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Biomedical subjects

W R Kiser

Publications and source records attributed to W R Kiser.

At least 19 recordsLinked to original sources

Is interruption in residency training associated with a change in in-training examination scores?

BACKGROUND: Many military physicians interrupt their training to serve in the position of general medical officer (GMO) after completing their first year of postgraduate medical education. This study compares American Board of Family Practice In-training Examination (ITE) scores of military family practice residents who received continuous training (CFP residents) with those who did GMO tours (GMO residents). METHODS: Historical cohorts of CFP and GMO residents from Army and Navy family practice residencies were compared. The dependent measures were their ITE scores in each year of training. Paired data were analyzed using the Student's test. RESULTS: There were no significant differences in composite or clinical problem set scores between GMO and CFP resident groups. Power to detect a true difference between the groups was 74. CONCLUSIONS: Interruption in residency training is not associated with a significant change in the returning resident's ITE scores.

Achievement

End-expiratory carbon monoxide levels as an estimate of passive smoking exposure aboard a nuclear-powered submarine.

Passive smoking is the involuntary inhalation of tobacco smoke by nonsmokers. The purpose of this study was to estimate the degree of passive smoking exposure sustained by smokers and nonsmokers in a nonventilated submarine through the measurement of end-expiratory carbon monoxide (EECO) levels. The initial and final EECO levels were compared for both smokers and nonsmokers. A simple linear regression equation was then used to compare the initial EECO levels in smokers (and their daily cigarette use) with the postsubmergence EECO levels in nonsmokers. Our results showed the postsubmergence EECO levels in the nonsmoking crew members approximated the initial EECO levels in crew members who smoked 21 cigarettes per day. Nonsmokers in a submerged submarine are exposed to significant levels of CO. Future studies are needed to determine the health consequences of this significantly increased level of exposure in nonsmokers.

Adult