The predictive value of pre-recruitment achievement on resident performance in anesthesiology.

Abstract:

STUDY OBJECTIVE:Selecting candidates for residency positions is challenging and there is little research on the correlation between commonly used selection criteria and subsequent performance in anesthesiology. This study examined the association between the selection measures and post-recruitment performance in residency. DESIGN:Retrospective review of archival data. SETTING:Anesthesiology residency program at a large academic anesthesiology department. SUBJECTS:Residents who were matched to the anesthesiology program over 9years (graduation classes of 2006 to 2014). INTERVENTIONS:None. MEASUREMENTS:The pre-recruitment achievements included a comprehensive list of measures obtained from residents' application portfolios in conjunction with interview performance. The post-recruitment examination outcomes consisted of the in-training examination (ITE) scores in the three clinical anesthesia (CA) years and first-attempt success on the written board certification examination administered by the American Board of Anesthesiology (ABA). Scholarly output during residency was measured by publication record. Clinical performance at the conclusion of residency was independently rated by three faculty members. Bivariate analysis and regression models were conducted to examine association between predictors and outcomes. MAIN RESULTS:High United States Medical Licensing Examination (USMLE) scores, class rank in medical school and interview performance were predictive of high examination scores in residency and good clinical performance. Class rank appeared to be the best predictor of scholarly publication and pursuing an academic career beyond residency. CONCLUSIONS:Comparative performance with classmates (i.e., class rank) in medical school appeared to be an effective predictor of overall performance in residency, which warrants more attention in future study. Although interview performance is subject to recruitment team members' interpretation, it is an important measure to include in recruitment decisions.

journal_name

J Clin Anesth

authors

Chen F,Arora H,Martinelli SM,Teeter E,Mayer D,Zvara DA,Passannante A,Smith KA

doi

10.1016/j.jclinane.2017.03.052

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

139-144

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(16)30770-X

journal_volume

39

pub_type

杂志文章
  • Perioperative population management for primary hip arthroplasty reduces hospital and postacute care utilization while maintaining or improving care quality.

    abstract:STUDY OBJECTIVE:Physician-led multidisciplinary care coordination decreases hospital-associated care needs. We aimed to determine whether such care coordination can show benefits through the posthospital discharge period for elective hip surgery. DESIGN:Time Series of prospectively recorded and historical data. SETTI...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2020.110072

    authors: Schubert A,Patterson M,Sumrall WD,Broussard D,Dias D,Aboalfaraj A,Thomas L,Bergeron B,Brandon P,Shum L,Ravipati L,Chimento G

    更新日期:2021-02-01 00:00:00

  • Anesthetic management of a myotonic dystrophy patient with paraganglionoma.

    abstract::Myotonic dystrophy (DM), though rare, can significantly complicate anesthesia due to muscular and extra-muscular involvement. When this condition is compounded by a pheochromocytoma, anesthetizing such patients becomes extra challenging. We present a case report of a 61-year-old lady with congenital DM, with the whole...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.03.035

    authors: Subramaniam A,Grauer R,Beilby D,Tiruvoipati R

    更新日期:2016-11-01 00:00:00

  • Does epidural analgesia cause dystocia?

    abstract:STUDY OBJECTIVE:To analyze the effects of epidural analgesia for labor when dystocia occurs. DESIGN:Retrospective cohort study. SETTING:Academic health center. PATIENTS:641 low risk, nulliparous women in spontaneous labor. INTERVENTIONS:406 (63%) women received epidurals analgesia and 253 (37%) did not. Sixty women...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0952-8180(97)00222-5

    authors: Thompson TT,Thorp JM Jr,Mayer D,Kuller JA,Bowes WA Jr

    更新日期:1998-02-01 00:00:00

  • Apneic oxygenation during prolonged laryngoscopy in obese patients: a randomized, controlled trial of nasal oxygen administration.

    abstract:STUDY OBJECTIVE:To evaluate the influence of nasal oxygen (O(2)) administration on the duration of arterial oxygen saturation (SpO(2)) >or=95% during simulated difficult laryngoscopy in obese patients. DESIGN:Prospective, randomized, controlled trial. SETTING:University hospital. PATIENTS:30 obese men undergoing gen...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2009.05.006

    authors: Ramachandran SK,Cosnowski A,Shanks A,Turner CR

    更新日期:2010-05-01 00:00:00

  • The intubating laryngeal mask airway: rocuronium improves endotracheal intubating conditions and success rate.

    abstract:STUDY OBJECTIVE:To assess intubating conditions without neuromuscular blocking drugs, to determine the relation between the dose of rocuronium and the probability of achieving excellent or at least good (good or excellent) intubating conditions with the intubating laryngeal mask airway (ILMA), and finally, to determine...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2004.06.009

    authors: Sastry SG,Lemmens HJ

    更新日期:2005-05-01 00:00:00

  • Perioperative cardiac evaluation of simulated patients by practicing anesthesiologists is not consistent with 2007 ACC/AHA guidelines.

