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Older adults undergoing major elective surgery experience significant challenges with postoperative symptoms affecting their valued activities and well-being. Participants felt unprepared for the intensity and duration of symptoms, highlighting the need for support and education. Postoperative pain, gastrointestinal discomfort, and anxiety/stress were prominent issues. Assessing…
Factors such as information-sharing practices, planning, and strong leadership support were associated with successful implementation of enhanced recovery pathways in hospitals. However, barriers such as pathway complexity and infrastructure posed challenges. Clinicians' positive beliefs and knowledge about pathways were key to achieving greater adherence to…
A survey of 6956 US surgical residents found that 66.8% reported meaningful mentorship, with non-white or hispanic residents less likely to report it. Senior residents were more likely to have meaningful mentorship. Residents with meaningful mentorship had higher rates of operative autonomy and lower rates…
Among over 1 million patients with gastrointestinal cancer, only a small percentage were enrolled in clinical trials, with significantly lower enrollment rates among patients treated at minority-serving hospitals and black individuals. The odds of enrollment in a clinical trial were much lower for patients at…
Program factors such as residency length, resident class size, number of total physician faculty, average hours of didactics per week, and the percentage of residents graduating from US MD programs are associated with improved American Board of Surgery examination pass rates. Older programs, as well…
Pathologic factors, including T, N, and M stages, were found to be associated with a higher risk of 30-day postoperative venous thromboembolism after gastrointestinal cancer surgery. Specifically, T stage was associated with VTE in colorectal, pancreatic, and primary hepatic cancers, while N stage was linked…
A survey of 121 healthcare professionals in 36 countries revealed that access to education, training, networking, and mentorship are key limiting factors for young clinical investigators in oncology. Participants under 40 years of age and from European countries were more involved in clinical trials, mainly…
After the American Society of Anesthesiologists recommended against routine preoperative laboratory testing for low-risk patients, there was a significant decrease in testing rates. In low-risk patients, the percentage of those receiving tests dropped by 6.9% post-guidelines implementation, while higher-risk patients saw only a 1.1% reduction.…
During a pilot study, surgeons and advanced practice providers utilized a template for goals of care discussions in the preoperative setting for gynecologic surgical oncology patients. The template improved documentation of topics of discussion, patient values, and advance care planning. Despite positive perceptions, implementation barriers…
Researchers found that higher emotional intelligence scores were associated with lower levels of burnout in general surgery residents. However, participation in patient-centered resident conferences did not significantly impact emotional intelligence or burnout levels. Further research is needed to better understand the relationship between emotional intelligence…
