Graduate medical programs are faced with increasing calls for competency-based education. All accredited residencies and fellowships must now demonstrate that graduates are competent in six key areas, and outcomes data must be used to improve each program. The transition to competency-based education has challenged programs in all specialties. We describe the design, implementation, and outcome...

BACKGROUND Identification of attributes of residency training that predict competency would improve surgical education. We hypothesized that case experience during residency would correlate with self-reported competency of recent graduates. METHODS Aggregate case log data of residents enrolled in 2 general surgery programs were collected over a 12-month period and stratified into Surgical Cou...

OBJECTIVES.Ketamine provides effective and relatively safe sedation analgesia for reduction of fractures in children in the emergency department. However, prolonged recovery and adverse effects suggest the opportunity to develop alternative strategies. We compared the efficacy and adverse effects of ketamine/midazolam to those of nitrous oxide/hematoma block for analgesia and anxiolysis during ...

A GIS audit framework is necessary considering the diverse nature of with regard to components, applications and industry. In practice, checklists are generated during process based on specific objectives. There no standardized list items that can be used as a reference. The purpose this study was develop foundation for audits. provides comprehensive approach various aspects process. design bui...

We converted the Teacher Behaviors Checklist (TBC; Buskist, Sikorski, Buckley, & Saville, 2002) to an evaluative instrument to assess teaching by adding specific instructions and a Likert-type scale. Factor analysis of the modified TBC produced 2 subscales: caring and supportive and professional competency and communication skills. Further psychometric analysis suggested the instrument possesse...