Impact of perceived attending consistency on general surgery resident feedback satisfaction in a national sample.

Introduction: We aim to determine whether general surgery residents' feedback satisfaction relates to number of attendings providing consistent feedback.

Methods: In January 2023, residents were surveyed about feedback perceptions post in-training exam. Respondents selected how many attendings gave consistent feedback, with those selecting 0-25 ​% or 76-100 ​% grouped as low-percentage (LP) or high-percentage (HP).

Pharmacotherapy for Agitation Management in a Pediatric Emergency Department.

Objectives: In the treatment of agitation in a pediatric emergency department (PED), it is common to use once or as needed (PRN) medications when nonpharmacological management options have failed. Currently, there is limited available evidence on the treatment of pediatric agitation. The objective of this analysis was to characterize the prescribing practices of once or PRN medications for the treatment of agitation in a PED at an academic medical center.

Rural Surgery Experiences in General Surgery Residency Training-The Current State an ACGME Sponsored Survey of General Surgery Program Directors.

Objective: Nationwide there is a significant shortage of surgeons in rural communities, which has led to a growing interest in training more general surgeons specifically for entry into rural practice. Despite noble intentions, exactly how this training should be performed is unclear, and highly variable across programs. The Accreditation Council for Graduate Medical Education (ACGME) Surgery Residency Review Committee (RRC) sought to better understand the current state of rural focused training options in general surgery residencies.

Shotgun injury: don't forget the wad.

While close-range shotgun injuries may clinically appear similar to gunshot wounds from rifles or handguns, they are important to differentiate as they require special consideration. We present a case of a male in his 20s who sustained a close-range shotgun wound to the right lower extremity and was subsequently found to have a retained, radiolucent shotgun wad deep within the wound bed. Identification and removal of shotgun wads are of paramount importance, as failure to do so may lead to downstream secondary infectious complications.

Versatile tissue-injectable hydrogels capable of the extended hydrolytic release of bioactive protein therapeutics.

Hydrogels are extensively employed in healthcare due to their adaptable structures, high water content, and biocompatibility, with FDA-approved applications ranging from spinal cord regeneration to local therapeutic delivery. However, clinical hydrogels encounter challenges related to inconsistent therapeutic exposure, unmodifiable release windows, and difficulties in subsurface polymer insertion. Addressing these issues, we engineered injectable, biocompatible hydrogels as a local therapeutic depot, utilizing poly(ethylene glycol) (PEG)-based hydrogels functionalized with bioorthogonal SPAAC handles for network polymerization and functionalization.