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Permanent URI for this collectionhttps://hdl.handle.net/20.500.14288/3

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    Integration of virtual and traditional medical education: scholarship pivots from the Covid-19 pandemic
    (Lippincott Williams and Wilkins, 2024) Tang, Sherry Y. Q.; Kozlow, Jeffrey H.; Sandhu, Gurjit; Cederna, Paul S.; Berberoğlu, İpek; Sezgin, Billur;  ; School of Medicine;  
    Background: The coronavirus disease 2019 (COVID-19) pandemic required an unprecedented transformation of medical education, shifting from traditional, in-person learning to distanced, online learning. This study aimed to review changes to medical education and describe the advantages and disadvantages of virtual medical education experienced by medical students during the pandemic. Methods: An online survey study was conducted at two medical schools, University of Michigan Medical School in the United States and Koc University School of Medicine in Turkey. Medical students completed questionnaires regarding their educational experience before and during the pandemic. Survey instruments were designed to assess differences in the educational curriculum, study methods, clinical skills self-evaluations, perceptions of the quality of in-person and online learning, and overall satisfaction. Results: A total of 184 medical students completed the survey. There was an increase in the use of online study tools since the pandemic. There was no statistically significant difference in self-reported assessments of clinical preparedness and overall clinical competence during surgical clerkship. The percentage of students interested in pursuing a career in surgery has nearly doubled from 34% to 63%. A majority of students (83%) believed that the time available for self-study and research increased during the pandemic. Fifty-two percent of students believed that online education is less efficacious than in-person education, but 86% of students still preferred a blended approach. Conclusions: Medical schools have continued to update their curricula following the COVID-19 pandemic. This study illustrates the transformations in medical education to ensure that the most effective and suitable teaching is delivered.
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    Causes of delays in starting postoperative radiotherapy among head and neck cancer patients
    (Wiley, 2024) Topkan, Erkan; Somay, Efsun; Selek, Uğur;  ; School of Medicine;  
    To the Editor, Duckett et al deserve admiration for their comprehen-sive meta-analysis and systemic review of the prevalence of postoperative radiotherapy (PORT) delay and assessment of variations among care delivery settings in head and neck cancer (HNC) patients.1 The present systematic review comprised 36 studies, while the meta-analysis covered 14 studies. The meta-analysis revealed that nearly half of patients (48.6%) underwent PORT after a lapse of >6 weeks following surgery. The median and mean surgery-to-PORT (S-PORT) time were 45.8 and 47.4 days, respectively. Despite the well-proven adverse impact of extended S-PORT on patient outcomes, these findings confirm that many HNC patients are not receiving PORT on time. Although it is not feasible to eliminate all factors that prolong S-PORT, we would like to emphasize the significance of two manageable factors that may contribute to the authors' discussion on methods for preventing such delays.
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    Expansion of the subcutaneous compartment by umbilicus resection for intrathecal pump placement: the "Karagoz-Hacivat technique"
    (Lippincott Williams and Wilkins, 2024) Isler C.; Cerci HM; Aydin YS; Toklu S; Hanci MM; Bağhaki, Semih;  ;  ; Koç University Hospital
    BACKGROUND AND OBJECTIVES:Intrathecal baclofen (ITB) for severe spasticity can encounter complications such as wound dehiscence and ulcers because of elevated intracompartmental pressure within the abdominal subcutaneous and subfascial pocket housing the pump. We propose an innovative technique to manage ITB wound ulcers.METHODS:Resecting the umbilicus create a more spacious and less tension-prone pocket for the ITB pump.RESULTS:Between 2015 and 2023, we implanted ITB pumps in 65 patients. Among them, 5 patients presented with skin ulcer or dehiscence underwent surgery using the novel technique. Postoperative follow-up revealed successful wound healing, with no further wound-related complications.CONCLUSION:The proposed technique provides effective and practical solution to wound and skin complications related to ITB pump. Moreover, it may serve as a viable preemptive strategy during the initial implantation of the ITB pump in selected patients.
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    Correction to: Microsurgical anatomy of the isthmic cingulum: a new white matter crossroad and neurosurgical implications in the posteromedial interhemispheric approaches and the glioma invasion patterns
    (Springer, 2023) Saygi, Tahsin; Avyasov, Rashid; Barut, Ozan; Daglar, Zeynep; Hasimoglu, Ozan; Altinkaya, Ayca; Tanriover, Necmettin; Baran, Oğuz;  ; School of Medicine;  
    The authors regret that references and reference citations that appears in the original article are incorrect due to the inadvertent omission of two already listed References within the main text of the original article. The original article has been corrected. © 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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    Does long segment subarachnoido-subarachnoid shunt prevent posttraumatic and postinfectious spinal arachnoid cyst recurrence?: technical note and case series
    (Elsevier Masson S.R.L., 2024)  ; Akgün, Mehmet Yiğit; Ateş, Özkan; Akyoldaş, Göktuğ; Öktenoğlu, Bekir Tunç; Tepebaşılı, Mehmet Ali; Sasani, Mehdi; Özer, Ali Fahir;  ; School of Medicine; Koç University Hospital
    Syringomyelia associated with extensive spinal adhesive arachnoiditis (SAA) can be defined as a rare but progressive disease with potentially devastating clinical consequences. Diagnosis can be challenging due to the absence of specific clinical findings, confusion with other pathologies, and late imaging modalities. The treatment strategy for syringomyelia associated with extensive SAA should include direct drainage of the syringomyelia, and dissection of the adhesive arachnoid with expansive duraplasty. Hence, several approaches have been reported for arachnoid dissection and decompression of the subarachnoid space. The high risk of recurrence after the operation is one of the most challenging situations. First two cases were operated previously, and the cyst walls were removed and anastomosed to the intact subarachnoid space at the upper and lower ends by each other. However, in both cases, the cyst recurred after a short time and they were anastomosed again in our clinic. A subarachnoid-subarachnoid shunt was placed with a multi-hole silicone tube extending to the proximal and distal intact subarachnoid spaces and passing through the cyst removal area. In our third case, the shunt system we described was applied directly, and satisfactory results were obtained in the clinical follow-up of the patient. It has been demonstrated that subarachnoido-subarachnoid shunt is a very satisfactory treatment option for this type of pathology, which is difficult to follow and treat. © 2024 Elsevier Masson SAS