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Measuring Quality at the Surgeon Level. 衡量外科医生水平的质量。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-24 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761421
Elias A Chamely, Jonah J Stulberg
{"title":"Measuring Quality at the Surgeon Level.","authors":"Elias A Chamely, Jonah J Stulberg","doi":"10.1055/s-0043-1761421","DOIUrl":"10.1055/s-0043-1761421","url":null,"abstract":"<p><p>Patients expect high-quality surgical care and increasingly are looking for ways to assess the quality of the surgeon they are seeing, but quality measurement is often more complicated than one might expect. Measurement of individual surgeon quality in a manner that allows for comparison among surgeons is particularly difficult. While the concept of measuring individual surgeon quality has a long history, technology now allows for new and innovative ways to measure and achieve surgical excellence. However, some recent efforts to make surgeon-level quality data publicly available have highlighted the challenges of this work. Through this chapter, the reader will be introduced to a brief history of surgical quality measurement, learn about the current state of quality measurement, and get a glimpse into what the future holds.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"233-239"},"PeriodicalIF":1.4,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9518497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward Allyship and Mentorship: Recognition, Relatability, and Respect. 争取成为盟友和导师：认可、亲近和尊重。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-24 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1764344
Najjia N Mahmoud
{"title":"Toward Allyship and Mentorship: Recognition, Relatability, and Respect.","authors":"Najjia N Mahmoud","doi":"10.1055/s-0043-1764344","DOIUrl":"10.1055/s-0043-1764344","url":null,"abstract":"<p><p>Allyship and mentorship are two critical aspects needed not only to promote the growth of success of people around us, but also to advocate for those that are not as fortunate and are often excluded or marginalized. Understanding the distinctions and commonalities between the two, as well as the required interdependence, will go a long way toward ensuring that an impact toward positive change is made in the future.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 5","pages":"353-355"},"PeriodicalIF":1.4,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Gender Inequity on Women Surgeons in the Professional Setting. 职业环境中性别不平等对女外科医生的影响。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-24 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1764463
Alexandra Onyiego, Jennifer S Davids
{"title":"Impact of Gender Inequity on Women Surgeons in the Professional Setting.","authors":"Alexandra Onyiego, Jennifer S Davids","doi":"10.1055/s-0043-1764463","DOIUrl":"10.1055/s-0043-1764463","url":null,"abstract":"<p><p>The concept of equity ensures that each individual is given the environment, treatment, and resources needed to reach an equal outcome to those around them. Equity is central to initiatives for advancing diversity and inclusion among physicians. This article will identify key barriers to equity that women surgeons face within the professional setting. More specifically, inadequate female representation, discrimination in the form of unconscious gender bias and microaggressions, and sexual harassment will be explored regarding their continued threats to gender equity, as well as constructive ways to mitigate these effects.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 5","pages":"303-308"},"PeriodicalIF":1.4,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10032584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Negotiation and Career Advancement: How Can We Continue to Advance Women in Academic Surgery, What Are the Barriers They Are Facing, and What Can We Do to Overcome Them? 谈判与职业发展：我们如何才能继续提高女性在外科学术领域的地位，她们面临哪些障碍，我们又能做些什么来克服这些障碍？
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-24 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1763520
Mary Turfah, Gifty Kwakye
{"title":"Negotiation and Career Advancement: How Can We Continue to Advance Women in Academic Surgery, What Are the Barriers They Are Facing, and What Can We Do to Overcome Them?","authors":"Mary Turfah, Gifty Kwakye","doi":"10.1055/s-0043-1763520","DOIUrl":"10.1055/s-0043-1763520","url":null,"abstract":"<p><p>Despite increasing female representation in U.S. medical schools, women remain underrepresented in academic surgery departments across the country. Even as the gap narrows in academic surgery, female surgeons' professional advancement does not parallel that of their male counterparts. This article explores how to continue to advance women in academic surgery, first by considering the barriers women surgeons face, then offering actionable steps-on the individual, interpersonal, and systems levels-to overcome these barriers and work toward gender equity.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 5","pages":"321-326"},"PeriodicalIF":1.4,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9978953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Career Transitions: What Are Other Options to Clinical Practice That May Align with New or Evolving Priorities/Goals? 职业转型：临床实践中有哪些其他选择可能符合新的或不断变化的优先事项/目标？
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-24 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1764237
Sonia L Ramamoorthy
{"title":"Career Transitions: What Are Other Options to Clinical Practice That May Align with New or Evolving Priorities/Goals?","authors":"Sonia L Ramamoorthy","doi":"10.1055/s-0043-1764237","DOIUrl":"10.1055/s-0043-1764237","url":null,"abstract":"<p><p>Career transitions are an essential part of the evolution of one's professional life. Transitions can take place at any time and for a variety of reasons. In this article, I review career transitions in the context of my own experiences and offer some advice and guidelines for making a career transition. The article also reviews what opportunities exist for career development and how that can lead to new and future prospects. Finally, achieving work-life balance can be difficult in today's health care landscape. Setting priorities and revisiting one's life plan on a regular basis establishes a professional \"true north\" to help navigate the challenges and disruptions of health care.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 5","pages":"338-341"},"PeriodicalIF":1.4,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intersectionality: Understanding the Interdependent Systems of Discrimination and Disadvantage. 交叉性：了解歧视和劣势的相互依存系统。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-15 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1764343
