Ryan Bynum - Academia.edu (original) (raw)
Papers by Ryan Bynum
Global Surgical Education - Journal of the Association for Surgical Education
Purpose The prevalence of physician burnout has risen and negatively impacts patient care, health... more Purpose The prevalence of physician burnout has risen and negatively impacts patient care, healthcare costs, and physician health. Medical students are heavily influenced by the medical teams they rotate with on the wards. We postulate that faculty well-being influences student perception of clerkships. Methods Medical student evaluations core clerkships at one academic institution were compared with results of faculty well-being scores over 2 years (2018-2020). Linear mixed models were used to model each outcome adjusting for year, mean faculty distress score, and the standard deviation (SD) of WBI mean distress scores. Clerkships and students were treated as random effects. Results Two hundred and eighty Well-Being Index evaluations by faculty in 7 departments (5 with reportable means and standard deviations), and clerkship evaluations by 223 students were completed. Higher faculty distress scores were associated with lower student evaluation scores of the clerkship (− 0.18 per unit increase in distress, std. err = 0.05, p < 0.01). Increased SD (variability) of faculty distress was associated with higher student overall ratings (0.49 points per unit increase in variability, std. err = 0.11, p < 0.01), as was year with 2019-2020 having lower overall ratings (− 0.17, std. err = 0.06, p < 0.01). Findings were similar for ratings of faculty teaching: mean faculty distress (− 0.15, std. err = 0.25), SD faculty distress (0.33, std. err = 0.12), 2019-2020 vs. 2018-2019 (− 0.19, std. err = 0.06) (all p < 0.01). Conclusions Physician well-being is not only associated with quality of patient care and physician health, but also with medical student perceptions of clinical education. These findings provide yet another indirect benefit to improved physician well-being: enhanced undergraduate medical educational experience.
The study examined current practices within the United States for the processing of traffic cases... more The study examined current practices within the United States for the processing of traffic cases in order to identify promising new approaches for improving the disposition of traffic cases. The study results are presented in three volumes: a summary volume and two reference volumes. The present reference volume presents the results of three sub-studies which were undertaken in support of this effort. Part I contains a survey of literature describing and analyzing traffic case disposition systems. Part II presents the results of a national mail survey conducted to identify innovative methods or practices in handling traffic cases. Part III and IV show the results of a comprehensive survey of applicable statutes in all fifty states and the District of Columbia. Reference Volume II presents the results of an in-depth case study of the New York City Administrative Adjudication System. /Author/
The study examined current practices within the United States for the processing of traffic cases... more The study examined current practices within the United States for the processing of traffic cases in order to identify promising new approaches for improving the disposition of traffic cases. The study results are presented in three volumes: a summary volume and two reference volumes. The present reference volume contains the results of in-depth case study of the administrative traffic case adjudication system now operating in New York City (NYCAAS). The case study describes the legal and societal environment of the system, the system's functions and procedures, and presents the results of a preliminary survey of the attitudes of the general population and of those who had been defendents in hearings conducted by the NYCAAS. Reference Volume I contains the results of a literature search, a mail survey, and a statute search conducted to identify and describe innovative methods for processing traffic cases. /Author/
Journal of Surgical Research
Global Surgical Education - Journal of the Association for Surgical Education
Purpose The prevalence of physician burnout has risen and negatively impacts patient care, health... more Purpose The prevalence of physician burnout has risen and negatively impacts patient care, healthcare costs, and physician health. Medical students are heavily influenced by the medical teams they rotate with on the wards. We postulate that faculty well-being influences student perception of clerkships. Methods Medical student evaluations core clerkships at one academic institution were compared with results of faculty well-being scores over 2 years (2018-2020). Linear mixed models were used to model each outcome adjusting for year, mean faculty distress score, and the standard deviation (SD) of WBI mean distress scores. Clerkships and students were treated as random effects. Results Two hundred and eighty Well-Being Index evaluations by faculty in 7 departments (5 with reportable means and standard deviations), and clerkship evaluations by 223 students were completed. Higher faculty distress scores were associated with lower student evaluation scores of the clerkship (− 0.18 per unit increase in distress, std. err = 0.05, p < 0.01). Increased SD (variability) of faculty distress was associated with higher student overall ratings (0.49 points per unit increase in variability, std. err = 0.11, p < 0.01), as was year with 2019-2020 having lower overall ratings (− 0.17, std. err = 0.06, p < 0.01). Findings were similar for ratings of faculty teaching: mean faculty distress (− 0.15, std. err = 0.25), SD faculty distress (0.33, std. err = 0.12), 2019-2020 vs. 2018-2019 (− 0.19, std. err = 0.06) (all p < 0.01). Conclusions Physician well-being is not only associated with quality of patient care and physician health, but also with medical student perceptions of clinical education. These findings provide yet another indirect benefit to improved physician well-being: enhanced undergraduate medical educational experience.
The study examined current practices within the United States for the processing of traffic cases... more The study examined current practices within the United States for the processing of traffic cases in order to identify promising new approaches for improving the disposition of traffic cases. The study results are presented in three volumes: a summary volume and two reference volumes. The present reference volume presents the results of three sub-studies which were undertaken in support of this effort. Part I contains a survey of literature describing and analyzing traffic case disposition systems. Part II presents the results of a national mail survey conducted to identify innovative methods or practices in handling traffic cases. Part III and IV show the results of a comprehensive survey of applicable statutes in all fifty states and the District of Columbia. Reference Volume II presents the results of an in-depth case study of the New York City Administrative Adjudication System. /Author/
The study examined current practices within the United States for the processing of traffic cases... more The study examined current practices within the United States for the processing of traffic cases in order to identify promising new approaches for improving the disposition of traffic cases. The study results are presented in three volumes: a summary volume and two reference volumes. The present reference volume contains the results of in-depth case study of the administrative traffic case adjudication system now operating in New York City (NYCAAS). The case study describes the legal and societal environment of the system, the system's functions and procedures, and presents the results of a preliminary survey of the attitudes of the general population and of those who had been defendents in hearings conducted by the NYCAAS. Reference Volume I contains the results of a literature search, a mail survey, and a statute search conducted to identify and describe innovative methods for processing traffic cases. /Author/
Journal of Surgical Research