Edward Tangchitnob’s research while affiliated with White Plains Hospital and other places


Ad

What is this page?


This page lists works of an author who doesn't have a ResearchGate profile or hasn't added the works to their profile yet. It is automatically generated from public (personal) data to further our legitimate goal of comprehensive and accurate scientific recordkeeping. If you are this author and want this page removed, please let us know.

Publications (6)


Mini Surgical Simulation, Role Play, and Group and Behavioral Interviews in Resident Selection
  • Article

May 2016

·

22 Reads

·

11 Citations

Journal of Graduate Medical Education

·

Carolyn Alexander

·

Edward Tangchitnob

·

Background: A robust selection process is critical to residents' "cultural fit" and success in their program. Traditional selection methods have shortcomings. Objective: We describe a novel residency interview process for obstetrics-gynecology residents that incorporates behavioral, group, and surgical simulation multiple mini interviews (MMIs). Methods: In 2010, the Cedars-Sinai Medical Center obstetrics-gynecology residency program developed surgical simulation, role play, ethics group interview, and Accreditation Council for Graduate Medical Education competency-based behavioral interview stations. Results: From 2010 to 2012, a total of 199 applicants were interviewed, 62 ranked in the top 20, and 18 matched into the program. The MMI scores for interview stations were used in compiling our rank list and were found to adequately differentiate candidates. The MMI mean scores for role play, ethics interview, surgical simulation, and the behavioral interview for the top 20 ranked candidates were statistically significantly higher than those for other applicants. Standardized tests minimally correlated with various interview modalities. Applicants found the interview process acceptable. Implementing these MMI stations increased the total applicant interview time for the day by 15% (from 5.5 to 6.5 hours) and increased the face-to-face interview time from 2 to 4 hours. Approximately 42 hours of coordinator time was required for the yearly interview cycle. Conclusions: A multifaceted interview process utilizing MMI, group interview, and surgical simulation MMI is feasible and acceptable. The approach may decrease subjectivity and reliance on traditional interview methods and facilitate the selection of "compatible" residents into the program.


Associations Between DISC Assessment and Performance in Obstetrics and Gynecology Residents

September 2011

·

153 Reads

·

6 Citations

The Journal of reproductive medicine

Dotun A Ogunyemi

·

Yonatan Y Mahller

·

Cinna Wohlmuth

·

[...]

·

Carolyn J Alexander

To determine if the DISC (Dominance, Influence, Steadiness/Submission, and Conscientious/ Compliance) assessment correlates with obstetrics and gynecology resident performance. A total of 46 residents completed the DISC assessment. Residents were classified as "administrators" based on service to the program or as "concerning" if they were on remediation. Residents were categorized by negative comments by nurses or other residents and severe adverse event (SAE)/patient complaints. A quantitative assessment of compliance was used to assess residents. In-service examination scores and faculty evaluations of residents were analyzed. A p value of < 0.05 was taken as significant. Residents with SAE/patient complaints had higher Influence (p = 0.021) and lower Conscientious/Compliance scores (p = 0.029). Administrator-residents demonstrated a positive correlation with Dominance (r = 0.336, p = 0.042). In-service examination scores positively correlated with Dominance and negatively with Steadiness/Submission. There was a negative correlation between resident compliance scores (based on residency requirements) and Steadiness/Submission (r = -0.495, p = 0.043). Residents who are successful in executing administrative duties, provide safe patient care, or obtain high scores on examinations may have a DISC profile that is high in Dominance and Conscientious/Compliance but lower in Steadiness/Submission and Influence. Implementation of programs to promote emotional intelligence may allow for increased compassionate and safe patient care.


Conflict Styles in a Cohort of Graduate Medical Education Administrators, Residents, and Board-Certified Physicians

June 2011

·

75 Reads

·

14 Citations

Journal of Graduate Medical Education

To assess conflict styles and construct validity of the Thomas-Kilmann Mode of Conflict Instrument (TKI) among medical education personnel. From 2006 to 2009, 23 board-certified physicians (faculty), 46 residents, and 31 graduate medical education (GME) administrators participated in 3 behavior surveys. We used self-reported data (as completed by participants on the questionnaire). The TKI defines 5 conflict styles: competing, collaborating, compromising, accommodating, and avoiding. The My Best Communication Style Survey assesses 4 styles of communication: bold, expressive, sympathetic, and technical. The Interpersonal Influence Inventory categorizes 4 behavior styles: openly aggressive, assertive, concealed aggressive, and passive behaviors. A P value of < .05 was significant. Avoiding was the conflict style most chosen, closely followed by compromising and accommodating, whereas collaborating was the least likely to be selected. Collaborating percentiles were highest in GME administrators and lowest in faculty. Competing percentiles decreased from faculty to GME administrators (r  =  -0.237, P  =  .017). Openly aggressive scores were highest in faculty and lowest in GME administrators (P  =  .028). Technical communication scores were highest in residents and lowest in GME administrators (P  =  .008). Technical communication scores were highest in African Americans (P  =  .000). Asian Americans were more likely to be high in accommodating style (P  =  .019). Midwest respondents selected the collaborating style more than others did (41.3% versus 25%) (P  =  .009). Competing conflict style correlated positively with openly aggressive behavior and bold communication but negatively with expressive and sympathetic communications. There are differences in behavior patterns among faculty, residents, and GME administrators with suggestions of ethnic and geographic influences. Correlation among instruments supported theoretical relationships of construct validity.


