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5. Using Q-Methodology to Determine Students' Perceptions of Interprofessional Anatomy Education

Author

Mackinnon, Chelsea, Akhtar-Danesh, Noori, Palombella, Andrew, and Wainman, Bruce

Abstract

Interprofessional education (IPE) prepares healthcare students for collaboration in their future careers. The purpose of this study was to determine which aspects of the IPE Program in Anatomy at McMaster University contributed to the development of healthcare student's interprofessional skills. Q-methodology was used to identify the students' common viewpoints of the IPE experience. A total of 26/28 (93%) of students in the course from the medical, nursing, midwifery, physician assistant, occupational therapy, and physiotherapy programs participated in this study. Students were asked to sort a Q-sample of 43 statements about the IPE dissection course derived from previous qualitative studies of the program. Using the centroid factor extraction and varimax rotation, three salient factors (groups) emerged, namely: (1) Anatomy IPE Enthusiasts, (2) Practical IPE Advocates, and (3) Skeptical IPE Anatomists. The Anatomy IPE Enthusiasts believed that students from different disciplines brought unique anatomical knowledge and each group member guided others through difficult material. The Practical IPE Advocates expressed that they would be stronger advocates for interprofessional teams in the future because of the course. The Skeptical IPE Anatomists strongly disagreed that learning with students from different disciplines helped them gain an understanding of their roles in the context of other healthcare professionals and felt that there was little benefit from the IPE program compared to other non-interprofessional programs. These findings about student attitudes are critical to drive an evidence-based evolution of the IPE dissection course, since students' perceptions can have a profound influence on interprofessional collaboration in the workplace.

Published
2022
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6. Impact of the COVID-19 pandemic on non--small-cell lung cancer pathologic stage and presentation

Author

Keogh, Joshua A.J., Chhor, Allison D., Begum, Housne, Akhtar-Danesh, Noori, and Finley, Christian

Subjects
Epidemics -- Influence, Lung cancer, Non-small cell -- Statistics -- Care and treatment -- Diagnosis, Health, Health care industry
Abstract

Background: It is believed that the cessation of normative cancer care services during the COVID-19 pandemic may be resulting in pathologic upstaging and higher long-term mortality rates. We aimed to understand how the pandemic has affected our patients diagnosed with non-small-cell lung cancer (NSCLC). Methods: We conducted a single-centre retrospective analysis to assess how the COVID-19 pandemic has affected patient referrals, pathologic stage of NSCLC, mortality rates and surgical procedures at our cancer care centre in Ontario, Canada. At our centre, physicians advocated for and followed recommendations that operations in cancer patients should be among the last procedures to be delayed. Patients were included if they were aged 18 years or older, were not receiving palliative care, and had been screened, diagnosed and treated for NSCLC (primary tumours). We compared outcomes between a prepandemic period (January 2019 to February 2020) and a period during the pandemic (March 2020 to February 2021). Results: A total of 695 patients were included for statistical analysis, of whom 650 underwent surgery. There was no statistically significant difference in any of the outcomes of interest between patients seen before (n = 330) and during (n = 320) the pandemic. Conclusion: Cancer care services at our centre were maintained during the COVID-19 pandemic, and potential adverse effects on prognosis and survival that have been seen in other countries were avoided. The results inform health care providers how the effects of future pandemics can be blunted by using proactive preservative strategies and surgeon advocacy. Contexte : On croit que interruption des soins normatifs aux personnes atteintes de cancer durant la pandemie de COVID-19 pourrait avoir mene a des diagnostics a un stade pathologique plus avance et a une hausse des taux de mortalite a long terme. Nous avons cherche a mieux comprendre les repercussions de la pandemie sur nos patients ayant recu un diagnostic de carcinome pulmonaire non a petites cellules (CPNPC). Methodes : Nous avons mene une analyse retrospective monocentrique pour determiner l'incidence de la reponse a la pandemie de COVID-19 sur les demandes de consultation aupres d'un specialiste, le stade pathologique du CPNPC, le taux de mortalite et les interventions chirurgicales dans notre centre d'oncologie situe en Ontario (Canada). Nos medecins ont reclame puis suivi des directives recommandant que les operations oncologiques soient parmi les dernieres interventions a etre retardees. Pour etre inclus, les patients devaient etre ages de 18 ans ou plus, ne pas recevoir de soins palliatifs, et avoir recu un diagnostic de CPNPC apres depistage et etre traites pour cette maladie (tumeurs primitives). Nous avons compare les issues avant (janvier 2019 a fevrier 2020) et pendant (mars 2020 a fevrier 2021) la pandemie. Resultats : Au total, 695 patients ont ete inclus dans l'analyse statistique, et 650 d'entre eux ont subi une intervention chirurgicale. Nous n'avons observe aucune difference statistiquement significative pour les issues a l'etude entre les patients vus avant (n = 330) et pendant (n = 320) la pandemie. Conclusion : Notre centre a maintenu la prestation de soins aux personnes atteintes de cancer durant la pandemie de COVID-19, et nous avons pu eviter les effets indesirables potentiels qui ont affecte le pronostic et la survie dans d'autres pays. Ces resultats montrent aux professionnels de la sante que les repercussions d'eventuelles pandemies pourront etre attenuees par l'utilisation de strategies proactives de preservation des services et les efforts de representation des chirurgiens., The timely presentation, diagnosis and treatment of lung cancer is associated with improved prognosis and survival rates. (1-9) In addition, delayed diagnosis of cancer often results in stage migration, as [...]

Published
2022
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9. Why do instructors pass underperforming students? A Q-methodology study.

Author

Liu, Chunlin, Rajagopalan, Jananey, Wainman, Bruce, Wojkowski, Sarah, Pierazzo, Joanna, and Akhtar-Danesh, Noori

Subjects
PRINCIPAL components analysis, EDUCATIONAL standards, FACTOR analysis, COLLEGE teachers, PROFESSIONAL standards
Abstract

Background: Formal evaluations are an integral part of a student's learning and encourage students to learn and help instructors identify students' weaknesses. Over the past few decades there have been growing concerns that instructors and evaluators are passing students who do not meet expectations. This phenomenon, in which instructors pass students who do not meet expectations, has been referred to as "failure-to-fail". In this study, we used Q-methodology to identify instructors' justifications for failure-to-fail. Methods: A Q-methodology study was conducted to identify the major viewpoints of instructors at a Canadian university. A by-person factor analysis with principal component factor extraction and Varimax rotation was used. The analysis was conducted using the QFACTOR program in Stata. A Cohen's effect size of 0.80 was used to identify distinguishing statements. Results: Fifty seven instructors participated in this study. Through a by-person factor analysis, three factors representing three viewpoints emerged: Intrinsically Motivated, Extrinsically Motivated, and Administratively & Emotionally Deterred. The Intrinsically Motivated group perceived mental barriers that prevented them from failing students. They strongly disagreed that they experienced pressure from either students or their schools to pass students. The Extrinsically Motivated believed that their higher-ups and the university encouraged them to pass all students. They perceived discomfort associated with defending their reasons for failing students and were concerned that failing students would damage their own career advancements. The Administratively & Emotionally Deterred group believed that the process of failing a student was stressful and exhausting. They disagreed that a failed student is a result of the instructor's own inadequate guidance or mentorship. Conclusions: This study identified three distinctive viewpoints that outline areas of consideration for addressing the failure-to-fail mechanism. More transparent discussions within schools, as well as identifying solutions, are required to create systems that ensure educational and professional standards are maintained. Further replication of this study in various disciplines may be used to determine whether these findings are consistent in different fields. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Beyond Average Information: How Q-Methodology Enhances Course Evaluations in Anatomy

Author

Brewer-Deluce, Danielle, Sharma, Bhanu, Akhtar-Danesh, Noori, Jackson, Thomas, and Wainman, Bruce C.

Abstract

Course evaluations can be used for curriculum improvement and have the potential to better the student learning experience. However, because most are based on Likert scales and open-ended feedback, understanding diversity in student opinion and uncovering optimal options for course change and improvement are often difficult. Alternatively, Q-methodology can be used to investigate patterns of thought within a group and may offer greater potential for course reform. This manuscript offers a tutorial-based explanation of the three components of Q-methodology studies (1) survey instrument development, (2) data collection, and (3) analysis and interpretation, then demonstrates, via case study, the use of Q-methodology to evaluate a fourth-year undergraduate pathoanatomy course. The goal of this article is to enable the reader to broadly apply Q-methodology in other courses to gain insight and feedback beyond that offered by traditional Likert scale methods. As demonstrated through the pathoanatomy case study, Q-methodology highlights groups (denoted by factors) of like-minded students that share opinions, preferences, and values. Overall, Q-methodology analyses support course instructors in identifying areas of course strength and improvement in an evidence-based way. This alternative to traditional Likert scales represents a promising solution to ongoing course evaluation limitations.

