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Nizamuddin SL, Patel S, Nizamuddin J, Latif U, Mee Lee S, Tung A, Dalton A, Klafta JM, O’Connor M, Shahul SS. Anesthesiology Residency Recruitment: A Prospective Study Comparing In-Person and Virtual Interviews. J Educ Perioper Med 2022; 24:E681. [PMID: 35707013 PMCID: PMC9176398 DOI: 10.46374/volxxiv_issue1_nizamuddin] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Residency recruitment requires significant resources for both applicants and residency programs. Virtual interviews offer a way to reduce the time and costs required during the residency interview process. This prospective study investigated how virtual interviews affected scoring of anesthesiology residency applicants and whether this effect differed from in-person interview historical controls. METHODS Between November 2020 and January 2021, recruitment members at the University of Chicago scored applicants before their interview based upon written application materials alone (preinterview score). Applicants received a second score after their virtual interview (postinterview score). Recruitment members were queried regarding the most important factor affecting the preinterview score as well as the effect of certain specified applicant interview characteristics on the postinterview score. Previously published historical controls were used for comparison to in-person recruitment the year prior from the same institution. RESULTS Eight hundred and sixteen virtual interviews involving 272 applicants and 19 faculty members were conducted. The postinterview score was higher than the preinterview score (4.06 versus 3.98, P value of <.0001). The change in scores after virtual interviews did not differ from that after in-person interviews conducted the previous year (P = .378). The effect of each characteristic on score change due to the interview did not differ between in-person and virtual interviews (all P values >.05). The factor identified by faculty as the most important in the preinterview score was academic achievements (64%), and faculty identified the most important interview characteristic to be personality (72%). CONCLUSIONS Virtual interviews led to a significant change in scoring of residency applicants, and the magnitude of this change was similar compared with in-person interviews. Further studies should elaborate on the effect of virtual recruitment on residency programs and applicants.
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Affiliation(s)
- Sarah L. Nizamuddin
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Shiragi Patel
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Junaid Nizamuddin
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Usman Latif
- Usman Latif is an Associate Professor in the Department of Anesthesiology at the University of Kansas, Kansas City, KS
| | - Sang Mee Lee
- Sang Mee Lee is an Assistant Professor in the Department of Public Health Sciences, Biological Sciences Division, at the University of Chicago, Chicago, IL
| | - Avery Tung
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Allison Dalton
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Jerome M. Klafta
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Michael O’Connor
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Sajid S. Shahul
- Sarah L. Nizamuddin is an Assistant Professor, Shiragi Patel is a Resident Physician, Junaid Nizamuddin is an Assistant Professor, Avery Tung is a Professor, Allison Dalton is an Associate Professor, Jerome M. Klafta is a Professor, Michael O’Connor is a Professor, Sajid S. Shahul is a Professor in the Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
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Nizamuddin SL, Nizamuddin J, Latif U, Lee SM, Tung A, Dalton A, Klafta JM, O’Connor M, Shahul SS. The Influence of the In-person Residency Interview: A Prospective Study. J Educ Perioper Med 2021; 23:E676. [PMID: 34966829 PMCID: PMC8691172 DOI: 10.46374/volxxiii_issue4_nizamuddin] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND This prospective study investigated whether in-person interviews affected interviewer assessments of anesthesiology residency applicants at an academic medical center, and which applicant characteristics influenced interview performance. METHODS Eighteen faculty members involved in residency recruitment between November 2019 and January 2020 documented preinterview (after full application review) and postinterview scores of the applicants on a scale of 1 to 5. Faculty also reported the relative contributions of specific interview characteristics (personality, physical appearance, professional demeanor, discussion regarding academic/scholarly activity, and level of interest in the specialty) to their postinterview assessments. Mixed-effects models were used to assess whether interviews changed faculty assessment of applicants, and what the relative contributions of applicant characteristics were to faculty assessments. RESULTS A total of 696 interviews were conducted with 232 applicants. The postinterview scores differed significantly from the preinterview scores (estimated mean difference, 0.09 ± 0.02; P < 0.0001). The characteristics most affecting postinterview scores were positive impressions of applicants' personalities (marginal mean change in postinterview score, 0.259; 95% confidence interval, 0.221-0.297) and negative impressions of applicants' professional demeanor (marginal mean change, -0.257; 95% confidence interval, -0.350 to -0.164). CONCLUSIONS In-person interviews significantly affected residency applicants' scores. Personality and professional demeanor influenced scores more than did other characteristics examined. Further studies are needed to clarify the relevance of in-person interviews to the assessment of residency applicants.
