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Browsing by Author "Gross, Jeffrey"
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Item P29. Shifting Applicant Attitudes Towards Virtual Plastic Surgery Residency Interviews(Wolters Kluwer, 2022-06-02) Bhagat, Neel; Bamba, Ravinder; Gross, Jeffrey; Hassanein, Aladdin H.; Wooden, William A.; Surgery, School of MedicineBackground: The COVID-19 pandemic has forced plastic surgery residency programs to transition to virtual interviews for recruitment. In addition to reducing risks of COVID-19 exposure by minimizing travel, virtual interviews are more cost effective and less time consuming for applicants. However, virtual interviews make personal interactions with faculty and residents more challenging for applicants. Assessment of the location and hospital setting is also hindered. This impedes an applicant’s ability to potentially evaluate a program effectively. The purpose of this study is to evaluate the 2021 integrated plastic surgery applicant attitudes towards the current virtual interview process Methods: We surveyed 2021 applicants to our integrated plastic surgery program who interviewed virtually (n=32). Virtual Interview Survey. Applicants were surveyed on how well they became acquainted with our program, faculty, and residents on a scale from 1-5 Results: The survey response was 43.8% (14/32). Most respondents did not have a preference between virtual and in-person interviews (57.1%, n=8). On average, respondents were satisfied with the virtual interview process, rating their overall experience 8.4 (± 1.3) of 10. Applicants responded that they became acquainted with our program, faculty, and residents with respective scores of 3.9 (± 0.62), 3.7 (± 0.73), and 3.6 (± 1.01) on a scale of 1-5. Most applicants did not believe that either a virtual or in-person interview resulted in an advantage to matching (57.1%, n=8). Most applicants responded that virtual interviews allow the opportunity to attend more interviews (78.6%, n=11). Conclusion: We previously published survey data comparing virtual and in-person interviews in the 2020 plastic surgery match during the abrupt transition to virtual interviews during the onset of the pandemic. That study demonstrated lower scores for virtual interviews compared to in-person. However, this survey indicates that applicant attitudes have shifted. Overall, applicants scored the virtual interview process positively in 2021. With the efficiency and financial advantage that virtual interviews offer, it is possible they can become part of the residency selection process even after pandemic restrictions are lifted. Given these findings, residency programs should work on optimizing the virtual interview process.Item The Role of Early Latissimus Dorsi Tendon Transfers for Shoulder Movement and Stability in Neonatal Brachial Plexus Injury(Wolters Kluwer, 2023-10-18) Gross, Jeffrey; Bhagat, Neel; Mulenga, Chilando; Singh, Nikhi; Borschel, Gregory; Adkinson, Joshua; Graduate Medical Education, School of MedicineINTRODUCTION: Neonatal brachial plexus injury (BPI) is a rare but devastating complication of birth. An upper trunk BPI can result in the loss of shoulder external rotation and abduction and often leads to glenohumeral joint dysplasia (GJD). The latissimus dorsi/teres major tendon transfer (LTT) is a procedure used to restore external rotation and shoulder abduction and potentially reduce the incidence of GJD. Historically, this tendon transfer has been performed when the child is older and has demonstrated impaired shoulder function. In this study, we sought to assess feasibility and short-term outcomes of LTT combined with BPI reconstruction. METHODS: A retrospective review of patients was performed. Inclusion criteria were patients under 18 years of age at Riley Children’s Hospital with BPI who underwent LTT between 2021-2022. RESULTS: Eighteen patients underwent LTT between 2021-2022 at the mean age of 2.2 +/- 2.2 years. Five patients (27.8%) underwent the transfer concurrently with BPI nerve reconstruction, 8 (44.4%) underwent staged LTT, and 5 (27.8%) patients underwent LTT with no previous or concurrent BPI reconstruction. Of the 8 patients that underwent staged repair, 7/8 (88%) had MRI evidence of GJD prior to their tendon transfer. There were no major complications in any subgroup. Average follow-up was 7.54 months. The mean age at surgery for patients undergoing staged LTT was 2.1 years old compared to 6 months in the concurrent group. In the staged cohort, available post-operative mean AMS scores were 3.5 for shoulder abduction, 1.67 for shoulder external rotation. and 4.83 for shoulder forward flexion. In the concurrent cohort, mean AMS scores were 3.2 for shoulder abduction, 1.8 for external rotation, and 3.6 for shoulder forward flexion. CONCLUSIONS: In this study, we found that LTT can be safely and efficiently combined with BPI reconstruction. Patients in the concurrent surgery cohort achieved similar shoulder functional scores as those in the staged surgery cohort, but these scores were achieved at a younger age (i.e.1.5 years earlier) and without a second surgery. In addition, a simultaneous or early approach may provide the very young pediatric patient shoulder stability needed to prevent GJD while also avoiding the need for a second anesthetic exposure. Future studies will focus on comparative assessment of long-term shoulder functional outcomes.