Published
2020
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14. Wait times in the management of non-small cell lung carcinoma before, during and after regionalization of lung cancer care: a high-resolution analysis

Author

Shakeel, Saad, Dhanoa, Mankeeran, Khan, Omar, Dibajnia, Pooya, Akhtar-Danesh, Noori, and Behzadi, Abdollah

Subjects
Medical appointments and schedules -- Statistics, Lung cancer, Non-small cell -- Care and treatment -- Patient outcomes -- Statistics, Health, Health care industry
Abstract

Background: Timeliness can have a substantial effect on treatment outcomes, prognosis and quality of life for patients with lung cancer. We sought to evaluate changes in wait times for patients with non-small cell lung carcinoma (NSCLC) and to identify bottlenecks in cancer care. Methods: We included patients who received treatment with curative intent or palliative treatment for NSCLC, diagnosed through mediastinal staging by a thoracic surgeon. Data were collected from 3 cohorts over 3 time periods: before the regionalization of lung cancer care (2005-2007, C1), immediately postregionalization (2011-2013, C2) and 5 years after regionalization (2016-2017, C3). Total wait time and delays along treatment pathways were compared across cohorts using multivariate Cox proportionality models. Results: Our total sample size was 299 patients. Overall, there was no significant difference in total wait time among the 3 cohorts. However, wait time from symptom onset to first physician visit significantly increased in C3 compared with C2 (hazard ratio [HR] 0.41, p < 0.01) and C1 (HR 0.43, p < 0.01). Time from first physician visit to computed tomography (CT) scan significantly decreased in C3 compared with C2 (HR 1.54, p < 0.01). Time from abnormal CT scan to first surgeon visit also significantly decreased in C2 (HR 1.43, p < 0.01) and C3 (HR 4.47, p < 0.01) compared with C1, and between C3 and C2 (HR 2.67, p < 0.01). In contrast, time from first surgeon visit to completion of staging significantly increased in C2 (HR 0.36, p < 0.01) and C3 (HR 0.24, p < 0.01) compared with C1, as well as between C3 and C2 (HR 0.60, p < 0.01). Time to first treatment after completion of staging was significantly shorter for C3 than C1 (HR 1.58, p < 0.01). Conclusion: Trends toward a reduction in wait time are evident 5 years after the regionalization of lung cancer care, primarily led by shorter wait times for CT scans and thoracic surgeon consults. However, wait times can further be reduced by addressing delays in staging completion and patient and provider education to identify the early signs of NSCLC. Contexte : La rapidite d'intervention peut avoir un effet considerable sur l'issue du traitement, le pronostic et la qualite de vie des patients atteints d'un cancer du poumon. Nous avons voulu evaluer les changements des temps d'attente des patients ayant un carcinome pulmonaire non a petites cellules et recenser les obstacles aux soins oncologiques. Methodes : Nous avons inclus des patients ayant recu un traitement curatif ou palliatif pour un carcinome pulmonaire non a petites cellules diagnostique par stadification de lesions mediastinales par un chirurgien thoracique. Les donnees ont ete recueillies aupres de 3 cohortes, a 3 moments : avant la regionalisation des soins oncologiques (2005-2007; C1), immediatement apres la regionalisation (2011-2013; C2) et 5 ans apres la regionalisation (2016-2017; C3). Le temps d'attente total et les delais au cours du processus de traitement des cohortes ont ete compares au moyen de modeles a risques proportionnels de Cox multivaries. Resultats : Au total, l'echantillon comptait 299 patients. Dans l'ensemble, aucune difference statistiquement significative n'a ete observee entre les 3 cohortes pour ce qui est du temps d'attente total. Cependant, la C3 presentait un temps d'attente entre l'apparition des symptomes et la premiere consultation medicale significativement plus long que la C2 (rapport de risque [RR] 0,41; p < 0,01) et que la C1 (RR 0,43; p < 0,01). Le temps d'attente entre la premiere consultation medicale et la tomodensitometrie (TDM) etait par contre significativement plus court dans la C3 que dans la C2 (RR 1,54; p < 0,01). Le delai entre l'obtention d'un resultat anormal a la TDM et la premiere consultation chirurgicale etait egalement significativement moindre dans la C2 (RR 1,43; p < 0,01) et dans la C3 (RR 4,47; p < 0,01) que dans la C1, mais aussi entre la C3 et la C2 (RR 2,67; p < 0,01). A l'inverse, le temps ecoule entre la premiere consultation chirurgicale et la fin de la stadification etait significativement plus long dans la C2 (RR 0,36; p < 0,01) et la C3 (RR 0,24; p < 0,01) que dans la C1; il en etait egalement ainsi entre la C3 et la C2 (RR 0,60; p < 0,01). Enfin, le delai entre le premier traitement et la fin de la stadification etait significativement plus court dans la C3 que dans la C1 (RR 1,58; p < 0,01). Conclusion : Cinq ans apres la regionalisation des soins oncologiques, on peut observer une reduction des temps d'attente, principalement une diminution du temps d'attente pour une TDM ou une consultation chirurgicale. Les temps d'attente pourraient etre davantage raccourcis par une reduction des delais dans la stadification, ainsi que par la sensibilisation des patients et des fournisseurs de soins a l'egard de la reconnaissance des signes precoces de carcinome pulmonaire non a petites cellules., Lung cancer is a significant health care burden in Canada, representing an estimated 14% of all diagnosed cancers in 2017.1 Timely access to care is recognized as an important facet [...]

Published
2021
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19. Impact of Pre-Operative Abdominal MRI on Survival for Patients with Resected Pancreatic Carcinoma

Author

Alaref, Amer, primary, Siltamaki, Dylan, additional, Cerasuolo, Joshua O., additional, Akhtar-Danesh, Noori, additional, Caswell, Joseph M., additional, Serrano, Pablo E., additional, Meyers, Brandon M., additional, Savage, David W., additional, Nelli, Jennifer, additional, Patlas, Michael, additional, Alabousi, Abdullah, additional, Siddiqui, Rabail, additional, and van der Pol, Christian Balthasar, additional

Published
2024
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20. Patient and public involvement in international research: Perspectives of a team of researchers from six countries on collaborating with people with lived experiences of dementia and end‐of‐life

Author

Vellani, Shirin, primary, Yous, Marie‐Lee, additional, Rivas, Vanessa Maradiaga, additional, Lucchese, Stephanie, additional, Kruizinga, Julia, additional, Sussman, Tamara, additional, Abelson, Julia, additional, Akhtar‐Danesh, Noori, additional, Bravo, Gina, additional, Brazil, Kevin, additional, Ganann, Rebecca, additional, and Kaasalainen, Sharon, additional

Published
2023
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26. Patient and public involvement in international research: Perspectives of a team of researchers from six countries on collaborating with people with lived experiences of dementia and end‐of‐life.

Author

Vellani, Shirin, Yous, Marie‐Lee, Rivas, Vanessa Maradiaga, Lucchese, Stephanie, Kruizinga, Julia, Sussman, Tamara, Abelson, Julia, Akhtar‐Danesh, Noori, Bravo, Gina, Brazil, Kevin, Ganann, Rebecca, and Kaasalainen, Sharon

Subjects
PSYCHIATRY, CAREGIVER attitudes, PATIENT participation, TERMINAL care, HUMAN research subjects, STRATEGIC planning, RESEARCH methodology, PATIENT selection, INTERVIEWING, CULTURAL pluralism, EXPERIENCE, QUALITATIVE research, INTERPROFESSIONAL relations, PSYCHOLOGY of caregivers, RESEARCH funding, REFLEXIVITY, THEMATIC analysis, DIFFUSION of innovations
Abstract

