ABSTRACT
Objective@#This correlational study was conducted to determine whether factors of the Gynecologic Oncology subspecialty rotation – such as resident rotators’ sex, year level, training institution, academic aptitude, duration of rotation, learning activities, case load, extent of involvement of teachers, and level of involvement of the residents – are associated with clinical competence. @*Methodology@#Thirty-one residents rotating in subspecialty were given MCQ examination and skills evaluation pre- and postrotation. Logbooks were completed listing all learning activities and number of cases encountered. Difference in scores was determined using paired t-test. Association of factors with clinical competence was determined using chi square and Pearson correlation coefficient. @*Results@#There was a statistically significant increase in the overall and skills scores, but not in the knowledge. Training institution, academic aptitude, and duration of rotation were associated with clinical competence. Conference, outpatient duty, case load, fellows as teachers and active participation were strongly associated with clinical competence. Bedside teaching, inpatient duty, and consultants as teachers were moderately associated with clinical competence. Passive participation was weakly associated with clinical competence. @*Conclusion@#Overall, the residents did not achieve clinical competence in Gynecologic Oncology as a result of the rotation. Residents from a training institution with a Gynecologic Oncology fellowship training program and with academic aptitude > 60% are more likely to achieve clinical competence. Increasing rotation duration to > 2 weeks, time spent in the different activities, case load, fellows and consultants interaction with residents, and active participation may increase likelihood of achieving clinical competence.
Subject(s)
Humans , Female , Clinical CompetenceABSTRACT
The Infectious Diseases Hospital Francisco Javier Muñiz, Buenos Aires, Argentina, is the oldest in Latin America. It is over 100 years old and has a history worthy of pride. It became known as "Hospital of the pests" and was preceded by the old House of Insulation, which served as a quarantine station during epidemics of cholera, yellow fever and smallpox. The new House of Insulation, built in the neighborhood of Parque Patricios ("Barracks Hospital"), was renamed in 1904 in memory of Francisco Javier Muñiz, a former military doctor, naturalist and paleontologist. Its technical name is "Porteño Care Centre and National Reference Regional Infectious-Contagious Disease". It receives numerous national and foreign undergraduate and postgraduate students in its Departments of Infectious Diseases and Respiratory Diseases.
El Hospital de Enfermedades Infecciosas Francisco Javier Muñiz, de Buenos Aires, República Argentina, es el más antiguo de América Latina, con más de 100 años de existencia y una historia digna de orgullo; fue conocido como "Hospital de las pestes". Antecedido por la antigua Casa de Aislamiento, que sirvió de lazareto durante epidemias de cólera, fiebre amarilla y viruela. La nueva Casa de Aislamiento, construida en el barrio Parque Patricios ("Hospital de Barracas"), pasó a denominarse en 1904, Hospital Francisco Javier Muñiz, por quien fuera médico militar, naturalista y paleontólogo. Su nombre técnico es "Centro Asistencial Porteño de Referencia Nacional y Regional de Enfermedades Infecto-Contagiosas" y recibe a numerosos alumnos nacionales y extranjeros, en sus Cátedras de Enfermedades Infecciosas y de Tisio-neumología, para docencia de pre y post-grado.
Subject(s)
History, 19th Century , History, 20th Century , History, 21st Century , Communicable Diseases/history , Hospitals, Public/history , Physicians/history , Argentina , Education, Medical/history , Hospitals, Isolation/historyABSTRACT
BACKGROUND/AIMS: Colonoscopy training programs and the minimal experience with colonoscopy required to be considered technically competent are not well established. The aim of this study was to determine the colonoscopy learning curves and factors associated with this difficult procedure at a single center. METHODS: A total of 3,243 colonoscopies were performed by 12 first-year gastroenterology fellows, and various clinical factors were assessed prospectively for 22 months. Acquisition of competence (success rate) was evaluated based on two objective criteria: (i) the adjusted completion rate (>90%) and (ii) cecal intubation time (20 minutes). Surgery of the uterus and ovaries was significantly correlated with delayed cecal intubation time, but not after sufficient colonoscopy experience. CONCLUSIONS: The minimum number of procedures to reach technical competence was 200. The cecal intubation time was longer in female and older patients.