Browsing by Subject "training"
Now showing 1 - 10 of 20
Results Per Page
Sort Options
Item Analysis of Early Job Market Experiences and Perceptions Among Bariatric Surgery Fellowship Graduates and Bariatric Surgery Program Directors(Springer, 2021) Lu, Yang; Juo, Yen-Yi; Martin, Matthew J.; Dan, Adrian G.; Benerjee, Ambar; Jones, Daniel B.; Dakin, Gregory F.; Jain-Spangler, Kunoor; Chen, Yijun; Surgery, School of MedicinePurpose Over the past decade, an increasing number of bariatric surgeons are trained in fellowships annually despite only a modest increase in nationwide bariatric surgery volume. The study surveys the bariatric surgery job market trend in order to inform better career-choice decisions for trainees interested in this field. Materials and Methods A national retrospective cohort survey over an 11-year period was conducted. Bariatric surgery fellowship graduates from 2008 to 2019 and program directors (PDs) were surveyed electronically. Univariate analysis was performed comparing responses between earlier (2008–2016) and recent graduates (2017–2019). Results We identified a total of 996 graduates and 143 PDs. Response rates were 9% and 20% respectively (n = 88, 29). Sixty-eight percent of graduates felt there are not enough bariatric jobs for new graduates. Seventy-nine percent of PDs felt that it is more difficult to find a bariatric job for their fellows now than 5–10 years ago. Forty-eight percent of PDs felt that we are training too many bariatric fellows. Seventy-seven percent of all graduates want the majority of their practice to be comprised bariatric cases; however, only 42% of them reported achieving this. In the univariate analysis, recent graduates were less likely to be currently employed as a bariatric surgeon (64% vs. 86%, p = 0.02) and were less satisfied with their current case volume (42% vs. 66%, p = 0.01). Conclusions The temporal increase in bariatric fellowship graduates over the past decade has resulted in a significant decline in the likelihood of employment in a full-time bariatric surgical practice and a decline in surgeons’ bariatric case volumes.Item Attribute-aware Semantic Segmentation of Road Scenes for Understanding Pedestrian Orientations(IEEE, 2018-11) Sulistiyo, M. D.; Kawanishi, Y.; Deguchi, D.; Hirayama, T.; Ide, I.; Zheng, J. Y.; Murase, H.; Computer and Information Science, School of ScienceSemantic segmentation is an interesting task for many deep learning researchers for scene understanding. However, recognizing details about objects' attributes can be more informative and also helpful for a better scene understanding in intelligent vehicle use cases. This paper introduces a method for simultaneous semantic segmentation and pedestrian attributes recognition. A modified dataset built on top of the Cityscapes dataset is created by adding attribute classes corresponding to pedestrian orientation attributes. The proposed method extends the SegNet model and is trained by using both the original and the attribute-enriched datasets. Based on an experiment, the proposed attribute-aware semantic segmentation approach shows the ability to slightly improve the performance on the Cityscapes dataset, which is capable of expanding its classes in this case through additional data training.Item Current Status of Endovascular Training for Cardiothoracic Surgery Residents in the United States(Elsevier, 2017-11) Vardas, Panos N.; Stefanescu Schmidt, Ada C.; Lou, Xiaoying; Goldstone, Andrew B.; Pattakos, Gregory; Fiedler, Amy G.; Stephens, Elizabeth H.; Tchantchaleishvili, Vakhtang; Medicine, School of MedicineBackground Endovascular interventions for cardiovascular pathology are becoming increasingly relevant to cardiothoracic surgery. This study assessed the perceived prevalence and efficacy of endovascular skills training and identified differences among training paradigms. Methods Trainee responses to questions in the 2016 In-Service Training Examination survey regarding endovascular training were analyzed based on the four different cardiothoracic surgery training pathways: traditional 2- and 3-year thoracic, integrated 6-year, and combined 4+3 general and thoracic residency programs. Results The duration of endovascular training was substantially different among programs, at a median of 17 weeks for integrated 6-year, 8.5 weeks for 3-year, 6 weeks for 4+3, and 4 weeks for 2-year residency (p < 0.0001). After adjusting for year of training and program type, the duration of endovascular rotations was significantly associated with self-assessed comfort with catheter-based skills (p < 0.0001). Eighty-two percent of residents rotated with trainees from other specialties, and 58% experienced competition for cases. Residents reported greater exposure to transcatheter aortic valve replacement than to thoracic endovascular aortic repair, cardiac catheterization, percutaneous closure of atrial septal defect, and transcatheter mitral valve surgery (p < 0.0001). A significant proportion of responders reported feeling uncomfortable performing key steps of transcatheter aortic valve replacement (52%) or thoracic endovascular aortic repair (49%). Conclusions Considerable heterogeneity exists in endovascular training among cardiothoracic surgery training pathways, with a significant number of residents having minimal to no exposure to these emerging techniques. These findings highlight the need for a standardized curriculum