Background: Patient and public involvement (PPI) is a critical priority in research, policy, academia and advocacy organizations. PPI in dementia research is gaining momentum. However, these efforts are missing in international projects aimed at those living with advanced dementia in long‐term care (LTC) homes. Additional complexities can arise in enacting PPI within the context of integration of a palliative approach to care and experiences around end‐of‐life in (EOL) dementia. The mySupport study involved implementing the Family Carer Decision Support (FCDS) intervention for care partners of those living with advanced dementia in LTC in six countries. Research Design and Objective: An interpretive description study was conducted to explore the perspectives of international researchers from six countries on engaging people with lived experiences of dementia and EOL care in research processes. The findings from this study informed the development of a PPI strategy and a subsequent toolkit for the FCDS intervention. Findings: Thirty‐eight interviews were completed with project researchers: 12 from the United Kingdom, 8 from Canada, 7 from Ireland, 4 each from Italy and The Netherlands and 3 from the Czech Republic. Four broad themes describe international researchers' perspectives on advancing methods of engagement for people with lived experiences of dementia and EOL in international PPI activities: (1) Groundwork to engage in research; (2) planning for research activities is key; (3) focus on meaningful engagement and (4) having foresight for practical issues shaping PPI. Discussion and Implications: International projects that involve PPI can present many sources of challenges. The findings in this study highlight important considerations for foundational work for incorporating PPI in international projects. Learning from world leaders and those with lived experiences in various regions can be insightful and help share tools and resources. Patient or Public Contribution: PPI was envisioned as a critical part of conducting the mySupport study. The findings from this study informed the development of a PPI strategy and an international Strategic Guiding Council that included family carers of those living with advanced dementia in LTC homes in six countries. This manuscript focused on the perspectives of researchers on their engagement with people with lived experiences of dementia and EOL. The perspectives of persons with lived experiences on engaging in the mySupport research study will be reported in a forthcoming manuscript. [ABSTRACT FROM AUTHOR]

Published
2024
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27. Student perceptions of hybrid delivery of interprofessional anatomy—The best of both worlds?

Author

Oliveira, Ana, Mezil, Yasmeen, Akhtar‐Danesh, Noori, Palombella, Andrew, Rockarts, Jasmine, Wojkowski, Sarah, and Wainman, Bruce

Abstract

Interprofessional anatomy dissection (IAD) courses increase students' readiness for interprofessional education (IPE) both in‐person and online. During the COVID‐19 pandemic, virtual environments for anatomy learning were perceived as less effective. Hybrid instruction approaches emerged but have been scarcely evaluated. This study assessed students' experiences with a hybrid IAD course's virtual and in‐person components. A hybrid IAD course consisting of virtual and in‐person anatomy laboratory‐based instruction was offered to 32 students from different health sciences programs. Before and after the full course, students completed the Readiness for Interprofessional Learning Scale (RIPLS) and the Interdisciplinary Education Perception Scale (IEPS). After the virtual and the in‐person course components, students completed a Q‐methodology survey to assess their perceptions of the course. Twenty‐eight students (20 females; 24.8 ± 6.3 years old) from different programs (4 Physician Assistant; 2 Midwifery; 3 Speech‐Language Pathology; 4 Physiotherapy; 3 Occupational therapy; 4 Nursing; 8 Medicine) participated. The total RIPLS score improved after the 8‐week course (Median 84 interquartile range [78–87] vs. 87 [85–90]; p = 0.0145). The Q‐methodology identified three factors: IPE & Virtual Enthusiasts, Introspective Learners, and IPE & Virtual Skeptics. Factors represented different levels of students' engagement with the IPE and virtual environment. The transition to in‐person resulted in all factors praising the experience. Health science students showed improvements in their readiness for IPE after an 8‐week hybrid IAD course. The main differences in the evaluations of the virtual and in‐person components were related to engagement and the ability to learn anatomy; no differences were noted between settings regarding engagement in IPE. [ABSTRACT FROM AUTHOR]

Published
2024
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29. Mortality in ASIA Impairment Scale grade A to D Patients With Odontoid Fracture and Magnetic Resonance Imaging Evidence of Spinal Cord Injury

Author

Aarabi, Bizhan, primary, Neal, Christopher J., additional, Hersh, David S., additional, Harrop, James S., additional, Fehlings, Michael G., additional, Toups, Elizabeth G., additional, Guest, James D., additional, Ugiliweneza, Beatrice, additional, Akhtar-Danesh, Noori, additional, Kurpad, Shekar N., additional, and Grossman, Robert G., additional

Published
2023
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30. Mortality in ASIA Impairment Scale grade A to D Patients With Odontoid Fracture and Magnetic Resonance Imaging Evidence of Spinal Cord Injury

Author

Aarabi, Bizhan, Neal, Christopher J, Hersh, David S., Harrop, James S., Fehlings, Michael G., Toups, Elizabeth G., Guest, James D., Ugiliweneza, Beatrice, Akhtar-Danesh, Noori, Kurpad, Shekar N., Grossman, Robert G., Aarabi, Bizhan, Neal, Christopher J, Hersh, David S., Harrop, James S., Fehlings, Michael G., Toups, Elizabeth G., Guest, James D., Ugiliweneza, Beatrice, Akhtar-Danesh, Noori, Kurpad, Shekar N., and Grossman, Robert G.

Abstract

Odontoid fractures are common, often presenting in the elderly after a fall and infrequently associated with traumatic spinal cord injury (tSCI). The goal of this study was to analyze predictors of mortality and neurological outcome when odontoid fractures were associated with signal change on magnetic resonance imaging (MRI) at admission. Over an 18-year period (2001-2019), 33 patients with odontoid fractures and documented tSCI on MRI were identified. Mean age was 65.3 years (standard deviation [SD] = 17.2), and 21 patients were male. The mechanism of injury was falls in 25 patients, motor vehicle accidents in 5, and other causes in 3. Mean Injury Severity Score (ISS) was 40.5 (SD = 30.2), Glasgow Coma Scale (GCS) score was 13 (SD = 3.4), and American Spinal Injury Association (ASIA) motor score (AMS) was 51.6 (SD = 42.7). ASIA Impairment Scale (AIS) grade was A, B, C, and D in 9, 2, 3, and 19 patients, respectively. Mean intramedullary lesion length was 32.3 mm (SD = 18.6). The odontoid peg was displaced ventral or dorsal in 15 patients. Twenty patients had surgical intervention: anterior odontoid screw fixation in 7 and posterior spinal fusion in 13. Eleven (33.3%) patients died in this series: withdrawal of medical care in 5; anoxic brain injury in 4; and failure of critical care management in 2. Univariate logistic regression indicated that GCS score (p<0.014), AMS (p<0.002), AIS grade (p<0.002), and ISS (p<0.009) were risk factors for mortality. Multi-variate regression analysis indicated that only AMS (p<0.002) had a significant relationship with mortality when odontoid fracture was associated with tSCI (odds ratio, 0.963; 95% confidence interval, 0.941–0.986).

Published
2023

36. A mixed methods study of the work patterns of full-time nurse practitioners in Canadian nursing homes

Author

Martin-Misener, Ruth, primary, Donald, Faith, primary, Wickson-Griffiths, Abigail, primary, Akhtar-Danesh, Noori, primary, Ploeg, Jenny, primary, Brazil, Kevin, primary, Kaasalainen, Sharon, primary, McAiney, Carrie, primary, Carter, Nancy, primary, Schindel Martin, Lori, primary, Sangster-Gormley, Esther, primary, and Taniguchi, Alan, primary

Published
2022
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38. sj-docx-1-cjn-10.1177_08445621221143019 - Supplemental material for A Multiphase Mixed Methods Study on the Integration of a Population Health Approach in Sexual Health Programs and Services in Ontario Public Health Units

Author

Frost, Linda, Valaitis, Ruta, Jack, Susan M., Butt, Michelle, and Akhtar-Danesh, Noori

Subjects
111099 Nursing not elsewhere classified, 111799 Public Health and Health Services not elsewhere classified, 160807 Sociological Methodology and Research Methods, FOS: Health sciences, FOS: Sociology
Abstract

Supplemental material, sj-docx-1-cjn-10.1177_08445621221143019 for A Multiphase Mixed Methods Study on the Integration of a Population Health Approach in Sexual Health Programs and Services in Ontario Public Health Units by Linda Frost, Ruta Valaitis, Susan M. Jack, Michelle Butt and Noori Akhtar-Danesh in Canadian Journal of Nursing Research

Published
2023
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39. Student Perceptions towards Interprofessional Education in Anatomy: Piloting a Universal Evaluation Tool

Author

Quach, Shirley, Akhtar-Danesh, Noori, Rockarts, Jasmine, Palombella, Andrew, Wojkowski, Sarah, Wainman, Bruce, and Mezil, Yasmeen

Subjects
Q-methodology, Interprofessional Education, Health Sciences, Anatomy
Abstract

