DigitalCommons@KCU (Kansas City Univ.)
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@NMatch2024: A Student-led Social Media-based Initiative to Guide Adult and Child Neurology Residency Applicants and Programs in a Digital Era (P5-7.005)
No full textObjective:
To describe the expansion of the @NeurologyMatch2024 educational project in supporting medical students applying to Adult and Child Neurology Residency programs in the United States.
Background:
The COVID-19 pandemic has left a lasting impact on the residency application process. Virtual interviews offer a viable alternative to traditional in-person interviews, and residency programs rely on a strong online presence for applicant engagement. @NMatch is a student-operated, social media initiative to promote networking, education, and information-sharing within the online neurology community.
Design/Methods:
May: @NMatch2024 leaders transitioned
July: Mentorship Program launched
August: Program Calendar and Features launched
September: Two NMatch Panel with neurology PDs
October: NMatch Panel with neurology residents
Results:
Mentorship Program:
The mentor-mentee pairings increased from 105 in 2022–2023 to 252 this year (140% growth). The current year’s cohort includes 160 IMGs, 19 DOs, and 73 US MDs, with 30 identifying as nontraditional and 52 as underrepresented in medicine. Recommendations by prospective mentors stressed the need for targeted matching based on interests and backgrounds. Other recommendations included frequent check-ins, scheduled meetings, updated match process information, and platforms for broader engagement.
Program Features:
In 2022–2023, we had 31 residency programs participate in our Program Features, while this year we had 36 programs participate.
Twitter Analytics:
Since the leadership transition in May 2023, we increased Twitter followers from 8,429 to 9,178 by October 2023. Additionally, we had an average of 130,000 impressions, 49,200 profile visits, and 135 mentions per month.
Conclusions:
Since May 2023, @NMatch2024 experienced consistent social media engagement and growth. Through initiatives like program features, educational panels, and an expanded mentorship program, NMatch enhances information exchange and streamlines the residency application process in the post-COVID era. By serving as a bridge, especially for nontraditional applicants, those underrepresented in medicine, and IMGs, NMatch has been essential in shaping an inclusive future for neurology education and practice
Analysis of Causes for Revision in Unicompartmental Knee Arthroplasty
Get PDFThe study by Zhao et al identifies the factors leading to the failure of unicompartmental knee arthroplasty (UKA) in their patients. These factors include substandard suturing of the wound, the presence of osteophytes and intra-articular loose bodies causing impingement, premature loosening of the tibial component, choosing unsuitable patients for the procedure, dislocation of the movable insert, and damage to the anterior cruciate ligament and medial collateral ligament. The findings suggest that employing the correct surgical techniques and indications is essential for successful outcomes in the UKA
Rural Adolescent Attitudes and Use of Helmets While Riding ATVs, Motorcycles and Dirt Bikes
Get PDFBackground: Head injuries are the most common cause of death in some motorized vehicles for which helmet use can significantly decrease the risk. Our objective was to determine rural adolescents\u27 attitudes regarding helmets and their use while riding ATVs, motorcycles and dirt bikes.
Methods: A convenience sample of 2022 Iowa FFA (formerly Future Farmers of America) Leadership Conference attendees were surveyed. After compilation, data were imported into the statistical program, R ( https://www.R-project.org/ ). Descriptive statistics, contingency table, logistic regression and non-parametric alternatives to ANOVA analyses were performed.
Results: 1331 adolescents (13-18 years) participated. One half lived on a farm, 21% lived in the country/not on a farm and 28% were from towns. Nearly two-thirds (65%) owned an ATV with 77% of all having ridden one in the past year. Farm residents had the highest ATV ownership (78%) and having ridden (80%) proportions, both p \u3c 0.001. Overall, ownership and ridership for motorcycles (22% and 30%, respectively) and dirt bikes (29% and 39%, respectively) was significantly less than ATVs, all p \u3c 0.001. Of ATV riders, those living on farms or in the country/not on a farm rode them more frequently than those from towns, p \u3c 0.001. Higher percentages always/mostly wore helmets when riding dirt bikes (51%) and motorcycles (57%) relative to ATVs (21%), p \u3c 0.001. Those from farms had lower proportions wearing helmets versus those living elsewhere for all vehicles. Helmet use importance ratings (1-10, 10 high) were not different for motorcycles (mean 8.6, median 10) and dirt bikes (mean 8.3, median 10), but much lower for ATVs (mean 6.1, median 6). Females, non-owners, and helmet law supporters all had higher helmet use importance ratings. Males, those from farms, and owners and riders of the vehicles all had lower proportions that supported helmet laws. Support for helmet laws was significantly lower for ATVs (30.7%) than dirt bikes (56.3%) or motorcycles (72.3%), both p \u3c 0.001. Those whose families had strict ATV No Helmet, No Riding rules had much higher helmet use and helmet importance ratings.
