2024
The persistent benefits of decreasing default pill counts for postoperative narcotic prescriptions
Coppersmith N, Sznol J, Esposito A, Flom E, Chiu A, Yoo P. The persistent benefits of decreasing default pill counts for postoperative narcotic prescriptions. PLOS ONE 2024, 19: e0304100. PMID: 38833500, PMCID: PMC11149874, DOI: 10.1371/journal.pone.0304100.Peer-Reviewed Original ResearchConceptsOxycodone 5-mg tabletsPill countSurgical proceduresOpioid naive patientsOpioid prescribing habitsPostoperative narcotic prescriptionsQuantity of opioidsPercentage of patientsDay of surgeryClinicians' prescribing practicesElectronic medical record systemOpiate requirementsMorphine equivalentsChi-square testPostoperative opioidsOpioid prescriptionsNarcotic prescriptionsPrescription quantitiesOpioidAffiliated HospitalPrescribing habitsPatientsPrescribing practicesPersistent benefitsAcademic healthcare system
2023
Should Obtaining Informed Consent Be Considered an Entrustable Professional Activity? Insights From Whether and How Attendings Entrust Surgical Trainees
White E, Esposito A, Yoo P. Should Obtaining Informed Consent Be Considered an Entrustable Professional Activity? Insights From Whether and How Attendings Entrust Surgical Trainees. Academic Medicine 2023, 99: 897-903. PMID: 38113443, DOI: 10.1097/acm.0000000000005587.Peer-Reviewed Original ResearchConceptsConsent conversationsAssessment of competenceProfessional activityEthical dutyConsent processConsentProfessional obligationsGrant responsePatient relationshipEntrustmentResident competencyUniversity-based health care systemAmerican Association of Medical CollegesHealth care systemMedical school graduatesObligationsHypothetical clinical scenariosAssessment of residentsCompetencePracticeAffiliated teaching hospitalsEntrustable professional activitiesDutyIncrease resident competencyAttendants' knowledgeHow Did We Get Here and Where Are We Going? Career Trajectories of United States General Surgery Residency Program Directors
Coppersmith N, Chung M, Esposito A, Flom E, Dent D, Morris-Wiseman L, Rosenkranz K, Terhune K, Yoo P. How Did We Get Here and Where Are We Going? Career Trajectories of United States General Surgery Residency Program Directors. Journal Of Surgical Education 2023, 80: 1653-1662. PMID: 37355404, DOI: 10.1016/j.jsurg.2023.05.023.Peer-Reviewed Original ResearchSo You Want to be a Program Director? Career Paths of Colon and Rectal Surgery Residency Program Directors
Esposito A, Coppersmith N, Flom E, Chung M, Reddy V, Leeds I, Longo W, Pantel H, Yoo P, Mongiu A. So You Want to be a Program Director? Career Paths of Colon and Rectal Surgery Residency Program Directors. Journal Of Surgical Education 2023, 80: 588-596. PMID: 36658062, DOI: 10.1016/j.jsurg.2022.12.009.Peer-Reviewed Original Research
2022
Do Cultures From Percutaneously Drained Intra-abdominal Abscesses Change Treatment? A Retrospective Review
Esposito A, Zhang Y, Nagarkatti N, Laird W, Coppersmith N, Reddy V, Leeds I, Mongiu A, Longo W, Hao R, Pantel H. Do Cultures From Percutaneously Drained Intra-abdominal Abscesses Change Treatment? A Retrospective Review. Diseases Of The Colon & Rectum 2022, 66: 451-457. PMID: 36538708, DOI: 10.1097/dcr.0000000000002644.Peer-Reviewed Original ResearchConceptsIntra-abdominal abscessPercutaneous drainAntimicrobial therapyLos pacientesAbdominal abscessSingle university-affiliated institutionRetrospective medical record reviewEmpiric antibiotic regimensSolid organ transplantsMedical record reviewUniversity-affiliated institutionCulture dataAntibiotic coursesAbdominal infectionAntibiotic regimensActive smokersMedian ageActive chemotherapyRecord reviewEvidence-based practiceMedian lengthUtility of cultureFemale sexIntraoperative culturesInclusion criteriaUpdate on the Personal and Professional Well-Being of Surgical Residents in New England.
Esposito AC, Coppersmith NA, White EM, Papageorge MV, DiSiena M, Hess DT, LaFemina J, Larkin AC, Miner TJ, Nepomnayshy D, Palesty J, Rosenkranz KM, Seymour NE, Trevisani G, Whiting JF, Oliveira KD, Longo WE, Yoo PS. Update on the Personal and Professional Well-Being of Surgical Residents in New England. Journal Of The American College Of Surgeons 2022, 235: 510-518. PMID: 35588528, DOI: 10.1097/xcs.0000000000000276.Peer-Reviewed Original ResearchConceptsPrimary care providersGeneral surgery residentsHealth maintenanceCare providersSurgery residentsSurgical residentsMinutes/weekPersonal health maintenanceMulti-institutional surveyHealth screeningPercent of residentsProgram directorsResponse rateResident wellbeingFurther studiesSurgical cultureAttendingsFirst studyYearsPersonal appointmentsResidentsBurnout ratesHigh levelsProvidersEmotional exhaustion
2021
Merkel Cell Carcinoma: Changing Practice Patterns and Impact on Recurrence-Free and Overall Survival at a Single Institution and Nationally
Esposito A, Jacobs D, Ariyan S, Galan A, Kluger H, Clune J, Weiss S, Tran T, Olino K. Merkel Cell Carcinoma: Changing Practice Patterns and Impact on Recurrence-Free and Overall Survival at a Single Institution and Nationally. Annals Of Surgical Oncology 2021, 29: 415-424. PMID: 34494169, PMCID: PMC8677689, DOI: 10.1245/s10434-021-10727-2.Peer-Reviewed Original ResearchConceptsDisease-specific survivalOverall survivalCT2 diseasePractice patternsSingle-institution retrospective reviewShorter disease-specific survivalActive cigarette smokersAdoption of immunotherapyMultivariable Cox regressionUse of immunotherapyUse of radiotherapyResultsOne hundred fiftyShorter overall survivalAggressive neuroendocrine carcinomaRisk of mortalitySurrogate outcome measureBackgroundMerkel cell carcinomaTreatment of MCCMCC managementImmunocompromised stateMCC patientsMedian ageUnknown primaryRetrospective reviewCigarette smokers