    abstract:STUDY OBJECTIVE:To determine if practicing anesthesiologists recommend preoperative evaluations consistent with the 2007 ACC/AHA guidelines on perioperative care. DESIGN:Survey instrument. SETTING:Academic medical center. SUBJECTS:ASA membership. MEASUREMENTS:In this Web-based survey, participants were presented wi...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2011.11.007

    authors: Vigoda MM,Behrens V,Miljkovic N,Arheart KL,Lubarsky DA,Dutton RP

    更新日期:2012-09-01 00:00:00

  • Anesthetic management of a patient with neuroleptic malignant syndrome.

    abstract::Neuroleptic malignant syndrome is an uncommon, idiosyncratic, and sometimes life-threatening disorder associated with the use of neuroleptic drugs. The pathogenesis of neuroleptic malignant syndrome is uncertain, but it may be similar to that of malignant hyperthermia (MH). Some of the symptoms of neuroleptic malignan...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(90)90096-l

    authors: Vitkun SA,Boccio RV,Poppers PJ

    更新日期:1990-05-01 00:00:00

  • The effect of epidural blood patch on hearing loss in patients with severe postdural puncture headache.

    abstract:STUDY OBJECTIVE:To determine the immediate effect of epidural blood patch (EBP) on the hearing loss that can accompany postdural puncture headache (PDPH). DESIGN:Prospective open study. SETTING:Anesthetic and otolaryngologic departments at a university hospital. SUBJECTS:16 patients who developed severe PDPH followi...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/0952-8180(95)00053-k

    authors: Lybecker H,Andersen T,Helbo-Hansen HS

    更新日期:1995-09-01 00:00:00

  • Management for electroconvulsive therapy of a patient with inoperable coronary artery disease and ankylosing spondylitis.

    abstract::A 69-year-old male with severe coronary artery disease, ankylosing spondylitis, and severe major depression was scheduled for electroconvulsive therapy (ECT). The patient had previously failed or proved intolerant of antidepressant drug therapy. The nature and severity of the patient's diseases and complexity of poten...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(92)90071-8

    authors: Snyder DS,Lipsey JR,McPherson RW

    更新日期:1992-05-01 00:00:00

  • Anesthetic-postoperative morphine regimens for cesarean section and postoperative oxygen saturation monitored by a telemetric pulse oximetry network for 24 continuous hours.

    abstract:STUDY OBJECTIVE:To document the effects of compromised respiratory function on oxygen saturation (SpO2) after cesarean section via the telemetric pulse oximetry network (TPON) for 24 continuous hours. DESIGN:Prospective study. SETTING:Postpartum ward of a university hospital. PATIENTS:ASA physical status I or II par...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(94)90009-4

    authors: Pan PH,James CF

    更新日期:1994-03-01 00:00:00

  • Cisatracurium- and rocuronium-associated residual neuromuscular dysfunction under intraoperative neuromuscular monitoring and postoperative neostigmine reversal: a single-blind randomized trial.

    abstract:BACKGROUND:Postoperative residual neuromuscular blockade (RNMB) is a common complication in the postanesthesia care unit (PACU), but also one of the most controversial issues. Many studies and trials demonstrated that some methods and techniques can reduce the incidence and the extent of the phenomenon. STUDY OBJECTIV...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jclinane.2016.07.031

    authors: Feltracco P,Tonetti T,Barbieri S,Frigo AC,Ori C

    更新日期:2016-12-01 00:00:00

  • Paramedian access to the epidural space: the optimum window for ultrasound imaging.

    abstract:STUDY OBJECTIVE:To establish a useful ultrasonic approach to the epidural space so as to optimize pre-puncture diagnostics. DESIGN:Prospective study. SETTING:University clinic. PATIENTS:60 participants (19 to 34 years of age), 40 healthy volunteers (20 male, 20 female) and 20 parturients. INTERVENTIONS:Ultrasound s...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0952-8180(01)00245-8

    authors: Grau T,Leipold RW,Horter J,Conradi R,Martin EO,Motsch J

    更新日期:2001-05-01 00:00:00

  • Use of esophageal or precordial stethoscopes by anesthesia providers: are we listening to our patients?

    abstract:STUDY OBJECTIVE:To ascertain current anesthesia utilization of esophageal and precordial stethoscopes in U.S. anesthesia training programs. DESIGN:Prospective, single-blind, incidence study. SETTING:Operating rooms of three tertiary care hospitals with major academic anesthesiology departments. SUBJECTS:Anesthesia f...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1016/0952-8180(95)00027-f

    authors: Prielipp RC,Kelly JS,Roy RC

    更新日期:1995-08-01 00:00:00

  • Unusual etiology of hyperkalemia in an immunocompromised patient.