Anatomy Connected presented in 2023 at McMaster University, Hamilton, Ontario, Canada. Introduction: Interprofessional education (IPE) provides healthcare students the opportunity to adopt collaborative practices to facilitate effective patient care. At McMaster University, IPE courses are delivered to undergraduate and graduate health sciences learners to prepare them for post-graduate careers. While the delivery of IPE has been transferrable across multiple contexts, current modes of IPE evaluation are often too specific to the course and overlook important information regarding student feedback about interprofessional development, consequently limiting the transferability and utility of these evaluations. The primary objective of this research is to develop and pilot a universal Q-method IPE evaluation that can be administered to IPE courses in different contexts. With a track-record of 14 years, the IPE Dissection Course is a longstanding and scholarly example of interprofessional and collaborative learning at McMaster University. The IPE Dissection Course at McMaster University is offered as an 8-week program where students from multiple health sciences programs deliver presentations on their scope of practice, discuss clinical case studies, and collectively perform cadaveric dissections with their peers. Given the collaborative nature of these activities, the IPE Dissection Course presents an opportunity to evaluate interprofessional skill development as the secondary objective of this research. Methods and Results: A Q-methodology survey was developed to explore student perceptions towards the IPE experience in attending the IPE Dissection Course. Domains of the National Interprofessional Competency Framework by the Canadian Interprofessional Health Collaborative was used to guide the construction of this IPE evaluation tool. A total of 87 preliminary statements (i.e., concourse) were initially considered, extracted from previous student feedback from past IPE courses and IPE literature. After multiple revisions with the research team, a consensus of 40 final statements were incorporated into the Q-methodology survey. First-year students from the medical, nursing, midwifery, physician assistant, speech-language pathology, physiotherapy, and occupational therapy programs were invited to participate in this 8-week course. Students were asked to complete two 5-point Likert scale surveys before and after program completion: Readiness for Interprofessional Learning Scale (RIPLS), and Interdisciplinary Education Perception Scale (IEPS). Upon program completion, students were also asked to complete the Q-methodology survey by sorting the 40 statements about the IPE components of the course based on their importance and level of agreement/disagreement. These surveys were used to capture student IPE perceptions and learning experiences with their interdisciplinary co-learners during the course. Conclusion: This will be the first time a universal Q-method IPE evaluation tool is piloted at an IPE event. Validation of this tool is essential as this IPE evaluation tool could be applied to multiple IPE contexts in the future. Furthermore, student feedback will highlight the essential components of the IPE Program for Anatomy and identify areas for improvement to develop an effective course format for their interprofessional and anatomical expertise.

Published
2023

41. Incoming Students' readiness for interprofessional learning from 2020 onwards

Author

Quach, Shirley, Oliveira, Ana, Elzibak, Ohood, Malott, Anna, Hamilton, Justine, Patterson, Sarah, Mohaupt, Jennifer, Nash, Jennifer, Harris, Jocelyn, Gregor, Sarah, Akhtar-Danesh, Noori, Bondy, Linda, and Wojkowski, Sarah

Subjects
Covid-19 Pandemic, Interprofessional Education, Health Sciences, Likert scale, Q-sort method
Abstract

Incoming Students' Readiness for Interprofessional Learning from 2020 onwards presented on December 5, 2022 at McMaster University, Hamilton, Ontario, Canada. Background: Due to the COVID-19 pandemic, post-secondary programs transitioned from in-person learning to virtual hybrid formats to meet contact restrictions. Although virtual options increased accessibility and convenience,1 healthcare programs were challenged by the restrictive delivery method that had to meet the needs of students and curriculum standards.2 Interprofessional education (IPE) is an important component for students in professional health programs to experience. Emerging research shows students are aware of the relevance of interprofessional practices and their value in healthcare.1,3 However, there is limited evidence to describe how receptive students are towards virtual IPE. Objective: The study objective is to report IPE readiness in students entering the Faculty of Health Sciences (FHS) during the COVID-19 pandemic from 2020 to 2022. Method: Students entering the FHS at McMaster University were invited to participate in this survey. Disciplines invited were from undergraduate general (Health Sciences) and professional programs (Physician Assistant, Nursing, Medicine, Midwifery, Social Work) and graduate professional programs (Speech Language Pathology, Physiotherapy, Occupational therapy, Child Life). The Readiness for Interprofessional Learning Scale (RIPLS) was used to collect students’ feedback toward IPE. Incoming students were randomly invited to complete RIPLS using a 5-point Likert scale or Q-sort table within the first month of their studies. Results: Over 3 years, 3944 students were invited, and 1298 (33%) students responded to the survey. In total, 1074 students completed RIPLS with the 5-point scale (n=582 in 2020; n=324 in 2021; n=168 in 2022) and 224 students completed RIPLS with Q-sort tables (n=109 in 2020; n=71 in 2021; n=44 in 2022). Students from all disciplines responded. The mean age for students answering the Likert version was 21.71 years (SD 4.5) and for Q-sort was 21.72 years (SD 4.38). Conclusions: Students’ responses and subjective feedback on the roles and responsibilities, professional identities, and collaboration for interprofessional work will be discussed.

Published
2022

42. Risk factors for and prediction of mortality in critically ill medical–surgical patients receiving heparin thromboprophylaxis

Author

Li, Guowei, Thabane, Lehana, Cook, Deborah J., Lopes, Renato D., Marshall, John C., Guyatt, Gordon, Holbrook, Anne, Akhtar-Danesh, Noori, Fowler, Robert A., Adhikari, Neill K. J., Taylor, Rob, Arabi, Yaseen M., Chittock, Dean, Dodek, Peter, Freitag, Andreas P., Walter, Stephen D., Heels-Ansdell, Diane, and Levine, Mitchell A. H.

