posters were displayed in all residency team rooms. Results Our efforts resulted in statistically significant increase in resident reported understanding, utilization, and comfort with the antibiogram. A total of 24/42 of the 2021 residents and 69/77 of the 2022 residents surveyed reported correct understanding of the antibiogram (p < 0.001). Residents who reported knowing how to access the antibiogram increased from 24% to 78% (p < 0.01) and use of the antibiogram in patient care increased by 19% (p = 0.027). The average reported comfort level increased from 2.3 to 4.2 out of 5 (p < 0.01). Conclusion Previous literature documents that many residents are not comfortable with using antibiogram data. This quality improvement project demonstrates that simple inexpensive measures can improve physician's comfort, access, and utilization of the antibiogram. Disclosures Renuga Vivekanandan, MD, MDstewardship: Ownership Interest Christopher Destache, Pharm D, Shionogi Inc: Honoraria.

A Simulation-based PPE orientation training curriculum for novice physicians

Personal protective equipment (PPE) is effective in preventing coronavirus disease (COVID-19) infection. Resident knowledge of proper use and effective training methods is unknown. We hypothesise that contamination decreases and knowledge increases after a formalised PPE educational session. Participants included first year interns during their residency orientation in June 2020. Before training, participants took a knowledge test, donned PPE, performed a simulated resuscitation, and doffed. A standardised simulation-based PPE training of the donning and doffing protocol was conducted, and the process repeated. Topical non-toxic highlighter tracing fluid was applied to manikins prior to each simulation. After doffing, areas of contamination, defined as discrete fluorescent areas on participants' body, was evaluated by ultraviolet light. Donning and doffing were video recorded and asynchronously rated by two emergency medicine (EM) physicians using a modified Centers for Disease Control and Prevention (CDC) protocol. The primary outcome was PPE training effectiveness defined by contamination and adherence to CDC sequence. Forty-eight residents participated: 24 internal medicine, 12 general surgery, 6 EM, 3 neurology, and 3 psychiatry. Before training, 81% of residents were contaminated after doffing; 17% were contaminated after training (P<0.001). The most common contamination area was the wrist (50% pre-training vs. 10% post-training, P<0.001). Donning sequence adherence improved (52% vs. 98%, P<0.001), as did doffing (46% vs. 85%, P<0.001). Participant knowledge improved (62% to 87%, P <0.001). Participant confidence (P<0.001) and preparedness (P<0.001) regarding using PPE increased with training. A simulation-based training improved resident knowledge and performance using PPE.

Anesthesiology Resident Knowledge of Transfusion Medicine: Results From the Anesthesiology Transfusion Education Study.

Transfusion of blood products is a common practice in anesthesiology. Inadequate transfusion medicine knowledge may lead to inappropriate transfusion practices and patient risk. Using a validated assessment tool modified for anesthesiology, we conducted a survey of anesthesiology residents in the United States to assess transfusion medicine knowledge. A validated transfusion medicine examination and accompanying survey were forwarded by program directors to residents for anonymous completion on May 5 and closed on June 30, 2021. The outcome of interest was the mean examination score. Secondary areas of interest were performance by year of training and previous educational experience in transfusion reported by the trainees. Rasch analysis was performed on the examination quality and individual question performance. Kruskal-Wallis H tests were used to identify differences between mean scores. Post hoc comparisons were used to assess specific pairwise differences between mean test scores by survey variable. Four hundred twenty-three anesthesiology residents in 37 programs completed the examination. The mean score was 45.5% ± 12.6%. There was a significant difference in mean cumulative examination scores between different resident training levels ( P < 0.001). There was a significant difference in scores between clinical anesthesia (CA)-1 and CA-2 residents ( P = 0.011) and CA-1 and CA-3 residents ( P = 0.012). No significant difference in examination scores was observed between CA-2 and CA-3 residents ( P = 0.95). All these subgroups scored below 50% on the examination. Significant differences between the residency training programs and cumulative scores were identified ( P < 0.001). This examination highlights gaps in transfusion medicine knowledge within US anesthesiology residents. Targeted education may improve knowledge in this area and patient care.

Surgical residents' approach to training: are elements of deliberate practice observed?

