Introduction: The assessment and maintenance of competence for pediatricians has recently received increased attention. The aim of the present study was to investigate further the use of multisource feedback for assessing pediatricians in practice. Methods: A systematic literature review was conducted using the electronic databases EMBASE, PsycINFO, MEDLINE, PUBMED, and CINAHL for English-language articles. Results: 762 articles were identified with the initial search and 756 articles were excluded for a total of six studies that met the inclusion criteria for this systematic review. Internal consistency reliability was reported in five studies with α > 0.95 for both subscales and full scales. Generalizability was also reported in two studies with Ep2 generally > 0.78. These adequate Ep2 coefficients were achieved with different numbers of raters. Evidence for content, criterion-related (e.g., Pearson’s r) and construct validity (e.g., principal component factor analysis) was reported in all 6 studies. Conclusion: Multisource feedback is a feasible, reliable, and valid method to assess pediatricians in practice. The results indicate that multisource feedback system can be used to assess key competencies such as communication skills, interpersonal skills, collegiality, and medical expertise. Further implementation of multisource feedback is desirable.
The McMaster Pediatric Surgery Research Collaborative is interested in investigating current non-religious community neonatal circumcision practices. This information will be valuable to understanding the current clinical opinions and decision making processes regarding neonatal circumcision.
The paradigm of erectile dysfunction (ED) treatment was fundamentally altered following the introduction of oral phosphodiesterase type 5 inhibitors. Unfortunately, a significant number of men exhibit a suboptimal response and require additional management strategies. One of the novel, minimally invasive strategies being developed is low-intensity extracorporeal shock wave therapy. Used in the hope of delaying placement of an inflatable penile prosthesis, the final phase of ED treatment, low-intensity extracorporeal shock wave therapy is a unique application of an established technology that may hopefully one day expand the medical options for patients with ED. This commentary will highlight the physiology underlying this technique and summarize the most recent studies.
We present a case of ureteric pelvic junction obstruction (UPJO) that was treated by laparoscopic pyeloplasty. To our knowledge, this is the first case done in Bahrain. A twenty-seven-year-old male patient presented with one year history of left sided abdominal pain. The patient was diagnosed with Pelviureteric junction obstruction based on the finding of contrast CT. Laparoscopic pyeloplasty is one of the surgical options for obstruction of Ureteropelvic Junction (UPJ); it is less invasive, less morbid compared with open pyeloplasty. Pelviureteric junction obstruction (PUJO) most commonly presents with pain, hematuria and recurrent urinary tract infection. Incidental findings of hydronephrosis and atrophic kidney could be seen in these patients. Surgical intervention might be required in indicated cases.
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