Conclusions: Our study indicates that the safety culture surrounding helmet use is relatively poor among rural adolescents, especially on farms, and deserves targeted interventions
Driving Forces for Outpatient Total Hip and Knee Arthroplasty with Enhanced Recovery After Surgery Protocols: A Narrative Review
No full textPurpose of review: To explore the recent developments and trends in the anesthetic and surgical practices for total hip and total knee arthroplasty and discuss the implications for further outpatient total joint arthroplasty procedures.
Recent findings: Between 2012 and 2017 there was an 18.9% increase in the annual primary total joint arthroplasty volume. Payments to physicians falling by 7.5% (14.9% when adjusted for inflations), whereas hospital reimbursements and charges increased by 0.3% and 18.6%, respectively. Total knee arthroplasty and total hip arthroplasty surgeries were removed from the Medicare Inpatient Only in January 2018 and January 2020, respectively leading to same-day TKA surgeries increases from 1.2% in January 2016 to 62.4% by December 2020 Same-day volumes for THA surgery increased from 2% in January 2016 to 54.5% by December 2020. Enhanced Recovery After Surgery (ERAS) protocols have revolutionized modern anesthesia and surgery practices. Centers for Medicare Services officially removed total joint arthroplasty from the inpatient only services list, opening a new door for improved cost savings to patients and the healthcare system alike. In the post-COVID healthcare system numerous factors have pushed increasing numbers of total joint arthroplasties into the outpatient, ambulatory surgery center setting. Improved anesthesia and surgical practices in the preoperative, intraoperative, and postoperative settings have revolutionized pain control, blood loss, and ambulatory status, rendering costly hospital stays obsolete in many cases. As the population ages and more total joint procedures are performed, the door is opening for more orthopedic procedures to exit the inpatient only setting in favor of the ambulatory setting
Variations in Alarm Burden, Source, and Cause Across Inpatient Units at a Children’s Hospital
No full textBackground and objectives: Alarms at hospitals are frequent and can lead to alarm fatigue posing patient safety risks. We aimed to describe alarm burden over a 1-year period and explored variations in alarm rates stratified by unit type, alarm source, and cause.
Methods: A retrospective study of inpatient alarm and patient census data at 1 children\u27s hospital from January 1, 2019, to December 31, 2019, including 8 inpatient units: 6 medical/surgical unit (MSU), 1 PICU, and 1 NICU. Rates of alarms per patient day (appd) were calculated overall and by unit type, alarm source, and cause. Poisson regression was used for comparisons.
Results: There were 7 934 997 alarms over 84 077 patient days (94.4 appd). Significant differences in alarm rates existed across inpatient unit types (MSU 81.3 appd, PICU 90.7, NICU 117.5). Pulse oximetry (POx) probes were the alarm source with highest rate, followed by cardiorespiratory leads (54.4 appd versus 31). PICU had lowest rate of POx alarms (33.3 appd, MSU 37.6, NICU 92.6), whereas NICU had lowest rate of cardiorespiratory lead alarms (16.2 appd, MSU 40.1, PICU 31.4). Alarms stratified by cause displayed variation across unit types where low oxygen saturation had the highest overall rate, followed by technical alarms (43.4 appp versus 16.3). ICUs had higher rates of low oxygenation saturation alarms, but lower rates of technical alarms than MSUs.
Conclusions: Clinical alarms are frequent and vary across unit types, sources, and causes. Unit-level alarm rates and frequent alarm sources (eg, POx) should be considered when implementing alarm reduction strategies