    abstract::Hyperkalemia was found in an immunocompromised patient undergoing emergency cystoscopy. The cause of the hyperkalemia was an intraperitoneal rupture of the bladder. This case report discusses conditions that predispose patients to bladder rupture and anesthetic management of hyperkalemia. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(91)90095-5

    authors: Newland MC,Hosman SL,Newland JR,Landers DF

    更新日期:1991-11-01 00:00:00

  • Rocuronium is associated with an increased risk of reintubation in patients with soft tissue infections.

    abstract:STUDY OBJECTIVE:To determine risk factors associated with reintubations in adult patients with soft tissue infections. DESIGN:A retrospective case-control design. SETTING:Operating room and postoperative recovery area. PATIENTS:There were 39 patients who presented for surgical intervention of their soft tissue infec...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2016.03.073

    authors: Greco KM,Conti BM,Bucci CJ,Galvagno SM Jr

    更新日期:2016-11-01 00:00:00

  • Noncardiogenic pulmonary edema and venous air embolus as complications of operative hysteroscopy.

    abstract::A 37-year-old patient undergoing operative hysteroscopy developed noncardiogenic pulmonary edema after fluid absorption of 6 L of Ringer's lactate distension solution. No electrolyte or neurologic sequelae were associated with this fluid absorption. A subsequent 35-year-old patient having similar surgery in which a de...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2003.03.010

    authors: Grove JJ,Shinaman RC,Drover DR

    更新日期:2004-02-01 00:00:00

  • Liver transplantation for hepatic arteriovenous malformation with high-output cardiac failure in hereditary hemorrhagic telangiectasia: hemodynamic study.

    abstract::We describe a case of orthotopic liver transplantation used as a therapeutic method to correct high output cardiac failure related to a liver arteriovenous fistula due to hereditary hemorrhagic telangiectasia. Detailed hemodynamic changes as they occurred during liver transplantation are described. ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(00)00160-4

    authors: Le Corre F,Golkar B,Tessier C,Kavafyan J,Marty J

    更新日期:2000-06-01 00:00:00

  • Hemodynamic changes in children with Down syndrome during and following inhalation induction of anesthesia with sevoflurane.

    abstract:STUDY OBJECTIVE:To evaluate whether children with Down Syndrome are at increased risk of bradycardia and hypotension during and following sevoflurane induction. DESIGN:Retrospective study. SETTING:University-affiliated children's hospital. MEASUREMENTS:The records of children with Down syndrome and a sample matched ...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2010.05.002

    authors: Bai W,Voepel-Lewis T,Malviya S

    更新日期:2010-12-01 00:00:00

  • Lumbar neuraxial procedures in thrombocytopenic patients across populations: A systematic review and meta-analysis.

    abstract:INTRODUCTION:There is currently no consensus regarding the minimum threshold platelet count to ensure safe neuraxial procedures. Numerous reports describe the safe performance of lumbar punctures in severely thrombocytopenic patients but reports of neuraxial anesthetic procedures in thrombocytopenic patients are limite...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2019.109666

    authors: Bauer ME,Toledano RD,Houle T,Beilin Y,MacEachern M,McCabe M,Rector D,Cooper JP,Gernsheimer T,Landau R,Leffert L

    更新日期:2020-05-01 00:00:00

  • The economic impact of opioids on postoperative pain management.

    abstract:STUDY OBJECTIVE:To evaluate the consequences of opioid use for postoperative pain management and the degree to which these consequences may be reduced or minimized with opioid-sparing or opioid-replacement techniques. DESIGN:Literature review relating to the economics of postoperative pain management. Comparisons betw...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s0952-8180(02)00372-0

    authors: Philip BK,Reese PR,Burch SP

    更新日期:2002-08-01 00:00:00

  • Impact of deep hypothermic circulatory arrest on the BIS index.

    abstract:STUDY OBJECTIVE:To investigate the influence of duration of deep hypothermic circulatory arrest (DHCA) on recovery of the bispectral index (BIS). DESIGN:Prospective cohort study. SETTING:Operating room of university teaching hospital. PATIENTS:30 adult, ASA physical status III and IV patients scheduled for cardiac s...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2009.09.007

    authors: Ziegeler S,Buchinger H,Wilhelm W,Larsen R,Kreuer S

    更新日期:2010-08-01 00:00:00

  • The neurologic implications of diabetic hyperglycemia during surgical procedures at increased risk for brain ischemia.

