Current surgeryPub Date : 2006-03-01DOI: 10.1016/j.cursur.2005.10.004
Karen D. Horvath MD, Gary N. Mann MD, Carlos Pellegrini MD
{"title":"EVATS: A Proactive Solution to Improve Surgical Education and Maintain Flexibility in the New Training Era","authors":"Karen D. Horvath MD, Gary N. Mann MD, Carlos Pellegrini MD","doi":"10.1016/j.cursur.2005.10.004","DOIUrl":"10.1016/j.cursur.2005.10.004","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the development of the EVATS rotation.</p></div><div><h3>Design</h3><p>Descriptive document.</p></div><div><h3>Setting</h3><p>University teaching hospital.</p></div><div><h3>Participants</h3><p>Faculty and residents of the University of Washington.</p></div><div><h3>Methods</h3><p>In July 2003 we identified the need for a new, independent, educational module within our residency training. Requirements for this rotation included dedicated time for technical skills training on simulators, independent competency learning modules, academic research project time, vacation time and coverage, and flexibility for unplanned leave (eg, interview travel, m/paternity leave).</p></div><div><h3>Results</h3><p>An EVATS <em>rotation</em> was created in July 2003 that is provided at each training level and lasts from 4 to 8 weeks depending on R-level. EVATS meets the following challenges: Emergency coverage (EVATS residents available for last-minute service coverage), vacation time/vacation coverage (2 weeks vacation + 1 week vacation coverage; this maintains vacations for all residents every 6 months), academic time (residents now must complete 1 academic project for graduation) and ACGME competency learning and assessment, and technical skills training (includes simulator work for open/lap skills). Initial implementation indices are high and include resident satisfaction, 80-hour work week compliance, academic productivity, and patient continuity of care.</p></div><div><h3>Conclusions</h3><p>The 21st century brought new challenges for surgical training. Increased societal demands for skills training in a laboratory setting using simulators and the 6 ACGME competencies all require classroom-type training periods. Paradoxically, the 80-hour work week restricted the time available for these educational activities and made it more difficult for programs to accommodate resident vacations and emergencies. These challenges provided an opportunity to enhance the educational experience for our residency program. The product was the EVATS rotation. Early data after implementation are favorable.</p></div>","PeriodicalId":75762,"journal":{"name":"Current surgery","volume":"63 2","pages":"Pages 151-154"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cursur.2005.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25891602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Current surgeryPub Date : 2006-03-01DOI: 10.1016/j.cursur.2005.12.011
Saleh M. Abbas (Guest Reviewer)
{"title":"Obesity Surgery and the Role in Treating Type 2 Diabetes Mellitus, Are We Ready for the Next Step?","authors":"Saleh M. Abbas (Guest Reviewer)","doi":"10.1016/j.cursur.2005.12.011","DOIUrl":"10.1016/j.cursur.2005.12.011","url":null,"abstract":"","PeriodicalId":75762,"journal":{"name":"Current surgery","volume":"63 2","pages":"Pages 92-96"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cursur.2005.12.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25891678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Current surgeryPub Date : 2006-03-01DOI: 10.1016/j.cursur.2005.05.005
Brian D. Layton USAF, MC (CAPT), Jerry W. Pratt USAF, MC (LT COL)
{"title":"Radiation Pericarditis and Breast Reconstruction: A Surgical Dilemma","authors":"Brian D. Layton USAF, MC (CAPT), Jerry W. Pratt USAF, MC (LT COL)","doi":"10.1016/j.cursur.2005.05.005","DOIUrl":"10.1016/j.cursur.2005.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>To discuss a case of radiation pericarditis and the physiology of the disease, and to discuss the left thoracotomy as an effective alternative to median sternotomy for pericardiectomy in the treatment of complicated radiation pericarditis.</p></div><div><h3>Design</h3><p>A case report with accompanying discussion of the disease and literature search.</p></div><div><h3>Setting</h3><p>Keesler Air Force Base Medical Center, a military training facility and general surgery residency program.