to improve endovascular exposure and training.Item Education and Training Needs in the Radiation Sciences: Problems and Potential Solutions(BioOne, 2015-11) Dynlacht, Joseph R.; Zeman, Elaine M.; Held, Kathryn D.; Deye, James; Vikram, Bhadrasain; Joiner, Michael C.; Department of Radiation Oncology, IU School of MedicineThis article provides a summary of presentations focused on critical education and training issues in radiation oncology, radiobiology and medical physics from a workshop conducted as part of the 60th Annual Meeting of the Radiation Research Society held in Las Vegas, NV (September 21–24, 2014). Also included in this synopsis are pertinent comments and concerns raised by audience members, as well as recommendations for addressing ongoing and future challenges.Item Effect of Prior Formal Education on Successful Thoracic Epidural Placement By Anesthesia Residents(Elsevier, 2020-11) Yeap, Yar Luan; Randolph, Tim; Lemmon, Adam J.; Mann, Miles D.; Stewart, Jennifer; Wolfe, John W.; Anesthesia, School of MedicineObjective: Catheter placement for thoracic epidural analgesia (TEA) is technically challenging; however, methods for teaching this technique to anesthesia residents have not been well-studied. The present study aimed to determine optimal teaching methods for proficient TEA catheter placement by comparing video-based formal resident education with traditional bedside training by attending physicians. Design: Prospective, randomized study. Setting: Large academic hospital, single institution. Participants: The study comprised 76 postgraduate year 3 and 4 anesthesiology residents (38 intervention, 38 control). Interventions: Formal education included an instructional video on proper TEA technique. Measurements and Main Results: Measures of proficiency in TEA catheter placement included the time needed to complete the procedure successfully and the success of placement as indicated by patient confirmation. Residents who received formal video instruction had similar success in catheter placement and similar procedure times compared with the traditionally trained residents. The overall success rate was 99.2%, with faculty intervention required in only 17% of cases. More experienced residents (ie, having placed more epidural catheters) were faster at TEA catheter placement. Conclusions: Formal video education for TEA catheter placement provided no additional improvement of resident proficiency compared with traditional training at a high-volume academic center. The success rate was very high in this group of residents; however, experiences at other institutions may vary. Future studies are needed to determine optimum teaching strategies for TEA.Item How to Give Feedback During Endoscopy Training(Elsevier, 2017-09) Dilly, Christen Klochan; Sewell, Justin L.; Medicine, School of MedicineItem Impact of the Dobbs Decision on Obstetrics and Gynecology Residency Applications – an Exploratory Survey(The European Society of Medicine, 2025-04-30) Conklin, Alissa M.; Rone, Victoria; Arrocha, Diana; Scott, Nicole P.; Peipert, Jeffrey F.; Shanks, Anthony L.Objective: To evaluate the early impact of the Dobbs v. Jackson Women’s Health Organization decision on Obstetrics and Gynecology (OBGYN) residency applications by analyzing changes in applicant behavior, including application numbers and signal allocation, based on abortion law categories, program prestige, geographic region, and the availability of family planning fellowships. Study Design: This cross-sectional survey assessed 61 medium-to-large OBGYN residency programs to examine application trends before and after the Dobbs decision. Data were collected on residency applications for the 2021–2022 and 2022–2023 application cycles, the number of gold and silver signals received in the 2022 Electronic Residency Application Service (ERAS) cycle, program prestige (US News & World Report and Doximity rankings), geographic region (Center for Disease Control and Prevention (CDC)-defined), and the presence of a family planning fellowship or Ryan Program affiliation. Descriptive statistics, paired t-tests, and analysis of variance (ANOVA) were used to analyze differences in application numbers and signal allocation. Results: Across all abortion law categories, applications declined from the 2021–2022 to the 2022–2023 cycle (mean: 895.9 vs. 856.7, p = 0.02), with the largest decrease in states with abortion restrictions (-7.58%). Programs in states with abortion protections received significantly more gold (p = 0.04) and silver signals (p < 0.001) than those in restrictive states. Programs offering family planning fellowships and those affiliated with the Ryan Program also received more signals (p < 0.05). Conclusion: Programs in abortion-restrictive states received fewer applications and signals, suggesting applicants prioritize abortion training access. These trends may impact the geographic distribution of OBGYNs and reproductive healthcare availability. Implications: Declining applications to restrictive states may exacerbate maternity care shortages. Further research is needed to assess long-term effects on workforce retention and training.Item Implementation of a Professional Society Core Curriculum and Integrated Maintenance of Certification Program(ATS, 2017) Carlos, W. Graham; Poston, Jason T.; Michaud, Gaetane C.; Dela Cruz, Charles S.; Luks, Andrew M.; Boyer, Debra; Moore, Paul