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Elysia Moschos

Publications and source records attributed to Elysia Moschos.

2 recordsLinked to original sources

Resident attrition: is gender a factor?

OBJECTIVE: This study was undertaken to identify the causes of resident attrition from obstetrics and gynecology on the basis of gender. STUDY DESIGN: Two sequential questionnaires were sent to the 246 obstetrics and gynecology residency programs in the United States in March 2001 and May 2002. The programs were asked for the number of residents who left from 1997 to 2001, the postgraduate years, and genders of those residents, the reasons for leaving, and program demographics. Statistical analysis was performed with chi 2 and odds ratio calculations. RESULTS: The rate of attrition was 3% over 4 years. Female residents were 2.5 to 5 times as likely as male residents to leave because of family issues, specifically for reasons related to spouses ( P =.002). Female residents were one quarter as likely to leave to change specialty (P =.002), whereas this was the principal reason of more than half of the male residents who left. CONCLUSION: Important gender differences do exist in the reasons for attrition from obstetrics and gynecology residency programs.

Adult↗

Acquiring laparoscopic skill proficiency: does orientation matter?

OBJECTIVE: This study was undertaken to determine whether side-on laparoscopic operating orientation alters time-to-skill mastery compared with head-on orientation. STUDY DESIGN: One hundred thirty-one medical students were randomly assigned by operating axis (camera position to operating field) and completed 10 attempts at each of 5 previously validated laparoscopic skills stations. Time-to-completion was recorded for each attempt, generating an orientation and skill station learning curve. Statistical analysis was performed by using repeated measures analysis of variance and linear, polynomial, and logarithmic models with 95% CIs. RESULTS: Sixty-eight students were randomly assigned to head-on orientation and 63 to side-on orientation. Comparing median time-to-completion by station, head-on attempts were faster than side-on attempts for every station. Comparing learning curves by orientation, side-on learning curves were steeper than head-on learning curves for every station, except one. Asymptotes were reached in both strata by the tenth attempt. CONCLUSION: Greater initial disorientation is seen with side-on orientation compared with head-on orientation. This can be overcome with practice.

Clinical Clerkship↗