Full Text Available Training physicians who are expert in many medical aspects is the most improtant mission of medical universities. One of these aspects, is professional behavior achievement. One of the important goals in training of ethics, is recognition of conflicts in different parts of ethics and having logical viewpoint for resolving and analyzing these conflicts. This descriptive and analytical study was done to evaluate the efficacy of medical ethics education in medical students´ professional attitudes improvement. One hundred and two medical students were selected randomly in different steps of education and were questioned and their opinions correlation with stage of education and gender were evaluated. There was a significant difference between female viewpoint (in roles of ethic course which is presented in preclinical step in professional attitude improvement (P = 0.009 and also a significant difference was seen in the viewpoint score between student stage with intern stage (P = 0.031. Medical students in educational student stage believe ethic course improve medical professionalism. Since there is no special course to train medical students in professionalism, some interventions are required in this field to improve this aspect of physicians' professional life.
Abdolreza Sotoodeh Jahromi
BACKGROUND: Professionalism forms an important aspect of medicine's contract with society, and it is therefore important that it should be assessed and developed in medical schools. For the effective assessment of medical students' professionalism, clear objectives, or outcomes based on a clear definition of professionalism, have to be accepted by society, the faculty and the students. A Physician's Charter, 'Medical Professionalism in the New Millennium', was published by the Annals of Inter...
Rooyen, Marietjie; Treadwell, Ina
Full Text Available Abstract Background Professionalism topics are usually not covered as a separate lesson within formal curriculum, but in subtler and less officially recognized educational activities, which makes them difficult to teach and assess. Interactive methods (e.g. movies could be efficient teaching methods but are rarely studied. The aims of this study were: 1 to test the relevance and usefulness of movies in teaching professionalism to fourth year medical students and, 2 to assess the impact of this teaching method on students' attitudes towards some professionalism topics. Method This was an education study with qualitative data analysis in a group of eleven fourth year medical students from the Medical School of University Maribor who attended an elective four month course on professionalism. There were 8 (66.7% female students in the group. The mean age of the students was 21.9 ± 0.9 years. The authors used students' written reports and oral presentations as the basis for qualitative analysis using thematic codes. Results Students recognised the following dimensions in the movie: communication, empathy, doctors' personal interests and palliative care. It also made them think about their attitudes towards life, death and dying. Conclusions The controlled environment of movies successfully enables students to explore their values, beliefs, and attitudes towards features of professionalism without feeling that their personal integrity had been threatened. Interactive teaching methods could become an indispensible aid in teaching professionalism to new generations.
Observers and critics of the medical profession, both within and without, urge that more attention be paid to the moral sensibilities, the characters, of medical students. Passing on particular moral values and actions to physicians has always been an essential core of medical training, and this call for renewal is not new in modern medicine. Some of the structures and characteristics of modern medical education, however, often work directly against the professionalism that the education espouses. For example, medical students are socialized into a hierarchy that has broad implications for relations among health care professionals, other health care workers, and patients, and academic medicine has not promoted and taught critical reflection about the values and consequences of this hierarchy. Further, behind the formal curriculum lies the "hidden curriculum" of values that are unconsciously or half-consciously passed on from the faculty and older trainees. Two resources for thinking anew about professional development for medical students are feminist standpoint theory and critical multicultural theory, each of which raises important and fundamental questions about defining the role of medicine in society and the role of the physician in medicine. The author discusses these two theories and their implications for medical education, showing how they can be used to move discussions of professional development into analysis of the widespread social consequences of how a society organizes its health care and into critical reflection on the nature of medical knowledge. PMID:9435711
Abstract Background Professionalism topics are usually not covered as a separate lesson within formal curriculum, but in subtler and less officially recognized educational activities, which makes them difficult to teach and assess. Interactive methods (e.g. movies) could be efficient teaching methods but are rarely studied. The aims of this study were: 1) to test the relevance and usefulness of movies in teaching professionalism to fourth year medical students and, 2) to asse...
Klemenc-Ketis Zalika; Kersnik Janko
Full Text Available Objective: The first course of the medical curriculum at the Hofstra North Shore-LIJ School of Medicine, From the Person to the Professional: Challenges, Privileges and Responsibilities, provides an innovative early clinical immersion. The course content specific to the Emergency Medical Technician (EMT curriculum was developed using the New York State Emergency Medical Technician curriculum. Students gain early legitimate clinical experience and practice clinical skills as team members in the pre-hospital environment. We hypothesized this novel curriculum would increase students’ confidence in their ability to perform patient care skills and enhance students’ comfort with team-building skills early in their training. Methods: Quantitative and qualitative data were collected from first-year medical students (n=97 through a survey developed to assess students’ confidence in patient care and team-building skills. The survey was completed prior to medical school, during the final week of the course, and at the end of their first year. A paired-samples t-test was conducted to compare self-ratings on 12 patient care and 12 team-building skills before and after the course, and a theme analysis was conducted to examine open-ended responses. Results: Following the course, student confidence in patient care skills showed a significant increase from baseline (p<0.05 for all identified skills. Student confidence in team-building skills showed a significant increase (p<0.05 in 4 of the 12 identified skills. By the end of the first year, 84% of the first-year students reported the EMT curriculum had ‘some impact’ to ‘great impact’ on their patient care skills, while 72% reported the EMT curriculum had ‘some impact’ to ‘great impact’ on their team-building skills. Conclusions: The incorporation of EMT training early in a medical school curriculum provides students with meaningful clinical experiences that increase their self-reported level of confidence in the performance of patient care skills early in their medical education.
BackgroundThe standards and outcomes outlined in the General Medical Council¿s publication `Tomorrow¿s Doctors¿ include proposals that medical professionalism be included in undergraduate curricula. Learning the values and attitudes necessary to become a `doctor as a professional¿ has traditionally been left largely to the informal and hidden curricula. There remains no consensus or confirmed evidence upon which to base best practice for teaching in this area. In 2010, as part of a revision of the fifth year curriculum the University of Bristol Medical School introduced tutorials which focused on students¿ achievement of the learning objectives in `Tomorrow¿s Doctors Outcomes 3: the doctor as a professional¿. This study sought to explore the students¿ experiences of these tutorials in order to develop the evidence base further.MethodsSixteen medical students participated in three focus-group interviews exploring their experiences of medical professionalism tutorials. A course evaluation questionnaire to all fifth year students also provided data. Data were analysed using the principles of Interpretative Phenomenological Analysis.ResultsFour main themes were identified: students¿ aversion to `ticking-boxes¿, lack of engagement by the students, lack of engagement by the tutors and students¿ views on how medical professionalism should be taught.ConclusionsA curriculum innovation which placed the achievement of medical professionalism in the formal curriculum was not unanimously embraced by students or faculty. Further consideration of the students¿ aversion to `ticking-boxes¿ is warranted. With continued demand for increased accountability and transparency in medical education, detailed check-lists of specific learning objectives will continue to feature as a means by which medical schools and learners demonstrate attainment. Students¿ experiences and acceptance of these check-lists deserves attention in order to inform teaching and learning in this area. Learner and faculty `buy in¿ are imperative to the success of curriculum change and vital if the students are to attain the intended learning objectives. Effective faculty development and student induction programmes could be employed to facilitate engagement by both parties. PMID:25433816
Stockley, Amelia J; Forbes, Karen
Full Text Available Background: Although professional identity development is an important concept in medical education, the process has not been well-investigated from a student perspective. Purpose: This study examines the metaphorical images formulated by first grade medical students in Turkey to describe physicians in the context of establishing a professional identity, along with its limitations. Method: Participants (N=148 completed the prompt: A physician is like _____ because _____ to indicate their conceptualizations of physician. The data were analyzed both qualitatively and quantitatively. Results: Altogether, 71 well-articulated metaphorical images were identified – comprising six conceptual themes. Conclusions: While subject to some limitations, the use of metaphors to formulate and describe professional identities can be helpful in reflecting the personal beliefs and values of matriculants to medical school, as well as providing some guidance and feedback to curriculum development efforts.
Abstract Background The purpose of this paper is to describe and analyze the professional expectations of medical students during the 2007-2008 academic year at the public medical schools of Angola, Guinea-Bissau and Mozambique, and to identify their social and geographical origins, their professional expectations and difficulties relating to their education and professional future. Methods Data were collected through a standardised questionnaire applied to all ...
Fronteira Inês; Rodrigues Amabélia; Fresta Mário; Sidat Mohsin; Ferrinho Paulo; da Silva Florinda; Mercer Hugo; Cabral Jorge; Dussault Gilles
Objective: To assess the perspectives and preferences of medical students and residents regarding professionalism and ethics education. Methods: A new written survey with 124 items (scale: "strongly disagree" = 1, "strongly agree" = 9) was sent to all medical students (n = 308) and PGY 1-3 residents (n = 233) at one academic center. Results: Of…
Roberts, Laura Weiss; Hammond, Katherine A. Green; Geppert, Cynthia M. A.; Warner, Teddy D.
Abstract Introduction This paper compares the socioeconomic profile of medical students registered at the Faculty of Medicine of Universidade Eduardo Mondlane (FM-UEM), Maputo, for the years 1998/99 and 2007/08. Case study The objective is to describe the medical students' social and geographical origins, expectations and perceived difficulties regarding their education and professional future. Data were collected through questionnaires administered to all medic...
Fronteira Inês; Ferrinho Paulo; Sidat Mohsin; da Sousa Fernando; Dussault Gilles
Abstract Background: Language barriers may lead to poorer healthcare services for patients who do not speak the same language as their care provider. Despite the benefits of professional interpreters, care providers tend to underuse professional interpretation. Evidence suggests that students who received training on language barriers and interpreter use are more likely to utilize interpretation services. Aims: We developed an e-learning module for medical students on using professional interpreters during the medical interview, and evaluated its effects on students' knowledge and self-efficacy. Methods: In the e-learning module, three patient-physician-interpreter video vignettes were presented, with three different types of interpreters: a family member, an untrained bilingual staff member, and a professional interpreter. The students answered two questions about each vignette, followed by feedback which compared their responses with expert information. In total, 281 fourth-year medical students took the e-learning module during the academic year 2012-2013. We assessed their knowledge and self-efficacy in interpreter use pre- and post-test on 1 (lowest) - 10 (highest) scale, and analysed the differences in mean scores using paired t-tests. Results: Upon completing the e-learning module, students reported higher self-efficacy in using professional interpretation. The mean knowledge score on the pre-test was 5.5 (95% confidence interval 5.3-5.8), but on the post-test this increased to 8.4 (95% CI 8.2-8.6). The difference was highly significant (p?e-learning module improved students' knowledge and self-efficacy in using professional interpreters during the medical interview. Using such tools in medical curricula might encourage future doctors to use professional interpretation services to overcome language barriers, thereby potentially contributing to equitable healthcare services for a linguistically diverse patient population. PMID:25109296
Ikram, Umar Z; Essink-Bot, Marie-Louise; Suurmond, Jeanine
The purpose of this paper is to present a short overview over the determinants and implications of medics’ international migration and to determine if the international migration of medics can be considered a predictable phenomenon, from the Romanian medical student’s perspective. The study has been conducted on a group of students from the University of Medicine and Pharmacy “Gr. T. Popa” from Ia?i, Romania. The research was conducted on an availability sample of 158 students from t...
Toader, Elena; Sfetcu, Lucian
Full Text Available The purpose of this paper is to present a short overview over the determinants and implications of medics’ international migration and to determine if the international migration of medics can be considered a predictable phenomenon, from the Romanian medical student’s perspective. The study has been conducted on a group of students from the University of Medicine and Pharmacy “Gr. T. Popa” from Ia?i, Romania. The research was conducted on an availability sample of 158 students from the 3rd to 6th year of study, which responded to an auto-administrated questionnaire. The results are in accordance with the results of other similar studies, namely that students are considering international migration to more developed countries as an option for their career development.
Full Text Available Abstract Background Today, medical students are introduced to patient contact, communication skills, and clinical examination in the preclinical years of the curriculum with the purpose of gaining clinical experience. These courses are often evaluated from the student perspective. Reports with an additional emphasis on the facilitator perspective are scarce. According to constructive alignment, an influential concept from research in higher education, the learning climate between students and teachers is also of great importance. In this paper, we approach the learning climate by studying both students' and facilitators' course experiences. In 2001, a new "Early Professional Contact" longitudinal strand through term 1–4, was introduced at the Sahlgrenska Academy, University of Gothenburg, Sweden. General practitioners and hospital specialists were facilitators. The aim of this study was to assess and analyse students' and clinical facilitators' experiences of the Early Professional Contact course and to illuminate facilitators' working conditions. Methods Inspired by a Swedish adaptation of the Course Experience Questionnaire, an Early Professional Contact Questionnaire was constructed. In 2003, on the completion of the first longitudinal strand, a student and facilitator version was distributed to 86 students and 21 facilitators. In the analysis, both Chi-square and the Mann-Whitney tests were used. Results Sixty students (70% and 15 facilitators (71% completed the questionnaire. Both students and facilitators were satisfied with the course. Students reported gaining iiration for their future work as doctors along with increased confidence in meeting patients. They also reported increased motivation for biomedical studies. Differences in attitudes between facilitators and students were found. Facilitators experienced a greater workload, less reasonable demands and less support, than students. Conclusion In this project, a new Early Professional Contact course was analysed from both student and facilitator perspectives. The students experienced the course as providing them with a valuable introduction to the physician's professional role in clinical practice. In contrast, course facilitators often experienced a heavy workload and lack of support, despite thorough preparatory education. A possible conflict between the clinical facilitator's task as educator and member of the workplace is suggested. More research is needed on how doctors combine their professional tasks with work as facilitators.