E.; McSparron, Jakob I.; Hayes, Margaret M.; Balachandran, Jay S.; Wang, Tisha S.; Larsson, Eileen; Siegel-Gasiewski, Jennifer; Kantz, Alan; Beck, James M.; Thomson, Carey C.; Department of Medicine, IU School of MedicineMedical professional societies exist to foster collaboration, guide career development, and provide continuing medical education opportunities. Maintenance of certification is a process by which physicians complete formal educational activities approved by certifying organizations. The American Thoracic Society (ATS) established an innovative maintenance of certification program in 2012 as a means to formalize and expand continuing medical education offerings. This program is unique as it includes explicit opportunities for collaboration and career development in addition to providing continuing medical education and maintenance of certification credit to society members. In describing the development of this program referred to as the “Core Curriculum,” the authors highlight the ATS process for content design, stages of curriculum development, and outcomes data with an eye toward assisting other societies that seek to program similar content. The curriculum development process described is generalizable and positively influences individual practitioners and professional societies in general, and as a result, provides a useful model for other professional societies to follow.Item Multimodal Sequence Classification of force-based instrumented hand manipulation motions using LSTM-RNN deep learning models(IEEE, 2023-10) Bhattacharjee, Abhinaba; Anwar, Sohel; Whitinger, Lexi; Loghmani, M. Terry; Health Sciences, School of Health and Human SciencesThe advent of mobile ubiquitous computing enabled sensor informatics of human movements to be used in modeling and building deep learning classifiers for cognitive AI. Expanding deep learning approaches for classifying instrumented hand manipulation tasks, especially the art of manual therapy and soft tissue manipulation, can potentially augment practitioner’s performance and enhance fidelity with computer assisted guidelines. This paper introduces a dataset of 3D force profiles and manipulation motion sequences of controlled soft tissue manipulation stroke pattern applications in thoracolumbar, upper thigh and calf regions of a single human subject performed by five experienced manual therapists. The multimodal 3D force, 3D accelerometer and resultant gyro raw data were preprocessed and experimentally fed into a multilayered Long Short-Term Memory (LSTM) based Recurrent Neural Network (RNN) deep learning model to observe sequence classifications of two manipulation motion techniques (Linear "Strumming" motion and curvilinear "J-Stroke" arched motion) of manual therapy performed using a handheld, localizing Quantifiable Soft Tissue Manipulation (QSTM) medical tool. Each of these motion sequences were further labeled with corresponding best practice technique from validated video tapes and reclassified into "Correct" and "Incorrect" practice based on defined criteria. The deep learning model resulted in 90-95% classification accuracy for individual intra-therapist reduced dataset. The classification accuracy varied between 78%-93% range, when trained with multivariate characteristic feature set combinations for the complete spectrum of inter-therapist dataset.Clinical Relevance — AI informed online therapeutic guidelines can be leveraged to minimize practice inconsistencies, optimize educational training of therapy using data informed protocols, and study progression of pain and healing towards advancing manual therapy.Item A novel streamlined trauma response team training improves imaging efficiency for pediatric blunt abdominal trauma patients(Elsevier, 2019) Nti, Benjamin K.; Laniewicz, Megan; Skaggs, Tracy; Cross, Keith; Fallat, Mary E.; Rominger, Annie; Emergency Medicine, School of MedicineBackground/purpose The morbidity and mortality of children with traumatic injuries are directly related to the time to definitive management of their injuries. Imaging studies are used in the trauma evaluation to determine the injury type and severity. The goal of this project is to determine if a formal streamlined trauma response improves efficiency in pediatric blunt trauma by evaluating time to acquisition of imaging studies and definitive management. Methods This study is a chart review of patients < 18 years who presented to a pediatric trauma center following blunt trauma requiring trauma team activation. 413 records were reviewed to determine if training changed the efficiency of CT acquisition and 652 were evaluated for FAST efficiency. The metrics used for comparison were time from ED arrival to CT image, FAST, and disposition. Results Time from arrival to CT acquisition decreased from 37 (SD 23) to 28 (SD27) min (p < 0.05) after implementation. The proportion of FAST scans increased from 315 (63.5%) to 337 (80.8%) and the time to FAST decreased from 18 (SD15) to 8 (SD10) min (p < 0.05). The time to operating room (OR) decreased after implementation. Conclusion The implementation of a streamlined trauma team approach is associated with both decreased time to CT, FAST, OR, and an increased proportion of FAST scans in the pediatric trauma evaluation. This could result in the rapid identification of injuries, faster disposition from the ED, and potentially improve outcomes in bluntly injured children.