Published
2016
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43. 2022 Canadian Surgery Forum Sept. 15–17, 202201. Operative classification of ventral abdominal hernias: new and practical classification02. Watchful waiting for large primary splenic cysts03. Transversus abdominis plane (TAP) blocks with and without dexamethasone in colorectal surgery04. What factors determine publication of resident research day projects?05. Characterization of near-infrared imaging and indocyanine green use amongst general surgeons06. Variation in opioid prescribing after outpatient breast surgery: Time for a streamlined approach?07. Trends in graduate degree types and research output for Canadian academic general surgeons08. Would you prefer to undergo breast-conserving therapy or a mastectomy for early breast cancer? Comparison of perceptions of general and plastic surgeons09. Lack of representation of women and BIPOC individuals in Canadian academic surgery10. Medical student interest and perspectives on pursuing surgical careers: a multicentre survey evaluating 5-year trends11. Difficult cholecystectomy with cholecystogastric fistula12. Surviving nonsurvivable injuries: patients who elude the “lethal” Abbreviated Injury Scale (AIS) score of six13. Gunshot wounds sustained during legal intervention v. those inflicted by civilians: a comparative analysis14. The impact of delayed time to first head CT on functional outcomes after blunt head trauma with moderately depressed GCS15. Contemporary utility of diagnostic peritoneal aspiration in trauma16. Impact of delayed time to first head CT in traumatic brain injury17. Radiologic predictors of in-hospital mortality after traumatic craniocervical dissociation18. Measurement properties of a patient-reported instrument to evaluate functional status after major surgery19. The safety of venous thromboembolism chemoprophylaxis use in endoscopic retrograde cholangiopancreatography20. Characterizing Canadian rural surgeons: trends over time and 10-year replacement needs21. Contextual interference for skills development and transfer in laparoscopic surgery: a randomized controlled trial22. Evaluating the accuracy and design of visual backgrounds in academic surgical journals23. Defining rural surgery in Canada24. Validity of video-based general and procedure-specific self-assessment tools for surgical trainees in laparoscopic cholecystectomy25. Examining the equity and diversity characteristics of academic general surgeons in Canada26. Video-based coaching for surgical residents: a systematic review and meta-analysis27. Very-low-energy diets prior to nonbariatric surgery: a systematic review and meta-analysis28. Factors associated with resident research success: a descriptive analysis of Canadian general surgery trainees29. Global surgery pilot curriculum in Canadian undergraduate medical education: a novel approach30. How useful is ultrasound in predicting surgical findings of “mild cholecystitis”?31. Implementing a colorectal surgery “virtual hospital”: description of a novel outpatient care pathway to advance surgical care32. Trends in training and workforce planning for Canadian pediatric surgeons: a 10-year model33. Patient perspectives on intraoperative blood transfusion: results of semistructured interviews with perioperative patients34. Understanding intraoperative transfusion decision-making variability: a qualitative study using the Theoretical Domains Framework35. Effectiveness of preoperative oscillating positive expiratory pressure (OPEP) therapy in reduction of postoperative respiratory morbidity in patients undergoing surgery: a systematic review37. Accuracy of point-of-care testing devices for hemoglobin in the operating room: a systematic review and meta-analysis38. Opioid-free analgesia after outpatient general surgery: a qualitative study focused on the perspectives of patients and clinicians involved in a pilot trial39. The impact of the COVID-19 pandemic on general surgery residency: an analysis of operative volumes by residents at a Canadian general surgery residency program40. Postoperative care protocols for elderly emergency surgical patients: a quality improvement initiative42. Adverse events following robotic compared to laparoscopic and open surgery: a population-based analysis43. Is accrual higher for patients randomized to pragmatic v. exploratory randomized clinical trials? A systematic review and meta-analysis44. Effect of preoperative proton-pump inhibitor use on postoperative infectious and renal complications after elective general surgery45. The early burden of COVID-19 in emergency general surgery care across Canada46. Laparoscopic subtotal cholecystectomy for the difficult gallbladder: evolution of technique at a single teaching hospital and retrospective review47. The demand for emergency general surgery in Canada: a public health crisis48. Attitudes of Canadian general surgery staff and residents toward point-of-care ultrasound49. Psychological impact of COVID-19 on Canadian surgical residents50. Validation of an artificial intelligence platform for the guidance of safe laparoscopic cholecystectomy51. Predictors of recurrent appendicitis after nonoperative management: a prospective cohort study52. The effect of the first wave of the COVID-19 pandemic on colorectal and hepatobiliary oncologic outcomes at a tertiary care centre53. Trends in training and workforce representation for Canadian general surgeons working in critical care: a descriptive study54. White presentation: teaching safe opioid prescription and opioid use disorder management in Canadian universities56. How bad is really bad, eh? Impact of the first wave of the COVID-19 pandemic on residents’ operative volume: the experience of a Canadian general surgery program57. Surgeon-specific encounters within a multidisciplinary care pathway: Is there a role for shared care models in surgery?59. A pan-Canadian analysis of approach to treatment for acute appendicitis60. Appendix neoplasm stratified by age: understanding the best treatment for appendicitis61. Predicting acute cholecystitis on final pathology to prioritize surgical urgency: an evaluation of the Tokyo criteria and development of a novel predictive score62. Obesity is an independent predictor of acute renal failure after surgery64. Validation of a clinical decision-making assessment tool in general surgery65. Moral distress in the provision of palliative care delivery for surgical patients in British Columbia: lessons learned from the perspectives of general surgeons66. Delays in presentation and severity of illness predict adverse surgical outcomes among patients transferred from rural Indigenous communities for acute care surgery67. Remote video-based suturing education with smartphones (REVISE): a randomized controlled trial68. Modified Delphi consensus on appropriate use of laboratory investigations in acute care surgery patients72. Impacts of inpatient food at a tertiary care centre on patient satisfaction, nutrition and planetary health73. Racial disparities in health outcomes for oncological surgery in Canada75. Risk of recurrent laryngeal nerve injury from thyroidectomy is lower when intraoperative nerve monitoring (IONM) is used: an analysis of 17 688 patients from the NSQIP database01. The impact of the COVID-19 pandemic on non-smallcell lung cancer pathologic stage and presentation02. Screening criteria evaluation for expansion in pulmonary neoplasias (screen)03. Robotic-assisted lobectomy for early-stage lung cancer provides better patient-reported quality of life than video-assisted lobectomy: early results of the RAVAL trial04. Breathe Anew: designing and testing the feasibility of a novel intervention for lung cancer survivorship05. Learning objectives for thoracic surgery: developing a national standard for undergraduate medical education06. Plasma cell-free DNA as a point-of-care well-being biomarker for early-stage non-small-cell lung cancer patients07. Sarcopenia determined by skeletal muscle index predicts overall survival, disease-free survival and postoperative complications in resectable esophageal cancer: a systematic review and meta-analysis08. The short- and long-term effects of open v. minimally invasive thymectomy in myasthenia gravis patients: a systematic review and meta-analysis09. Optimizing opioid prescribing practices following minimally invasive lung resections through a structured quality improvement process10. Effects of virtual postoperative postdischarge care in patients undergoing lung resection during the COVID-19 pandemic11. Initiating Ethiopia’s first minimally invasive surgery program: a novel approach for collaborations in global surgical education12. Patient outcomes following salvage lung cancer surgery after definitive chemotherapy or radiation13. Replacing chest X-rays after chest tube removal with clinical assessment in postoperative thoracic surgery patients14. Updating the practice of thoracic surgery in Canada: a survey of the Canadian Association of Thoracic Surgeons15. The impact of COVID-19 on the diagnosis and treatment of lung cancer16. Development of a prediction model for survival time in esophageal cancer patients treated with resection17. The development and validation of a mixed reality thoracic surgical anatomy atlas18. Routine placement of feeding tubes should be avoided in esophageal cancer patients undergoing surgery19. Nodal count is no different during robotic segmentectomy compared with robotic lobectomy20. Point-of-care ultrasound-guided percutaneous biopsy of solid masses in the thoracic outpatient clinic: a safe, high-yield procedure to accelerate tissue diagnosis for patients with advanced thoracic malignancy21. Sarcopenia and modified frailty index are not associated with adverse outcomes after esophagectomy for esophageal cancer: a retrospective cohort study22. Near-infrared-guided segmental resection for lung cancer: an analysis of the learning curve23. Routine use of feeding jejunostomy tubes in patients undergoing esophagectomy for esophageal malignancy is safe and associated with low complication rates01. Ghost ileostomy versus loop ileostomy following total mesorectal excision for rectal cancer: a systematic review and meta-analysis02. Analysis of 100 consecutive colorectal cancers presenting at a Canadian tertiary care centre: delayed diagnosis and advanced disease03. Clinical delays and comparative outcomes in younger and older adults with colorectal cancer: a systematic review04. Recurrence rates of rectal cancer after transanal total mesorectal excision (taTME): a systematic review and meta-analysis05. Transanal total mesorectal excision for abdominoperineal resection (taTME-APR) is associated with poor oncological outcomes in rectal cancer patients: a word of caution from a multicentric Canadian cohort study06. Association between survival and receipt of recommended and timely treatment in locally advanced rectal cancer: a population-based study07. Trends and the impact of incomplete preoperative staging in rectal cancer08. Postoperative outcomes after elective colorectal surgery in patients with cirrhosis09. Bowel stimulation before loop ileostomy closure to reduce postoperative ileus: a multicentre, single-blinded, randomized controlled trial10. Recurrence following perineal rectosigmoidectomy ( Altemeier) with levatorplasty: a systematic review and meta-analysis11. Nonmodifiable risk factors and receipt of surveillance investigations following treatment of rectal cancer12. Safety and effectiveness of endoscopic full-thickness resection for the management of colorectal lesions: a systematic review and meta-analysis13. Impact of preoperative carbohydrate loading before colectomy: a systematic review and meta-analysis of randomized controlled trials14. Statin therapy in patients undergoing short-course neoadjuvant radiotherapy for rectal cancer15. Feasibility of targeted lymphadenectomy during complete mesocolic excision for colon cancer using indocyanine green immunofluorescence lymphatic mapping16. Feasibility of expanding an ambulatory colectomy protocol: a retrospective analysis of early discharge following minimally invasive colectomy in an enhanced recovery pathway17. Impact of rectal cancer on bowel dysfunction before treatment and its relationship with post-treatment