Barnes, Christie

Brosnihan, Paul

Dowdall, Jayme

Johnson, Matthew

Miller, Mark

English

University of Nebraska Medical Center Research: DigitalCommons@UNMC

Graduate Medical Education Research Journal Volume 2 Issue 1 Article 24 September 2020 The Advantages of a Rural Residency Rotation in Otolaryngology Training Mark Miller et al. University of Nebraska Medical Center Follow this and additional works at: https://digitalcommons.unmc.edu/gmerj  Part of the Higher Education Commons, and the Medicine and Health Sciences Commons Recommended Citation Miller, M. The Advantages of a Rural Residency Rotation in Otolaryngology Training. Graduate Medical Education Research Journal. 2020 Sep 29; 2(1). https://digitalcommons.unmc.edu/gmerj/vol2/iss1/24 This Conference Proceeding is brought to you for free and open access by DigitalCommons@UNMC. It has been accepted for inclusion in Graduate Medical Education Research Journal by an authorized editor of DigitalCommons@UNMC. For more information, please contact digitalcommons@unmc.edu. The Advantages of a Rural Residency Rotation in Otolaryngology Training Creative Commons License This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License. This conference proceeding is available in Graduate Medical Education Research Journal: https://digitalcommons.unmc.edu/gmerj/vol2/iss1/24 Sept. 2020  |  Vol. 2  |  Issue 1 Oral Presentations 33*Names in bold type indicate presenting author.The Association of Severity of COPD and Severity of OSA: A Retrospective AnalysisMollie Brittan1, Maureen McElligott2, Kaeli Samson3, Valerie Press4, Michael Summers2, John Harrington2, Nancy Stewart21 University of Nebraska Medical Center, Department of Internal Medicine  2 University of Nebraska Medical Center, Department of Pulmonary, Critical Care, and Sleep Medicine 3 University of Nebraska Medical Center, College of Public Health, Department of Biostatistics  4University of Chicago, Department of Internal Medicine, Chicago, ILMentor: Michael SummersProgram: Pulmonary, Critical Care, and Sleep MedicineType: Original ResearchBackground: Chronic obstructive pulmonary disease (COPD) affects over 24 million adults in the United States and the 3rd leading cause of morbidity and mortality. A common unrecognized factor that may exacerbate COPD is concomitant Obstructive Sleep Apnea (OSA). OSA is a common sleep disorder, affecting approximately 1 in 4 adults. Correlation between severity of the two remains largely unexplored, and is the aim of this study.Methods: In a retrospective chart analysis of diagnostic in-lab polysomnography (PSG), pulmonary function testing (PFT), and ICD coding, we determined patients with concomitant OSA and COPD. Patients were included had a diagnostic PSG and PFTs performed within the same calendar year. Demographics, health status, and health care system usage were also collected. COPD 						criteria. Associations were assessed using Pearson correlations, and statistical models were generated evaluating the association between severities of OSA and COPD, health system usage, and positive airway pressure compliance, adjusting for confounders. All analyses were performed using SAS software version 9.4 (SAS Institute Inc., Cary, NC). Results: From December 2015 to November 	!	"#	$			%	ICD codes to have both COPD and OSA. The majority were female (56.3%), Caucasian (79.0%), with a mean age of 64 (SD: 10.7). Out of those patients with PFT data available (n = 273), over one third had mild COPD (38%), with the remaining having moderate, moderately severe, severe, and very severe (16.5%, 16.1%, 13.9%, and 5.8%, respectively). Although they carried a diagnosis of COPD, 26 patients (9%) had an FEV1 > 100%, possibly representing a physiologic variant. OSA severity was severe in 115 (36.4%), mild in 111 (35.1%), and moderate in 90 (28.5%) patients. No 		'			COPD and OSA (r = -0.07, p = 0.25) was noted, even after adjusting for potential confounders (p = 0.99). OSA and FEV were 			%	*	or ED visits (p’s > 0.20), however AHI was associated with PAP compliance (p = 0.003).Conclusion: OSA and COPD are two common conditions, each associated with a high morbidity and mortality, both commonly co-existing within the same patient. Our 						'	%	severity of these two disease states. More research is needed in this area to study any potential correlation between the severity of these diseases. https://doi.org/10.32873/unmc.dc.gmerj.2.1.022The Advantages of a Rural Residency Rotation in Otolaryngology Training Mark Miller1, Paul Brosnihan2, Christie Barnes1, Matthew Johnson1, Jayme Dowdall1 1 University of Nebraska Medical Center, Department of Otolaryngology – Head and Neck Surgery  2University of Nebraska Medical Center, College of MedicineMentor: Jayme DowdallProgram: Otolaryngology – Head and Neck SurgeryType: Original ResearchBackground: Rural residency rotations %	$						surgical residents to pursue a career in a rural community. This study reviews the resident caseload of an otolaryngology residency rural rotation in comparison with a traditional primary university-based urban location.Methods: The Accreditation Council for Graduate Medical Education (ACGME) case log system was used to review cases logged by residents during their rural rotations from July 2017 to December 2018. Case log data were compared with a matched resident of similar training experience on the university service during the same time period.Results: Rural residents reported more cases than their urban-based counterparts (1143 vs 690 cases). Junior residents had over double the number of cases in rural practice (400) compared to junior residents on the university service (168). The university service was much stronger on H&N Neck (54 vs. 28 cases), Larynx (39 vs 8) and Endoscopy (92 vs 42). In contrast, the rural rotation provided substantially more Endocrine cases (103 vs 47) and comparable salivary cases (23 vs 21) compared to the university service.Conclusion: This study describes a surgically robust rotation in rural medicine and highlights the possibility of obtaining exposure to a surgical practice unique to a rural setting. By participating in high volume surgical rural residency rotations, trainees may better understand the otolaryngologic needs of a rural population. Future work is needed to determine if rural rotations impact future practice decisions. https://doi.org/10.32873/unmc.dc.gmerj.2.1.023

The Advantages of a Rural Residency Rotation in Otolaryngology Training

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The Advantages of a Rural Residency Rotation in Otolaryngology Training

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