Biomedical subjects

Ruben Alvero

Publications and source records attributed to Ruben Alvero.

4 recordsLinked to original sources

PubMed2005

Resident job satisfaction: one year of duty hours.

OBJECTIVE: This study was undertaken to assess job satisfaction and quality of life aspects among residents in obstetrics/gynecology before and after the implementation of duty-hour requirements. STUDY DESIGN: We administered a survey to residents before and after duty-hour restrictions, addressing satisfaction with residency training, quality of life, and predictions/impressions of the effect of reduced work hours. RESULTS: Satisfaction with overall residency training as a discrete survey item did not change; however, the composite score from all responses to specific items increased. Several specific clinical and academic items garnered higher satisfaction scores in 2004. Residents reported less-than-anticipated increases in healthiness of their lifestyle and a decrease in interest in teaching. CONCLUSION: This is a prospective assessment of the effect of duty-hour requirements, improvements in residents' perception of their time and ability to study and pursue research and in clinical areas are encouraging. The perception that there is less interest in teaching is of concern.

Female↗

PubMed2004

Resident job satisfaction: will 80 hours make a difference?

OBJECTIVE: This study was undertaken to assess job satisfaction and quality of life among obstetrics and gynecology residents before the 80-hour work week. STUDY DESIGN: We administered a job satisfaction survey to residents before July 1, 2003, assessing satisfaction with residency training, indicators of current quality of life, and predictions for the effect of reduced work hours. RESULTS: Residents were satisfied with training, with important outliers, including leisure time, ability to pursue educational reading, and surgical experience. We created job satisfaction facets that were generally reliable constructs and valid predictors for overall residency satisfaction. Residents predict more free time and a healthier lifestyle under the new requirements, but do not anticipate using additional time to study or teach. CONCLUSION: Job satisfaction facets for residents are proposed here and may be refined through further study. Lower scores for surgical experience are of concern in light of decreasing work hours. Educators must monitor self-directed learning efforts under new work hours.

Adult↗

PubMed2004

The role of fallopian tube anastomosis in training fellows: a survey of current reproductive endocrinology fellows and practitioners.

This survey of fellows and reproductive endocrinologists in practice suggests that decreasing numbers of tubal reanastomosis procedures are being performed. This change has occurred both in fellow training and in the clinical practice of reproductive endocrinologists.

Anastomosis, Surgical↗

PubMed2002

Assisted reproductive technologies: toward improving implantation rates and reducing high-order multiple gestations.

Despite striking progress in reproductive medicine over the past quarter century, the number of high-order multiple gestations are unacceptably high, largely as a result of the drive to maintain pregnancy rates in a competitive range. Morphologic criteria are currently used to define the reproductive competence of individual embryos but are imperfect predictors of implantation potential. Current and potential strategies to improve the selection of embryos are described. By the use of several of these approaches, it is hoped that the overall number of embryos that are transferred will be reduced, thereby also reducing the multiple gestation rate.

Embryo Implantation↗