function18. Canadian cost–utility analysis of artificial-intelligence-assisted colonoscopy for adenoma detection in fecal immunochemical-based colorectal cancer screening19. A comparison of outcomes following intracorporeal and extracorporeal anastomotic techniques in laparoscopic right colectomies20. Assessment of metabolic signatures using desorption electrospray ionization mass spectrometry (DESI) and rapid evaporative ionization mass spectrometry (REIMS) of rectal cancer samples to assist in determining treatment response21. The association between hospital characteristics and minimally invasive rectal cancer surgery: a population-based study22. Cancer centre level designation and the impact on treatment and outcomes in those with rectal cancer: a population-based study23. Oncological outcomes after colorectal cancer in patients with liver cirrhosis: a systematic review and meta-analysis24. Optimal preoperative nutrition for penetrating Crohn disease: a systematic review and meta-analysis25. Lymph node ratio as a predictor of survival for colon cancer: a systematic review and meta-analysis26. Barriers and facilitators for use of new recommendations for optimal endoscopic localization of colorectal neoplasms according to gastroenterologists and surgeons27. Emergency colorectal surgery in patients with cirrhosis: a population-based descriptive study28. Local recurrence rates and associated risk factors after transanal endoscopic microsurgery for benign polyps and adenocarcinomas29. Bowel dysfunction impacts mental health after restorative proctectomy for rectal cancer30. Evolution of psychological morbidity following restorative proctectomy for rectal cancer: a systematic review and meta-analysis31. Frailty predicts LARS and quality of life in rectal cancer survivors after restorative proctectomy32. Low anterior resection syndrome in a reference North American population: prevalence and predictive factors33. The evolution of enhanced recovery: same day discharge after laparoscopic colectomy34. Effect of ERAS protocols on length of stay after colorectal surgery: an interrupted time series analysis35. Practice patterns and outcomes in individuals with cirrhosis and colorectal cancer: a population-based study36. Understanding the impact of bowel function on quality of life after rectal cancer surgery37. Right-sided colectomies for diverticulitis have worse outcomes compared with left-sided colectomies38. Symptom burden and time from symptom onset to cancer diagnosis in patients with early-onset colorectal cancer39. The impact of access to robotic rectal surgery at a tertiary care centre: a Canadian perspective40. Management of rectal neuroendocrine tumours by transanal endoscopic microsurgery41. The gut microbiota modulates colorectal anastomotic healing in patients undergoing surgery for colorectal cancer42. Is there added risk of complications for concomitant procedures during an ileocolic resection for Crohn disease?43. Cost of stoma-related hospital readmissions for rectal cancer patients following restorative proctectomy with a diverting loop ileostomy: a nationwide readmissions database analysis44. Older age associated with quality of rectal cancer care: an ACS-NSQIP database study45. Outcomes of patients undergoing elective bowel resection before and after implementation of an anemia screening and treatment program47. Loop ileostomy closure as a 23-hour stay procedure: a randomized controlled trial48. Extended duration perioperative thromboprophylaxis with low-molecular-weight heparin to improve disease-free survival following surgical resection of colorectal cancer: a multicentre randomized controlled trial (PERIOP-01 Trial)49. Three-stage versus modified 2-stage ileal pouch anal anastomosis: perioperative outcomes, function and quality of life50. Compliance with extended venous thromboembolism prophylaxis in rectal cancer51. Extended-duration venous thromboembolism prophylaxis after diversion in rectal cancer52. Financial and occupational impact of low anterior resection syndrome: a qualitative study53. Nonoperative management for rectal cancer: patient perspectives54. Trends in ileostomy-related emergency department visits for rectal cancer patients55. Long-term implications of treatment of fecal incontinence: a single Canadian centre’s retrospective cohort study: a 17-year follow-up56. Externally benchmarking colorectal resection outcomes in our province against the ACS NSQIP risk calculator: identifying opportunities for improvement57. Externally benchmarking our provincial colectomy outcomes against the ACS NSQIP using the Codman Score: to identify possible opportunities for improvement of outcomes58. Rural v. urban documentation of recommended practices for optimal endoscopic colorectal lesion localization01. Incidence of in-hospital opioid use and pain after inguinal hernia repair02. Ventral hernia repair following liver transplantation: outcome of repair techniques and risk factors for recurrence01. Impact of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834 647 patients02. Patient selection and 30-day outcomes of SADI-S compared to RYGB: a retrospective cohort study of 47 375 patients03. New persistent opioid use following bariatric surgery: a systematic review and pooled proportion meta-analysis04. Bariatric surgery should be offered to active-duty military personnel: a retrospective study of the Canadian Armed Forces experience05. Opioid prescribing practices and use following bariatric surgery: a systematic review and pooled summary of data06. Sacred sharing circles: urban Indigenous Manitobans’ experiences with bariatric surgery07. Gastrogastric hernia after laparoscopic gastric great curve plication: a video presentation08. Characterization of comorbidities predictive of bariatric surgery09. Efficacy of preoperative high-dose liraglutide in patients with superobesity10. The effect of linear stapled gastrojejunostomy size in Roux-en-Y gastric bypass11. Fragility of statistically significant outcomes in randomized trials comparing bariatric surgeries12. Weight loss outcomes for patients undergoing conversion to Roux-en-Y gastric bypass after sleeve gastrectomy13. Are long waiting lists for bariatric surgery detrimental to patients? A single-centre experience14. Does upper gastrointestinal swallow study after bariatric surgery lead to earlier detection of leak?15. Pharmaceutical utilization before and after bariatric surgery16. Same-day discharge Roux-en-Y gastric bypass at a Canadian bariatric centre: pathway implementation and early experiences17. Safety and efficiency of performing primary bariatric surgery at an ambulatory site of a tertiary care hospital: a 5-year experience18. Impact of psychiatric diagnosis on weight loss outcomes 3 years after bariatric surgery19. Ursodeoxycholic acid (UDCA) for prevention of gallstone disease after laparoscopic sleeve gastrectomy (LSG): an Atlantic Canada perspective20. Fecal microbial transplantation and fibre supplementation in patients with severe obesity and metabolic syndrome: a randomized double-blind, placebo-controlled phase 2 trial01. Incidence, timing and outcomes of venous thromboembolism in patients undergoing surgery for esophagogastric cancer: a population-based cohort study04. Omission of axillary staging and survival in elderly women with early-stage breast cancer: a population-based cohort study05. Patients’ experiences receiving cancer surgery during the COVID-19 pandemic: a qualitative study06. Cancer surgery outcomes are better at high-volume centres07. Attitudes of Canadian colorectal cancer care providers toward liver transplantation for colorectal liver metastases: a national survey08. Quality of narrative central and lateral neck dissection reports for thyroid cancer treatment suggests need for a national standardized synoptic operative template09. Transoral endoscopic thyroidectomy vestibular approach (TOETVA): indications and technique10. Temporal trends in lymph node assessment as a quality indicator in colorectal cancer patients treated at a high-volume Canadian centre11. Molecular landscape of early-stage breast cancer with nodal metastasis12. Beta testing of a risk-stratified patient decision aid to facilitate shared decision making for postoperative extended thromboprophylaxis in patients undergoing major abdominal surgery for cancer13. Breast reconstruction use and impact on oncologic outcomes among inflammatory breast cancer patients: a systematic review14. Association between patient-reported symptoms and health care resource utilization: a first step to develop patient-centred value measures in cancer care15. Complications after colorectal liver metastases resection in Newfoundland and Labrador16. Why do patients with nonmetastatic primary retroperitoneal sarcoma not undergo resection?17. Loss ofFAM46Cexpression predicts inferior postresection survival and induces ion channelopathy in gastric adenocarcinoma18. Liver-directed therapy of neuroendocrine liver metastases19. Neoadjuvant pembrolizumab use in microsatellite instability high (MSI-H) rectal cancer: benefits of its use in lynch syndrome20. MOLLI for excision of nonpalpable breast lesions: a case series22. Patients awaiting mastectomy report increased depression, anxiety, and decreased quality of life compared with patients awaiting lumpectomy for treatment of breast cancer23. Is microscopic margin status important in retroperitoneal sarcoma (RPS) resection? A systematic review and meta-analysis24. Absence of benefit of routine surveillance in very-low-risk and low-risk gastric gastrointestinal stromal tumors25. Effect of intraoperative in-room specimen radiography on margin status in breast-conserving surgery26. Active surveillance for DCIS of the breast: qualitative interviews with patients and physicians01 Outcomes following extrahepatic and intraportal pancreatic islet transplantation: a comparative cohort study02. Cholang-funga-gitis03. Evaluating the effect of a low-calorie prehepatectomy diet on perioperative outcomes: a systematic review and meta-analysis04. Toxicity profiles of systemic therapy for advanced hepatocellular carcinoma: a systematic review to guide neoadjuvant trials05. Should cell salvage be used in liver resection and transplantation? A systematic review and meta-analysis06. The association between surgeon and hospital variation in use of laparoscopic liver resection and short-term outcomes07. Systematic review and meta-analysis of prognostic factors for early recurrence in intrahepatic cholangiocarcinoma after curative-intent resection08. Impact of neoadjuvant chemotherapy on postoperative outcomes of patients undergoing hepatectomy for intrahepatic cholangiocarcinoma: ACS-NSQIP propensity-matched analysis09. The impact of prophylactic negative pressure wound therapy on surgical site infections in pancreatic resection: a systematic review and meta-analysis10. Does hepatic pedicle clamping increase the risk of colonic anastomotic leak after combined hepatectomy and colectomy? Analysis of the ACS NSQIP database11. Development of a culture process to grow a full-liver tissue substitute12. Liver transplantation for fibrolamellar hepatocellular carcinoma: an analysis of the European Liver Transplant Registry13. Arming beneficial viruses to treat pancreatic cancer14. Hepaticoduodenostomy versus hepaticojenunostomy for biliary reconstruction: a retrospective review of a single-centre experience15. Feasibility and safety of a “shared care” model in complex hepatopancreatobiliary surgery: a 5-year analysis of pancreaticoduodenectomy16. Laparoscopic v. open pancreaticoduodenectomy: initial institutional experience and NSQIP-matched analysis17. Laparoscopic spleen-preserving distal pancreatectomy: Why not do a Warshaw?18. The impact of COVID-19 on pancreaticoduodenectomy outcomes in a high-volume hepatopancreatobiliary centre19. Transitioning from open to minimally invasive pancreaticoduodenectomy: the learning curve factor in an academic centre20. Closed-incision negative-pressure wound therapy following pancreaticoduodenectomy for prevention of surgical site infections in high-risk patients21. Robotic Appleby procedure for recurrent pancreatic cancer22. The influence of viral hepatitis status on posthepatectomy complications in patients with hepatocellular carcinoma: a NSQIP analysis

