ライフサイエンスコーパス: intern

1 nditions they will encounter as new surgical interns.

2 dical errors and motor vehicle crashes among interns.

3 nditions they will encounter as new surgical interns.

4 e Medical Education, pose safety hazards for interns.

5 ikelihood of suicidal ideation among medical interns.

6 aptitudes compared with the previous year's interns.

7 confidence compared with the previous year's interns.

8 r these responsibilities that they assume as interns.

9 the development of mood symptoms in medical interns.

10 tending physicians, two residents, and three interns.

11 Of the 115 responders, 96% were medical interns.

12 and the educational time of on-call medical interns.

13 t over the course of internship year, 12% of interns (12 of 100) assigned to wCBT endorsed suicidal i

14 cise in significantly less time than control interns (166 +/- 52 vs. 220 +/- 39 seconds, P < 0.05); t

15 A total of 62.2% of interns (199 of 320) agreed to take part in the study; 1

16 sed suicidal ideation compared with 21.2% of interns (21 of 99) assigned to ACG.

17 Compared with the normal US population, 50 interns (32%) were 0.5 SD less than the mean on the 8-it

18 Of the 81 interns, 56 participated (69%), for a total of 165 gener

19 h quality of life is perceived as better for interns (61.9%), most residents believe that it is worse

20 Although many interns (67%) reported that they daily or weekly reflect

21 Of 1048 interns, 870 completed the initial survey (response rate

22 For 10 months following simulator training, intern airway management skills were scored in actual pa

23 Interns also made 5.6 times as many serious diagnostic e

24 p survey, clinical skills assessment scores, intern American Board of Surgeons In-Training Examinatio

25 Interrater reliabilities for intern and team technical scores were both r = .96 and f

26 belief that many factors affecting both the intern and the hospital staff make the rotating program

27 early 1900s, competition among hospitals for interns and among medical students for good internships

28 ontrolled patient simulator to train medical interns and demonstrate their competence in initial airw

29 quently unaware of the presence of CVCs than interns and residents (25.8% and 30.5%, respectively, vs

30 There was no difference between interns and residents in ordering radiographs or electro

31 Reduced sleep time is commonplace for many interns and residents.

32 Of the 106 interns and senior medical students who consented, 3 wer

33 Technical scores were calculated for both interns and teams; nontechnical scores applied only to t

34 students, 279 (76%) were foundation doctors (interns) and had not commenced formal surgical training

35 nding surgeons, 32 fellows, 86 residents, 19 interns, and 4 physicians with an undetermined level of

36 My experience as an intern (anno 1953) treating a youngster in diabetic keto

37 subject to limits on the number of patients interns are allowed to admit.

38 Today's general surgery interns are faced with increased duty hour restrictions

39 In teaching hospitals, medical interns are first responders to in-hospital cardiac arre

40 Medical students and incoming interns are from generation Y.

41 to increase the risk for suicidal ideation, interns assigned to wCBT were less likely to endorse sui

42 guide to allocating time ever since I was an intern at Johns Hopkins Hospital.

43 CIPANTS: Prospective cohort study of medical interns at a single US academic medical center from July

44 a from this study offer a method to identify interns at higher risk for attrition at the start of tra

45 lowest noncompletion rate for men was among interns at small community programs who were White, non-

46 The influx of new surgical residents and interns at the beginning of the academic year is assumed

47 Less than half (44%) of interns believed that the new standards have decreased r

48 used several assessment tools, including an intern boot camp survey, clinical skills assessment scor

49 raduate Medical Education case logs from the intern class (N = 52) (with 16-hour work limit) compared

50 We present 8-year follow-up data from the intern class of 2007 to 2008 using a novel, nonparametri

51 medicine hospitalists, and internal medicine interns) classified individual nuclear stress tests usin

52 internships in many teaching hospitals, the Intern Committee of the Henry Ford Hospital has surveyed

53 ementation of the ACGME duty-hour standards, interns commonly reported noncompliance with these requi

54 n their first year of postgraduate training, interns commonly work shifts that are longer than 24 hou

55 scores for personal distress (P<.001) among interns compared with norms.

56 Of 16 technical checklist items, interns completed a mean of 7 with a range of 1.5-11.

57 LapMentor trained interns completed the 30 degrees camera navigation exerc

58 residents in their first postgraduate year (interns) completed 17,003 monthly reports that provided

59 constraints, we instituted a unique 2-month intern curriculum (boot camp) incorporating knowledge-ba

60 Intern data including demographics, attendance at US or

61 ty agreed or strongly agreed that the cohort interns demonstrated better patient care and procedural

62 ning and certification, all starting medical interns demonstrated poor airway management skills.

