Background: There is a significant gap in the literature regarding trainees' perceptions of remediation. This study aims to explore surgical trainees' experiences and perspectives of remediation.
Methods: This qualitative study used semi-structured interviews with 11 doctors who have experienced formal remediation as a surgical trainee. Reflexive thematic analysis was used for data analysis.
Results: In this study, trainees perceived remediation as a harrowing and isolating experience, with long-lasting emotions. There was a perceived lack of clarity regarding explanations of underperformance and subjective goals. Remediation was viewed as a 'performance' and tick-box exercise with superficial plans, with challenging trainee/supervisor dynamics.
Conclusions: These findings about trainees' perspectives on remediation show a need for trainees to be better emotionally supported during remediation and that remediation plans must be improved to address deficits. Integrating the perspectives and experiences of surgical trainees who have undergone remediation should help improve remediation outcomes and patient care.
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http://dx.doi.org/10.1016/j.amjsurg.2024.01.033 | DOI Listing |
Sci Adv
January 2025
Center for Coastal Climate Resilience, University of California Santa Cruz, Santa Cruz, CA 95060, USA.
Coral reefs can mitigate flood damages by providing protection to tropical coastal communities whose populations are dense, growing fast, and have predominantly lower-middle income. This study provides the first fine-scale, regionally modeled valuations of how flood risk reductions associated with hybrid coral reef restoration could benefit people, property, and economic activity along Florida and Puerto Rico's 1005 kilometers of reef-lined coasts. Restoration of up to 20% of the regions' coral reefs could provide flood reduction benefits greater than costs.
View Article and Find Full Text PDFEnviron Technol
January 2025
State Key Laboratory of Heavy Oil Processing, Beijing Key Lab of Oil & Gas Pollution Control, China University of Petroleum-Beijing, Beijing, People's Republic of China.
Oxidants used in the ISCO technology usually require activation by activators to degrade contaminants. However, this study investigated degradation of 15 typical halogenated hydrocarbons by five common ISCO oxidants (PS, PMS, HO, KMnO, SPC) without activation in both pure water and real groundwater. Unactivated PS could degrade 14 halogenated hydrocarbons, excluding tetrachloromethane.
View Article and Find Full Text PDFEnviron Technol
January 2025
Department of Civil Engineering, The University of Hong Kong, Hong Kong SAR, People's Republic of China.
The remediation of oil-contaminated soil poses significant environmental challenges, often necessitating innovative approaches for effective and sustainable solutions. This study focuses on the synthesis, characterisation, and application of biodegradable capsules loaded with surfactant for enhanced oil remediation of a clean sand. By controlling the release properties of capsules, the research aims to overcome the limitations of conventional surfactant-based remediation methods, such as rapid washout and reduced efficacy over time.
View Article and Find Full Text PDFBackground: Eclampsia is among the primary causes of maternal and perinatal morbidity and mortality in Zanzibar. Many women and men are not aware of the signs, symptoms and causes of eclampsia and may have different explanatory models. Therefore, this study aimed to describe the community understanding of pre-eclampsia, as a key stage to improve maternal and perinatal health in Unguja Island, Zanzibar.
View Article and Find Full Text PDFEnviron Geochem Health
January 2025
Department of Civil Engineering, Indian Institute of Technology Guwahati, Guwahati, Assam, India.
Coal mining in India, especially open-cast mining, substantially strengthens the economy while concurrently causing environmental deterioration, such as soil pollution with toxic chemicals and heavy metals. This study sought to examine the efficacy of vermicompost as a remediation technique for Mine Tailing Soil (MTS) in the Ledo Coal Fields. During a 120-day duration, different concentrations of vermicompost (20%, 30%, and 40%) were administered to MTS, and the impacts on soil physicochemical parameters, fertility, and plant growth were evaluated.
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