MARC details
| 000 -LEADER |
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| fixed length control field |
03832nam a22003857a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210607s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2690-7097 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.34197/ats-scholar.2020-0034OC [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC8043266 [pmc] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
33870325 |
| 245 ## - TITLE STATEMENT |
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| Title |
Impact of Novel Multiinstitutional Curriculum on Critical Care Fellow Ventilator Knowledge. |
| 251 ## - Source |
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| Source |
Ats Scholar. 2(1):84-96, 2020 Dec 22. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
ATS sch.. 2(1):84-96, 2020 Dec 22. |
| 253 ## - Journal Name |
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| Journal name |
ATS scholar |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
epublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-06-07 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: Management of mechanical ventilation (MV) is a curricular milestone for trainees in pulmonary critical care medicine (PCCM) and critical care medicine (CCM) Fellowships. Though recognition of ventilator waveform abnormalities that could result in patient complications is an important part of management, it is unclear how well fellows recognize these abnormalities. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusion: PCCM and CCM fellows do not recognize common waveform abnormalities at the beginning of Fellowship but can be trained to do so. Traditional Fellowship training may be insufficient to master ventilator waveform analysis, and a more intentional, structured course for MV may help Fellowship programs meet the curricular milestones for MV. Copyright (c) 2021 by the American Thoracic Society. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Methods: The study took place from July 2016 to January 2019, with 93 fellows from 10 Fellowship programs completing the waveform examination. Seventy-three fellows participated in a course during their first year of Fellowship, with part I occurring at the beginning of Fellowship in July and part II occurring after 6 months of clinical work. These fellows were given a five-question ventilator waveform examination at multiple time points throughout the two-part course. Twenty fellows from three other Fellowship programs who were in their first, second, or third year of Fellowship and who did not participate in this course served as the control group. These fellows took the waveform examination a single time, at a median of 23 months into their training. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Objective: To study proficiency of ventilator waveform analysis among first-year fellows enrolled in a MV course compared with that of traditionally trained fellows. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Results: Before the course, scores were low but improved after 3 days of education at the beginning of the Fellowship (18.0 +/- 1.6 vs. 45.6 +/- 3.0; P < 0.0001). Scores decreased after 6 months of clinical rotations but increased to their highest levels after part II of the course (33.7 +/- 3.1 for part II pretest vs. 77.4 +/- 2.4 for part II posttest; P < 0.0001). After completing part I at the beginning of Fellowship, fellows participating in the course outperformed control fellows, who received a median of 23 months of traditional Fellowship training at the time of testing (45.6 +/- 3.0 vs. 25.3 +/- 2.7; P < 0.0001). There was no difference in scores between PCCM and CCM fellows. In anonymous surveys, the fellows also rated the mechanical ventilator lectures highly. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Medicine/Pulmonary-Critical Care |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Kriner, Eric |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Woods, Christian J |
| 790 ## - Authors |
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| All authors |
Acho M, Ahari J, Bell T, Kriner E, Lee BW, McCurdy MT, Mikita J, Seam N, Shah NG, Sun J, Woods CJ |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.34197/ats-scholar.2020-0034OCxl - https://dx.doi.org/10.34197/ats-scholar.2020-0034OC">https://dx.doi.org/10.34197/ats-scholar.2020-0034OCxl - https://dx.doi.org/10.34197/ats-scholar.2020-0034OC</a> |
| Public note |
https://dx.doi.org/10.34197/ats-scholar.2020-0034OCxl - https://dx.doi.org/10.34197/ats-scholar.2020-0034OC |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