... Legacy Society Search ANAUSA.org Selecting a Medical Professional The mission of the Acoustic Neuroma Association is ... to be an essential resource for health care professionals who treat acoustic neuroma patients. When initially diagnosed, ...
Abstract Background Over two-thirds of UK medical schools are augmenting their selection procedures for medical students by using the United Kingdom Clinical Aptitude Test (UKCAT), which employs tests of cognitive and non-cognitive personal qualities, but clear evidence of the tests’ predictive validity is lacking. This study explores whether academic performance and professional behaviours that are important in a health professional context can be predicted by these measur...
Adam Jane; Bore Miles; McKendree Jean; Munro Don; Powis David
Background Peer assessment is defined as assessment by ‘individuals who have attained to same general level of training or expertise, exercise no formal authority over each other, and share the same hierarchical status in an institution’ 1. The ‘Conscientiousness Index’ (CI) has previously been used within UDQC, to provide an assessment of pre-clinical medical students’ professionalism. The Conscientiousness Index is an objective, scalar measure of student professionalism. Po...
Finn, G.; Sawdon, M.
This study sought to determine if and how 501 medical students and 312 residents are using Facebook at a large university in the Southeastern United States. Results reveal that medical students and residents are using Facebook and about two-thirds of users maintain public profiles. While there is variation in the types of information provide within profiles, many medical students seem unaware of or unconcerned with the possible ramifications of sharing personal information in publicly-availab...
Ferdig, Richard E. University Of Florida College Of Education; Dawson, Kara University Of Florida College Of Education; Black, Erik W. University Of Florida College Of Education; Black, Nicole M. Paradise University Of Florida; Thompson, Lindsay A. University Of Florida
Full Text Available Abstract Background Over two-thirds of UK medical schools are augmenting their selection procedures for medical students by using the United Kingdom Clinical Aptitude Test (UKCAT, which employs tests of cognitive and non-cognitive personal qualities, but clear evidence of the tests’ predictive validity is lacking. This study explores whether academic performance and professional behaviours that are important in a health professional context can be predicted by these measures, when taken before or very early in the medical course. Methods This prospective cohort study follows the progress of the entire student cohort who entered Hull York Medical School in September 2007, having taken the UKCAT cognitive tests in 2006 and the non-cognitive tests a year later. This paper reports on the students’ first and second academic years of study. The main outcome measures were regular, repeated tutor assessment of individual students’ interpersonal skills and professional behaviour, and annual examination performance in the three domains of recall and application of knowledge, evaluation of data, and communication and practical clinical skills. The relationships between non-cognitive test scores, cognitive test scores, tutor assessments and examination results were explored using the Pearson product–moment correlations for each group of data; the data for students obtaining the top and bottom 20% of the summative examination results were compared using Analysis of Variance. Results Personal qualities measured by non-cognitive tests showed a number of statistically significant relationships with ratings of behaviour made by tutors, with performance in each year’s objective structured clinical examinations (OSCEs, and with themed written summative examination marks in each year. Cognitive ability scores were also significantly related to each year’s examination results, but seldom to professional behaviours. The top 20% of examination achievers could be differentiated from the bottom 20% on both non-cognitive and cognitive measures. Conclusions This study shows numerous significant relationships between both cognitive and non-cognitive test scores, academic examination scores and indicators of professional behaviours in medical students. This suggests that measurement of non-cognitive personal qualities in applicants to medical school could make a useful contribution to selection and admission decisions. Further research is required in larger representative groups, and with more refined predictor measures and behavioural assessment methods, to establish beyond doubt the incremental validity of such measures over conventional cognitive assessments.
Full Text Available Abstract Background The anatomy course offers important opportunities to develop professionalism at an early stage in medical education. It is an academically significant course that also engenders stress in some students. Methods Over a three-year period, 115 of 297 students completed creative projects. Thirty-four project completers and 47 non-completers consented to participate in the study. Projects were analyzed for professionalism themes using grounded theory. A subset of project completers and non-completers were interviewed to determine their views about the stress of anatomy and medical school, as well as the value of the creative projects. We also compared test performance of project completers and non-completers. Results Projects completed early in the course often expressed ambivalence about anatomy, whereas later projects showed more gratitude and sense of awe. Project completers tended to report greater stress than noncompleters, but stated that doing projects reduced stress and caused them to develop a richer appreciation for anatomy and medicine. Project completers performed significantly lower than non-completers on the first written exam (pre-project. Differences between groups on individual exams after both the first and second creative project were nonsignificant. Conclusion For some students, creative projects may offer a useful way of reflecting on various aspects of professionalism while helping them to manage stress.
Thai Trung M
Abstract Background Today, medical students are introduced to patient contact, communication skills, and clinical examination in the preclinical years of the curriculum with the purpose of gaining clinical experience. These courses are often evaluated from the student perspective. Reports with an additional emphasis on the facilitator perspective are scarce. According to constructive alignment, an influential concept from research in higher education, the learning climate bet...
Gunnarsson Ronny; Rödjer Stig; Hellquist Gunilla; von Below Bernhard; Björkelund Cecilia; Wahlqvist Mats
Studies have shown that IQ alone does not contribute to the professional success of medical professionals. Professionals who are trained to be clinically competent, but have inadequate social skills for practice have proved to be less successful in their profession. Emotional intelligence (EI), which has already proved to be a key attribute for…
Zayapragassarazan, Z.; Kumar, Santosh
Background: This study was carried out to assess the relationship between thevarious assessment parameters, viz. continuous assessment (CA), multiple choice questions (MCQ), essay, practical, oral with the overall performance in the first professional examination in Physiology. Materials and Methods: The results of all 244 students that sat for the examination over 4 years were used. The CA, MCQ, essay, practical, oral and overall performance scores were obtained. All the scores were rounded up to 100% to give each parameter equal weighting. Results: Analysis showed that the average overall performance was 50.8 ± 5.3. The best average performance was in practical (55.5 ± 9.1), while the least was in MCQ (44.1 ± 7.8). In the study, 81.1% of students passed orals, 80.3% passed practical, 72.5% passed CA, 58.6% passed essay, 22.5% passed MCQ and 71.7% of students passed on the overall performance. All assessment parameters significantly correlated with overall performance. Continuous assessment had the best correlation (r = 0.801, P = 0.000), while oral had the least correlation (r = 0.277, P = 0.000) with overall performance. Essay was the best predictor of overall performance (? = 0.421, P = 000), followed by MCQ (? = 0.356, P = 000), while practical was the least predictor of performance (? = 0.162, P = 000). Conclusion: We suggest that the department should uphold the principle of continuous assessment and more effort be made in the design of MCQ so that performance can improve. PMID:24403705
Adeniyi, Olasupo Stephen; Ogli, Sunday Adakole; Ojabo, Cecelia Omaile; Musa, Danladi Ibrahim
The paper reports on a project where the objective was for the Rural Clinical School, The University of Queensland, Australia, to design an acceptable model of research skills workshops for medical students and rural health professionals. Eight, interactive research skills workshops focused on skill development were conducted in rural Queensland,…
Lasserre, Kaye E.; Moffatt, Jennifer J.
Full Text Available Abstract Background Retaining health workers in rural areas is challenging for a number of reasons, ranging from personal preferences to difficult work conditions and low remuneration. This paper assesses the influence of intrinsic and extrinsic motivation on willingness to accept postings to deprived areas among medical students in Ghana. Methods A computer-based survey involving 302 fourth year medical students was conducted from May-August 2009. Logistic regression was used to assess the association between students' willingness to accept rural postings and their professional motivations, rural exposure and family parental professional and educational status (PPES. Results Over 85% of students were born in urban areas and 57% came from affluent backgrounds. Nearly two-thirds of students reported strong intrinsic motivation to study medicine. After controlling for demographic characteristics and rural exposure, motivational factors did not influence willingness to practice in rural areas. High family PPES was consistently associated with lower willingness to work in rural areas. Conclusions Although most Ghanaian medical students are motivated to study medicine by the desire to help others, this does not translate into willingness to work in rural areas. Efforts should be made to build on intrinsic motivation during medical training and in designing rural postings, as well as favour lower PPES students for admission.
Undergraduate medical education is very vast area comprises of over dozen subjects and their evaluation through professional examination. In current scenario of modern life students are pressurized from every corners, economic burden, lack of proper teaching or friendly environment, senior and peer group pressure, love affairs are common issues during college life. Insecurity of job after completion of education will pose future financial fear. These are some common reasons enough to pressuri...
Rakesh Chandra Chaurasia
ABSTRACT Clinical skill laboratories CSL have become one of the essential facilities in an undergraduate medical curriculum. A wide range of training skills were recently introduced which includes clinical examination, diagnostic and therapeutic skills as well as communication skills. Although the educational value of the CSL is very well recognized, very little is written about it in the literature. The purpose of this paper is to provide an overview of the skills ...
Al-yousuf, Nada H.
Full Text Available Objectives: There are currently no guidelines on the most effective ways of supporting medical students to develop high standards of medical professionalism. The aim of this review is to summarise the evidence currently available on methods used by medical schools to promote medical professionalism. Methods: We performed a systematic search of electronic databases (Medline, PsychInfo, British Education Index, Educational Resources Information Centre, Sociological Abstracts and Topics in Medical Education from January 1998 to October 2008. Outcomes studied were methods used to support and promote the development of professionalism in medical students. Results: We identified 134 papers and five main themes for supporting the development of professionalism in medical students: curriculum design, student selection, teaching and learning methods, role modelling and assessment methods. However, the level of empirical evidence supporting each of these methods is limited. Conclusions: Identification of these five areas helps medical schools to focus the emphasis of their approaches to developing professionalism and identifies future research areas. This review offers a preliminary guide to future discovery and progress in the area of medical professionalism.
Film director Akira Kurosawa (1918-1998) portrayed doctors and patients in 4 films that spanned the most productive phase in his career: Drunken Angel, The Quiet Duel, Ikiru, and Red Beard. Observing death and destruction during the Second World War and the social disintegration that followed it in Japan, Kurosawa viewed the world as a dispiriting, dangerous, and chaotic place. His response was an optimistic and humanist view that life's meaning lies in the service to others. Because his main characters are doctors and patients, the films have a connection to today's medical community trying to define a modern concept of professionalism and what it means to be a physician. PMID:20142142
Nakayama, Don K
Development of health inter-professional telemedicine practice through simulation scenario training with students of physiotherapy-, occupational therapy-, medical laboratory technology-, and nursing education
Background: Welfare technology is considered to be cost effective and to promote consistent quality in health care (1, 2). Due to the pervasive deployment of telemedicine and the political focus thereon, it is very important that health professional students gain an understanding of its benefits and limitations and that they develop competences related to telemedicine practices. Because close interprofessional and intersectoral cooperation is required in the care and treatment of patients by the use of telemedicine, development of telemedicine competences must take place in an inter-professional context. Aims: The purpose of the project was • to develop practice oriented competences related to telemedicine in an inter-professional and a cross-sectoral context among health professional students of physiotherapy-, occupational therapy-, medical laboratory technology-, and nursing education. • to motivate and retain male students by the use of simulation training that involves technology. Methodology:The project was settled as a cross-professional telemedicine course on health educations. Nursing students (N=20) and physiotherapy students (N=34) participated actively and the scenarios were filmed and enacted via Adobe Connect. Students were divided into groups, and some students acted health professionals, while others acted patients. Excerpts of the recordings were analyzed and discussed with a focus on successful telemedical care and treatments well as challenges and they were followed by evaluation and qualitative interviews. Recordings, field notes, memos and observations of students and lecturers were used as empirical material for follow-up research. Data were analyzed in order to categorize the theoretical perspectives relating to learning and motivation. Results: Evaluations and follow-up research showed that students developed competences equivalent to novice level through simulation training (3). The project gave rise to wide project on Occupational Therapy education and medical laboratory technology education too. Follow-up research concludes that the boys who participated in the project responded positively to simulation training, as many of the girls did. Further results and perspectives will be presented at the conference. References: 1. Accelerating innovation: the power of the crowd. Global lessons in e-Health implementation d Documents/e-health-implementation Case study: UK Department of Health: Whole System Demonstrator program 2. Danske Regioner, Kommunernes Landsforening, Ministeriet for Sundhed og Forebyggelse, Social- og Integrationsministeriet, Erhvervs- og Vækstministeriet, Økonomi- og Indenrigsministeriet & Finansministeriet (2012): National handlingsplan for udbredelse af telemedicin, Fonden for Velfærdsteknologi 3. Nortvig, Anne-Mette et. Eriksen, Kathrine Krageskov. Teknologistøttet simulationsundervisning som translokation for teoretisk viden og praktisk handlen. Læring & Medier (LOM) – nr. 11 – 2013. ISSN: 1903-248X 4. Murray C, Grant MJ, Howarth ML, Leigh J.The use of simulation as a teaching and learning approach to support practice learning. Nurse Education in Practice 2008;8:5-8. 5. Watson K, Wright A, Morris N, McMeeken J, Rivett D, Blackstock F, et al. Can simulation replace part of clinical time? Two parallel randomised controlled trials. Med Educ 2012;46:657-667 6. Dieckmann P, Friis SM, Lippert A, Østergaard D. Goals, Success Factors, and Barriers for Simulation-Based Learning A Qualitative Interview Study in Health Care. Simulation & Gaming 2012;43:627-647. 7. Dreyfus, Stuart E.; Dreyfus, Hubert L. (February 1980). A Five-Stage Model of the Mental Activities Involved in Directed Skill Acquisition. Washington, DC: Storming Media. Retrieved June 13, 2010.