</p></div><div><h3>Participants</h3><p>A single case report with review of literature.</p></div><div><h3>Results</h3><p>Left thoracotomy is an effective alternative to median sternotomy for the surgical treatment of radiation pericarditis, with a mild increase in pulmonary-associated complications.</p></div><div><h3>Conclusions</h3><p>With an increase in the use of mediastinal radiation for treatment of malignant disease as well as the increase in women having reconstructive procedures of the breast, one may expect complicated cases of radiation pericarditis that may not be amenable to median sternotomy. Left thoracotomy may be an alternative to median sternotomy for pericardiectomy in cases of pericarditis complicated by cosmetic constraints.</p></div>","PeriodicalId":75762,"journal":{"name":"Current surgery","volume":"63 2","pages":"Pages 110-113"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cursur.2005.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25891682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Current surgeryPub Date : 2006-03-01DOI: 10.1016/j.cursur.2005.12.008
Norman M. Rich COL, MC, USA, (Ret), David G. Burris COL, MC, USA, David R. Welling Col USAF, MC, (Ret), Daniel P. Rignault MAJGEN, French Medical Corps
{"title":"The Larrey Legacy: Two Hundred Years on","authors":"Norman M. Rich COL, MC, USA, (Ret), David G. Burris COL, MC, USA, David R. Welling Col USAF, MC, (Ret), Daniel P. Rignault MAJGEN, French Medical Corps","doi":"10.1016/j.cursur.2005.12.008","DOIUrl":"10.1016/j.cursur.2005.12.008","url":null,"abstract":"","PeriodicalId":75762,"journal":{"name":"Current surgery","volume":"63 2","pages":"Pages 119-121"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cursur.2005.12.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25891686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Current surgeryPub Date : 2006-03-01DOI: 10.1016/j.cursur.2005.09.021
Scott W. Melanson MD , Joel C. Rosenfeld MD, MEd
{"title":"An Introduction to Clinical Emergency Medicine: Guide for Practitioners in the Emergency Department","authors":"Scott W. Melanson MD , Joel C. Rosenfeld MD, MEd","doi":"10.1016/j.cursur.2005.09.021","DOIUrl":"https://doi.org/10.1016/j.cursur.2005.09.021","url":null,"abstract":"","PeriodicalId":75762,"journal":{"name":"Current surgery","volume":"63 2","pages":"Page 102"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cursur.2005.09.021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92139756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Current surgeryPub Date : 2006-03-01DOI: 10.1016/j.cursur.2005.12.002
Ruth H. Nawotniak MS, C-TAGME
{"title":"Is Your Residency Program Coordinator Successful?","authors":"Ruth H. Nawotniak MS, C-TAGME","doi":"10.1016/j.cursur.2005.12.002","DOIUrl":"10.1016/j.cursur.2005.12.002","url":null,"abstract":"","PeriodicalId":75762,"journal":{"name":"Current surgery","volume":"63 2","pages":"Pages 143-144"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cursur.2005.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25891599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Current surgeryPub Date : 2006-03-01DOI: 10.1016/j.cursur.2005.06.004
Robert W. Worden MEd, Henry M. Allen DO
{"title":"Wernicke’s Encephalopathy After Gastric Bypass that Masqueraded as Acute Psychosis: A Case Report","authors":"Robert W. Worden MEd, Henry M. Allen DO","doi":"10.1016/j.cursur.2005.06.004","DOIUrl":"10.1016/j.cursur.2005.06.004","url":null,"abstract":"<div><p>Wernicke’s encephalopathy was originally described more than a decade ago. It has been reported after many causes of malnutrition. This case presents a patient with thiamine deficiency after gastric bypass, although unusual in itself, further complicating the case was the initial diagnosis of acute psychosis that was scheduled for electroconvulsive therapy. After recognition and intervention, the patient was successfully treated with thiamine replacement and parenteral nutrition.</p></div>","PeriodicalId":75762,"journal":{"name":"Current surgery","volume":"63 2","pages":"Pages 114-116"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cursur.2005.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25891683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}