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Nizamuddin SL, Gupta A, Latif U, Nizamuddin J, Tung A, Minhaj MM, Apfelbaum J, Shahul SS. A Predictive Model for Pediatric Postoperative Respiratory Failure: A National Inpatient Sample Study. J Intensive Care Med 2020; 36:798-807. [PMID: 32489132 DOI: 10.1177/0885066620928272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
STUDY OBJECTIVE To identify risk factors for pediatric postoperative respiratory failure and develop a predictive model. DESIGN This retrospective case-control study utilized the US National Inpatient Sample (NIS) from 2012 to 2014. Significant predictors were selected, and the predicted probability of pediatric postoperative respiratory failure was calculated. Sensitivity, specificity, and accuracy were then calculated, and receiver-operator curves were drawn. SETTING National Inpatient Sample data sets from years 2012, 2013, and 2014 were used. PATIENTS Patients aged 17 and younger in the 2012, 2013, and 2014 NIS data sets. INTERVENTIONS Candidate predictors included demographic variables, type of surgical procedure, a modified pediatric comorbidity score, presence of substance abuse diagnosis, and presence/absence of kyphoscoliosis. MEASUREMENTS The primary outcome measure was the pediatric quality indicator (PDI 09), which is defined by the Agency for Healthcare Research Quality, and identifies pediatric patients with postoperative respiratory failure. MAIN RESULTS The incidence of pediatric postoperative respiratory failure in each year's data set varied from 1.31% in 2012 to 1.41% in 2014. Significant risk factors for the development of postoperative respiratory failure included abdominal surgery ([OR] = 1.92 in 2012 data set, 1.79 in 2013 data set), spine surgery (OR = 7.10 in 2012 data set, 6.41 in 2013 data set), and an elevated pediatric comorbidity score (score of 3 or greater: OR = 32.58 in 2012 data set, 22.74 in 2013 data set). A predictive model utilizing these risk factors achieved a C statistic of 0.82. CONCLUSIONS Risk factors associated with postoperative respiratory failure in pediatric patients undergoing noncardiac surgery include type of surgery (abdominal and spine) and higher pediatric comorbidity scores. A prediction model based on the identified factors had good predictive ability.
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Affiliation(s)
- Sarah L Nizamuddin
- Department of Anesthesia and Critical Care, 2462University of Chicago, Chicago, IL, USA
| | - Atul Gupta
- Department of Anesthesia and Critical Care, 2462University of Chicago, Chicago, IL, USA
| | - Usman Latif
- Department of Anesthesiology, University of Kansas, Kansas City, KS, USA
| | - Junaid Nizamuddin
- Department of Anesthesia and Critical Care, 2462University of Chicago, Chicago, IL, USA
| | - Avery Tung
- Department of Anesthesia and Critical Care, 2462University of Chicago, Chicago, IL, USA
| | - Mohammed M Minhaj
- Department of Anesthesia and Critical Care, 2462University of Chicago, Chicago, IL, USA
| | - Jeffrey Apfelbaum
- Department of Anesthesia and Critical Care, 2462University of Chicago, Chicago, IL, USA
| | - Sajid S Shahul
- Department of Anesthesia and Critical Care, 2462University of Chicago, Chicago, IL, USA
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Nizamuddin SL, Nizamuddin J, Latif U, Tung A, Klafta JM, Lee SM, Ku CM, Stahl DL, Lee J, Shahul SS. Be Active and Be Well? A Cross-sectional Survey of US Anesthesia Residents. J Educ Perioper Med 2020; 22:E640. [PMID: 32939368 PMCID: PMC7485433 DOI: 10.46374/volxxii-issue2-nizamuddin] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Wellness among resident physicians is important to their well-being and ability to provide clinical care. The relationship between physical activity and wellness among anesthesia residents has not yet been evaluated. We surveyed anesthesia residents to evaluate their levels of physical activity and self-perceived wellness scores. We hypothesized that residents with high self-reported physical activity levels would be more likely to have higher wellness scores. METHODS Three hundred and twenty-three anesthesia residents were invited to participate in this cross-sectional survey study. The survey included questions regarding demographics (age, gender, clinical anesthesia year, work hours), physical activity (based off the US Department of Health and Human Services [USDHHS] guidelines), and wellness (using the Satisfaction With Life Scale). The relationship between wellness and physical activity levels was evaluated. RESULTS One hundred forty-one residents responded (43.6% response rate). Thirty-eight (27.1%) residents met our activity threshold for physically active. Eighty-six respondents (61.4%) were classified as having high wellness based on their survey answers. No significant associations were found between demographic data and wellness, including age or clinical anesthesia training year. Among those residents who described physical activity consistent with USDHHS guidelines, 29 (76.3%) had high wellness scores. After logistic regression analysis, residents who achieved the physical activity guidelines were more likely to have high wellness scores (odds ratio 2.54, 95% confidence interval 1.13-6.20, P value .03). CONCLUSIONS Anesthesia resident physicians with high physical activity levels had higher self-perceived wellness scores.