Nortvig, Anne-Mette; Vestergaard, Kitt
Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Estudo transversal quantitativo descritivo observacional, realizado com discentes do internato da Faculdade de Medicina da Universidade Federal de Goiás. OBJETIVOS: Conhecer a expectativa de prática profissional de discentes do internato e observar possíveis dissonâncias em relação ao perfil do disc [...] ente preconizado pelas Diretrizes Curriculares Nacionais e projeto político-pedagógico da instituição. METODOLOGIA: Foi utilizado um questionário distribuído aos 222 discentes do internato da instituição no ano de 2012. A amostra consta de 190 discentes, que correspondem a 85% do universo de análise. A significância estatística foi calculada pelo Teste do Sinal. RESULTADOS: O perfil sociodemográfico caracteriza discentes com idade média de 23,8 anos, solteiros, sendo que 66% pertencem às classes sociais A e B. O ideal do perfil de prática profissional demonstra que 84% pretendem ser especialistas, 96% desejam cursar residência médica, sendo estatisticamente significante (p = 0,0001), e 70% não pretendem, a priori, trabalhar na Estratégia Saúde da Família (ESF) (p = 0,005). CONCLUSÃO: O estudo demonstra discentes com perfil socioeconômico elevado, que pretendem ser especialistas, cursar residência médica e não veem a ESF como uma meta-fim. Abstract in english INTRODUCTION: The aim of this research is to identify, in terms of professional practice, the ideal internship students in the Medical School of the Federal University of Goiás (UFG) and to observe possible dissonances in relation to the graduate profile as advocated by the National Curriculum Guide [...] lines and by the Political Pedagogical Project of this institution. METHODS: In 2012, two hundred and twenty-two medical internship students of the institution received a survey questionnaire. The sample of this research consisted of one hundred and ninety research subjects, representing 85% of the sample universe. The statistical significance was calculated using the Sign Test. RESULTS: The socio-demographic profile characterizes the students with an average age of 23.8 years old, unmarried, 66% of whom belong to social classes A and B. The ideal profile of professional practice shows that 84% want to become specialists, whereas 96% want to engage in medical residency, which is statistically significant (p = 0.0001), and 70% do not intend to work with Family Health Strategy Programs (p = 0.005). CONCLUSION: This study shows that students with high socio-economic profile, who want to become specialists, undergo a medical residency program and do not see the Family Health Strategy as a professional goal.
Marcos Augusto, Filisbino; Vardeli Alves de, Moraes.
The purpose of this study was to investigate the development of audiology students' professional values, traits and attitudes employing a cross-sectional design. In addition, an exploratory component of this study investigated the following characteristics of audiology students: reasons for selecting audiology as a career, professional plans and ambitions for the future and satisfaction with career choice. The effects of gender, age, marital status and grade level on these factors were examin...
Neal, Leslie Elizabeth
Full Text Available Background: Use of social networking services (SNS is on the rise. While many users sign in for personal purposes, it is not uncommon for professionals to connect over SNSs with clients, students, and patients. Methods: The present study used an experimental approach to examine how medical doctors’ SNS profiles impacted potential patients’ impressions of professionalism. Participants (N=250 students were randomly assigned to view one of six Facebook profiles. Profiles were populated with 1 solely professional material, 2 personal material that was strictly healthy, or 3 personal material that included unhealthy behavior. Profiles portrayed a male or female physician resulting in a total of six experimental conditions. Medical professionalism was measured with the First Impressions of Medical Professionalism (FIMP scale, specifically developed for this study. Results: There was a large and statistically significant main effect for profile type, F(2, 250=54.77, p<0.001, ?p2=0.31. Post hoc tests indicated that personal profiles that contained healthy behavior were rated as most professional followed by profiles with strictly professional content. Personal unhealthy profiles were rated as least professional. Additionally, female profiles consistently received higher professionalism ratings across all three profile types [F(1, 250=5.04, p=0.026, ?p2=0.02]. Conclusion: Our results suggest that a physician's SNS profile affects a patient's perception of that physician's medical professionalism. A personal, healthy profile may augment a patient's perception of that physician's character virtues if the profile content upholds the decorum of the medical field.
Joseph W. Clyde
Full Text Available IMU is one of 17 institutions of higherlearning conducting the Bachelor of Pharmacy coursein Malaysia. The White paper on pharmacy studentprofessionalism by the Task Force of the AmericanPharmaceutical Association Academy of Students ofPharmacy together with the American Association ofColleges of Pharmacy Council of Deans mentioned10 essential traits of a professional, recommendingtheir early development. Since the beginning of theIMU Bachelor of Pharmacy (BPharm (Hons coursein July 2004 on Registration Day, IMU has adopted theconcept of developing professionalism in the pharmacystudent from the very first day of university, by havingthe White Coat Ceremony where the entire class takesthe Pledge of Professionalism (adapted from the TaskForce against the “Code of Conduct for Pharmacistsand Bodies Corporate” by the Pharmacy Board ofMalaysia in the presence of the Senior Director of thePharmaceutical Services Division of the Ministry ofHealth, Malaysia and the President of the MalaysianPharmaceutical Society (MPS. Throughout their4 years in IMU, the pharmacy students are exposed tovarious aspects of professionalism in different subjectsin their curriculum. On 23rd April 2012, when thefifth cohort of BPharm students received their finalexamination results, “Pharmacy Professional Day” waslaunched. The graduating students took the Oath of aPharmacist (adapted from the American Association ofColleges of Pharmacy’s Oath with slight amendment.Talks by alumni and speakers from MPS aimed tofacilitate the transition of the new graduate to workinglife as a pharmacist.
Full Text Available SciELO Argentina | Language: Spanish Abstract in spanish Aunque la elección de la carrera de medicina por los jóvenes implica algún grado de conocimiento de las condiciones laborales actuales del médico, las expectativas de los estudiantes de medicina con respecto a su práctica profesional futura rara vez han sido estudiadas en la Argentina. El objetivo f [...] ue recabar información sobre las expectativas que tienen los estudiantes de medicina próximos a graduarse, con respecto a su práctica profesional futura. Entre septiembre y diciembre de 2008 se encuestaron 125 estudiantes que cursaban el Internado Anual Rotatorio. Por medio de una encuesta anónima se recolectó información sobre las expectativas que tenían con respecto a su futura práctica profesional. Respondieron la encuesta 82.4% (103/125) de los encuestados. El 98.0% (101/103) expresó que deseaba ingresar a un programa de residencias. Con respecto a la elección de la especialidad, pediatría y psiquiatría fueron preferentes entre las mujeres (27% vs. 8%, p = 0.029 y 27% vs. 3%, p = 0.004), mientras que traumatología fue preponderante entre los varones (18% vs. 2%, p = 0.019). La mediana de ingresos esperados a 5 años fue $4.000 (mínimo: $1.500, máximo: $10.000), a 10 años $7.000 (mínimo: $3,000, máximo: $20.000) y a 20 años $10.000 (mínimo: $3 000, máximo: $30.000), según valores ajustados a diciembre de 2008 ($3.0 = US$ 1.0). En conclusión, las especialidades elegidas parecen depender del proceso de feminización de la carrera; mientras que los ingresos esperados podrían exceder la verdadera renta actual de los médicos. Se destaca la intención de participar en la docencia y el escaso interés por la investigación. Abstract in english Although the choice to study medicine implies some knowledge of the current working situation of practitioners, medical students' expectations regarding their future professional practice have been rarely investigated in Argentina. The aim of this work was to collect data about the expectations of s [...] enior medical students regarding their future professional practice. One hundred and twenty-five senior medical students were surveyed between September and December 2008. By using an anonymous survey, information regarding the expectations about their future professional practice was collected. The survey was answered by 82.4% (103/125) of the students and 98.0% (101/103) expressed their desire to enter a residence programme. Regarding specialty, pediatrics and psychiatry were the most chosen by women (27% vs. 8%, p=0.029 and 27% vs. 3%, p=0.004), and orthopedic surgery was the predominant choice in men (18% vs. 2%, p=0.019). Median of expected income at 5 years post graduation was $ 4.000 (minimum: $1,500, maximum: $10.000), at 10 years $7.000 (minimum: $3.000, maximum: $ 20.000) and at 20 years $10.000 (minimum: $3.000, maximum: $30 000), according to money value adjusted to December 2008 ($3.0 = US$ 1.0). In conclusion, chosen specialties seem to be dependent on the increasing number of female students, the expected income would exceed the current remuneration of physicians. Noterworthy finding out the students' willingness to be involved in teaching and the less interest in research.
Raúl A., Borracci; Roberto D., Pittaluga; Diego, Manente; Mariano A., Giorgi; Miguel, Rubio.
Full Text Available Aunque la elección de la carrera de medicina por los jóvenes implica algún grado de conocimiento de las condiciones laborales actuales del médico, las expectativas de los estudiantes de medicina con respecto a su práctica profesional futura rara vez han sido estudiadas en la Argentina. El objetivo fue recabar información sobre las expectativas que tienen los estudiantes de medicina próximos a graduarse, con respecto a su práctica profesional futura. Entre septiembre y diciembre de 2008 se encuestaron 125 estudiantes que cursaban el Internado Anual Rotatorio. Por medio de una encuesta anónima se recolectó información sobre las expectativas que tenían con respecto a su futura práctica profesional. Respondieron la encuesta 82.4% (103/125 de los encuestados. El 98.0% (101/103 expresó que deseaba ingresar a un programa de residencias. Con respecto a la elección de la especialidad, pediatría y psiquiatría fueron preferentes entre las mujeres (27% vs. 8%, p = 0.029 y 27% vs. 3%, p = 0.004, mientras que traumatología fue preponderante entre los varones (18% vs. 2%, p = 0.019. La mediana de ingresos esperados a 5 años fue $4.000 (mínimo: $1.500, máximo: $10.000, a 10 años $7.000 (mínimo: $3,000, máximo: $20.000 y a 20 años $10.000 (mínimo: $3 000, máximo: $30.000, según valores ajustados a diciembre de 2008 ($3.0 = US$ 1.0. En conclusión, las especialidades elegidas parecen depender del proceso de feminización de la carrera; mientras que los ingresos esperados podrían exceder la verdadera renta actual de los médicos. Se destaca la intención de participar en la docencia y el escaso interés por la investigación.Although the choice to study medicine implies some knowledge of the current working situation of practitioners, medical students' expectations regarding their future professional practice have been rarely investigated in Argentina. The aim of this work was to collect data about the expectations of senior medical students regarding their future professional practice. One hundred and twenty-five senior medical students were surveyed between September and December 2008. By using an anonymous survey, information regarding the expectations about their future professional practice was collected. The survey was answered by 82.4% (103/125 of the students and 98.0% (101/103 expressed their desire to enter a residence programme. Regarding specialty, pediatrics and psychiatry were the most chosen by women (27% vs. 8%, p=0.029 and 27% vs. 3%, p=0.004, and orthopedic surgery was the predominant choice in men (18% vs. 2%, p=0.019. Median of expected income at 5 years post graduation was $ 4.000 (minimum: $1,500, maximum: $10.000, at 10 years $7.000 (minimum: $3.000, maximum: $ 20.000 and at 20 years $10.000 (minimum: $3.000, maximum: $30 000, according to money value adjusted to December 2008 ($3.0 = US$ 1.0. In conclusion, chosen specialties seem to be dependent on the increasing number of female students, the expected income would exceed the current remuneration of physicians. Noterworthy finding out the students' willingness to be involved in teaching and the less interest in research.
Raúl A. Borracci
Describes the Program for Professional Values and Ethics in Medical Education (PPVEME) at Tulane University School of Medicine. It brings together students, residents, and faculty into learning teams that teach the other teams about one of five themes: integrity, communication, teamwork, leadership, and service. It emphasizes learner-driven self…
Lazarus, Cathy J.; Chauvin, Sheila W.; Rodenhauser, Paul; Whitlock, Robin
Full Text Available This paper describes an implementation of an Electronic Medical Record (EMR which has been adapted for the purposes of teaching health professional students, including medical and nursing students. Off-the-shelf EMR software, while suited for physicians in practice settings does not completely satisfy the needs of these students and educators. There are many unique requirements of a teaching EMR compared to one used in a production environment. This paper describes the specific architecture and unique features of an EMR that was employed in the University of British Columbia Medical School teaching program in December, 2007 with 200 participating medical students distributed across three physical sites in the Province of British Columbia.