Background: Deliberate practice research has consistently shown that intense, concentrated, goal-oriented practice in a focused domain, such as medicine, can improve skill development and performance. To date, little is known about how surgical residents approach their surgical training, how they evaluate their current weaknesses, and how they plan to transition from one milestone to another. Without knowledge of residents' role in their development, educators miss the opportunity to optimize progression of these lifelong learning skills. Therefore, the purpose of this study was to gain a better understanding of how surgical residents approach their surgical training from the perspective of the surgical residents themselves and to explore if elements of deliberate practice are observed. Methods: Eight surgical trainees participated in one of two focus groups depending on their training level (five junior residents; three senior residents). With the exploratory nature of this research, a focus group methodology was utilized. Results: By employing both deductive and inductive thematic analysis techniques, three themes were extracted from the data: learning resources and strategies, role of a junior/senior, and approaching weaknesses. Conclusions: Although elements of deliberate practice were discussed, higher functioning is necessary to achieve performance excellence, leading to improved patient outcomes.

Knowledge, attitudes, and practices towards mosquito control and used vehicle tire dumping by median household income, in metropolitan New Orleans, Louisiana.

Discarded vehicle tires are an important artificial habitat for the larvae of many container-breeding mosquito species worldwide, including in the United States. Unmanaged discarded vehicle tires create health, environmental and social costs, and with budget and staffing constraints, effective management of discarded used vehicle tires a mosquito larval habitat depends in part on the knowledge, attitude, and practices (KAP) of community residents. This study aims to examine the knowledge, attitude and practices of New Orleans, Louisiana residents toward illegally discarded vehicle tires, and larval mosquito control. A descriptive cross-sectional design study was used where 422 households were selected using a two-stage cluster random sampling procedure in New Orleans, Louisiana. Heads of households or a person aged 18 years or older self-administered the survey. The questionnaire comprised five parts: screening, tire sightings, preferred communication method, knowledge, attitude and precautionary measures against mosquito control, disease risk and illegal discarding. We then statistically compared above and below median income household responses to identify likely causes of detected differences. The data were analyzed using ordinal regression models via IBM SPSS statistics V.26.0. Statistical significance was set at p<0.05. Out of 290 responding households, 95.5% strongly agree or agree that mosquitoes can spread serious diseases like West Nile, Zika or Dengue. Only 2.3% of the sample had high knowledge of illegally discarded tires dumping and mosquito larval control. Those employed were 1.0 times more likely to possess good knowledge than the unemployed (p<0.001). Despite low knowledge levels regarding mosquito breeding and polluted water in discarded tires, 29.9% of respondents had positive attitude and 20.5% reported sufficient practices. Among the socio-demographic variables, only home ownership and being employed were predictors of knowledge and attitude towards mosquito breeding in illegally discarded tires (p<0.05). Despite the observed increasing number of illegally discarded vehicle tires in New Orleans, the knowledge of people about illegal tire dumping and their associated risk factors as suitable larval habitants was low. Therefore, there is a need for developing community-based and place-based tailored sensitization campaigns to prevent illegal used tire dumping, and larval control.

Improving PM&R Resident Knowledge and Confidence About Autonomic Dysreflexia in Inpatient Spinal Cord Injury Patients

