Physicians

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UC San Diego opens new Center for Fluorescence-Guided Surgery

Editor's Note The Center for Fluorescence-Guided Surgery at UC San Diego Health is the first in the country dedicated to delivering a new caliber of surgical accuracy that allows surgeons to identify cancerous or critical tissues with GPS-like precision by lighting them up, the December 5 UC San Diego Health…

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By: Judy Mathias
December 9, 2019
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Patient, personnel, induction factors that affect OR start times

Editor's Note Though patient and personnel factors affect the order of case induction, induction time is most dependent on patient factors, this study finds. Of 15,823 cases analyzed, predictors of later patient induction included add-on case, ASA class 3 or more, neuraxial anesthesia, and CRNA staffing. In 11,093 (70.1%) cases,…

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By: Judy Mathias
December 5, 2019
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Association of duty hour reform with outcomes of patients treated by new surgeons

Editor's Note Duty hour reform had no significant effect on 30-day mortality achieved by new vs experienced surgeons, but there was an increase in resources needed for patient care after reform, this study finds. A total of 1,483,074 Medicare patients having general and orthopedic surgery were analyzed before and after…

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By: Judy Mathias
December 4, 2019
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Preventive program reduces work-related musculoskeletal disorders in surgeons

Editor's Note In this multicenter study, a global program based on the application of ergonomics in the OR and specific physical exercises reduced work-related musculoskeletal disorders among surgeons. A total of 141 surgeons were randomized to either the preventive program (PP) group (65 surgeons) or the no preventive program (NPP)…

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By: Judy Mathias
November 14, 2019
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Use of medical scribes improves workflow of surgeons, residents in an outpatient setting

Editor's Note Incorporating medical scribes into surgical practices to reduce time surgeons spend on patient documentation and managing electronic health records increases the number of patients seen by surgeons and residents in outpatient clinics, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019 in…

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By: Judy Mathias
November 5, 2019
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Smartphone data helps surgeons understand their patients' postop recovery

Editor's Note Surgeons can better understand the effect of a patient's postoperative physical activity on their recovery by capturing passively-collected accelerometer data from their patients’ smartphones, finds this study presented October 28 at the American College of Surgeons Clinical Congress 2019 in San Francisco. Patients enrolled in the study downloaded…

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By: Judy Mathias
November 4, 2019
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General surgery residents who are mistreated at greater risk of burnout

Editor's Note Half of general surgery residents experience workplace mistreatment at least a few times a year, which greatly raises their risk of burnout and suicidal thoughts, finds a national survey that was presented October 28 at the American College of Surgeons Clinical Congress 2019 in San Francisco. Survey responses…

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By: Judy Mathias
November 4, 2019
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12-hour call shifts improve patient outcomes, lower costs

Editor's Note An acute-care surgery model that caps surgeon call shifts at 12 hours instead of 24 hours for covering surgical emergencies has led to shorter hospital stays, lower infection rates, and lower overall costs for patients with acute appendicitis, finds this study presented October 30 at the American College…

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By: Judy Mathias
October 31, 2019
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Can machine learning predict 6-month mortality in cancer patients?

Editor's Note In this study, machine learning algorithms accurately identified cancer patients who were at risk of 6-month mortality. Of 26,525 cancer patients analyzed, machine learning models based on structured electronic health record data accurately predicted short-term mortality risk with good discrimination and positive predictive value. When the gradient boosting…

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By: Judy Mathias
October 28, 2019
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Consensus report shows burnout prevalent in healthcare clinicians

Editor's Note Clinician burnout is affecting between one-third and one-half of nurses and physicians and 40% to 60% of medical students and residents, according to a new consensus report by 32 institutions and foundations, including Vanderbilt University Medical Center in Nashville. Among the ways to fight burnout discussed in the…

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By: Judy Mathias
October 24, 2019
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