This article examines the difficulties encountered in teaching professionalism to medical students in the current social and political climate where economic considerations take top priority in health care decision making. The conflict between the commitment to advocate at all times the interests of one's patients over one's own interests is discussed. With personal, institutional, tech industry, pharmaceutical industry, and third-party payer financial imperatives that stand between patients and the delivery of health care, this article investigates how medical ethics instructors are to teach professionalism in a responsible way that does not avoid dealing with the principle of justice. PMID:23114981
Glenn, Jason E
Aim To measure the frequency and content of online social networking among medical students and residents. Methods Using the online network Facebook, we evaluated online profiles of all medical students (n?=?501) and residents (n?=?312) at the University of Florida, Gainesville. Objective measures included the existence of a profile, whether it was made private, and any personally identifiable information. Subjective outcomes included photographic content, affiliated social groups, and personal information not generally disclosed in a doctor–patient encounter. Results Social networking with Facebook is common among medical trainees, with 44.5% having an account. Medical students used it frequently (64.3%) and residents less frequently (12.8%, p?Facebook as trainees approached medical or residency graduation (first year as referent, years 3 and 4, p?.05). Discussion While social networking in medical trainees is common in the current culture of emerging professionals, a majority of users allow anyone to view their profile. With a significant proportion having subjectively inappropriate content, ACGME competencies in professionalism must include instruction on the intersection of personal and professional identities. PMID:18612723
Dawson, Kara; Ferdig, Richard; Black, Erik W.; Boyer, J.; Coutts, Jade; Black, Nicole Paradise
The Dermatology Interest Group (DIG) at the University of Texas Medical Branch (UTMB) blog (digutmb.blogspot.com) was created in 2004 with the aims of increasing communication and collaboration among students, faculty, residents, and alumni, promoting educational opportunities, and fostering the missions for which DIG was created. This blog is unique, because its frequent activity is directed toward the educational and professional needs of medical students and residents. We assessed the use of this blog by evaluating the number of blog views and audience members with relationship to the number of posts and post content over time via a tracking system. We found that there has been an increase in blog posts, views, and subscribers, as well as in areas of post content including dermatology resources/news/articles, residency applications, and resident-related information. Usefulness of such posts expands beyond UTMB students, which increases blog views and widens viewer audience. An international viewer population also was evaluated. Recorded blog viewing time was 1 minute, 57 seconds, which is more time than needed to read a post, suggesting use of additional blog information. This review of the DIG at the UTMB blog demonstrates how the use of web-based tools, in addition to the inherent benefits of medical student interests groups, are valuable resources for students, residents, and faculty. PMID:24079594
Jalalat, Sheila Z; Hunter-Ellul, Lindsey; Wagner, Richard F
Medical professionalism has become a core topic in medical education. As it has been considered mostly from a Western perspective, there is a need to examine how the same or similar concepts are reflected in a wider range of cultural contexts. To gain insights into medical professionalism concepts in Japanese culture, the authors compare the tenets of a frequently referenced Western guide to professionalism (the physician charter proposed by the American Board of Internal Medicine Foundation, American College of Physicians Foundation, and the European Federation of Internal Medicine) with the concepts of Bushido, a Japanese code of personal conduct originating from the ancient samurai warriors. The authors also present survey evidence about how a group of present-day Japanese doctors view the values of Bushido.Cultural scholars have demonstrated Bushido's continuing influence on Japanese people today. The authors explain the seven main virtues of Bushido (e.g., rectitude), describe the similarities and differences between Bushido and the physician charter, and speculate on factors that may account for the differences, including the influence of religion, how much the group versus the individual is emphasized in a culture, and what emphasis is given to virtue-based versus duty-based ethics.The authors suggest that for those who are teaching and practicing in Japan today, Bushido's virtues are applicable when considering medical professionalism and merit further study. They urge that there be a richer discussion, from the viewpoints of different cultures, on the meaning of professionalism in today's health care practice. PMID:24556758
Nishigori, Hiroshi; Harrison, Rebecca; Busari, Jamiu; Dornan, Tim
Introduction The importance of motivation in learning behaviour and education is well-researched and proven in general education, but much less in medical education. There is sometimes focus on increasing the quantity of motivation, but the how and why need more evidence. The aims of this thesis were to gather insights and investigate medical students’ motivation, particularly the importance of quality of motivation, factors influencing and outcomes and to explore how these can be applied t...
Kusurkar, R. A.
The International Society for Medical Publication Professionals (ISMPP) is an independent, nonprofit professional association with members from the pharmaceutical, medical device, and biotechnology industries; publication planning and medical communications companies; academia; and medical journal staffs, including editors and publishers. ISMPP's mission is to support the educational needs of medical publication professionals by providing a forum to facilitate awareness and development of best practices in publication planning and implementation, and fostering consensus policies related to medical publishing. This position statement reflects our concern about the current climate of mistrust regarding the use of professional medical writers in the preparation of manuscripts. We acknowledge the skills and training of medical writing professionals and support their role in working with research teams to develop clear and concise manuscripts in a timely fashion. Further, we support complete and transparent disclosure of the role of the medical writer and the source of funding for the writing initiative in order to build awareness of, and trust in, the appropriate use of medical writing professionals. ISMPP endorses use of the contributorship model, which offers detailed information on the roles of all who participated in planning, conducting, developing, and publishing medical research. Further, we propose that this model be integrated into the standard operating procedures of the diverse organizations that comprise our membership because the responsibility for authorship disclosure is shared by sponsors, authors, study investigators, and medical writers. Finally, we commend the many organizations that have worked to increase recognition and understanding of the legitimate role of the medical writer, and are eager to work in concert with them to ensure the rigorous maintenance of all ethical standards for reporting the results of medical research. PMID:17605897
Norris, Robert; Bowman, Aly; Fagan, Jean M; Gallagher, Eileen R; Geraci, Anna B; Gertel, Art; Hirsch, Laurence; Ross, Philip D; Stossel, Thomas P; Veitch, Keith; Woods, David
Current e-learning systems are still inadequate to support the level of interaction, personalization and engagement demanded by clinicians, care givers, and the patient themselves. For effective e-learning to be delivered in the health context, collaboration between pedagogy and technology is required. Furthermore, e-learning systems should be flexible enough to be adapted to the students' needs, evaluated regularly, easy to use and maintain and provide students' feedback, guidelines and supporting material in different formats. This paper presents the implementation of an Intelligent Tutoring System (SIAS-ITS), and its evaluation compared to a traditional virtual learning platform (Moodle). The evaluation was carried out as a case study, in which the participants were separated in two groups, each group attending a virtual course on the WHO Integrated Management of Childhood Illness (IMCI) strategy supported by one of the two e-learning platforms. The evaluation demonstrated that the participants' knowledge level, pedagogical strategies used, learning efficiency and systems' usability were improved using the Intelligent Tutoring System. PMID:20543344
Muñoz, Diana C; Ortiz, Alexandra; González, Carolina; López, Diego M; Blobel, Bernd
Background: The choice of a medical specialty by a medical student is a complex process in which several factors play a contributory role, making the decision process an evolving one as the medical student undergoes different experiences in his/her professional journey. In our study, we attempted to identify factors that play a significant role in influencing medical students towards choosing a specialty and also to delineate the differences that exist amongst students’ ...
Areeba Saif; Syed Askari Hasan; Tahrim Farrukh; Najla Khan; Hira Batool; Tooba Baqai
Medical educators nationwide are questioning the process that leads to the denial of the emotional side of medicine by its practitioners. Emotional dilemmas are often verbally suppressed by most students, but they surface in many ways, such as depression, insomnia, loss of appetite, and anxiety. (RM)
USA Today, 1984
This essay looks into the meaning of today's professionalism and the apparent inconsistency between its growing status and a context of profound changes and dissatisfaction with medical practice. The cultural climate of our times is reviewed, as the framework for understanding changes in the social organization of medicine. One of the critical traits of professions has been their power to manage specialized knowledge under their own standards, without external control. The limits of this self regulation of expertise have faded, representing an important threat for professionalism. Together with the fundamental changes and tensions of work conditions for professionals, however, the appeal of professionalism is on the rise. Because of its ability to submit devastating individualism to collective interests, professionalism can contribute to the stability of social systems, as a third logic, between the market and public organizations. In medicine, professionalism as a value based system and ideology, also emerges as a response to the challenges posed to its practice. It represents reflection and preservation of traditional values inspiring a practice of excellence, which will undoubtedly restore and enhance public confidence in medicine. PMID:16758090
Horwitz Campos, Nina
Background: Medical education can contribute to the development of depression in medical students which may have possible negative academic and professional consequences. The aims of this study were to explore the prevalence of depressive symptoms and their relationships to socio-demographic variables among a cross section of medical students of a private medical college in India. Methods: A cross-sectional anonymous questionnaire-based survey was conducted including all students from first t...
Ajit Singh1; Amar Lal,; Shekhar
This study investigates the relationship between student engagement (as measured by the National Survey of Student Engagement benchmarks) and pharmacy student professionalism (as measured by the Pharmacy Professionalism Domain instrument) in first and third year pharmacy students at seven different schools of pharmacy. Engagement provides the…
Flaherty, Anne Guerin
Full Text Available Introduction. Medical studies bring many stressful activities to students. Prolonged stress can make adverse effects to mental health and lead to further professional burnout. Objective. The aim of this study was to assess the association of stress impact and adverse effects of medical studies with psychological distress among medical students. Methods. The cross sectional study was conducted on 367 fourthyear medical students of the Faculty of Medicine in Belgrade, by means of the anonymous questionnaire, containing: sociodemographic data, selfreported health status and stressful influences of studying activities. Mental health status was estimated by General Health Questionnaire (GHQ12. Results. More than 50% of students perceive frequent feeling of psychic tension, and one third has problems with insomnia. Nearly onehalf of students assessed their general stress level as moderate or high. Exams were estimated as high stressor in 63.1% of all students. Stressful effects of communication with teaching staff were reported by one quarter of the examinees. The scores of GHQ12 were above the threshold in 55.6 % of all students. Mental health problems among students were most significantly associated with stressful experience during exams and contacts with teaching staff. Conclusion. Academic stress makes great influence on mental health of medical students. Reduction of stress effects should be directed to optimization of the examination process and improvement of communication skills. [Projekat Ministarstva nauke Republike Srbije, br. OI 175078
Backovi? Dušan V.
Along with the advances in such new image measuring apparatuses as X-ray CT, NMR imaging apparatus and digitalized X-ray apparatus, the need is arising for a medical image workstation as diagnosis support to medical professionals where there are provided the image processing techniques and functions. The workstation must also fulfill a role of the terminal in the hospital medical information network. To meet such requirements, an image processing workstation has been constructed in trial, which possesses the functions of high fineness image display, high-speed image processing, communication, etc. Functions of the workstation are described, and also various new image diagnosis apparatuses and the image processing and its hardware as diagnosis support are explained. The relation between future PACS (picture archiving and communication system) and the hospital information system is also described. (Mori, K.)
Results of a survey of third- and fourth-year medical students' attitudes about sex role, medical school, career plans, and fear of success are reported. Stereotypical responses were received from male and female students. Implications of these attitudes for the students' careers are discussed. (MSE)
Robbins, Lillian; And Others
The overall success of the ED in the eyes of its customers demands the successful performance of a complex operation involving a team of skilled professionals from various disciplines interacting with support staff and the public. The strong personalities, intelligence, and training of emergency physicians provides the medical director significant challenges as their supervisor. The ED medical staff provides a great impact on the culture and overall perceived performance of the department. It is essential that their leader provide clear direction regarding the performance expectations of the organization for the medical staff. A systematic approach to developing and expressing those expectations, providing timely feedback regarding performance to those expectations, and addressing variation from expectations can provide a valuable tool in supporting the ED medical director's success. This article has been a brief overview of the basic components ofa performance management system for physicians. It has described a process for arriving at explicit performance expectations across dimensions commonly associated with a medical practice, an approach to measuring critical performance factors and delivering ongoing routine feedback to individuals and the group regarding performance to expectations. Finally, it addressed important steps to include in the management of marginal and exceptional performers to preserve the functional integrity and long-term success of the ED. In adopting this approach to the supervisory responsibilities of the medical director, a strong foundation is established for successful performance management. PMID:15062499
Vidrine, Lawrence R
Discussion of real cases encountered by medical students has been advocated as a component of medical ethics education. Suggested benefits include: a focus on the actual problems that medical students confront; active learner involvement; and facilitation of an exploration of the meaning of their own values in relation to professional behaviour. However, the approach may also carry risks: students may focus too narrowly on particular clinical topics or show a preference for discussing legal p...
Donaldson, Tm; Fistein, E.; Dunn, M.
Full Text Available The purpose of this paper is to focus on the work life balance of medical practitioners. The present study tried to explore the factors responsible in maintaining work life balance for individuals associated with medical field. Exploratory factor analysis was used to determine the latent factors. The findings from study revealed that significant relationship exists between the job stress and family life of an individual. This study concluded that in order to improve work life balance of medical professionals the restructuring of individual job is required.
Professional development of a man in a social content is like a process that lasts all his life. There are tasks that are solved in a primary level. That is why pupils of this level are considered to be as a lower professional orientation purposive group. Pupils of this educational level project themselves in a distance perspective and they have professional expectations. A professional expectation is a very important parameter of a social maturity. This is a part of social expectation of a p...
Full Text Available Abstract Background Measuring professionalism in undergraduate medical students is a difficult process, and no one method has currently emerged as the definitive means of assessment in this field. Student skills in reflection have been shown to be highly important in the development of professional behaviours. By studying student reflections on lapses in professional judgement, recorded as 'critical incidents', it is possible to explore themes which are significant for the development of professional behaviour in an undergraduate setting. Methods We examined critical incident reporting combined with optional written student reflection as a method for exploring professionalism in undergraduate medical students. 228 students split between Year 1 and 2 of one academic year of undergraduate medicine were studied retrospectively and a grounded theory approach to analysis was employed. Results This year generated 16 critical incident reports and corresponding student reflections, all of which were considered. In addition to identifying the nature of the critical incidents, 3 principal themes emerged. These were the impact and consequences of the report having been made, student reactions to the events (both positive and negative, and student responses regarding future actions. Conclusion This study indicates that unprofessional behaviour can be identified and challenged by both the faculty and the students involved, and suggests that positive behavioural changes might be made with the aim of preventing future occurrences. We provide a low cost approach of measuring and recording professional behaviour.
