American journal of surgery
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Students may become less adept at developing strong patient-physician relationships during medical school. We evaluated whether students choosing careers in surgery show a similar negative trend. ⋯ Students choosing careers in surgery maintain or improve upon personality traits that are important for developing strong patient-physician relationships.
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Comparative Study
Perioperative atrial arrhythmias in noncardiothoracic patients: a review of risk factors and treatment strategies in the veteran population.
Perioperative atrial arrhythmias (PAAs) in noncardiothoracic patients have poorly defined risk factors and management. ⋯ Coronary artery disease, cardiomegaly, hypokalemia, and premature atrial contractions were significantly associated with PAAs in noncardiothoracic patients. Prospective studies are needed to define treatment guidelines.
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Comparative Study
Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program.
The purpose of this study was to examine the outcomes of checklist-driven preoperative briefings and postoperative debriefings during the Veterans Health Administration (VHA) medical team training program. ⋯ Checklist-driven preoperative briefings and postoperative debriefings are associated with improvements in patient safety for surgical patients.
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As we change with health care reform we must be faithful to our core values: tell our own story, get involved in surgical performance measures, and let our trainees see what we do and who we are through our actions and words.