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Nizamuddin J, Gupta A, Patel V, Minhaj M, Nizamuddin SL, Mueller AL, Naseem H, Tung A, Rana S, Shahul S. Hypertensive Diseases of Pregnancy Increase Risk of Readmission With Heart Failure: A National Readmissions Database Study. Mayo Clin Proc 2019; 94:811-819. [PMID: 30577972 DOI: 10.1016/j.mayocp.2018.08.032] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Revised: 07/01/2018] [Accepted: 08/03/2018] [Indexed: 12/21/2022]
Abstract
OBJECTIVE To study the association between hypertensive diseases of pregnancy and immediate postpartum development of heart failure in a large national database. PATIENTS AND METHODS Using the 2013 to 2014 National Readmissions Database, which covered admissions from January 1 through September 30 in years 2013 and 2014, we examined 90-day readmission rates in parturients with a diagnosis of hypertensive disease of pregnancy who were discharged after delivery. The primary outcome was the association between the presence of hypertensive disease of pregnancy and readmission with heart failure within 90 days of delivery discharge. Secondary outcomes included readmission mortality, time between delivery discharge and readmission, length of stay, and costs of readmission. RESULTS Women with hypertensive disease of pregnancy were more likely to be readmitted with heart failure (1809 of 25,908 readmissions (7.0%) vs 2622 of 89,660 readmissions (2.9%); P<.001). This difference persisted after adjustment for potential cofounders (6.3% vs 3.1%; odds ratio, 2.15; 95% CI, 1.92-2.40; P<.001). Women with a diagnosis of heart failure at readmission were readmitted sooner (11 days vs 23 days; P<.001) and had a longer length of stay (4 days vs 3 days; P<.001) and higher costs of readmission ($10,361 vs $6977; P<.001) than did women without a diagnosis of heart failure. CONCLUSION Parturients with hypertensive disease of pregnancy were more likely to be readmitted with heart failure within 90 days of delivery. Most patients readmitted with heart failure were readmitted within 2 weeks of discharge after delivery. Patients readmitted with heart failure had substantial health care expenditures.
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Affiliation(s)
- Junaid Nizamuddin
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Atul Gupta
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Vijal Patel
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Mohammed Minhaj
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Sarah L Nizamuddin
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Ariel L Mueller
- Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL; Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Heba Naseem
- Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL
| | - Avery Tung
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Sarosh Rana
- Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL
| | - Sajid Shahul
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL.
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Kacha AK, Nizamuddin SL, Nizamuddin J, Ramakrishna H, Shahul SS. Clinical Study Designs and Sources of Error in Medical Research. J Cardiothorac Vasc Anesth 2018; 32:2789-2801. [PMID: 29571641 DOI: 10.1053/j.jvca.2018.02.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Indexed: 11/11/2022]
Affiliation(s)
- Aalok K Kacha
- Section of Critical Care Medicine, Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Sarah L Nizamuddin
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Junaid Nizamuddin
- Section of Critical Care Medicine, Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Harish Ramakrishna
- Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ
| | - Sajid S Shahul
- Section of Critical Care Medicine, Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL.
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Benzon HA, Hajduk J, De Oliveira G, Suresh S, Nizamuddin SL, McCarthy R, Jagannathan N. Pediatric Anesthesiology Fellows’ Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg 2018; 126:639-643. [DOI: 10.1213/ane.0000000000002445] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Affiliation(s)
- Sarah L Nizamuddin
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Junaid Nizamuddin
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL
| | - Ariel Mueller
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA
| | - Harish Ramakrishna
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ
| | - Sajid S Shahul
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL.
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Nizamuddin SL, Koury KM, Lau ME, Watt LD, Gulur P. Use of targeted transversus abdominus plane blocks in pediatric patients with anterior cutaneous nerve entrapment syndrome. Pain Physician 2014; 17:E623-E627. [PMID: 25247912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Anterior cutaneous nerve entrapment syndrome (ACNES) is a commonly overlooked source of chronic abdominal wall pain. A diagnosis of ACNES should be considered in cases of severe, localized abdominal pain that is accentuated by physical activity. Providers should consider diagnosing ACNES once a patient has both a positive result from a Carnett's test and precise localization of pain. We describe the use of transversus abdominus plane (TAP) blocks to treat ACNES in the pediatric patient population. TAP blocks are a treatment modality which have been described less frequently in the management of this syndrome, with rectus sheath blocks being used more commonly. TAP blocks can be used effectively for ACNES by targeting the site of maximal tenderness, which was identified using ultrasound guidance. Moreover, TAP blocks are an attractive procedure option for ACNES as they are less invasive than other commonly used techniques. We present 3 case series reports of pediatric patients evaluated at our institution for severe abdominal pain to describe the clinical manifestations, sequelae, and outcome of ACNES. Though the exact incidence of ACNES in the pediatric population is unknown, this condition has significant implications from chronic pain. Chronic pain can lead to significant emotional and social impacts on these pediatric patients, as well as their on their families. Further, the extensive utilization of health care resources is impacted when children with undiagnosed ACNES undergo invasive treatments when ACNES is not in the early differential. The purpose of this case series report is to prompt better recognition of the condition ACNES, and to highlight the efficacy of TAP blocks as a management strategy.
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