Research Objectives To improve Physical Medicine & Rehabilitation (PMR) resident medical knowledge and confidence in diagnosing and treating Autonomic Dysreflexia (AD) in Spinal Cord Injury patients admitted to an acute inpatient rehabilitation unit. Design Pre-test-post-test design. Setting MR Residency Program at an academic medical center. Participants 24 PM&R residents. Interventions Residents received simulation training on AD in 4 different clinical presentations using separate high-fidelity manikins in a small (3-4) group setting followed by 1 hour of didactic session on AD on a separate date. Main Outcome Measures Resident confidence on diagnosis and treatment of AD measured using a pre- and post-test survey. Responses were scored using Likert scale with 1 being “not at all confident” and 5 being “very confident”. Results For the six PGY-2 residents, a comparison of survey results before simulation and after simulation yielded significant increases in the confidence of their responses to each question asked (except the question regarding understanding of the pathophysiology of autonomic dysreflexia). In a post simulation comparison of survey responses between PGY-2 residents and senior resident there was no significant difference in the confidence of responses between the different resident levels. Conclusions Our study demonstrates the benefits of utilizing simulation training to improve clinical confidence through simulated application of trainee medical knowledge. The lack of significant difference in confidence level in the post stimulation survey responses between PGY-2 and senior residents highlights the value of simulation training for new trainees in orienting them to medical management of AD. High-fidelity manikins are an innovative and interactive educational tool that should be used to augment standard didactic and bedside teaching. Author(s) Disclosures None. To improve Physical Medicine & Rehabilitation (PMR) resident medical knowledge and confidence in diagnosing and treating Autonomic Dysreflexia (AD) in Spinal Cord Injury patients admitted to an acute inpatient rehabilitation unit. Pre-test-post-test design. MR Residency Program at an academic medical center. 24 PM&R residents. Residents received simulation training on AD in 4 different clinical presentations using separate high-fidelity manikins in a small (3-4) group setting followed by 1 hour of didactic session on AD on a separate date. Resident confidence on diagnosis and treatment of AD measured using a pre- and post-test survey. Responses were scored using Likert scale with 1 being “not at all confident” and 5 being “very confident”. For the six PGY-2 residents, a comparison of survey results before simulation and after simulation yielded significant increases in the confidence of their responses to each question asked (except the question regarding understanding of the pathophysiology of autonomic dysreflexia). In a post simulation comparison of survey responses between PGY-2 residents and senior resident there was no significant difference in the confidence of responses between the different resident levels. Our study demonstrates the benefits of utilizing simulation training to improve clinical confidence through simulated application of trainee medical knowledge. The lack of significant difference in confidence level in the post stimulation survey responses between PGY-2 and senior residents highlights the value of simulation training for new trainees in orienting them to medical management of AD. High-fidelity manikins are an innovative and interactive educational tool that should be used to augment standard didactic and bedside teaching.

Knowledge, attitude, and practice of Nepalese residents in the prevention and control of COVID-19: A cross-sectional web-based survey.

Coronavirus disease 2019 (COVID-19) has caused a global public health crisis. Preventive measures to tackle the deadly virus are influenced by people's knowledge, attitude, and practice (KAP) toward COVID-19. This study aimed to assess the level of knowledge, attitude, and practice toward COVID-19 among Nepalese residents in Nepal. A web-based cross-sectional survey was conducted among 755 Nepalese residents across all seven provinces of Nepal. The questionnaire used to determine the KAP of the participants was derived from a previous study conducted in Nepal. Descriptive analysis was done to identify the distribution of socio-economic and demographic characteristics of participants. Factors associated with residents' KAP regarding COVID-19 were examined using Chi-square tests at the significance level of 0.05. The mean age of the participants was 24.6 years. At the time of data collection, 8.2% of the participants had their families in isolation or quarantine center. In this study, 76.4%, 58.0%, and 63.6% of the participants had a good knowledge level, attitude level, and practice level respectively regarding COVID-19. Occupation and marital status were significantly associated with knowledge, attitude, and practice level. Age was significantly associated with knowledge and attitude level. Those participants who had their family members in quarantine were found to have a good level of preventive practice. The knowledge-attitude (rka= 0.184, p<0.001), attitude-practice (rap=0.125, p<0.001) and knowledge-practice (rkp= 0.07, p<0.05) were positively correlated in this study. This study showed satisfactory awareness regarding COVID-19 among Nepalese residents. Community-based health education programs should be promoted to develop a positive attitude toward healthy practices to tackle the COVID-19 pandemic or any future health crisis.

Assessment of the knowledge, attitudes, and perceptions of Filipino obstetrics and gynecology residents on fertility preservation: A cross-sectional study.

As primary reproductive healthcare providers, residents-in-training must be equipped with the knowledge of proven and available methods for fertility preservation. The study evaluated Filipino obstetrics and gynecology residents' current knowledge, attitudes, and perceptions about fertility preservation. A cross-sectional survey was conducted among obstetrics and gynecology residents in the Philippines. A 24-item questionnaire was distributed to the different accredited training institutions of the Philippine Obstetrical and Gynecological Society by electronic mail. Univariate descriptive statistics were reported as mean for continuous variables and frequency with percentage for categorical variables. The chi-square test was used to determine differences in responses. A total of 143 respondents from different year levels of training were enrolled in the study. Most were female trainees (88.11%) from the National Capital Region (44.76%). Most respondents agreed that discussions about childbearing intentions (99.30%) and age-related fertility decline (98.60%) should be initiated during a patient's gynecological consult. Residents were most familiar with oocyte freezing (84.62%), fertility-sparing surgeries (83.22%), and the use of GnRH agonists (80.42%) as fertility preservation techniques. Despite being most familiar with oocyte freezing, the respondents have mainly referred patients for fertility-sparing surgeries (48.95%) and the use of GnRH agonists (48.25%). There was an overall reassuring perception and attitude of obstetrics and gynecology residents on fertility preservation. A standardized curriculum with teaching-learning activities on fertility preservation may be used to improve trainees' knowledge. There was a disparity in the knowledge and actual referral or utilization of the different methods, reflecting the inaccessibility of the procedures specific to their institutions. This highlights the need to improve accessibility and offer fertility preservation as a public health service.