63 Approximately one-third of interns demonstrated weekly symptoms of emotional exhaus

64 Recent changes in intern duty hours and supervision rules mandate that res

65 t tissue/breast surgery in the 16-hour shift intern era, whereas there was no decrease in trauma, vas

66 Eliminating interns' extended work shifts in an intensive care unit

67 Half of all interns felt that the duty hour changes have decreased t

68 , five senior house officers (SHOs), and six interns formed four clinician groups.

69 A total of 249 categorical general surgery interns from 10 general surgery residency programs in th

70 schedule, which provided coverage to on-duty interns from midnight to 7:00 a.m. so that they could fi

71 conducted at 2 university hospitals with 199 interns from multiple specialties during academic years

72 The institution of an intern home call schedule was not associated with increa

73 r restrictions, we expected that a period of intern home call would correlate with increased rates of

74 The 16-hour work limit for interns, implemented in July 2011, is associated with a

75 Direct observation of interns in actual initial airway events revealed excelle

76 cohort study of 2737 of the estimated 18,447 interns in US postgraduate residency programs from July

77 ipants were 4015 of the approximately 37 253 interns in US residency programs in all specialties duri

78 es in the frequency of medical errors due to intern inexperience.

79 Interns made 20.8 percent more serious medication errors

80 2203 patient-days involving 634 admissions, interns made 35.9 percent more serious medical errors du

81 Interns made substantially more serious medical errors w

82 Interns may be at risk for other occupation-related inju

83 (JAMA), the Annals of Internal Medicine (Ann Intern Med), the Annals of Surgery (Ann Surg), Obstetric

84 8 percutaneous injuries were reported (0.029/intern-month).

85 765 (44.0%; 95% CI, 43.0%-45.1%) of the 8553 intern-months assessed postimplementation (including vac

86 ng 2660 (61.5%; 95% CI, 60.0%-62.9%) of 4327 intern-months during which interns worked exclusively in

87 d (FYs 2004-2010), the first call went to an intern on home call.

88 ores and total scores were recorded for each intern on initial and repeat testing.

89 Our neonatal ICU has either a resident or an intern on-call by himself/herself at night, affording us

90 in learning and teaching activities than did interns on the control teams (learning: 20% of total tim

91 Interns on the experimental teams spent more time in lea

92 However, use of coverage by interns on the nap schedule was impaired by their desire

93 tion) were stratified by type of transition (intern only, resident only, or intern + resident) and co

94 er in transition vs control patients for the intern-only group (3.5% vs 2.0%; odds ratio [OR], 1.12 [

95 tal mortality for transition patients in the intern-only group and intern + resident group than for c

96 on vs control comparisons (30-day mortality: intern-only group, 14.5% vs 8.8%, OR, 1.17 [95% CI, 1.13

97 1.21 [95% CI, 1.12-1.31]; 90-day mortality: intern-only group, 21.5% vs 13.5%, OR, 1.14 [95% CI, 1.1

98 .8%; median length of stay, 3.0 days), 25938 intern-only, 26456 resident-only, and 11517 intern + res

99 d intern + resident group than for controls (intern-only: OR, 1.11 [95% CI, 1.02-1.21]; intern + resi

100 d with a significant decrease in categorical intern operative experience.

101 ave the power to examine outcomes related to intern or patient well-being.

102 Interns order significantly more arterial blood gases pe

103 th multiple linear regression, we found that interns ordered significantly (p = .02) greater numbers

104 se of 0.33 blood gases per infant amounts to interns ordering $169 more arterial blood gases per call

105 Additionally, LapMentor trained interns outperformed control subjects with regard to cam

106 h SHOs (P = .046) and for SHOs compared with interns (P = .025).

107 or registrars, 0.693 for SHOs, and 0.659 for interns; P = .009).

108 ursing staff and teaching faculty surveys of intern performance and aptitudes compared with the previ

109 with each consisting of one resident and two interns, plus multiple supervising attending physicians

110 nsive care unit team in a graded manner with interns present for the first 10 mins and more senior-le

111 proportion of nondesignated and categorical interns pursuing careers in general surgery scoring in t

112 Interns received 41 more minutes of sleep while on call

113 ed with the preceding 4 years, the 2011-2012 interns recorded a 25.8% decrease in total operative cas

114 Despite these small increases in sleep, interns reported less overall fatigue while on the nap s

115 Interns reported spending 11% of their time in education

116 dence interval [CI], 81.4%-85.5%) of 1278 of interns reported work hours in violation of the standard

117 intern-only, 26456 resident-only, and 11517 intern + resident end-of-rotation transitions occurred.

