骨科神经外科住院医生的地理分布
Ogechukwu Ariwodo1, Andrew Greek2, Ryan Wong3
1Department of Neurosurgery, Philadelphia College of Osteopathic Medicine South Georgia, Moultrie, USA.
Cureus
|October 4, 2024
概括
自2020年认证合并以来,骨科 (DO) 神经外科住院医生的数量显著下降. 像新泽西,密歇根和加利福尼亚这样的关键州显示了DO神经外科住院医生的最高度.
科学领域:
- 医学教育 医学教育
- 外科住院培训外科住院培训
- 骨科治疗医学 骨科治疗医学
背景情况:
- 2020年向单一认证系统的过渡影响了神经外科住院计划.
- 骨科医生 (DO) 医学学生面临着对居住职位的竞争日益激烈.
- 前美国骨科医生协会 (AOA) 计划寻求美国医学研究生教育认证委员会 (ACGME) 认证,减少了DO友好型计划.
研究的目的:
- 分析神经外科的地理趋势,与DO学生的神经外科实习相匹配.
- 为了检查ACGME合并之前和之后的DO神经外科住院医生的数量.
- 为了确定具有较高比例的DO神经外科住院医生的州.
主要方法:
- 对美国115个神经外科住院计划 (2016-2024) 的横截面分析.
- 从项目网站收集关于居民学位和研究生年份的数据.
- 描述性统计和回归分析以评估DO/MD居民的趋势和比例.
- 根据各州的DO居民的地理统计.
主要成果:
- 观察到DO居民的数量从14个 (2016) 减少到4个 (2024).
- 在合并后,平均每年有6名DO居民被记录在案.
- 新泽西州,密歇根州和加利福尼亚州被确定为DO神经外科住院医生的数量和比例最高.
结论:
- 结果突出了美国DO神经外科住院医生的地理分布.
- 了解这些趋势对于DO申请人的战略规划至关重要.
- 居住计划可能需要重新评估DO申请人的包容性选择标准.
相关概念视频
Blood and Nerve Supply to the Bones
10.8K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
10.8K
Local Anesthetics: Clinical Application as Spinal Anesthesia
591
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
591
Anatomy of the Brain: Major Regions
3.7K
The brain is the most complex organ in the human body. It consists of four main parts: the cerebrum, diencephalon, cerebellum, and brainstem.
The cerebrum is the largest section of the brain and divides into left and right hemispheres, separated by a deep fissure. The cerebral outer layer of grey matter — the cerebral cortex — comprises elevations called gyri and shallow groves called sulci. The inner portion of white matter includes long nerve fibers known as axons, which connect...
The cerebrum is the largest section of the brain and divides into left and right hemispheres, separated by a deep fissure. The cerebral outer layer of grey matter — the cerebral cortex — comprises elevations called gyri and shallow groves called sulci. The inner portion of white matter includes long nerve fibers known as axons, which connect...
3.7K
Local Anesthetics: Differential Sensitivity of Nerve Fibers
790
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
790
Spinal Nerves: Anatomy
2.3K
Spinal nerves are pivotal conduits in the nervous system, bridging the central nervous system (CNS) with the peripheral nervous system (PNS). These nerves enable a complex communication network between the brain, spinal cord, and the rest of the body, facilitating sensory input, motor output, and autonomic functions.
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
2.3K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
376
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
376