A Method to Visualize 3-Dimensional Anatomic Changes in the Cervix During Pregnancy A Preliminary Observational Study

February 2010

·

28 Reads

·

13 Citations

Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine

The purpose of this study was to develop a method to visualize 3-dimensional (3D) anatomic changes in the cervix and lower uterine segment during the antepartum period. An observational study of patients with both uncomplicated and complicated pregnancies was performed. To visualize 3D anatomic changes, solid models were constructed from 3D sonographic data. Model construction followed a 3-step protocol. First, 3D transvaginal sonographic data of the cervix and lower uterine segment were obtained. Second, sonographic data were exported to a medical image-processing program, which was used to align 3D sonographic data obtained from a single patient at different time points. Last, sonographic data were used to guide construction of solid models using mechanical design software. Anatomic changes were visualized by comparing solid models constructed from sonographic data obtained at different time points. From 16 patients who consented, 5 patients were selected for this study. Two to 4 models were derived from each of the 5 patients at 15 to 38 weeks' gestation. To show anatomic changes in the cervix and lower uterine segment, solid models from different time points in the same patient were superimposed. A total of 16 solid models were constructed. In addition, 3D changes associated with second-trimester cervical failure and successful therapeutic cerclage were shown. A method to visualize 3D cervical changes is presented, revealing complex anatomic changes in the lower uterine segment, cervical stroma, and cervical mucosa as pregnancy progresses.


Polycystic Ovary Syndrome: A Major Unrecognized Cardiovascular Risk Factor in Women

March 2009

·

61 Reads

·

111 Citations

Reviews in Obstetrics and Gynecology

The prevalence of polycystic ovary syndrome (PCOS) is estimated to be nearly 10% among reproductive-age women. PCOS may represent the largest underappreciated segment of the female population at risk of cardiovascular disease. Clinicians providing care to women of childbearing age must recognize the presenting clues, including irregular menses, hirsutism, alopecia, hyperandrogenemia, and obesity. The pathophysiology of PCOS is complex, involving the hypothalamus-pituitary-ovarian axis, ovarian theca cell hyperplasia, hyperinsulinemia, and a multitude of other cytokine- and adipocyte-driven factors. Cardiac risk factors associated with PCOS have public health implications and should drive early screening and intervention measures. There are no consensus guidelines regarding screening for cardiovascular disease in patients with PCOS. Fasting lipid profiles and glucose examinations should be performed regularly. Carotid intimal medial thickness examinations should begin at age 30 years, and coronary calcium screening should begin at age 45 years. Treatment of the associated cardiovascular risk factors, including insulin resistance, hypertension, and dyslipidemia, should be incorporated into the routine PCOS patient wellness care program.


Ad

Citations (5)


... An obstetrics and gynecology program has also designed a surgical simulation assessment as part of a found top-ranked and matched applicants scored better than other candidates with respect to the surgical simulation. 10 Otolaryngology training programs have also utilized surgical simulation during resident interviews to further assess skills and attitude of applicants, including microvascular repair activities and a soap-carving exercise. [11][12][13] The results of these studies vary. ...

Reference:

Surgical simulation and applicant perception in otolaryngology residency interviews: Residency Interview Surgical Simulations
Mini Surgical Simulation, Role Play, and Group and Behavioral Interviews in Resident Selection
  • Citing Article
  • May 2016

Journal of Graduate Medical Education

... Programme coordinators are stable members of educational team who can observe residents during the entire training period in a non-hierarchical manner. Evidence suggests that coordinators' behaviour is more collaborative, less competing, and less aggressive than of faculty physicians [26]. Coordinators can play an 'ancillary' but indispensable roles [9] that assess and foster residents' PIF, help supervisors [2], and contribute to a better residency programme. ...

Conflict Styles in a Cohort of Graduate Medical Education Administrators, Residents, and Board-Certified Physicians
  • Citing Article
  • June 2011

Journal of Graduate Medical Education

... There is a wide variety of tools available, with the Myers-Briggs Type Indicator (MBTI) [23] being one validated and reliable tool commonly used to study an individual's personality traits. Behaviour styles is the least measured non-cognitive trait in the empirical literature, with the DiSC behaviour profiling assessment tool [24], being utilised to understand health professional team interactions and performance [25]. There is a vast array of EI measures, with the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and Schutte Self Report Emotional Intelligence Test most utilised [26,27]. ...

Associations Between DISC Assessment and Performance in Obstetrics and Gynecology Residents
  • Citing Article
  • September 2011

The Journal of reproductive medicine

... The reaction occurs in the skin and cholesterol is converted to 7-dehydrocholesterol. This metabolite undergoes two successive hydroxylation in the liver and kidney, respectively, to form the final active metabolite which is 1,25 -dihydroxycholecalciferol or vitamin D3 [7][8][9][10][11][12][13][14][15][16][17] . ...

Polycystic Ovary Syndrome: A Major Unrecognized Cardiovascular Risk Factor in Women
  • Citing Article
  • March 2009

Reviews in Obstetrics and Gynecology

... The three-dimensional (3D) anatomy of the cervix during pregnancy is poorly understood [35], and it is only in the last ten years that the structural changes that occur have been studied. The preferred methods of investigation include magnetic resonance imaging (MRI) [36,37] and 3D ultrasonography [38,39], with reconstructions based on these anatomic data and others derived from the known physical properties of the subepithelial stromal components. Although there are some limitations with the methods, these are some of the first studies that have considered the three-dimensional cervical changes that occur during pregnancy. ...

A Method to Visualize 3-Dimensional Anatomic Changes in the Cervix During Pregnancy A Preliminary Observational Study
  • Citing Article
  • February 2010

Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine