BACKGROUND AND OBJECTIVES Choosing career paths can be difficult decisions for residents contemplating fellowship training. This study compares the experiences of early career pediatricians who did and did not pursue fellowships. METHODS We analyzed national, weighted data from pediatricians 8 to 10 years after residency (n = 842). Work environment, work-life balance, and satisfaction were co...

August 2001, CMS indicated that it would exclude residents in the Indirect Medical Education count “to the extent that the residents are not involved in furnishing patient care but are instead engaged exclusively in research.” Further, CMS policy allows a resident to be counted for Direct graduate Medical Education only if the resident is engaged in research that occurs in the hospital (but not...

Several factors should go into selecting a sports medicine fellowship. These include clinical factors, research factors and team coverage experience, among others. The most important issue when selecting a sports medicine fellowship is to identify individual goals. Without accurately identifying one’s goals, it is impossible to select the right fellowship. Sports medicine fellowships vary great...

BACKGROUND Surgical educators have struggled with achieving an optimal balance between the service workload and education of surgical residents. In Ontario, a variety of factors during the past 12 years have had the net impact of reducing the clinical training experience of general surgery residents. We questioned what impact the reductions in trainee workload have had on general surgery gradua...

A majority of cardiology fellows receive at least part of their training at the Veterans Affairs Health Administration (VHA) hospitals and clinics. In this paper, we discuss the unique role and challenges of advanced cardiology training at the VHA from the fellow’s perspective. Finally, we explore the potential improvements and future directions of cardiology training at the VHA, which will hav...

Background: Co-morbidity is a powerful predictor of health care outcomes and costs, as well as an important cofounder in epidemiologic studies. The effect of co-morbidities is generally related to mortality or complications. This study evaluated the association between co-morbidity and health-related quality of life (HRQoL) in patients awaiting total joint replacement. Methods: A total of 893 p...

Vaccinia virus DNA polymerase catalyzes duplex-byduplex DNA joining reactions in vitro and many features of these recombination reactions are reprised in vivo. This can explain the intimate linkage between virus replication and genetic recombination. However, it is unclear why these apparently ordinary polymerases exhibit this unusual catalytic capacity. In this study, we have used different su...

Background: Tobacco smoking is a serious risk to health: several therapies are available to assist those who wish to stop. Smokers who approach publicly funded stop-smoking clinics in the UK are currently offered nicotine replacement therapy (NRT) or bupropion, and group behaviour therapy, for which there is evidence of effectiveness. Acupuncture and acupressure are also used to help smokers, t...