A5069843763- Colorectal Cancer Surgical Treatments
- Innovations in Medical Education
- Diversity and Career in Medicine
- Stoma care and complications
- Colorectal and Anal Carcinomas
- Healthcare professionals’ stress and burnout
- Colorectal Cancer Screening and Detection
- Surgical Simulation and Training
- Cancer survivorship and care
- Cardiac, Anesthesia and Surgical Outcomes
- Enhanced Recovery After Surgery
- COVID-19 and healthcare impacts
- Hospital Admissions and Outcomes
- Nutrition and Health in Aging
- Dental Education, Practice, Research
- Patient-Provider Communication in Healthcare
- COVID-19 and Mental Health
- Hemostasis and retained surgical items
- Foreign Body Medical Cases
- Radiomics and Machine Learning in Medical Imaging
- Medical Malpractice and Liability Issues
- Healthcare Systems and Challenges
- Medical Education and Admissions
- Patient Satisfaction in Healthcare
- Pelvic floor disorders treatments
University of Massachusetts Chan Medical School
2025
University of Michigan–Ann Arbor
2020-2024
Memorial Medical Center
2024
UMass Memorial Medical Center
2024
Michigan Medicine
2020-2022
Twitter (United States)
2021
ORCID
2020
Michigan United
2020
BACKGROUND: The total mesorectal excision technique is associated with improved outcomes for rectal cancer, and grading the specimen recommended. We implemented a multimodal intervention in Michigan Surgical Quality Collaborative hospitals to increase grading. OBJECTIVE: To compare rates over time between that received early late study. DESIGN: Stepped wedge randomized controlled trial receive education or one year later. used generalized linear mixed model of groups, adjusting hospital...
Objective: To explore how surgery residents cope with unwanted patient outcomes including postoperative complications and death. Background: Surgery face a variety of work-related stressors that require them to engage in coping strategies. Postoperative deaths are common sources such stressors. Although few studies examine the response these events their impacts on subsequent decision-making, there has been little scholarly work exploring strategies among specifically. Methods: This study...
Parastomal hernias are common and negatively affect patient's lives. We hypothesized that physical activity (or lack thereof) might be associated with the presence of parastomal hernia. If so, this an actionable target for prevention.The objective was to determine rates risk factors in patients a permanent ostomy.This retrospective cohort survey study. Postal included questions about hernia, symptoms, lifestyle, validated instruments measure stoma quality life activity. Medical record...
The COVID-19 pandemic has had significant ramifications for provider well-being. During these unprecedented and challenging times, one institution’s Department of Surgery put in place several important initiatives promoting the well-being trainees as they were redeployed to provide care patients. In this article, authors describe initiatives, which fall into 3 broad categories: redeploying faculty trainees, ensuring safety, trainee wellness. redeployment are following: reframing team...
BACKGROUND: Ileostomies constitute 15-43% of readmissions after colorectal surgery, often due to dehydration and acute kidney injury. Prior institutional interventions decreased but not among patients with new ileostomies. OBJECTIVE: Evaluate ileostomies following postoperative oral rehydration solution standardized clinic visits. DESIGN: Retrospective analysis prospective database. SETTINGS: Enhanced recovery surgery service. PATIENTS: New ileostomy before intervention. INTERVENTION(S):...
The aim of this study was to obtain novel perspectives regarding the effects that surgical training has on well-being trainees.Improving trainee is a national concern given high rates burnout, depression, and suicide among physicians. Supporters trainees may offer new point strategies optimize wellness.This qualitative employs semi-structured interviews 32 support persons at single tertiary care center with multiple programs. Interviews focused related supporting trainee. Interview...
BACKGROUND: Rectal cancer survivors experience persistent symptoms, which may lead to unmet needs. OBJECTIVE: This study aimed explore the rectal survivor and identify impacts of treatment using photo-elicitation. DESIGN: was a novel in patients were instructed take photographs that showed aspects life have been challenging deal with since undergoing treatment. Participants underwent subsequent qualitative interviews as prompts. SETTING: The conducted center tertiary medical center....
Abstract Background and Objectives Neoadjuvant short‐course radiation consolidation chemotherapy (SC TNT) remains less widely used for rectal cancer in the United States than long‐course chemoradiation (LCRT). SC TNT may improve compliance downstaging; however, a longer radiation‐to‐surgery interval worsen pelvic fibrosis morbidity with total mesorectal excision (TME). A single, US‐center retrospective analysis has shown comparable risk of after neoadjuvant Validation by multi‐institutional...
To obtain insights into the effects of surgical training on well-being support persons.Surgical trainee wellness is a critical priority among educators and leaders. The impact loved ones who trainees has not been previously studied.This qualitative study employs semi-structured interviews 32 persons at single tertiary care center with multiple specialty programs. Interviews focused perceptions about supporting trainee. Transcripts underwent thematic analysis semantic conceptual coding. Key...
"If you can't come to work, there are only two numbers I want know—your hospital room number and your vent settings." Before the COVID-19 pandemic, this phrase or others like it had been heard by many. Echoing a pervasive culture throughout all of medicine, such phrases capture mindset that is ingrained into us during training—patient care comes first at costs, even expense one's own health. The however, has interrupted ethos invited new outlook placing value on trainee For perhaps time,...