Anastasia Kunac
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View article: Trauma Survivors Network: how does it really work?
Trauma Survivors Network: how does it really work? Open
Trauma centers have the important task of navigating a patient through the complex process of obtaining services and tools for success and addressing important social determinants / drivers of health. This summary from the American Associa…
View article: Urology Resident Autonomy in the Veterans Affairs Healthcare System
Urology Resident Autonomy in the Veterans Affairs Healthcare System Open
Urology resident autonomy has decreased within the VA healthcare system over the past 15 years. Mean operative times and postoperative complications are not significantly different in cases with residents as primary surgeon.
View article: Changing the Landscape of Remediation: The Creation and Implementation of an Institution-Wide Graduate Medical Education Performance Enhancement Program
Changing the Landscape of Remediation: The Creation and Implementation of an Institution-Wide Graduate Medical Education Performance Enhancement Program Open
Purpose Remediation is a daunting process for both residency leadership and trainees due to several factors including limited time and resources, variable processes, and negative stigma. Our objective was to transform the remediation proce…
View article: Resident Endoscopy Experience Correlates Poorly with Performance on a Virtual Reality Simulator
Resident Endoscopy Experience Correlates Poorly with Performance on a Virtual Reality Simulator Open
Background Endoscopy training has become increasingly emphasized during general surgery residency as reflected by introduction of the Fundamentals of Endoscopic Surgery (FES) examination, which includes testing of skills on virtual reality…
View article: Referee report. For: A biopsychosocial approach to death, dying, and bereavement: a course on end-of-life education for medical students [version 1; peer review: 1 not approved]
Referee report. For: A biopsychosocial approach to death, dying, and bereavement: a course on end-of-life education for medical students [version 1; peer review: 1 not approved] Open
View article: Association Between Operative Autonomy of Surgical Residents and Patient Outcomes
Association Between Operative Autonomy of Surgical Residents and Patient Outcomes Open
In this cohort study, surgical procedures performed by residents alone were not associated with any changes in all-cause mortality or composite morbidity compared with those performed by attending surgeons alone or by residents with the as…
View article: A 15-Year Analysis of Surgical Resident Operative Autonomy Across All Surgical Specialties in Veterans Affairs Hospitals
A 15-Year Analysis of Surgical Resident Operative Autonomy Across All Surgical Specialties in Veterans Affairs Hospitals Open
This cross-sectional study uses data from the Veterans Affairs Surgical Quality Improvement Project to examine changes in the autonomy of resident physicians in the operating room over the past 15 years.
View article: Surgical Skills Olympiad: A 4-Year Experience in a General Surgery Residency Program
Surgical Skills Olympiad: A 4-Year Experience in a General Surgery Residency Program Open
Background The acquisition of operative skills is the critical defining component of general surgery training. Performing simulated tasks has been shown to increase a resident's technical skills. As such, we devised the Surgical Skills Oly…
View article: Comparison of State Medical Licensing Board Disclosures Regarding Resident Performance for United States Allopathic, Osteopathic, and Foreign Medical Graduates
Comparison of State Medical Licensing Board Disclosures Regarding Resident Performance for United States Allopathic, Osteopathic, and Foreign Medical Graduates Open
Context While recent streamlining of the graduate medical education process signals an important change from the traditional dichotomy between doctors of osteopathic medicine (DOs) and US-trained doctors of medicine (USMDs), this new unifo…
View article: COVID-19 Ischemic Strokes as an Emerging Rehabilitation Population
COVID-19 Ischemic Strokes as an Emerging Rehabilitation Population Open
There is emerging literature that coronavirus disease 2019 infections result in an increased incidence of thrombosis secondary to a prothrombotic state. Initial studies reported ischemic strokes primarily occurring in the critically ill co…
View article: Robotic Transthoracic Repair of a Right-Sided Traumatic Diaphragmatic Rupture
Robotic Transthoracic Repair of a Right-Sided Traumatic Diaphragmatic Rupture Open
Introduction Traumatic diaphragm rupture injury repairs are predominately performed through thoracotomy, laparotomy, or a combination of the two approaches. While open surgery is often necessary to follow the fundamentals of damage-control…
View article: Mandated State Medical Licensing Board Disclosures Regarding Resident Performance
Mandated State Medical Licensing Board Disclosures Regarding Resident Performance Open
Background State medical licensing boards ask program directors (PDs) to complete verification of training (VOT) forms for licensure. While residency programs use Accreditation Council for Graduate Medical Education core competencies, ther…
View article: The Impact of Interdisciplinary Education on Skills and Attitudes of Surgery and Emergency Medicine Residents
The Impact of Interdisciplinary Education on Skills and Attitudes of Surgery and Emergency Medicine Residents Open
Background Interdisciplinary education (IDE) has been proposed as a means to improve patient safety by enhancing the performance of diverse health care teams. The improved camaraderie between members of different specialties may enhance co…
View article: Bleeding and Thromboembolism After Traumatic Brain Injury in the Elderly: A Real Conundrum
Bleeding and Thromboembolism After Traumatic Brain Injury in the Elderly: A Real Conundrum Open
View article: The Role of High-Fidelity Team-Based Simulation in Acute Care Settings: A Systematic Review
The Role of High-Fidelity Team-Based Simulation in Acute Care Settings: A Systematic Review Open
Introduction High-fidelity team-based simulation has been identified as an effective way of teaching and evaluating both technical and nontechnical skills. Several studies have described the benefits of this modality in a variety of acute …
View article: Perioperative goal-setting consultations by surgical colleagues: a new model for supporting patients, families, and surgeons in shared decision making
Perioperative goal-setting consultations by surgical colleagues: a new model for supporting patients, families, and surgeons in shared decision making Open
Patients with postoperative complications are often subjected to prolonged life-sustaining treatment based on erroneous assumptions about their goals of care. Shared decision making (SDM) is an evidence-based approach that helps ensure pat…