A5017189218- Innovations in Medical Education
- Diversity and Career in Medicine
- Surgical Simulation and Training
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Education and Admissions
- Clinical Reasoning and Diagnostic Skills
- Healthcare Systems and Practices
- Health, Medicine and Society
- Colorectal Cancer Surgical Treatments
- Simulation-Based Education in Healthcare
- Radiology practices and education
- Pelvic floor disorders treatments
- Reflective Practices in Education
- Advances in Oncology and Radiotherapy
- COVID-19 and healthcare impacts
- Colorectal Cancer Screening and Detection
- Anorectal Disease Treatments and Outcomes
- Patient Safety and Medication Errors
- French Urban and Social Studies
- Diverticular Disease and Complications
- Education, sociology, and vocational training
- Global Health Workforce Issues
- Historical Studies and Socio-cultural Analysis
- Dental Education, Practice, Research
- Bariatric Surgery and Outcomes
Ottawa Hospital
2014-2024
University of Ottawa
2015-2024
University of British Columbia
2023
Ottawa Hospital Research Institute
2017-2021
Ottawa University
2014-2020
Ottawa Heart Institute
2018
Université Laval
2012
In light of the global climate emergency, it is worth reconsidering current practice medical students traveling to interview for residency positions. We sought estimate carbon dioxide (CO
Intraoperative teamwork is vital for patient safety. Conventional tools studying intraoperative typically rely on behaviorally anchored rating scales applied at the individual or team level, while others capture narrative information across several units of analysis. This prospective observational study characterizes using two conventional (Operating Theatre Team Non-Technical Skills Assessment Tool [NOTECHS]; Emergency Measure [TEAM]), and one alternative approach (modified-Systems...
Abstract Aim Despite transanal endoscopic microsurgery ( TEM ) being used for over 30 years, there has been slow adoption of this modality in many centres. There remains a paucity research regarding the learning curve and early performance surgeons who begin to offer . We sought determine predictors longer rates tumour excision improvements operative time newly established programme. Method All patients underwent at Ottawa Hospital, Ottawa, Canada, between October 2009 September 2014 were...
A large proportion of Canadians experience fecal incontinence, with no avenue for effective treatments. The Ottawa Hospital has recently started a percutaneous tibial nerve stimulation program patients who have not improved conservative efforts.As part this implementation, qualitative needs assessment was undertaken to better define successful outcomes and identify barriers sustainability.This cross-sectional, study involving standardized, semistructured interviews.The conducted at single...
Purpose To determine the type of mammographic abnormality leading to needle biopsy lobular neoplasia (LN) and define clinical evolution low-risk LN lesions diagnosed at but not surgically removed. Materials Methods This study was approved by institutional review board, requirement obtain informed consent waived. Among 16945 biopsies performed between April 1998 August 2008, determined be most suspicious lesion in 352 samples (2.1%) (pleomorphic necrotic forms were excluded). 299 pure that...
Abstract Context Clinical decision making (CDM) skills are important to learn and assess in order establish competence trainees. A common tool for assessing CDM is the script concordance test (SCT), which asks takers indicate how a new clinical finding influences proposed plan using Likert‐type scale. Most criticisms of SCT relate its rating scale but largely theoretical. The cognitive process when selecting their responses remains understudied, essential gathering validity evidence use...
BACKGROUND: Ligation of the intersphincteric fistula tract is a sphincter-preserving technique for treatment anal fistulas. The BioLIFT modification involves placement biologic mesh in plane. Advocates this state improved healing rates, however evidence lacking, and approach costs significantly more. OBJECTIVE: purpose study was to compare rates ligation with BioLIFT. DESIGN: This retrospective cohort study. SETTINGS: conducted at tertiary care hospital from April 2008 2018. PATIENTS: All...
Competence by design (CBD) residency programs increasingly depend on tools that provide reliable assessments, require minimal rater training, and measure progression through the CBD milestones. To assess intraoperative skills, global rating scales entrustability ratings are commonly used but may extensive training. The Competency Continuum (CC) is a framework be as an assessment tool to laparoscopic skills. study aimed compare CC two other tools: Global Operative Assessment of Laparoscopic...
Introduction Postoperative pain control remains a major challenge for surgical procedures, including laparoscopic gastric bypass. Pain management is particularly relevant in obese patients who experience higher number of cardiovascular and pulmonary events. Effective may reduce their risk serious postoperative complication, such as deep vein thrombosis emboli. The objective this study to evaluate the efficacy intraperitoneal local anaesthetic, ropivacaine, undergoing Roux-en-Y Methods...
Abstract Introduction The script concordance test (SCT) is a of clinical decision‐making (CDM) that compares the thought process learners to experts determine what extent their cognitive ‘scripts’ align. Without understanding test‐takers’ process, however, it unclear influences responses. objective this study was gather response validity evidence by studying test‐takers whether SCT tests CDM and processes may influence Methods Cases from an used in national validation were administered...
The residency selection process relies on subjective information in applications, as well assessment of applications by reviewers. This inherent subjectivity makes prone to poor reliability between those reviewing files.We compared the interrater 2 tools during file review: one rating applicant traits (ie, leadership, communication) and other using a global application elements curriculum vitae, reference letters).Ten reviewers were randomized into groups, each scored 7 general surgery from...
Residency selection integrates objective and subjective data sources. Interviews help assess characteristics like insight communication but have the potential for bias. Structured multiple mini-interviews may mitigate some elements of bias; however, a halo effect is described in assessments medical trainees, degree familiarity with applicants remain source bias interviews.To investigate extent interviewer that results from pre-interview knowledge applicant by comparing file review interview...
BACKGROUND: Patients with anemia undergoing elective colorectal cancer surgery are known to have significantly higher rates of postoperative complications and worse outcomes. OBJECTIVE: This study aimed improve screening treatment in patients colon rectal resections through a quality improvement initiative. DESIGN: We compared historical cohort before implementation our program prospective after implementation. SETTINGS: was conducted at tertiary care hospital. PATIENTS: included all adult...