Pemberdayaan Mayarakat Melalui Pembuatan Keripik Nasi Tempe All Season di Desa Bonea Timur, Kecamatan Bontomanai, Kabupaten Kepulauan Selayar

One of the villages located at the eastern end of the Selayar Islands is Bonea Timur Village. The village is a village located in an altitude area surrounded by mountains but also close to the coast, where the distance is approximately 30 minutes. So that in this village it is also easy to get marine products such as fish. East Bonea village has erratic weather sometimes hot, rainy and suddenly foggy. Based on the weather, the devotees want to help the local community to be more productive in processing foodstuffs such as making tempe rice chips without drying, given the uncertain weather in the village. One of the concrete efforts made is the practice of making "All season tempe rice chips". The purpose of making these chips is to: (1) increase the knowledge of local residents to process the remaining rice (2) so that local residents know other ways of processing tempe and (3) the most important thing is that residents can make all season fish rice chips as income. additional because it has a selling value. The target of all season fish rice processing was attended by four hamlets namely; the hamlets of Lembang Bau, the hamlets of North Buki-buki, South Buki-buki and Bissorang. The activity of making fish rice chips was assisted by several students from STIM Lasaran Jaya considering the large number of people who attended and wanted to be accompanied in the activity.

OMS residents' obstructive sleep apnea-related education, knowledge, and professional behavior: A national survey.

Oral and maxillofacial surgeons (OMS) treat adult and pediatric patients with obstructive sleep apnea (OSA). Objective 1 assessed sleep apnea-related education, knowledge, and professional behavior of OMS residents in the United States. Objective 2 was to compare the responses of junior versus senior residents and residents in single- versus dual-degree programs. OMS residents in the United States received a recruitment email with a link to an anonymous online survey; 81 residents responded. The survey included 20 questions to assess respondents' OSA-related education, knowledge, attitudes, and professional behavior. Respondents generally agreed that they had received OSA-related didactic-based education (5-point scale with "5"=agree strongly: mean=3.62) and clinical training (mean=3.75). Clinical and classroom educational gaps were identified in relation to treatment with oral appliances and hypoglossal nerve stimulation. The residents scored on average 10.38 out of 18 (58%) possible correct answer pointsfor the knowledge questions. Findings about pediatric OSA suggest that only 43.8% of residents understand diagnostic criteria for pediatric OSA, with only 26.6% screening pediatric patients for OSA. A case analysis showed that only 1.5% of residents correctly identified an apnea-hypopnea index of 17 as moderate sleep apnea. This survey found knowledge gaps in several areas that can be improved upon. It identifies deficiency in objective knowledge about OSA among OMS residents and a specific lack of clinical training and confidence with hypoglossal nerve stimulation and management of pediatric patients with OSA. Junior and senior residents and single- and dual-degree residents showed no statistically significant differences in any category except senior residents in regard to surgical management of OSA, particularly with maxillomandibular advancement.

Knowledge and Attitudes of Guam Residents towards Cancer Clinical Trial Participation.

(1) Background: Currently there are no cancer clinical trials in Guam, where CHamoru people suffer the highest rates of cancer mortality, and interest to do so is growing. This study investigated the knowledge and attitudes of Guam residents towards cancer clinical trial participation prior to implementation. (2) Methods: A telephone survey was developed, tested, and conducted among Guam resident adults, 18 years of age and older. Survey questions were summarized by descriptive statistics. Logistic regression models were used to investigate the associations between Guam residents' demographics and their clinical trial knowledge and attitudes. Adjusted odds ratios (aOR) and associated 95% confidence intervals (CI) were calculated. (3) Results: One hundred fifty-two people participated in the survey, most of whom were CHamoru (47.0%). Fifty-three percent had heard the term 'clinical trial'; 73.7% would take part in a trial if they had cancer; and 59.9% believed they would receive good quality treatment from a trial offered in Guam. CHamoru were more likely than Whites to associate out-of-pocket expenses with clinical trial participation (aOR = 5.34, 95% CI = 1.68-17.00). Physician ethnicity was important to 30% of non-Whites and significantly associated with those who spoke a language other than English (aOR = 3.40, 95% CI = 1.29-8.95). Most people (65.0%) did not believe clinical trials participants were 'guinea pigs'. (4) Conclusion: Though knowledge about cancer clinical trials is limited, attitudes were primarily positive towards participating in cancer clinical trials offered in Guam. Future delivery of cancer clinical trials will benefit from identifying potential barriers to recruitment and adopting an approach suited to Guam's population.