    abstract::The neurologic implications of diabetic hyperglycemia depend on whether the ischemic insult is permanent or temporary. Laboratory studies show that following permanent focal ischemia, a situation analogous to stroke, diabetic hyperglycemia is protective in the penumbral region, whereas it may slightly increase infarct...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s0952-8180(97)00021-4

    authors: Sieber FE

    更新日期:1997-06-01 00:00:00

  • Respiratory acidosis prolongs, while alkalosis shortens, the duration and recovery time of vecuronium in humans.

    abstract:STUDY OBJECTIVE:To determine the effects of respiratory acidosis and alkalosis by mechanical ventilation on the onset, duration, and recovery times of vecuronium. DESIGN:Randomized, prospective study. SETTING:Operating rooms in the Sapporo Medical University Hospital and Kitami Red Cross Hospital. PATIENTS:90 ASA ph...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(01)00361-0

    authors: Yamauchi M,Takahashi H,Iwasaki H,Namiki A

    更新日期:2002-03-01 00:00:00

  • Management of airway in patients with laryngeal tumors.

    abstract:STUDY OBJECTIVE:To describe our systematic approach to securing the airway in patients with laryngeal tumors, developed over a 10-year period. DESIGN:Retrospective analysis. SETTING:University-affiliated veterans administration medical center. PATIENTS:Eight hundred one patients presenting for laryngeal tumor surger...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2004.12.019

    authors: Moorthy SS,Gupta S,Laurent B,Weisberger EC

    更新日期:2005-12-01 00:00:00

  • Interaction modeling of propofol and sufentanil on loss of consciousness.

    abstract:STUDY OBJECTIVES:To examine the possible pharmacodynamic interaction of propofol and sufentanil with respect to the induction of loss of consciousness. DESIGN:Prospective, randomized, double-blinded study. SETTING:University hospital. PATIENTS:30 female, ASA physical status I and II patients undergoing elective gyne...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0952-8180(99)00076-8

    authors: Schraag S,Mohl U,Bothner U,Georgieff M

    更新日期:1999-08-01 00:00:00

  • Comparison of esophageal, tympanic, and forehead skin temperatures in adult patients.

    abstract:STUDY OBJECTIVE:To compare esophageal, tympanic membrane, and forehead skin temperatures in patients undergoing elective surgeries. DESIGN:Prospective clinical study. SETTING:Operating room and postanesthesia care unit of a tertiary care teaching hospital. PATIENTS:40 adult ASA status I, II and III patients requirin...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/0952-8180(96)00103-1

    authors: Patel N,Smith CE,Pinchak AC,Hagen JF

    更新日期:1996-09-01 00:00:00

  • Sedative infusions during local and regional anesthesia: a comparison of midazolam and propofol.

    abstract:STUDY OBJECTIVE:To compare the intraoperative effects and recovery characteristics when either midazolam or propofol was used for sedation during local or regional anesthesia. DESIGN:Open-label, randomized study with blinded observer assessing recovery data. SETTING:Outpatients undergoing elective surgical procedures...

    journal_title:Journal of clinical anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0952-8180(91)90203-y

    authors: White PF,Negus JB

    更新日期:1991-01-01 00:00:00

  • Trust improves during one-day resident operating room management course preceded by directed study of required statistical content.

    abstract:STUDY OBJECTIVE:Evaluate feasibility of 1-day OR management course for anesthesiology residents and determine if course content increases trust in OR management science. DESIGN:Pre- and post-course survey evaluations. SETTING:OR management course. PATIENTS:University of Florida anesthesiology residents. INTERVENTIO...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.jclinane.2018.12.045

    authors: Vasilopoulos T,Dexter F,Van Swol LM,Fahy BG

    更新日期:2019-08-01 00:00:00

  • Respiratory complications in patients with traumatic cervical spine injuries: case report and review of the literature.

    abstract::Spinal cord injuries continue to be a devastating medical problem. By impairing voluntary and involuntary nervous system function, virtually every body system function is affected. However, pulmonary function alteration and respiratory complications continue to be the major causes of morbidity and mortality in patient...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0952-8180(03)00105-3

    authors: Urdaneta F,Layon AJ

    更新日期:2003-08-01 00:00:00

  • Anesthesia with antiphospholipid antibodies: anesthetic management of a parturient with lupus anticoagulant and anticardiolipin antibody.

    abstract::The anesthetic management of a parturient with a circulating lupus anticoagulant and an anticardiolipin antibody presenting to the obstetric suite taking heparin and aspirin is discussed. Issues concerning placement of a regional anesthetic with recent aspirin ingestion and heparin therapy are discussed. Documentation...

    journal_title:Journal of clinical anesthesia

    pub_type: 杂志文章

    doi:10.1016/0952-8180(95)00175-1

    authors: Fahy BG,Malinow AM

    更新日期:1996-02-01 00:00:00