McLachlan John C
Many students in bioengineering and medical physics doctoral programs plan careers in translational research. However, while such students generally have strong quantitative abilities, they often lack experience with the culture, communication norms, and practice of bedside medicine. This may limit students' ability to function as members of multidisciplinary translational research teams. To improve students' preparation for careers in cancer translational research, we developed and implemented a mentoring program that is integrated with students' doctoral studies and aims to promote competencies in communication, biomedical ethics, teamwork, altruism, multiculturalism, and accountability. Throughout the program, patient-centered approaches and professional competencies are presented as foundational to optimal clinical care and integral to translational research. Mentoring is conducted by senior biomedical faculty and administrators and includes didactic teaching, online learning, laboratory mini-courses, clinical practicums, and multidisciplinary patient planning conferences (year 1); student development and facilitation of problem-based patient cases (year 2); and individualized mentoring based on research problems and progress toward degree completion (years 3-5). Each phase includes formative and summative evaluations. Nineteen students entered the program from 2009 through 2011. On periodic anonymous surveys, the most recent in September 2013, students indicated that the program substantially improved their knowledge of cancer biology, cancer medicine, and academic medicine; that the mentors were knowledgeable, good teachers, and dedicated to students; and that the program motivated them to become well-rounded scientists and scholars. We believe this program can be modified and disseminated to other graduate research and professional health care programs. PMID:24585385
Woods, Kendra V; Peek, Kathryn E; Richards-Kortum, Rebecca
Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish La educación médica y la medicina son prácticas sociales cuyos fines y medios tienen que definirse históricamente, considerando las necesidades de cada país al respecto y la reorientación didáctica que exige su desarrollo científico para que puedan determinarse, con precisión, los conocimientos requ [...] eridos para afrontar situaciones sanitarias epidemiológica y socialmente prioritarias. En este artículo se analizan algunas de las consecuencias generales relacionadas con el empleo de las tecnologías de la información y las comunicaciones, particularmente en la educación superior, y cómo devienen retos que deben asumir las universidades, específicamente de ciencias médicas, en la formación de sus profesionales. Abstract in english Medical education and medical career are social practices whose aims and resources have to be historically defined, considering the needs of each country on this respect and the didactic reorientation that demands their scientific development so that the knowledge required to face epidemiologically [...] and socially high-priority health situations can be accurately determined. Some of the general consequences related to the use of the information and communications technologies are analyzed in this work, particularly in the higher education, and how they become challenges that should be assumed by the universities, specifically of medical sciences, in the training of their professionals.
Nancy María, Rodríguez Beltrán; María Elena, Pardo Gómez; José Manuel, Izquierdo Lao.
Spanish adaptation of The Penn State College of Medicine Scale to assess professionalism in medical students / Adaptación al idioma español de la escala del Penn State College of Medicine para medición del profesionalismo en estudiantes de medicina
Full Text Available SciELO Colombia | Language: English Abstract in spanish Introducción. El profesionalismo es un área de interés en las facultades de medicina del mundo. El uso de un cuestionario puede ser útil para evaluar el profesionalismo en Colombia. Objetivo. Adaptar la escala de profesionalismo para estudiantes de medicina del Penn State University College of Medic [...] ine al idioma español como instrumento válido para evaluarlo. Materiales y métodos. Se siguieron las guías para adaptación de instrumentos del proyecto IQOLA, realizando traducción y traducción inversa, así como una prueba piloto y una evaluación de las características psicométricas en 250 estudiantes. Se evaluó la correlación entre ítems y escala y la validez interna con el alfa de Chronbach y se hizo un análisis factorial de componentes principales. Resultados. El alfa de Cronbach global fue de 0,86, la medida de Kaiser-Meyer-Olkin fue de 0,83 y el test de esfericidad de Bartlett tuvo un valor de p>0,00001. Se encontraron seis factores que explicaron 93 % de la varianza total y cuatro nuevos factores que emergieron del análisis factorial. Ocho ítems tuvieron alta singularidad. Conclusión. La escala del Penn State University College of Medicine mide con buen nivel de confiabilidad las actitudes hacia el profesionalismo en los estudiantes de medicina. No obstante, la estructura de la escala mostró diferencias al ser validada en estudiantes latinoamericanos. Abstract in english Introduction: Professionalism is a subject of interest in medical schools around the world. The use of a questionnaire could be useful to assess professionalism in Colombia. Objective: To adapt The Penn State University College of Medicine Professionalism Questionnaire as a culturally valid instrume [...] nt in the Spanish language. Materials and methods: We followed recommendations from the IQOLA project and used forward and back translation with four independent translations, as well as a pilot evaluation and an evaluation of psychometric features with 250 students. We evaluated item-scale correlations and internal consistency with Chronbach´s alpha test and conducted a principal components factor analysis. Results: Global Cronbach´s alpha was 0.86, the Kaiser-Meyer-Olkin measure of sampling adequacy was 0.83, and Bartlett´s test of sphericity had a p >0.00001. We found six factors that explained 93% of the total variance and four new factors emerged in the factor analysis, while eight items had high uniqueness. Conclusion: The Penn State University College of Medicine Scale measures professionalism attitudes in medical students with good reliability. However, the structure of the scale demonstrated differences when used in the Latin American medical student population.
Eliseo, Bustamante; Álvaro, Sanabria.
Full Text Available Aarti Bansal,1 Jennifer Swann,1 William Henry Smithson2 1Academic Unit of Primary Medical Care, University of Sheffield, UK; 2Department of General Practice, University College Cork, Cork, Ireland Abstract: The ability to work with interpreters is a core skill for UK medical graduates. At the University of Sheffield Medical School, this teaching was identified as a gap in the curriculum. Teaching was developed to use professional interpreters in role-play, based on evidence that professional interpreters improve health outcomes for patients with limited English proficiency. Other principles guiding the development of the teaching were an experiential learning format, integration to the core consultation skills curriculum, and sustainable delivery. The session was aligned with existing consultation skills teaching to retain the small-group experiential format and general practitioner (GP tutor. Core curricular time was found through conversion of an existing consultation skills session. Language pairs of professional interpreters worked with each small group, with one playing patient and the other playing interpreter. These professional interpreters attended training in the scenarios so that they could learn to act as patient and family interpreter. GP tutors attended training sessions to help them facilitate the session. This enhanced the sustainability of the session by providing a cohort of tutors able to pass on their expertise to new staff through the existing shadowing process. Tutors felt that the involvement of professional interpreters improved student engagement. Student evaluation of the teaching suggests that the learning objectives were achieved. Faculty evaluation by GP tutors suggests that they perceived the teaching to be worthwhile and that the training they received had helped improve their own clinical practice in consulting through interpreters. We offer the following recommendations to others who may be interested in developing teaching on interpreted consultations within their core curriculum: 1 consider recruiting professional interpreters as a teaching resource; 2 align the teaching to existing consultation skills sessions to aid integration; and 3 invest in faculty development for successful and sustainable delivery. Keywords: interpreter, communication skills, curriculum
Introduction: Regarding to the importance of spiritual intelligence and professionalism in faculty development, this study aimed to determine the level of spiritual intelligence, the level of professional development and leadership, and performance of professional responsibilities as two components of professionalism, and the relationship between spiritual intelligence and professionalism.Methods: This is a correlation cross-sectional study with 160 medical faculty members as subjects, which ...
Hossein Karimi Moonaghi; Maryam Akbari Lakeh; Abbas Makarem; Habibolah Esmaeili
In the last years research on the didactics of Psychiatry and opinions of medical students on Psychiatry has gained great interest. The authors think that this research could be useful for the improvement of didactics, for better understanding the meanings of professional choice, the identity of psychiatrist and their relationship with colleagues in other medical field. The goal of this research work was a preliminary survey of Genoese University Medical Student's opinions about psychiatry didactics, and choice of specialization. A questionnaire was submitted to all the students who passed Clinical Psychiatry examination in the period from November 1987 to December 1988. The students were divided in two randomized groups: the first group of students (224) was submitted to the questionnaire immediately after Clinical Psychiatry examination; while to the second group of students (66) the questionnaire was mailed. The aim of the questions was to assess the student's opinions on psychiatry, psychoanalysis, psychotherapy, the career they wanted to take up, and the difficulties of studying psychiatry: 69% of the students of the first group and 42% of the students of the second group answered the questionnaire. Female students answered that they preferred psychiatric specialization more than their male colleagues did, but the difference has no statistical importance. In most cases, the students who answered that they have taken into account psychiatry as a choice of specialisation, are more interested in medical specialties (primary care, etc.) than in surgical specialties. Most of the medical students declare some emotional troubles (anxiety, sleeplessness, problem in social relations).(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7934737
Giberti, F; Corsini, G; Rovida, S
This Perspective addresses the growing literature about online medical professionalism. Whereas some studies point to the positive potential of social media to enhance and extend medical practice, the dominant emphasis is on the risks and abuses of social media. Overall evidence regarding online medical professionalism is (as with any new area of practice) limited; however, simply accumulating more evidence, without critically checking the assumptions that frame the debate, risks reinforcing negativity toward social media. In this Perspective, the author argues that the medical community should step back and reconsider its assumptions regarding both professionalism and the digital world of social media. Toward this aim, she outlines three areas for critical rethinking by educators and students, administrators, professional associations, and researchers. First she raises some cautions regarding the current literature on using social media in medical practice, which sometimes leaps too quickly from description to prescription. Second, she discusses professionalism. Current debates about the changing nature and contexts of professionalism generally might be helpful in reconsidering notions of online medical professionalism specifically. Third, the author argues that the virtual world itself and its built-in codes deserve more critical scrutiny. She briefly summarizes new research from digital studies both to situate the wider trends more critically and to appreciate the evolving implications for medical practice. Next, the author revisits the potential benefits of social media, including their possibilities to signal new forms of professionalism. Finally, the Perspective ends with specific suggestions for further research that may help move the debate forward. PMID:25076200
Full Text Available Self-medication is consumption of medicinal products for treating diseases without a prescription resulting in wastage of resources, increased drug resistance and causes health hazards. Selfmedication, often without adult guidance, has been reported to be a common practice during adolescence. Similar to other preventable health-risk behaviors initiated in early adolescence, it has become a cause for concern universally. The main problem with self medication with antimicrobials is the emergence of pathogenic resistance. Antimicrobial resistance is an existing problem world-wide, mainly in developing countries. The aim and objective of this study was to evaluate the knowledge regarding self medication among medical students of Uttar Pradesh Rural Institute Of Medical Sciences and Research, Saifai. This was a questionnaire based study of 4 months duration.
Mentorship has been used in undergraduate medical education to support students ? learning and development. The medical education literature describes various goals for mentoring, various designs of mentoring programs, and various roles and functions of the mentor. The aim of the thesis was to deepen the understanding of the meaning of mentoring for medical students ? professional and personal development and to contribute new knowledge that will be useful when designing mentoring programs ...
Abstract Background This paper describes the socio-economic profile of medical students in the 1998/99 academic year at the Universidade Eduardo Mondlane (UEM) Medical Faculty in Maputo. It aims to identify their social and geographical origins in addition to their expectations and difficulties regarding their education and professional future. Methods The data were collected through a questionnaire administered to all medical students at the faculty. Res...
Gonçalves Luzia; Adam Yussuf; Schwalbach João; Sousa Fernando; Ferrinho Paulo
Introduction: Myanmar is one of South East Asian countries and tobacco consumption and ?exposure to environmental smoking in Myanmar youth is high from the report of Global Youth ?Tobacco Survey. Tobacco control experts and Global Health Professional Survey on youth ?reports have emphasized the importance of training medical students about tobacco smoking. ?This study examined cigarette smoking among a sample of newly intake medical students of ?famous medical university in Myanmar....
Kye Mon Min Swe; Amit Bhardwaj
always a burden. The professional exams of universities are the matter of their norms and regulation, but we have day-to-day assessment through-out duration; this is enough to moralize them and prepare before final professional examination. [Int J Basic Clin Pharmacol 2014; 3(2.000: 412-412
Rakesh Chandra Chaurasia
Students have provided cheap successful labour for routine retrospective cataloguing projects. The current article examines a library project which went further, using university students with minimum training to catalogue its undergraduate stock from the book in hand to AACR2, level 2, allegedly to professional standard. The article discusses the…
Attar, K. E.
Objective: The author proposes courses of action for medical schools to increase positive health promotion among medical students. Method: This article will review the current literature on medical student health care. Strategies of action for medical schools are proposed for increasing student wellness. Results: Medical schools can positively…
Professional autonomy is often described as a claim of professionals that has to serve primarily their own interests. However, it can also be seen as an element of a professional ideal that can function as a standard for professional, i.e. medical practice. This normative understanding of the medical profession and professional autonomy faces three threats today. 1) Internal erosion of professional autonomy due to a lack of internal quality control by the medical profession; 2) the increasing upward pressure on health care expenses that calls for a health care policy that could imply limitations for the professional autonomy of physicians; 3) a distorted understanding of the profession as being based on a formal type of knowledge and related technology, in which other normative dimensions of medical practice are neglected and which frustrates meaningful communication between physicians and patients. To answer these threats a normative structure analysis of medical practice is presented, that indicates which principles and norms are constitutive for medical practice. It is concluded that professional autonomy, normatively understood, should be maintained to avoid the lure of the technological imperative and to protect patients against third parties' pressure to undertreatment. However, this professional autonomy can only be maintained if members of the profession subject their activities and decisions to a critical evaluation by other members of the profession and by patients and if they continue to critically reflect on the values that regulate today's medicine. PMID:11142442
Hoogland, J; Jochemsen, H
Medical students must be prepared for working in inter-professional and multi-disciplinary clinical teams centred on a patient's care pathway. While there has been a good deal of rhetoric surrounding patient-centred medical education, there has been little attempt to conceptualise such a practice beyond the level of describing education of…
Bleakley, Alan; Bligh, John
Full Text Available [english] The current challenges of educational policy seem to be associated to changes of the health care system, to counteract concerns regarding the lack of physicians, supply shortage and migration of specialists. Therefore, expectations, wishes and concerns relevant to the anticipated everyday life as a physician of medical students at the Witten/Herdecke University (UWH were acquired with an online questionnaire. Useful for a direct comparison the results of the online survey ‘Medical Study and Future’ throughout Germany have been used. Findings from this survey are common characteristics regarding the choice of the profession and planning of an establishment as a general practitioner and clear differences in reflecting on future issues in the occupational field.[german] Die aktuellen bildungspolitischen Herausforderungen scheinen sich als direkte Reaktion auf Änderungen im Gesundheitssystem zu manifestieren, um den Befürchtungen von Ärztemangel, Versorgungsengpass und Abwanderung von qualifizierten Fachärzten entgegen zu wirken. Deshalb wurden mit einer Online-Befragung die Erwartungen, Wünsche und Befürchtungen von Wittener Medizinstudierenden bzgl. des antizipierten beruflichen Alltags als Ärztin oder Arzt erfasst. Zum direkten Vergleich standen die Ergebnisse einer bundesweiten Online-Umfrage zur Zukunft von Medizinstudierenden zur Verfügung. Dabei zeigen sich Gemeinsamkeiten zwischen den beiden Gruppen bzgl. der angestrebten Fachrichtung und der Planung einer Niederlassung, aber auch deutliche Unterschiede in der Einschätzung zukünftiger beruflicher Problemfelder.