Improving Resident Knowledge of Ergonomics Guidelines

(Obstet Gynecol. 2022;139:1194–1195. doi: 10.1097/AOG.0000000000004814) Surgeons often face musculoskeletal disorders resulting from the work environment. These injuries likely affect surgeons’ well-being and their ability to provide care. By educating obstetricians and gynecologists, injury prevention could prolong and enhance their careers and their patients’ experience. In honor of ACOG Wellness Week, this article outlines their efforts and the effectiveness of educating obstetrician and gynecology residents regarding individual preventative actions.

P097Resident initiated obstetrics and gynecology didactics as a method of keeping up with the evolving abortion legislative landscape

<h3>Objectives</h3> To determine the effect of a resident-initiated obstetrics and gynecology (Ob-Gyn) lecture on resident knowledge of abortion legislation and confidence in abortion advocacy. <h3>Methods</h3> In March 2022, in response to recent restrictive abortion legislation, residents requested urgent didactics. Given Ryan Program faculty schedule constraints, a second-year resident designed and executed a didactic session for other residents focused on abortion law. Attendees received an electronic RedCap survey pre- and post-didactics. Survey responses were compared utilizing a paired-T test, alpha=0.05. <h3>Results</h3> Eight residents attended the lecture and completed pre- and post-surveys. The average score on knowledge of abortion policy pre-didactic was 4.0 ± 2.8, which increased to 9.1 ± 2.4 post-didactics (p=0.002). Participants' Likert scale ratings of their knowledge of federal and state abortion law, their confidence explaining current legal challenges, and their knowledge of abortion increased significantly (law knowledge, 3.2 ± 1.4 to 4.4 ± 0.53, p=0.0015; current challenges, 2.6 ± 0.66 to 4.2 ± 0.56, p<0.0001; how to advocate 2.6 ± 0.55 to 4.5 ± 0.29, p<0.0001). All participants strongly agreed that the didactic was "useful and informative," "appropriate for my role and level of training" and "would like to see more lectures like this in the future." <h3>Conclusions</h3> Ob-Gyn residents have a desire to understand the legislative landscape of abortion access. A resident-implemented didactic on abortion law was effective in increasing knowledge and self-confidence regarding these topics.

"It's Kind of a Hidden Code": An Exploratory Study of Residents’ Experiences Caring for People with Sickle Cell Disease on the Internal Medicine Wards

