1.The Effect of Fluoroscopy Control on Cannulation Rate and Fluoroscopy Time in Endoscopic Retrograde Cholangiopancreatography Training
Raymond E. KIM ; Lance T. URADOMO ; Grace E. KIM ; John D. MORRIS ; Eric M. GOLDBERG ; Peter E. DARWIN
Korean Journal of Pancreas and Biliary Tract 2021;26(1):43-48
Background:
/Aim: Endoscopic retrograde cholangiopancreatography (ERCP) training requires varying degrees of staff assistance regarding operation of the fluoroscopy machine via a foot pedal. Efficiency is important to acquire during this training due to radiation risks. In this study, we evaluate the effect of controlling endoscopy and fluoroscopy unit on duct cannulation rates (CRs) and total fluoroscopy time (FT) for fellows in training.
Methods:
204 patients undergoing ERCP were randomized to one of two groups: 1) “Endoscopist Driven” group in which the endoscopist controlled the foot pedal for fluoroscopy, and 2) “Assistant Driven” group in which attending or fellow controlled the foot pedal while the other team member controlled the endoscope. Various measures including selective duct CR and total FT were recorded.
Results:
There was no significant difference in mean procedure duration between the two groups (32 minutes vs. 33 minutes, p=0.70). There was also no statistically significant difference in CR (83.7% vs. 77.4%, p=0.25) or FT (3.27 minutes vs. 3.54 minutes, p=0.48).
Conclusions
ERCP is a technically challenging procedure which requires extensive supervision. This study demonstrates that CR and FT are not affected by who controls the fluoroscopy.
2.Impact of medical school responses during the COVID-19 pandemic on student satisfaction: a nationwide survey of US medical students
Isaac E. KIM JR. ; Daniel D. KIM ; Juliana E. KIM ; Elliott REBELLO ; David CHUNG ; Parker WOOLLEY ; Daniel LEE ; Brittany A. BORDEN ; Aaron WANG ; Douglas VILLALTA ; Agatha SUTHERLAND ; Sebastian DE ARMAS ; Matthew LIU ; Hannah KIM ; Grace Sora AHN ; Reed GEISLER ; Alexander YANG ; Bowon JOUNG ; John SLATE-ROMANO ; Michal RAJSKI ; Alison E. KIM ; Roxanne VREES ; Kristina MONTEIRO
Korean Journal of Medical Education 2022;34(2):167-174
Purpose:
Medical schools have faced various challenges in preparing their clinical students for the frontlines of a pandemic. This study investigated medical students’ satisfaction with their institutions during the coronavirus disease 2019 (COVID-19) pandemic with the intention of guiding educators in future public health crises.
Methods:
In this cross-sectional study surveying students in clinical rotations, the primary outcome was overall satisfaction regarding medical schools’ responses to the pandemic, and the four secondary outcomes were school communication, exposure to COVID-19, availability of personal protective equipment, and access to COVID-19 testing.
Results:
The survey was distributed to ten medical schools, of which 430 students responded for a response rate of 13.0%. While most students were satisfied (61.9%, n=266) with their schools’ response, more than one in five (21.9%, n=94) were dissatisfied. Among the four secondary outcomes, communication with students was most predictive of overall satisfaction.
Conclusion
In future crises, schools can best improve student satisfaction by prioritizing timely communication.