118 atio [OR], 1.12 [95% CI, 1.03-1.21]) and the intern + resident group (4.0% vs 2.1%; OR, 1.18 [95% CI,

119 sition patients in the intern-only group and intern + resident group than for controls (intern-only:

120 13.8% vs 8.9%, OR, 1.11 [95% CI, 1.04-1.18]; intern + resident group, 15.5% vs 9.1%, OR, 1.21 [95% CI

121 0.9% vs 13.6%, OR, 1.10 [95% CI, 1.05-1.16]; intern + resident group, 22.8% vs 14.0%, OR, 1.17 [95% C

122 f transition (intern only, resident only, or intern + resident) and compared with all other discharge

123 (intern-only: OR, 1.11 [95% CI, 1.02-1.21]; intern + resident: OR, 1.17 [95% CI, 1.02-1.34]).

124 on and internship and residency, housestaff, intern, resident, or physicians in training and by exami

125 In total, 84% (91 of 108) of intern respondents agreed or strongly agreed with the us

126 were randomly assigned to either a standard intern schedule (extended duty overnight shifts of up to

127 Two physicians who were unaware of the interns' schedule assignments independently rated each i

128 up to 30 hours; equivalent to 1200 overnight intern shifts at each site), or a protected sleep period

129 ork cell phone; equivalent to 1200 overnight intern shifts at each site).

130 al Education's new duty-hour standards limit interns' shifts to 16 hours and night float to 6 consecu

131 h the prevalence of depression among medical interns substantially exceeds that of the general popula

132 Compared with the previous year's interns, the nursing staff agreed or strongly agreed tha

133 edical student, to Pittsburgh as a pathology intern, then to La Jolla.

134 al digital assistant, random alerts prompted interns to rate fatigue on the 7-point Stanford Sleepine

135 The first cohort of surgical interns to train under the new regulations report decrea

136 asures of patient satisfaction, resident and intern (trainee) satisfaction, and patient care is unkno

137 owest noncompletion rate for women was among interns training at smaller academic programs (11%).

138 critically ill patients is required of most interns, undergraduate education in these skills remains

139 Individualized training of medical interns using a computer-controlled patient simulator is

140 t, affording us a natural setting to compare intern vs. resident test ordering.

141 nal vs longitudinal studies, studies of only interns vs only upper-level residents, or studies of non

142 to the control teams; the average census per intern was 3.5 and 6.6 patients, respectively.

143 The intern was graded separately for the first 10 mins, and

144 on time for LapMentor trained versus control interns was 130 +/- 23 versus 184 +/- 43 seconds (P < 0.

145 tional survey of categorical general surgery interns was conducted between June and August 2007.

146 For 2 weeks of every month, interns were assigned to the nap schedule, which provide

147 ff agreed or strongly agreed that the cohort interns were better at patient assessment, collaboration

148 The interns were challenged with the scenario twice followin

149 The interns were debriefed extensively and given hands-on tr

150 In July 2011, surgical interns were prohibited from being on call from home by

151 Nineteen surgical interns were randomized to training on the LapMentor lap

152 Interns were randomly assigned to 2 study groups (wCBT a

153 Twenty interns were studied during two three-week rotations in

154 All interns were tested in initial airway management skills

155 the rates of serious medical errors made by interns while they were working according to a tradition

156 We present the case of a 29-year-old medical intern who sustained a needlestick injury from a source

157 Screening rates for interns (who performed best) were: cigarette use (89%),

158 When interns with the nap schedule used coverage, they receiv

159 a competency-oriented curriculum to provide interns with the necessary knowledge and practical skill

160 with monthly Web-based survey assessment of intern work and sleep hours using a validated instrument

161 work shifts and reducing the number of hours interns work per week can reduce serious medical errors

162 On average, interns worked 19.5 hours per week less (P<0.001), slept

163 0%-62.9%) of 4327 intern-months during which interns worked exclusively in inpatient settings.

164 In months in which interns worked five or more extended shifts, the risk th

165 All interns worked less than 80 hours per week during the in

166 Seventeen of 20 interns worked more than 80 hours per week during the tr

167 yourself in some way") prior to the start of intern year and at 3-month intervals throughout the year

168 r percentage of women (57%) left after their intern year compared with men (22%).

169 rating basic ophthalmology training into the intern year.