16 research outputs found
The impact of the implementation of work hour requirements on residents' career satisfaction, attitudes and emotions
BACKGROUND: To assess the impact of work hours' limitations required by the Accreditation Council for Graduate Medical Education (ACGME) on residents' career satisfaction, emotions and attitudes. METHODS: A validated survey instrument was used to assess residents' levels of career satisfaction, emotions and attitudes before and after the ACGME duty hour requirements were implemented. The "pre" implementation survey was distributed in December 2002 and the "post" implementation one in December 2004. Only the latter included work-hour related questions. RESULTS: The response rates were 56% for the 2002 and 72% for the 2004 surveys respectively. Although career satisfaction remained unchanged, numerous changes occurred in both emotions and attitudes. Compared to those residents who did not violate work-hour requirements, those who did were significantly more negative in attitudes and emotions. CONCLUSION: With the implementation of the ACGME work hour limitations, the training experience became more negative for those residents who violated the work hour limits and had a small positive impact on those who did not violate them. Graduate medical education leaders must innovate to make the experiences for selected residents improved and still maintain compliance with the work hour requirements
Impact of Lifetime Subthreshold Depression and Major Depression Before Internship on Psychopathology and Quality of Life in Korean Interns: 6 Month Follow-Up Study
A comparison study of career satisfaction and emotional states between primary care and speciality residents
Attachment of Acidithiobacillus ferrooxidans onto different solid substrates and fitting through Langmuir and Freundlich equations
The effects of fatigue on physician performance - an underestimated cause of physician impairment and increased patient risk
Prediction of Chemical-Protein Interactions Network with Weighted Network-Based Inference Method
Tectono-Stratigraphic Evolution of the Atuel Depocenter During the Late Triassic to Early Jurassic Rift Stage, Neuquén Basin, West-Central Argentina
The NeuquĂ©n basin presents an almost continuous record from the Late Triassic until the Paleocene,making it an excellent case study of the most relevant tectonic stages of southern South America during the Mesozoic. It was initiated in the Late Triassic to Early Jurassic times as a continental rift basin in the context of a widespread extensional stage that affected western Gondwana andculminated with the break-up of the supercontinent.The Atuel depocenter is located in the northern sector of the NeuquĂ©n basin. Synrift and sag units are represented by Upper Triassic to Lower Jurassic siliciclastic marine and continental sedimentary rocks including the oldest marine deposits of the basin, of Late Triassic age. The depocenter infill hasbeen deformed and exhumed during the Andean orogeny, being presently exposed in the northern sector of the MalargĂĽe fold and thrust belt. In this review, we have integrated a large set of stratigraphic, sedimentologic, geochronologic and structural data in order to unravel the tectono-sedimentary evolution of the Atuel depocenter, and to evaluate the main controlling factors of thesynrift stage. We analyzed data from the synrift units, such as facies and thickness distribution, sandstone provenance, detrital zircon geochronology data, kinematic data from outcrop scale normal faults, angular and progressive unconformities and subsurface information. Reactivation of preexisting NNW-striking anisotropies under a regional NNE extension resulted in anoblique rift setting, which generated a bimodal distribution of NNW- and WNW-striking major normal faults. Strain and stress tensors obtained from the kinematic and dynamic analysis of structural data show a complex heterogeneity that we interpreted as a result of local stress permutations due to both activity of the larger faults, and to strain partitioning inside the Atueldepocenter.Sedimentologic and petrographic data revealed a complex evolution with strong lateral variations of the depositional environments during the synrift phase, which lasted from Rhaetian to Pliensbachian times. We identified several stages that were controlled by processes of initiation, propagation, growth, linkage and deactivation of new and reactivated faults along the depocenter evolution, in combination with sea level changes related to global eustatic variations. Sandstone provenance data suggest that an important basin reorganization by the Toarcian, probably related to the initiation of the sag stage in this depocenter.Fil: Bechis, Florencia. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Patagonia Norte. Instituto de Investigaciones en Diversidad Cultural y Procesos de Cambio. Universidad Nacional de RĂo Negro. Instituto de Investigaciones en Diversidad Cultural y Procesos de Cambio; ArgentinaFil: Giambiagi, Laura Beatriz. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla | Provincia de Mendoza. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla | Universidad Nacional de Cuyo. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla; ArgentinaFil: Tunik, Maisa Andrea. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Patagonia Norte. Instituto de InvestigaciĂłn en PaleobiologĂa y GeologĂa; ArgentinaFil: Suriano, Julieta. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla | Provincia de Mendoza. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla | Universidad Nacional de Cuyo. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla; ArgentinaFil: LanĂ©s, Silvia. Cape Town; SudáfricaFil: Mescua, Jose Francisco. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla | Provincia de Mendoza. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla | Universidad Nacional de Cuyo. Instituto Argentino de NivologĂa, GlaciologĂa y Ciencias Ambientales. Museo de Historia Natural de San Rafael - Ianigla; Argentina. Universidad Nacional de Cuyo; Argentin