Author

Selim, Yasser, primary, Di Lena, Élise, primary, Abu-Omar, Nawaf, primary, Baig, Zarrukh, primary, Verhoeff, Kevin, primary, La, Julie, primary, Purich, Kieran, primary, Albacete, Samantha, primary, Valji, Rahim, primary, Safar, Ali, primary, Schellenberg, Morgan, primary, Daza, Julian, primary, Glass, Lyndsay T., primary, Johnson, Garrett, primary, Guidolin, Keegan, primary, Balvardi, Saba, primary, Gawad, Nada, primary, McKechnie, Tyler, primary, Henley, Jessica, primary, Imbert, Emma, primary, Li, Christine, primary, Skinner, Samuel, primary, Lenet, Tori, primary, Metz, Jeff, primary, Ahn, Hilalion (San), primary, Do, Uyen, primary, Rouhi, Armin, primary, Greenberg, Brianna, primary, Muaddi, Hala, primary, Park, Lily, primary, Vogt, Kelly, primary, Bradley, Nori, primary, Deng, Shirley Xiaoxuan, primary, Murphy, Patrick, primary, Alhabboubi, Mostafa, primary, Lie, Jessica, primary, Laplante, Simon, primary, Drung, Jeremy, primary, Nixon, Thomas, primary, Allard-Coutu, Alexandra, primary, Mansouri, Sarah, primary, Lee, Alex, primary, Tweedy, Jillian, primary, D’Elia, Michael A., primary, Hopkins, Brent, primary, Srivastava, Ananya, primary, Alibhai, Kameela, primary, Lee, Christina, primary, Moon, Jeongyoon (Jenny), primary, How, Nathan, primary, Spoyalo, Karina, primary, Lalande, Annie, primary, Schweitzer, Christina, primary, Keogh, Joshua, primary, Huo, Bright, primary, Patel, Yogita S., primary, Jogiat, Uzair, primary, McGuire, Anna L., primary, Lee, Yung, primary, Barber, Evan, primary, Akhtar-Danesh, Gileh-Gol, primary, Bondzi-Simpson, Adom, primary, Bowker, Riley, primary, Ahmadi, Negar, primary, Abdul, Sami A., primary, Patel, Pooja, primary, Harrison, Lyndsay, primary, Shi, Ge, primary, Alaichi, Jacob A., primary, Kidane, Biniam, primary, Qu, Linda Chang, primary, Alaichi, Jacob, primary, Mackay, Emily, primary, Lee, Jay, primary, Castelo, Matthew, primary, Caycedo-Marulanda, Antonio, primary, Brennan, Kelly, primary, Garfinkle, Richard, primary, Sharma, Sahil, primary, Candy, Sydney, primary, Lee, Lawrence, primary, Robitaille, Stephan, primary, Sadri, Hamid, primary, Selznick, Sydney, primary, Wiseman, Vanessa, primary, Baker, Laura, primary, Ichhpuniani, Simarpreet, primary, Zhang, Lisa, primary, Holden, James, primary, Paradis, Tiffany, primary, Bayat, Zubair, primary, Patel, Sunil, primary, Maalouf, Michael Fares, primary, Wachtel, Alon, primary, Baronas, Victoria, primary, Hajjar, Roy, primary, Ehlebracht, Alexa, primary, Caminsky, Natasha, primary, Gilbert, Richard, primary, Morin, Geneviève, primary, Auer, Rebecca C., primary, Phang, Terry, primary, Hopkins, Jessica, primary, Levin, Yosef, primary, Alam, Armaghan, primary, Lagace, Philip, primary, El-Kefraoui, Charbel, primary, Mainprize, Marguerite, primary, Melland-Smith, Megan, primary, Nasser, Khadija, primary, Mailloux, Olivier, primary, Whyte, Marta, primary, Li, Ting, primary, Ahmad, Mirza Shaharyar, primary, Sun, Warren, primary, Roach, Eileen, primary, Chow, Alexandra, primary, Trac, Jessica, primary, He, Wenjing, primary, Ramji, Karim, primary, Kouzmina, Ekaterina, primary, Koziak, Cypriana, primary, Hossain, Intekhab, primary, Mocanu, Valentin, primary, Hanna, Nader, primary, Pook, Makena, primary, Zuckerman, Jesse, primary, Choi, Woo Jin, primary, Watanabe, Akie, primary, Saravana-Bawan, Bianka, primary, Cyr, David, primary, Brackstone, Muriel, primary, Ivankovic, Victoria, primary, Nair, Ananya Gopika, primary, Hirpara, Dhruvin, primary, Stockley, Cecily, primary, Ng, Deanna, primary, Luu, Shelly, primary, Meloche-Dumas, Léamarie, primary, Eom, Ashley, primary, Tang, Katelynn, primary, Khan, Shawn, primary, Schmitz, Erika, primary, Chen, Ko Ta, primary, Newman-Bremang, Jieun, primary, Jette, Nic, primary, Mir, Zuhaib, primary, Griffiths, Christopher, primary, Rajendran, Luckshi, primary, Amhis, Nawal, primary, Claasen, Marco, primary, Workewych, Adriana, primary, Waugh, Evelyn, primary, Zhu, Alice, primary, Nabavian, Helia, primary, Roldan, Jorge, primary, Lagrotteria, Andrew, primary, Safa, Nadia, additional, Rahman, Sid, additional, Kaneva, Pepa, additional, Feldman, Liane, additional, Baig, Zarrukh, additional, Ginther, Nathan, additional, Gill, Dilip, additional, Sarwar, Zaini, additional, Verdiales, Carlos, additional, Moser, Mike, additional, Mocanu, Valentin, additional, Fang, Breanna, additional, Dang, Jerry, additional, Sun, Warren, additional, Switzer, Noah, additional, Birch, Daniel, additional, Karmali, Shahzeer, additional, Alqaydi, Anood, additional, Wei, Xuejiao, additional, Digby, Genevieve, additional, Brogly, Susan, additional, Merchant, Shaila, additional, Verhoeff, Kevin, additional, Miles, Alexander, additional, Kung, Janice Y., additional, Shapiro, A.M. James, additional, Bigam, David L., additional, Matkin, Ashlee, additional, Dumestre, Danielle, additional, Peiris, Lashan, additional, Turner, Simon, additional, Mador, Brett, additional, McLennan, Steffane, additional, Jastaniah, Atif, additional, Owattanapanich, Natthida, additional, Grigorian, Areg, additional, Lam, Lydia, additional, Nahmias, Jeffry, additional, Inaba, Kenji, additional, Liasidis, Panagiotis, additional, Demetriades, Demetrios, additional, Benjamin, Elizabeth R., additional, Cowan, Shaun, additional, Wong, Monica D., additional, Emigh, Brent, additional, Karavites, Lindsey, additional, Clark, Damon H., additional, Anderson, Geoffrey A., additional, Cheng, Vincent, additional, Myers, Lee, additional, Cuthbertson, Brian, additional, Myles, Paul, additional, Shulman, Mark, additional, Wijeysundera, Duminda, additional, Murphy, Patrick B., additional, Allen, Laura, additional, Minkhorst, Kathryn, additional, Bowker, Dillon, additional, Tang, Ephraim S., additional, Leslie, Kenneth, additional, Hawel, Jeffrey E., additional, Ma, Odelle, additional, Purich, Kieran, additional, Skinner, Samuel, additional, Dhaliwal, Raveena, additional, Strickland, Matt, additional, Park, Jason, additional, Vergis, Ashley, additional, Gillman, Lawrence, additional, Rivard, Justin, additional, Lin, Justin, additional, Zorigtbaatar, Anudari, additional, Nadeem, Minahil, additional, Ibrahim, Tarek, additional, Neilson, Zdenka, additional, Kim, Kyung Young (Peter), additional, Rajendran, Luckshi, additional, Chadi, Sami, additional, Quereshy, Fayez, additional, Davidson, Malcolm, additional, Friedrich, Emily, additional, Champion, Caitlin, additional, Semsar-Kazerooni, Koorosh, additional, Mueller, Carmen, additional, Vassiliou, Melina, additional, Al Mahroos, Mohammed, additional, Fiore, Julio, additional, Schwartzman, Kevin, additional, Anderson, Blaire, additional, Daniel, Ryan, additional, Kruse, Colin, additional, Levin, Marc, additional, Lee, Yung, additional, Doumouras, Aristithes, additional, Hong, Dennis, additional, Eskicioglu, Cagla, additional, Povolo, Christopher, additional, Lee, Jay, additional, Park, Lily, additional, Bhandari, Mohit, additional, Lee, Esther, additional, Sydora, Dasan, additional, Boone, Darrell, additional, Roberts, Stephanie, additional, McGrouther, Duncan, additional, Manuel, Paul, additional, Dykstra, Mark, additional, Wang, Haili, additional, Snelgrove, Ryan, additional, Perry, Troy, additional, Strickland, Matthew, additional, Skanes, Stephanie, additional, Tropiano, Joseph, additional, McIsaac, Daniel, additional, Tinmouth, Alan, additional, Hallet, Julie, additional, Nicholls, Stuart, additional, Fergusson, Dean, additional, Martel, Guillaume, additional, Ivankovic, Victoria, additional, Patey, Andrea, additional, Naqvi, Reza, additional, Noppens, Ruediger, additional, Hawel, Jeff, additional, Elnahas, Ahmad, additional, Schlachta, Christopher, additional, Alkhamesi, Nawar, additional, Lenet, Tori, additional, Gilbert, Richard, additional, Mallick, Ranjeeta, additional, Shaw, Julie, additional, Pook, Makena, additional, Najafi, Tahereh, additional, Rajabiyazdi, Fateme, additional, El-Kefraoui, Charbel, additional, Balvardi, Saba, additional, Barone, Natasha, additional, Elhaj, Hiba, additional, Nguyen-Powanda, Philip, additional, Lee, Lawrence, additional, Baldini, Gabriele, additional, Jogiat, Uzair, additional, Mapiour, Deng, additional, Kim, Michael, additional, Nadler, Ashlie, additional, Stukel, Theres, additional, De Mestral, Charles, additional, Nathens, Avery, additional, Pautler, Stephen, additional, Shayegan, Bobby, additional, Hanna, Wael, additional, Breau, Rodney, additional, Hopkins, Laura, additional, Jackson, Timothy, additional, Karanicolas, Paul, additional, Griffiths, Christopher, additional, Ali, Sam, additional, Archer, Victoria, additional, Cloutier, Zacharie, additional, Choi, Dexter, additional, McKechnie, Tyler, additional, Serrano, Pablo, additional, McClure, J. Andrew, additional, Jones, Philip, additional, Mrkobrada, Marko, additional, Flier, Suzanne, additional, Welk, Blayne, additional, Dubois, Luc, additional, Khwaja, Kosar, additional, Tung, Lily, additional, Hameed, Morad, additional, Spoyalo, Karina, additional, Lampron, Jacinthe, additional, Garcia-Ochoa, Carlos, additional, Engels, Paul, additional, Talwar, Gaurav, additional, Minor, Sam, additional, Moffat, Brad, additional, Parry, Neil, additional, Vogt, Kelly, additional, Ebeye, Tega, additional, Sharma, Bree T., additional, Samman, Anas, additional, Zulfiqar, Amna, additional, Purzner, Roderick H., additional, Greene, Brittany, additional, Tsang, Melanie, additional, Jayaraman, Shiva, additional, Ball, Chad G., additional, Nenshi, Rahima, additional, Widder, Sandy, additional, Bradley, Nori, additional, Liberman, Sender, additional, Wong, Evan, additional, Chughtai, Talat, additional, Turner, Joel, additional, Wiseman, Sam, additional, Li, Jennifer, additional, Mak, Nicole, additional, Namazi, Babak, additional, Kiani, Parmiss, additional, Hashimoto, Daniel, additional, Alseidi, Adnan, additional, Pasten, Mauricio, additional, Brunt, L. Michael, additional, Gill, Sujata, additional, Davis, Brian, additional, Bloom, Matthew, additional, Pernar, Luise, additional, Okrainec, Allan, additional, Madani, Amin, additional, Hamilton, Trevor, additional, Nabata, Kylie, additional, Zhang, Jenny W., additional, Zhao, Darren, additional, Dawe, Phil, additional, Leslie, Ken, additional, Drung, Jeremy, additional, Heller, Barbara, additional, Wright, Victoria, additional, Cho, Wanjae, additional, Wong, Michael, additional, Singh, Kevin, additional, Comeau, Émilie, additional, Collin, Yves, additional, Oviedo, Sonia Cheng, additional, Lamb, Tyler, additional, Reid, Morgann, additional, Turner, Anastasia, additional, Bertens, Kimberly, additional, Rekman, Janelle, additional, Balaa, Fady, additional, Neumann, Katerina, additional, Porter, Geoff, additional, Teo, Iris, additional, Forse, Catherine L., additional, Musselman, Reilly, additional, Grozman, Lily, additional, Alshawan, Nawaf, additional, Fraser, Shannon, additional, 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Published
2022
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44. Using Q-Methodology to Evaluate Student Perceptions of Online Anatomy in the Time of COVID-19.

