Like A Surgeon: Surgical skill variation, new oral anticoagulants

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This week: Surgical skill in bariatric surgery and new oral anticoagulants for atrial fibrillation

Nathan and Amol want you to:

1. Understand how peer assessed technical skill was found to be associated with complication rates at the individual surgeon level.

2. Recognize that peer rating of technical skill may provide opportunities for targeted coaching, and perhaps could be implemented into postgraduate training programs.

3. Understand the safety and efficacy of new oral anticoagulants for atrial fibrillation based on trial evidence.

4. Recognize that population-level safety data for new oral anticoagulants remains to be seen.

Continuing Medical Education

Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast they listen to through the Canadian Society of Internal Medicine (MOC Category 1) and the American Medical Association (PRA Category 1). To receive CME credit for listening to this podcast, please click here to fill out our Evaluation and Impact Assessment Form.

The papers

John D. Birkmeyer et al. Surgical Skill and Complication Rates after Bariatric Surgery. N Engl J Med. 2013; 369:1434-1442. (PubMed).

Christian Ruff et al. Comparison of the efficacy and safety of new oral anticoagulants with warfarin in patients with atrial fibrillation: a meta-analysis of randomised trials. Lancet. 2014 Mar 15;383(9921):955-62. (PubMed).

Good stuff

Nathan – Shorter shifts don’t help medical residents or patients. Marco Chown Oved, The Toronto Star, Mar 26, 2014.

Amol –  David Sackett on The Determinants of Academic Success as a Clinician Scientist


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