Browsing by Subject "academic"

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    Oral Sciences PhD Program Enrollment, Graduates, and Placement: 1994 to 2016
    (Sage, 2018-05) Herzog, C. R.; Berzins, D. W.; DenBesten, P.; Gregory, Richard L.; Hargreaves, K. M.; Messer, R. L. W.; Mina, M.; Mooney, M. P.; Paine, M. L.; Phillips, C.; Presland, R. B.; Quivey, R. G.; Scannapieco, F. A.; Sheridan, J. F.; Svoboda, K. K. H.; Trackman, P. C.; Walker, M. P.; Walker, S. G.; Wang, C. Y.; Hu, J. C. C.; Biomedical and Applied Sciences, School of Dentistry
    For decades, dental schools in the United States have endured a significant faculty shortage. Studies have determined that the top 2 sources of dental faculty are advanced education programs and private practice. Those who have completed both DDS and PhD training are considered prime candidates for dental faculty positions. However, there is no national database to track those trainees and no evidence to indicate that they entered academia upon graduation. The objective of this study was to assess outcomes of dental school–affiliated oral sciences PhD program enrollment, graduates, and placement between 1994 and 2016. Using the American Dental Association annual survey of advanced dental education programs not accredited by the Commission on Dental Accreditation and data obtained from 22 oral sciences PhD programs, we assessed student demographics, enrollment, graduation, and placement. Based on the data provided by program directors, the average new enrollment was 33, and graduation was 26 per year. A total of 605 graduated; 39 did not complete; and 168 were still in training. Among those 605 graduates, 211 were faculty in U.S. academic institutions, and 77 were faculty in foreign institutions. Given that vacant budgeted full-time faculty positions averaged 257 per year during this period, graduates from those oral sciences PhD programs who entered academia in the United States would have filled 9 (3.6%) vacant faculty positions per year. Therefore, PhD programs have consistently generated only a small pipeline of dental school faculty. Better mentoring to retain talent in academia is necessary. Stronger support and creative funding plans are essential to sustain the PhD program. Furthermore, the oral sciences PhD program database should be established and maintained by dental professional organizations to allow assessments of training models, trends of enrollment, graduation, and placement outcomes.
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    Overlapping Surgery for Ankle Fractures: Is It Safe?
    (Wolters Kluwer, 2020-08) Baessler, Aaron; Mullis, Brian; Loder, Randall; Corn, Karsen; Mavros, Charles; Orthopaedic Surgery, School of Medicine
    Objective: To determine whether the practice of overlapping surgery influenced patient safety after open reduction internal fixation (ORIF) for ankle fractures. Design: Retrospective case–control. Setting: Level 1 Academic Midwest trauma center. Patients: All patients who underwent ankle fracture ORIF by a single surgeon were eligible for our study, with 478 total patients. Intervention: Cases that were overlapping were compared against cases that were not overlapping. Cases were defined as overlapping if there was greater than 30 minutes of overlap between procedural times. Patient complications were recorded up to a year from the index surgery. Main Outcome Measure: Unexpected return to surgery. Results: There were 478 ankle fracture ORIF patients, 238 with at least 3 months follow-up; 124 (52%) in the overlapping group and 114 (48%) in the nonoverlapping group. There was no difference in the rate of unexpected return to surgery (P = 0.76), infection (P = 0.52), readmission (P = 0.96), painful implant (P = 0.62), malunion (P = 0.27), nonunion (P = 0.52), or arthritis (P = 0.39) between the overlapping and nonoverlapping groups. There were 467 isolated ankle fractures used for time analysis. Average procedure time was 26 minutes longer for the overlapping group than the nonoverlapping group (P < 0.01). Conclusions: Overlapping surgery causes increased operative time for ankle ORIF, but there was no apparent increased risk to the patients for short-term complications. The need for graduated resident responsibility required by ACGME guidelines need to be weighed against the decreased efficiency of operating room time.