Erin King-Mullins, Elana Maccou, Pringl Miller
{"title":"Intersectionality: Understanding the Interdependent Systems of Discrimination and Disadvantage.","authors":"Erin King-Mullins, Elana Maccou, Pringl Miller","doi":"10.1055/s-0043-1764343","DOIUrl":"10.1055/s-0043-1764343","url":null,"abstract":"<p><p>The fight for gender equity in surgery extends well beyond the simplistic binary construct of man versus woman. Professor Kimberlé Crenshaw coined the term \"intersectionality,\" which is used to describe the dynamic associations between the concepts of race, class, gender, and other individualized characteristics and their real-time interaction with one another in our society. Our review of intersectional identities among medical professionals attempts to examine the trends of difficulties at the intersections of an individual's identity within academic surgery, leadership in academic surgery, and the effects on patient outcomes in the United States. Specifically, we will focus on the interaction of race, ethnicity, religion, sexual orientation, family, disability, and international status. Much more research focused specifically on intersectional groups is required to statistically identify to what degree overlapping identities impact professional and patient care outcomes. Recognition of the problem and candid discussions will allow for vast improvements not only in surgical culture, but also in surgical care.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 5","pages":"356-364"},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10032582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Qualitative Research and Applications in Colorectal Surgery. 结直肠外科的定性研究与应用。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-15 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1762927
C Ann Vitous, Pasithorn A Suwanabol
{"title":"Qualitative Research and Applications in Colorectal Surgery.","authors":"C Ann Vitous, Pasithorn A Suwanabol","doi":"10.1055/s-0043-1762927","DOIUrl":"10.1055/s-0043-1762927","url":null,"abstract":"<p><p>Traditionally employed in medical anthropologic and sociologic literature, qualitative methods are emerging as an essential component of clinical research as surgeons and researchers strive to optimize care informed by patient perspectives. Qualitative methods in health care-related research may be used to understand subjective experiences, beliefs, and concepts that are not captured using quantitative analyses and to gain in-depth knowledge of a specific context or culture. A qualitative approach may also be employed to explore under-researched problems and generate new ideas. Here, we provide an overview of aspects to consider when designing and conducting a qualitative research study.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"271-278"},"PeriodicalIF":1.4,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
National Databases for Assessment of Quality. 国家质量评估数据库。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-13 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761593
Hillary R Johnson, Jacqueline A Murtha, Julia R Berian
{"title":"National Databases for Assessment of Quality.","authors":"Hillary R Johnson, Jacqueline A Murtha, Julia R Berian","doi":"10.1055/s-0043-1761593","DOIUrl":"10.1055/s-0043-1761593","url":null,"abstract":"<p><p>With the rise in the availability of large health care datasets, database research has become an important tool for colorectal surgeon to assess health care quality and implement practice changes. In this chapter, we will discuss the benefits and drawbacks of database research for quality improvement, review common markers of quality for colorectal surgery, provide an overview of frequently used datasets (including Veterans Affairs Surgical Quality Improvement Program, National Surgical Quality Improvement Project, National Cancer Database, National Inpatient Sample, Medicare Data, and Surveillance, Epidemiology, and End Results), and look ahead to the future of database research for the improvement of quality.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"252-258"},"PeriodicalIF":1.4,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
History and Role of Quality Accreditation. 质量认证的历史和作用。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-13 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761592
Tara A Russell, Clifford Ko
{"title":"History and Role of Quality Accreditation.","authors":"Tara A Russell, Clifford Ko","doi":"10.1055/s-0043-1761592","DOIUrl":"10.1055/s-0043-1761592","url":null,"abstract":"<p><p>Accreditation has played a major role in the evolution of health care quality as well as the structure and organization of American medicine. In its earliest iterations, accreditation aimed to set a minimum standard of care, and now more prominently sets standards for high quality, optimal patient care. There are several institutions that provide accreditations that are relevant to colorectal surgery including the American College of Surgeons (ACS) Commission on Cancer, National Cancer Institute Cancer Center Designation, National Accreditation Program for Rectal Cancer, and the ACS Geriatrics Verification Program. While each program has unique criteria, the aim of accreditation is to assure high-quality evidenced-based care. In addition to these benchmarks, these programs provide avenues for collaboration and research between centers and programs.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"279-284"},"PeriodicalIF":1.4,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Defining and Measuring Quality in Colorectal Surgery. 定义和衡量结直肠外科手术的质量。
IF 1.4 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2023-03-13 eCollection Date: 2023-07-01 DOI: 10.1055/s-0043-1761431
Kristen Ban, Rebecca Gunter, Arielle Kanters
{"title":"Defining and Measuring Quality in Colorectal Surgery.","authors":"Kristen Ban, Rebecca Gunter, Arielle Kanters","doi":"10.1055/s-0043-1761431","DOIUrl":"10.1055/s-0043-1761431","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"36 4","pages":"231-232"},"PeriodicalIF":1.4,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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