Author

Saini, Jessica, Brewer-Deluce, Danielle, Akhtar-Danesh, Noori, Saraco, Anthony N., Bayer, Ilana, Pitt, Courtney, and Wainman, Bruce

Subjects
STUDENT attitudes, PSYCHOLOGY of students, LECTURE method in teaching, ANATOMY, COVID-19, COVID-19 pandemic
Abstract

Copyright of Canadian Journal for the Scholarship of Teaching & Learning is the property of Society for Teaching & Learning in Higher Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2023
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49. Interprofessional education readiness among health science learners: 3-year cohort

Author

Quach, Shirlwy, Oliveira, Ana, Akhtar-Danesh, Noori, Brewer-Deluce, Danielle, Bondy, Linda, and Wojkowski, Sarah

Subjects
Faculty of Health Sciences, Q-methodology, Interprofessional Education, 5-point Likert scale, First year students
Abstract

Norman Education Research Day presented on May 8, 2022 at McMaster University, Hamilton, Ontario, Canada. Interprofessional collaboration (IPC) is an essential component of patient-centered care and interprofessional education (IPE) training is mandatory across Canadian healthcare programs. Positive IPE experiences may be influenced by students’ pre-existing experiences, attitudes and perceptions about learning with students from other programs. However, this has only been explored in small cohorts, without considering yearly differences in students’ perceptions. The focus of this study was to evaluate the readiness for IPE in a subgroup of incoming first year students in the Faculty of Health Sciences (FHS), McMaster University from 2019 to 2021. First year students in the FHS (e.g. health professions and bachelor of health sciences) were invited and randomly allocated to complete the Readiness for Interprofessional Learning Scale (RIPLS) using Q-methodology or a 5-point Likert scale. However, this study will report on the results from the Q-methodology portion of the RIPLS. Students ordered the 19 statements of the RIPLS on a Q-sort table with a scale ranging from -3 (strongly disagree) to +3 (strongly agree), with 0 for neither disagreement nor agreement. Participants also provided written feedback to justify statements ranked -3 or +3. Data was analyzed using QFACTOR program in STATA and by-person factor analysis was used to identify factors (i.e., groups of students similarly rated Q-sorts). The research team subjectively labelled factors according to the statements that were loaded onto each factor. Participant characteristics (i.e., age, sex, program, and degree) for each factor were summarized and compared using Chi-square tests and ANOVA. A total of 785 students were invited to complete the RIPLS Q-sort and 253 (32%) responded. From those, 198 students (25%; mean age 21.2 [SD=3.8] years) loaded into three factors: Personal learning (n=85); Delivery of healthcare (n=65) and Collaborative learning (n=48). Participants loaded in Factor 2 (mean age= 19.7 [SD=3.0] years) were younger than those in Factor 1 and 3 (mean age= 21.7 [SD=4 .0] years, p=0.006; mean age= 22.4 [SD=3.8] years, p=0.001). There were statistically significant differences across the Factors for program (professional vs. general; p=0.01), degree (undergraduate vs. graduate; p=0.01), but no differences between factors for gender (p=0.59). From 2019 to 2021, incoming FHS students were sorted into 3 factors, each with its own IPE value. Differences in IPE value may be related to the students’ age, program, and degree. These results provide an impression of incoming students’ perception of IPE and considerations for IPE training development.

Published
2022

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