Full Text Available The importance of incorporating medical (or healthinformatics into the education of medical students andmedical practitioners is being increasingly recognised.The advances in information and communicationtechnology and the pervasion of the Internet intoeveryday life have important implications forhealthcare services and medical education.Students and practitioners should learn to utilisebiomedical information for problem solving anddecision making based on evidence. The extensiveintroduction of electronic health information systemsinto hospitals and clinics and at the enterprise level inMalaysia and elsewhere is driving a demand for healthprofessionals who have at least basic skills in andappreciation of the use of these technologies.The essential clinical informatics skills have beenidentified and should be incorporated into theundergraduate medical curriculum. It is recommendedthat these be introduced in stages and integrated intoexisting programmes rather than taught as a separatemodule. At the same time, medical schools shouldsupport the integration of e-learning in the educationalprocess in view of the numerous potential benefits.
Full Text Available AIM: This study has been carried out descriptively to determine the status of medication use among students of Erzincan University which is located in central Erzincan, Turkey. METHODS: The universe of the study comprised 4506 students and the sample involved 885 (19.6% of the universe students who attended faculties, associate programs, and vocational schools of Erzincan University. Data were collected between April-May 2008 through a questionnaire form that included students’ identifying characteristics and their status of medication use. For statistical analyses, percentage and chi-square test were used. RESULTS: It was found that 39.3% of participants were 2nd grade students, 59.8% were between 20-22 years, and 34.7% were attending the Faculty of Education. It was established that 64.6% of students used medication for headache and/or cold-influenza, 83.6% read the respective package insert before using a drug, 47.9% discontinued medicaten after cessation of complaints, 50.5% used a medication within the last couple of months and that 23.2% of them took these medications without prescription. It was also found that 70.3% of participants had used a medication without prescription whenever they had a headache; 61.5% of non-prescription medication used were analgesics; and 64.1% used a non-prescription drug due to prior use of the same drug. A significant difference was established between the gender of the students and their medication use within the last couple of months. It was also found that there is a statistically significant difference between students’ gender and the faculty they attend and rates of package insert reading. CONCLUSION: As a conclusion, it was determined that more than half of the students used a medication within the last one month and 23.2% of these medications were bought without prescription. [TAF Prev Med Bull 2010; 9(5.000: 505-512
Prior studies indicate that people’s perception have an important influence on their career decisions. This study explores the accounting students’ perceptions on professional examination and the factors that influence their decisions to take the exam. Questionnaires were distributed to final year accounting students of a public university in Malaysia. About 103 questionnaires were completed and usable for the purpose of the study. Regression analysis was empl...
Mazlina Mustapha; Mohammad Hasmawi Abu Hassan
Both in the general public and in the professional communities, very diverse notions of euthanasia can be found. At the same time determining of the precise semantics of euthanasia is one of the crucial prerequisites for subsequent meaningful ethical discussion of euthanasia. The paper analyzes an empirical study investigating the understanding of euthanasia by medical students. The aim of the conducted research was to identify the semantic definitions of euthanasia used by the first-year medical students. PMID:24968293
Ku?e, Josef; Va?harová, Michaela
In almost every country, the organ supply for transplantation does not match the increasing demand; health professionals may play an important role in eliminating barriers and increasing organ donation. Therefore, assessing medical students’ knowledge and attitudes regarding organ donation is important for the future organ supply. Some 409 of 508 first- and second-year medical students answered an anonymous, multiple-choice questionnaire about demographic variables, knowledge about transpla...
Bilgel, N.; Sadikoglu, G.; Bilgel, H.
Introduction. Mental health problems of adolescents are among the prevailing problems of public health. While studying for their future medical profession, the students of medicine have to exchange emotions with the patients intensively, and the empathic relationship itself bears a risk of eventual ”emotional depletion”, which leads to ”professional lack of emotions”. The study was aimed at presenting burnout syndrome as a challenge for mental health of medical students, its imp...
Backovi? Dušan; Jevti? Marija
Society has high expectations of health care practitioners leaving the burden of proof on healthcare educational institutions. As educators, it is our responsibility to ensure that students acquire the cognitive and affective domains associated with professionalism through the acquisition of appropriate skills and knowledge leading to the…
Register, Shilpa J.
Objective: The authors discuss the importance of introducing research training in psychiatry and neurosciences to medical students. Methods: A review of existing models of research training in psychiatry with focus on those providing research training to medical students is presented. Results: Two research-training models for medical students that…
Balon, Richard; Heninger, George; Belitsky, Richard
Purpose: The study seeks to determine how medical library professionals performing information-technology (IT) roles are compensated and how their positions are designed compared to information technology staff in their institutions.
Weise, Frieda O.; Mcmullen, Thomas D.
Background: The migration of health professionals can have a profound impact on health systems around the globe. The International Organization for Migration’s (IOM) Mobility of Health Professionals Research Project (MoHProf) aimed to improve knowledge about the migration of healthcare professionals and understand migration intentions and factorsinfluencing the migration of medical and nursing students.Objectives: The study aimed to determine the proportion of nursing and medical students w...
Gavin George; Candice Reardon
The results of the study of organism functional status of resident students of military medical higher schools in different situations and modes of professional education (during their study day, round-the clock shifts in a clinic, duties, and an examination period) in the process of military professional adaptation have been analyzed. The technique of functional body status optimization which takes into account both psycho-physiological specificity of military professional training as well a...
Kondrashov V.V.; Onishchenko A.N.
Full Text Available Annette Burgess,1 Debra Nestel2 1Sydney Medical School – Central, The University of Sydney, Sydney, NSW, Australia; 2School of Rural Health/HealthPEER, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Melbourne, VIC, Australia Abstract: Peer assisted learning (PAL is well documented in the medical education literature. In this paper, the authors explored the role of PAL in a graduate entry medical program with respect to the development of professional identity. The paper draws on several publications of PAL from one medical school, but here uses the theoretical notion of legitimate peripheral participation in a medical school community of practice to shed light on learning through participation. As medical educators, the authors were particularly interested in the development of educational expertise in medical students, and the social constructs that facilitate this academic development. Keywords: medical school, community of practice, peer assisted learning, development, educational expertise
The literature on medical student career choice has identified several influences that can be categorized as student demographics, medical school characteristics, students' perceptions of specialty characteristics, and student-held values. A logistic regression model that included demographics, medical school, and student-rated influences as a proxy for perceptions and values was used to determine their relative contribution to student career choice for three consecutive cohorts of senior med...
Newton, Dale A.; Grayson, Martha S.; Whitley, Theodore W.
Full Text Available BackgroundSelf-medication results in wastage of resources, increases resistance of pathogens and generally causes serious health hazards such as adverse drug reactions, prolonged suffering and drug dependence. This study was undertaken to determine the reasons for self-medication and the pattern of self-medication among medical students.MethodThis cross-sectional descriptive study was conducted at the K.S. Hegde Medical Academy, Mangalore. The participants were medical students from first to final year. Medical students were selected through convenience sampling. The data was collected using a pre-tested semi-structured questionnaire. The data was analysed using SPSS version 16 and the results expressed as proportions.ResultsA total of 200 students, 121 (60.5% female and 79 (39.5% male, were included in the study. Of the medical students surveyed, self-medication was reported among 92%. The respondents who used self-medication found it to be time-saving in providing relief from minor ailments. The most common ailments for which self-medication were used were: the common cold (69%, fever (63% and headache (60%. The students consulted their textbooks (39% and seniors or classmates (38% for the medications. Antipyretics (71%, analgesics (65%, antihistamines (37% and antibiotics (34% were the most common self-medicated drugs. Of the respondents, 33% were unaware of the adverse effects of the medication and 5% had experienced adverse reactions. The majority (64% of students advised medications to others, more often to family and friends.ConclusionThe prevalence of self-medication among medical students is high, facilitated by the easy availability of drugs and information from textbooks or seniors. A significant number of students are unaware of the adverse effects of the medication that they themselves take and suggest to others. Therefore, potential problems of self-medication should be emphasised to the students.
...false Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities...113 Medical Review Officer, Substance Abuse Professional, and Employer Responsibilities...specimen test result. (c) Substance Abuse Professional (SAP)....
Full Text Available Introduction: Regarding to the importance of spiritual intelligence and professionalism in faculty development, this study aimed to determine the level of spiritual intelligence, the level of professional development and leadership, and performance of professional responsibilities as two components of professionalism, and the relationship between spiritual intelligence and professionalism.Methods: This is a correlation cross-sectional study with 160 medical faculty members as subjects, which was defined base on stratified probability sampling in one of the medical universities in Iran. King’s modified spiritual intelligence questionnaire and teaching competency self assessment instrument of Alabama University were used. Statistical tests such as t-test, two-way ANOVA, Mann-Whitney, Kruskal–Wallis, spearman and regressions were applied to analyze. P-value <0.05 was considered significant. Results: The results showed that the mean score of spiritual intelligence was 63±1.2, which classifies as moderate. The median score of professional development and leadership was 9 with range between 4 and 12; and the median score of performance of professional responsibilities was 17 with range between 5 and 20. There was a significant relationship between spiritual intelligence and performance of professional responsibilities (rs=0.23, p=0.003. There was no significant relationship between spiritual intelligence and professional development and leadership (rs=0.13, p=0.11. Conclusion: We found a significant relationship between spiritual intelligence and self assessed professionalism components in performance of professional responsibilities dimension, indicating that spiritual intelligence can be the basis for professional promotion.
Hossein Karimi Moonaghi
Full Text Available Introduction: Self medication is a component of self care and it is considered as primary public health resource in health care system. It can be defined as use of non-prescription medicines by people on their own initiative. Dentists, together with doctors and veterinarians, comprise the professional classes that may and must prescribe medications for their patients. On the other hand, the nursing professionals are the ones who more administer drugs to patients in the ambulatory and hospital. Objective: This study was aimed to find out the frequency of self medication in selected university students, to find out the difference in the proportions of self medication between dentistry and nursing students, as well to evaluate the students’ knowledge of harmful effects of self medication and common problems of students that use the self medication. Material and methods: We were applied 209 questionnaires among dentistry students from the 3rd to 8th semesters at the Paulista University/Goiânia and 542 among nursing students from the 3rd to 8th semesters at the Estacio de Sa University of Goiás. Results and conclusion: In the present study was observed a high rate of self-medication among undergraduate students in the health area,particularly among the dentistry and nurse students. The result was alarming because the professional him/herself who should educate patients and dissuade them from this practice is a habitual user; it makes it more difficult to aspire to the future inhibition and reduction of this practice that is so harmful to health.
Delprina de G. Rocha de Carvalho
Abstract Background Bullying and sexual harassment of medical students by their teachers appears to be widespread phenomenon. However, nothing is published about its prevalence in conservative countries such as Saudi Arabia. This survey aims to ascertain the extent of these mistreatments among students in a Saudi medical school. Findings A cross-sectional questionnaire survey was conducted on a group of 542 clinical years’ medical students in a Saudi medical s...
Purpose: The paper presents the stages and technology of professional student competence of students in higher vocational school.Method or the methodology of the work: Theoretical and methodological basis of the proposed technology of formation of professional student competence in higher education are: a synergetic approach, student-centered approach, social learning theory, the activity approach, the concept of humane education.Resu...
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Many academic philosophers and ethicists are appointed to teach ethics to medical students. We explore exactly what this task entails. In South Africa the Health Professions Council's curriculum for training medical practitioners requires not only that students be taught to apply ethical theory to issues and be made aware of the legal and regulatory requirements of their profession, it also expects moral formation and the inculcation of professional virtue in students. We explore whether such expectations are reasonable. We defend the claim that physicians ought to be persons of virtuous character, on the grounds of the social contract between society and the profession. We further argue that since the expectations of virtue of health care professionals are reasonable, it is also sound reasoning to expect ethics teachers to try to inculcate such virtues in their students, so far as this is possible. Furthermore, this requires of such teachers that they be suitable role models of ethical practice and virtue, themselves. We claim that this applies to ethics teachers who are themselves not members of the medical profession, too, even though they are not bound by the same social contract as doctors. We conclude that those who accept employment as teachers of ethics to medical students, where as part of their contractual obligation they are expected to inculcate moral values in their students, ought to be prepared to accept their responsibility to be professionally ethical, themselves. PMID:23409954
Behrens, Kevin Gary; Fellingham, Robyn
Four sources of motivation for first- and second-year medical students are desire for professional competence, intellectual satisfaction, success on tests, and the admiration of others. This article suggests way in which these desires could be made to strengthen, rather than oppose each other during the preclinical years. (Editor)
Strayhorn, Joseph, Jr.