introduction: Sickle cell disease (SCD) hospitalizations are rising in Canada. Painful vaso-occlusive episodes (VOEs) are responsible for 90% of acute health care visits for patients with SCD and are often recurrent with more than 50% of patients being re-admitted in the first month after discharge. Yet, there is little medical education literature on SCD and pain management. Also, while it is known that anti-black racism leads to poorer healthcare outcomes for SCD patients, there is no literature on how this impacts medical education, particularly when it comes to internal medicine residents. Objectives: To determine the training experiences and gaps in knowledge, skills, and attitudes of internal medicine residents who care for patients with SCD suffering from VOEs. Methods: We conducted a qualitative study using in-depth, one-on-one interviews with internal medicine residents at the University of Toronto. A semi-structured interview guide was iteratively developed by the study team to explore topics around experiences caring for patients with SCD, the perception of bias in in-patient care for SCD, and training and education around SCD and VOEs. Participant demographics were also collected (post-graduate year, gender, race, and number of patients with SCD cared for). Both purposive and snowball sampling were used for recruitment. All interviews were recorded and professionally transcribed. Qualitative content analysis guided the analysis phase. Codes were developed inductively and discussed between three coders (FK, WY, JZ) until consensus was reached. Interview memo notes were also incorporated in the analysis to capture body language and context that may be missed in the transcription. After four interviews, coders began reading transcribed interviews to conduct analysis. Concurrent analysis allowed the research team to look for thematic saturation. Research ethics approval was obtained. Results: Twelve interviews were completed. Five participants identified as female, and seven as male. Most participants (5/12) were in their post-graduate year 2, and 10/12 participants described having significant exposure to patients with SCD (>3 patients per year). Participants self-reported race included 3/12 South Asian, 3/12 Arab, 2/12 Caucasian, 1 Asian, 1 Black, amongst others. Preliminary findings after analyzing 5 transcriptions are summarized in Table 1. Patients with SCD are treated differently than other in-patients for their care, whether this is operationalized through an unspoken hidden code within healthcare providers or through racial biases. For many internal medicine residents, trust between them and their patient with SCD is paramount: patients with SCD have historically distrusted physicians and the healthcare system. Some patients, however, are still willing to listen to their counselling physicians and allow residents to change their care plan. There is little SCD and pain education taught during residency and much of pain management is learned from cancer or palliative pain. Residents remain feeling uncomfortable managing the pain of patients with VOEs. Conclusion: While these are preliminary findings, they support a wider literature that demonstrates inadequate SCD education during medical training. This study was completed in the largest SCD centre in Canada and yet, educational deficiencies were still noted amongst rotating internal medicine residents suggesting that they are widespread. We hope to use these findings to develop curricular recommendations for training in the management of VOEs, implicit bias training of internal medicine residents, as well as develop teaching moments around health care disparities and societal inequities regarding delivery of care to individuals with SCD. Figure 1View largeDownload PPTFigure 1View largeDownload PPT Close modal

A Comparative study to assess the knowledge on Covid-19 and ill effects on the health and prevention among the residence of Bangalore South with a view to develop an Informational pamphlet

Coronaviruses are a large family of viruses that are known to cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome and Severe Acute Respiratory Syndrome. The study was conducted to compare the knowledge level among community with an aim to know the awareness about covid, its ill effects and the preventive aspects. A research design adopted was comparative design. The target population for the study were selected from PHC Bengaluru by convenient sampling technique. The sample under the study were residents (male and female) of both rural and urban south zone. The data was collected by structured questionnaire schedule which was designed to assess the knowledge of residents regarding availability and utilization of health care services. The result was analyzed by using descriptive and inferential statistics. The respondents mean knowledge score shown that 18.3% of the respondents had inadequate knowledge, 78.3% of the respondents had moderate knowledge and 3.3% of respondents had adequate knowledge regarding Covid-19 and its ill effects on health and prevention. The overall findings of the study clearly showed that the residents had moderate knowledge score (78.3%). The study conclusion revealed that, if the residents were provided with some sort of educational interventions such as information booklets, on availability and utilization of health care services will definitely brief up their knowledge, which in turn contributes to improve the total quality of one's health.

Evaluation of a Structured Female Pelvic Medicine and Reconstructive Surgery Resident Rotation Curriculum.

Residency education is moving toward competency-based learning, which requires novel educational methods. One solution is structured learning through a formalized curriculum. The purpose of this study is to evaluate the educational aspects of a novel structured curriculum in female pelvic medicine and reconstructive surgery. This was a prospective cohort study of third-year obstetrics and gynecology residents who rotated on the female pelvic medicine and reconstructive surgery service. The curriculum was organized into 7 specific topics with weekly required reading, key specialty articles, and reviewed quizzes on subspecialty topics adapted from the American Board of Obstetrics and Gynecology Guide to Learning. A prerotation and postrotation self-assessment of pelvic anatomy and pelvic floor dysfunction content comprehension was assessed using a Likert scale (0-10) for each domain. Obstetrics and gynecology residents from 4 academic years resulted in a total of 17 paired assessments for analysis. Each of the 7 domains showed significant improvement among all academic years, with a mean increase of 4.9 ± 0.8 points ( P < 0.001). The 2 domains that showed the greatest improvement were stress urinary incontinence (5.5 ± 1.3, P < 0.001) and pelvic organ prolapse (5.5 ± 1.9, P < 0.001). There was no significant association between score improvement and the number of previous surgical rotations or having the rotation in the first or second half of the academic year. This study demonstrated that a structured curriculum in female pelvic medicine and reconstructive surgery was associated with significant improvement in self-assessed perceived resident knowledge during the subspecialty rotation. This approach could be applied to other rotations and direct education curriculum development.