Homosexuality is now accepted as a normal variant of human sexuality, but homophobia among healthcare professionals is well documented. Establishment of trustful doctor-patient relationships is impossible in the presence of homophobia. We were interested to examine the extent of homophobia among medical students, the future doctors. This article…
Kan, R. W. M.; Au, K. P.; Chan, W. K.; Cheung, L. W. M.; Lam, C. Y. Y.; Liu, H. H. W.; Ng, L. Y.; Wong, M. Y.; Wong, W. C.
Eeuwenlang hebben studenten Geneeskunde hun professionele normen en waarden ontwikkeld in een meester-gezel relatie met hun klinische docenten. Deze informele manier van leren lijkt niet voldoende meer om studenten voor te bereiden op werken als professional binnen de hedendaagse, complexe beroepspraktijk. Mede ingegeven door alarmerende berichten over dokters in de media, heerst het idee dat medische professionaliteit aan het afkalven is. Vandaar de roep om studenten expliciet te onderwijze...
College textbook publishers are planning to make college and professional education textbooks available online to be downloaded to personal communication devices (e.g., smartphones), digital audio players (e.g., iPods), and digital readers (e.g., Kindles). The current literature on the attitudes of current students to this technological change, especially as it relates to medical school students is reviewed. A short survey attempted to determine how ready the first-year medical students at the University of Louisville are to accept this change in their study habits. PMID:23394419
Atlas, Michel C
In the last three decades, medical doctors have increasingly been exposed to management control measures. This phenomenon has been reflected in a number of studies in various disciplines, including sociology, organisation studies, management, and health service research. This article seeks to provide a comprehensive overview of the studies dealing with the impact of management on professional control. In particular, it seeks to bridge the diversity of assumptions, theoretical perspectives and conceptual underpinnings at play, by exploring synergies between them and opening up new horizons for research. The review shows how the relationship between clinicians and management has been analysed at an organisational level using two interconnected analytical frameworks focusing on the sociocultural and task-related dimensions of professionalism. In the final discussion, we argue that comparative, longitudinal and cross-sectional research is necessary, and there is a need to overcome the hegemony/resistance framework in current analyses of the impact of management on professionalism. Such an approach would contribute to the revision of macro theories of professionalism and stimulate emerging research by examining different perspectives towards management in medical specialisations. This approach might also stimulate a discussion of medical professionals' relationships with members of other professional groups, including nurses and healthcare managers. PMID:21929618
Numerato, Dino; Salvatore, Domenico; Fattore, Giovanni
Introduction Self-medication among future health care professionals can represent a serious threat to professionalism in medicine and it has potential to put at risk public trust into this profession. The aim of this research was to investigate prevalence and risk factors for self-medication among population of medical students, because it was previously shown that their attitudes towards pharmacotherapy could affect the way they could prescribe medication in the future. Material and Methods Research was performed as a cross-sectional study and it included 1296 (84.1%) 1st, 3rd and 6th year students of School of Medicine, University of Belgrade. Students filled out a demographic and self-medication questionnaire created for the purpose of this research and the Physical Health Questionnaire – 9 (PHQ-9). Questions about self-medication were related to the period of the previous year. Results Self-medication was reported by 79.9% students. The most frequently self-prescribed medications were analgesics (55.4%). Independent risk factors for self-medication were possession of home-pharmacies (OR?=?5.3, CI 95% 3.89–7.23), lower level of father's education (OR?=?1.6, CI 95% 1.18–2.25), consumption of alcoholic beverages (OR?=?1.5, CI 95% 1.13–2.08), less than 1 hour spent in physical activity per week (OR?=?1.4, CI 95% 1.00–2.02), female gender (OR?=?1.4, CI 95% 1.02–1.89), older age (OR?=?1.1, CI 95% 1.07–1.21) and higher PHQ-9 score (OR?=?1.09, CI 95% 1.05–1.12). Conclusions Self-medication is an important issue among population of medical students. Prevalence of self-medication could be controlled through regulatory authorities and further education. PMID:25503967
Lukovic, Jasminka Adzic; Miletic, Vladimir; Pekmezovic, Tatjana; Trajkovic, Goran; Ratkovic, Nevena; Aleksic, Danijela; Grgurevic, Anita
This paper describes a process for guiding students through the writing of a Professional Philosophy of Recreation Paper and a one-page philosophy statement suitable for use in students' professional portfolios. The authors describe how the review of recreation education literature, scholarship on teaching and learning, and assessment of student…
Stevens, Cheryl; Schneider, Paige P.; Johnson, Corey W.
Background: Portfolios are highlighted as potential assessment tools for professional competence. Although students' self-reflections are considered to be central in the portfolio, the content of reflections in practice-based portfolios is seldom analysed. Aim: To investigate whether students' reflections include sufficient dimensions of professional competence, notwithstanding a standardized portfolio format, and to evaluate students' satisfaction with the portfolio. Methods: Thi...
Haffling, Ann-christin; Beckman, Anders; Pahlmblad, Annika; Edgren, Gudrun
Purpose: Blogging is an increasingly popular method of sharing and reflecting on experiences of medical students in the World Wide Web with a potentially global learning community. The authors are not aware of studies that specifically examined blogs by medical students and thus for the first time investigated the type of experiences and impressions that emerged from these blogs with relevance for medical students and medical educators.
Pinilla, Severin; Weckbach, Ludwig T.; Alig, Stefan K.; Bauer, Helen; Noerenberg, Daniel; Singer, Katharina; Tiedt, Steffen
The evolution and goals of teaching medical ethics, the nature of medical ethics, and integrating such teaching into the curriculum are examined. Because moral considerations are as much a part of medical decisions as technical considerations, teaching is best done in the context of real cases. (Author/MLW)
Loewy, Erich H.
Portfolios have been used in the medical curriculum to evaluate difficult-to-assess areas such as students' attitudes, professionalism and teamwork. However, their use early in a problem-based learning (PBL) course to foster deep learning and enhance students' self-directed learning has not been adequately studied. The aims of this paper are to: (1) understand the uses of portfolios and the rationale for using reflection in the early years of a PBL curriculum; (2) discuss how to introduce portfolios and encourage students' critical thinking skills, not just reflection; and (3) provide students with tips that could enhance their skills in constructing good portfolios. PMID:18805751
Azer, Samy A
Full Text Available Abstract Background This paper describes the socio-economic profile of medical students in the 1998/99 academic year at the Universidade Eduardo Mondlane (UEM Medical Faculty in Maputo. It aims to identify their social and geographical origins in addition to their expectations and difficulties regarding their education and professional future. Methods The data were collected through a questionnaire administered to all medical students at the faculty. Results Although most medical students were from outside Maputo City and Maputo Province, expectations of getting into medical school were already associated with a migration from the periphery to the capital city, even before entering medical education. This lays the basis for the concentration of physicians in the capital city once their term of compulsory rural employment as junior doctors is completed. The decision to become a doctor was taken at an early age. Close relatives, or family friends seem to have been an especially important variable in encouraging, reinforcing and promoting the desire to be a doctor. The academic performance of medical students was dismal. This seems to be related to several difficulties such as lack of library facilities, inadequate financial support, as well as poor high school preparation. Only one fifth of the students reported receiving financial support from the Mozambican government to subsidize their medical studies. Conclusion Medical students seem to know that they will be needed in the public sector, and that this represents an opportunity to contribute to the public's welfare. Nevertheless, their expectations are, already as medical students, to combine their public sector practice with private medical work in order to improve their earnings.
Traditional medical schools in modern academic health centers make discoveries, create new knowledge and technology, provide innovative care to the sickest patients, and educate future academic and practicing physicians. Unfortunately, the growth of the research and clinical care missions has sometimes resulted in a loss of emphasis on the general professional education of medical students. The author concludes that it may not be practical for many established medical schools to functionally return to the reason they were created: for the education of medical students.He had the opportunity to discover a different model of medical student education at the first new MD-granting medical school created in the United States in 25 years (in 2000), the Florida State University College of Medicine. He was initially skeptical about how its distributed regional campuses model, using practicing primary care physicians to help medical students learn in mainly ambulatory settings, could be effective. But his experience as a faculty member at the school convinced him that the model works very well.He proposes a better alignment of form and function for many established medical schools and an extension of the regional community-based model to the formation of community-based primary care graduate medical education programs determined by physician workforce needs and available resources. PMID:23187916
Watson, Robert T
Full Text Available Abstract Background Anecdotal evidence shows that unprofessional conduct is becoming a common occurrence amongst health workers in Uganda. The development of appropriate professional values, attitudes and behaviors is a continuum that starts when a student joins a health professional training institution and as such health professionals in training need to be exposed to the essence of professionalism. We sought to explore undergraduate health professions students' perceptions and experiences of learning professionalism as a preliminary step in addressing the problem of unprofessional conduct amongst health workers in Uganda. Methods Eight focus group discussions were conducted with 49 first to fifth year health professions undergraduate students of the 2008/2009 academic year at Makerere University College of Health Sciences. The focus group discussions were recorded and transcribed, and were analyzed using content analysis with emergent coding. Results The difference in the way first and fifth year students of Makerere University College of Health Sciences conceptualized professionalism was suggestive of the decline in attitude that occurs during medical education. The formal curriculum was described as being inadequate while the hidden and informal curricula were found to play a critical role in learning professionalism. Students identified role models as being essential to the development of professionalism and emphasized the need for appropriate role modeling. In our setting, resource constraints present an important, additional challenge to learning universal standards of health professionalism. Furthermore, students described practices that reflect the cultural concept of communalism, which conflicts with the universally accepted standard of individual medical confidentiality. The students questioned the universal applicability of internationally accepted standards of professionalism. Conclusions The findings call for a review of the formal professionalism curriculum at Makerere University College of Health Sciences to make it more comprehensive and to meet the needs expressed by the students. Role models need capacity building in professionalism as health professionals and as educators. In our setting, resource constraints present an additional challenge to learning universal standards of health professionalism. There is need for further research and discourse on education in health professionalism in the Sub-Saharan context of resource constraints and cultural challenges.
Mafigiri David K
Full Text Available Professional teacher’s ethics is a collection of moral codes of their professional work. It is significant that the teaching profession respects certain designated professional-ethical codes of conduct between the teachers and the students, with their colleagues and other people they professionally cooperate with. This study is focused on analysis of the professional ethical relation of teachers towards students, seen from student’s point of view. These are the results of student’s reported opinion of the eighth graders from six primary schools in the region of the city of Skopje. The obtained results show that teachers mainly keep in line with the moral codes of conduct with the students, but not always all teachers respect them.
One-third of medical students complete medical school without significant exposure to research. This gap in their medical education is significant: research not only exposes medical students to scientific methodology and academic writing, but also encourages them to multi-task, communicate, and critically analyze the scientific literature - valuable skills that will serve them well in their future medical careers. We report herein the proceedings from a student-led symposium that aimed to promote student involvement in research at the Alpert Medical School of Brown University by providing practical information on how to successfully complete a research project. PMID:24905376
Young, Benjamin K; Cai, Fei; Tandon, Vickram J; George, Paul; Greenberg, Paul B
Objectives To evaluate a patient-centered medical training curriculum, the SELECT program, through perceptions of the inaugural student cohort. Methods Data were collected from two focus groups conducted in the university setting, comprised of fifteen first-year medical students who participated in the SELECT program during its inaugural year. A questioning protocol was used to guide the focus group discussion, which was transcribed and hand-coded through thematic analyses. Results Various themes related to patient-centered care were identified. Students noted changes in their attitudes towards interacting with patients in an empowering and educative manner as a result of communication and motivational interviewing exercises. Additionally, they recognized certain external, structural barriers as well as internal conflict between pragmatism and emotional intelligence that could potentially hinder patient-centered care. The impact of family dynamics and social support on quality of life and health outcomes was acknowledged. Students also emphasized the value of collaborating with multiple health professionals. Lastly, students provided suggestions for program improvement, namely additional simulations, more education regarding other healthcare professionals’ roles, more standardized experiences, and application of principles to acute and primary care. Conclusions Upon completion of the first year of the SELECT program, students gained an appreciation for patient-centered care and various factors and skills that facilitate such care. Additionally, they experienced a dissonance between didactic concepts from the curriculum and observed medical practices. This study highlights the educational benefits of a patient-centered medical curriculum and provides suggestions for future improvement. PMID:25341218
Gallentine, Ashley; Salinas-Miranda, Abraham A.; Shaffer-Hudkins, Emily; Hinojosa, Sara; Monroe, Alicia
Recently, so many medical institutions established and the increasing use of the high technological medical imaging equipment, it makes radiological technology become the main instrument for the medical diagnostic and radiation therapy. However, the medical radiological technologies play the important role to operate all the related radiological machines. If they do not use the machines adequately, it will increase the patients' radiation absorbed dose. Then, the whole society health may be influenced. Therefore, constructing the professional competence of the medical radiological technologists is an important course. The purpose of this research are: (1) to construct the index of professional competence with radiological technology students, (2) to discuss the professional competence for the graduates from the department of radiological technology to be the reference for the Ministry of Examination for the license test of radiological technologists, (3) to provide the direction of the radiological technology department development. (author)
Objective: Despite the acknowledged importance of ethics education in medical school, little empirical work has been done to assess the needs and preferences of medical students regarding ethics curricula. Methods: Eighty-three medical students at the University of New Mexico participated in a self-administered written survey including 41 scaled…
Lehrmann, Jon A.; Hoop, Jinger; Hammond, Katherine Green; Roberts, Laura Weiss
Familiarize students affiliated with the Student National Medical Association with the National Library of Medicine's online resources that address medical conditions, health disparities, and public health preparedness needs.
Abstract Background Instruments to detect changes in attitudes towards people with disabilities are important for evaluation of training programs and for research. While we were interested in instruments specific for medical students, we aimed to systematically review the medical literature for validated survey instruments used to measure attitudes of healthcare students and professionals towards patients with physical disability. Methods We electronically searc...
Symons Andrew B; Isaiah New; McGuigan Denise; Gunukula Sameer K; Lam Wai; Akl Elie A
Points out the importance of the facilitation of reflection and development of reflective abilities in professional development and describes 12 tips for undergraduate medical students to increase their abilities of writing reflective and creative event analysis. (Author/YDS)
Henderson, Emma; Berlin, Anita; Freeman, George; Fuller, Jon
After repeated requests from medical students for more cadaver dissection opportunities, a voluntary dissecting "competition" was initiated for the third year medical students in 2006. This has been held annually on five occasions since, offering up to 30 dissection stations and accommodating an average of 53 students (range 40-66) per year,…
Samalia, Latika; Stringer, Mark D.
Full Text Available Abstract Background Migration and ethical recruitment of health care workers is receiving increased attention worldwide. Europe’s aging population is creating new opportunities for medical doctors for finding employment in other countries, particularly those of a better standard of living. Methods We conducted a survey among 1214 medical students in five out of eleven universities in Poland with medical schools in October 2008. A series of statistical tests was applied to analyse the characteristics of potential migrants. Projections were obtained using statistical analyses: descriptive, multifactorial logistic regression and other statistical methods . Results We can forecast that 26–36% of Polish medical students will emigrate over the next few years; 62% of respondents estimated the likelihood of emigration at 50%. Students in their penultimate year of study declared a stronger desire to migrate than those in the final year. At the same time, many students were optimistic about career opportunities in Poland. Also noted among students were: the decline in interest in leaving among final year students, their moderate elaboration of departure plans, and their generally optimistic views about the opportunities for professional development in Poland. Conclusions The majority of Polish students see the emigration as a serious alternative to the continuation of their professional training. This trend can pose a serious threat to the Polish health care system, however the observed decline of the interest in leaving among final year students, the moderate involvement in concrete departure plans and the optimistic views about the opportunities for professional development in Poland suggest that the actual scale of brain drain of young Polish doctors due to emigration will be more limited than previously feared.
Background. Adherence to hygiene guidelines is of utmost importance for healthcare professionals. The aim of this study was to evaluate the knowledge on and the adherence to hygiene guidelines among medical students in Austria. Additionally, a possible difference between female and male students was investigated. Methods. An open paper-based survey among third-year medical students at the Medical University of Graz was conducted. The questionnaire consisted of 20 single-choice questions cover...
Herbert, Verena G.; Paul Schlumm; Kessler, Harald H.; Andreas Frings
Abstract Introduction: The General Medical Council (GMC) expects that medical students graduate with an awareness of how the diversity of the patient population may affect health outcomes and behaviours. However, little guidance has been provided on how to incorporate diversity teaching into medical school curricula. Research highlights the existence of two different models within medical education: cultural competency and cultural humility. The Southampton medical curriculum includes both models in its diversity teaching, but little was known about which model was dominant or about the students' experience. Methods: Fifteen semi-structured, in-depth interviews were carried out with medical students at the University of Southampton. Data were analysed thematically using elements of grounded theory and constant comparison. Results: Students identified early examples of diversity teaching consistent with a cultural humility approach. In later years, the limited diversity teaching recognised by students generally adopted a cultural competency approach. Students tended to perceive diversity as something that creates problems for healthcare professionals due to patients' perceived differences. They also reported witnessing a number of questionable practices related to diversity issues that they felt unable to challenge. The dissonance created by differences in the largely lecture based and the clinical environments left students confused and doubting the value of cultural humility in a clinical context. Conclusions: Staff training on diversity issues is required to encourage institutional buy-in and establish consistent educational and clinical environments. By tackling cultural diversity within the context of patient-centred care, cultural humility, the approach students valued most, would become the default model. Reflective practice and the development of a critical consciousness are crucial in the improvement of cultural diversity training and thus should be facilitated and encouraged. Educators can adopt a bidirectional mode of teaching and work with students to decolonise medical curricula and improve medical practice. PMID:25156358
Nazar, Mahdi; Kendall, Kathleen; Day, Lawrence; Nazar, Hamde
Full Text Available With the change of the concept of graduate enrollment, the recruiting proportion of clinical medicine professional degree graduate students is more and more, and the training of professional degree graduate students is increasingly focusing on practical. In our experience in clinical training for ophthalmology professional degree graduate students, increasing the ward clinical practice time is important. For particular emphasis on the guiding role of the typical cases, each professional group combined their professional characteristics of the typical cases to instruct the graduate students, training their clinical diagnosis and treatment ability, training their microsurgical techniques. From clinical medical writing, record summary, literature review, professional degree graduate students could expand their knowledge structure, practice their thesis writing ability. Based on the typical cases, expansion of knowledge coverage, they could improve the ability of diagnosis and treatment for special disease cases. In this rigorous training system, professional degree graduate students can learn by analogy, and focus on typical cases to get the most intuitive panoramic understanding of the diseases, with a minimum of time to master the most clinical knowledge, to enrich clinical experience, and to lay the foundation for future work in the assessment.
Full Text Available Abstract Background The aim was to explore the structures for managing student fitness to practise hearings in medical schools in the UK. We surveyed by email the named fitness to practise leads of all full members of the UK Medical Schools Council with a medical undergraduate programme. We asked whether student fitness to practise cases were considered by a committee/panel dedicated to medicine, or by one which also considered other undergraduate health and social care students. Findings All 31 medical schools responded. 19 medical schools had a fitness to practise committee dealing with medical students only. Three had a committee that dealt with students of medicine and dentistry. One had a committee that dealt with students of medicine and veterinary medicine. Eight had a committee that dealt with students of medicine and two or more other programmes, such as dentistry, nursing, midwifery, physiotherapy, dietetics, social work, pharmacy, psychology, audiology, speech therapy, operating department practice, veterinary medicine and education. Conclusion All 31 UK medical schools with undergraduate programmes have a fitness to practise committee to deal with students whose behaviour has given rise to concern about their fitness to practise. The variation in governance structures for student fitness to practise committees/panels can in part be explained by variations in University structures and the extent to which Universities co-manage undergraduate medicine with other courses.
Full Text Available Abstract Background Professionalism in medical students is not only difficult to define but difficult to teach and measure. As negative behaviour in medical students is associated with post-graduate disciplinary action it would be useful to have a model whereby unprofessional behaviour at the undergraduate level can easily be identified to permit appropriate intervention. We have previously developed a scalar measure of conscientiousness, the Conscientiousness Index (CI, which positively correlates to estimates of professional behaviour in undergraduate medical students. By comparing CI points awarded in year 1 and year 2 of study we were able to use the CI model to determine whether teaching and clinical exposure had any effect on students’ conscientiousness. Methods CI points were collected by administrative staff from 3 successive cohorts of students in years 1 and 2 of study. Points were awarded to students for activities such as submission of immunisation status and criminal record checks, submission of summative assignments by a specified date and attendance at compulsory teaching sessions. CI points were then converted to a percentage of maximal possible scores (CI % to permit direct comparison between years 1 and 2 of study. Results CI % scores were generally high with each year of study for each cohort showing negatively skewed normal distributions with peaks > 89%. There was a high degree of correlation of CI % scores between year 1 and year 2 of study for each cohort alone and when cohort data was combined. When the change in CI % from year 1 to year 2 for all students was compared there was no significant difference in conscientiousness observed. Conclusions We have provided evidence that use of a CI model in undergraduate medical students provides a reliable measure of conscientiousness that is easy to implement. Importantly this study shows that measurement of conscientiousness by the CI model in medical students does not change between years 1 and 2 study suggesting that it is a stable characteristic and not modified by teaching and clinical exposure.
Chaytor Andrew T
Background: There is hardly any structured study reporting the perspective of medical students, with regard to the medical education system in Maharashtra, which is facing challenges. Aim: A perception study of students was conducted to explore the situation, challenges, and consequent solutions of medical education in Maharashtra. Settings and Design: A descriptive perception study. Materials and Methods: A structured questionnaire was e-mailed to 92 students, and...
Hira R; Gupta A; Salvi V; Ross M
BACKGROUND--There have been numerous studies on smoking habits among young adults in developed countries. Similar data from developing countries are scanty. METHODS--A survey of medical students from one of the medical colleges in Pakistan assessed their smoking habits and attitudes towards smoking. In June 1993 a coded survey questionnaire was sent to each medical student at The Aga Khan Medical University in Karachi requesting data on their smoking habits, their attitudes towards smoking in...
Hussain, S. F.; Moid, I.; Khan, J. A.
Full Text Available Introduction. Mental health problems of adolescents are among the prevailing problems of public health. While studying for their future medical profession, the students of medicine have to exchange emotions with the patients intensively, and the empathic relationship itself bears a risk of eventual ”emotional depletion”, which leads to ”professional lack of emotions”. The study was aimed at presenting burnout syndrome as a challenge for mental health of medical students, its importance for the future professional engagement of doctors and the possibilities of its prevention. Methods. The authors of this paper review and analyze data and conclusions of previous national and international studies from this field and suggest possibilities of overcoming the condition of burnout. Results. The frequency of burnout syndrome, which is the synonym for the above mentioned condition of emotional exhaustion, is twice as high in medical professionals, particularly young ones, as in other professions on average. Burnout syndrome is nowadays regarded as a psychological distress experienced during the educational process and it has been observed in as many as 50% of medical students. The most significant factors independently associated with student burnout are: personality traits, stressful personal life events and learning and training conditions at their faculties. Conclusions. It is of utmost importance to understand the causes and consequences of psychological distress in students, and the faculties should not only identify these problems, but also endeavor to promote health by developing strategies for improving personal well-being, which are important for future doctors to achieve professional success and develop resistance to stress.
Full Text Available Background: The choice of a medical specialty by a medical student is a complex process in which several factors play a contributory role, making the decision process an evolving one as the medical student undergoes different experiences in his/her professional journey. In our study, we attempted to identify factors that play a significant role in influencing medical students towards choosing a specialty and also to delineate the differences that exist amongst students’ priorities based on gender and year of study at a medical university.Methods: This was a cross-sectional survey conducted on the medical students enrolled at Dow Medical College. Students from all five years of the medicine program were randomly selected. A self-administered questionnaire based on 16 questions was designed. The first part comprised of bio-data and specification of the choice of career by the participants. The second part comprised 13 factors influencing students’ choices, that were to be rated by the students in the order of their importance. Mann Whitney test, Kruskal Wallis test and Tukey’s test was performed for comparison.Results: Out of 400 candidates that successfully completed the study, all except one planned to specialize in one of the three major fields. 233 (58.4% students wanted to pursue medicine, 156 (39.1% surgery and only 10 (2.5% wanted to adopt research as their career. Significant differences were found in working hours, duration of residency and influence during clinical rotations between the two specialties.Conclusion: These findings re-enforce the recently evolving idea that all disparities existing between different specialties should be resolved so as to ensure an equal spread of doctors in all fields. There is also a need to introduce more female friendly legislations and more incentives need to be offered to medical graduates to prompt more of them to choose a future career in research.
Professional ethics instruction in engineering is commonly conducted by examining case studies in light of the code of conduct of a suitable professional body. Although graphical presentations of spectacular failures, sobering stories of the repercussions and the solid framework provided by the tenets of a code of ethics may leave a lasting impression, students generally gain their professional identity from relatives and colleagues. Their professional ethics tend to be mostly an extension of...
In a follow-up study on admissions, medical students' basic science grades were compared with those from clinical rotations. Results indicate that motivation, not basic science grades, are a determinant in student performance. (Author/PG)
Rhoads, John M.; And Others
A survey of 249 students at the State University of New York at Buffalo identified medical ethics issues arising during clinical training in professional norms, limits of intervention, defensive shielding of professional colleagues, respect toward patients, communication, and student boundaries. Concerns differed by student year, supporting…
Bissonette, Raymond; And Others
Research training is essential in a modern undergraduate medical curriculum. Our evaluation aimed to (a) gauge students\\' awareness of research activities, (b) compare students\\' perceptions of their transferable and research-specific skills competencies, (c) determine students\\' motivation for research and (d) obtain students\\' personal views on doing research.
Burgoyne, Louise N
ELearning provides healthcare professionals an interesting alternative of participating to Continuing Medical Education (CME) activities. It offers the possibility to attend courses at a distance, and it allows creating personal learning schedules without needing to leave the job or the family. Hospitals can choose to organize CME activities for their employees and therefore may also opt to offer eLearning activities. The research studies eLearning acceptance in the CME of healthcare p...
Bachmann, Larissa; Cantoni, Lorenzo
Full text: The active process of technical equipment of radiation therapy, nuclear medicine and diagnostic radiology departments requires increased staffing of qualified medical physicists in Russia. To work with the radiotherapy equipment, treatment and diagnostic procedures available in Russian clinics today, it is necessary to have 1,000 medical radiation physics, 30% of which should have a high degree of professional excellence. To achieve the required high technology equipment and procedure level it is essential to have 5,000 specialists. Today Russia has only 280 medical radiation physicists, 25 of which have high qualification - less than 10%. The efficient exploitation of modern radiation therapeutic diagnostic technologies and equipment demands highly qualified medical radiation physicists. However, in Russia the medical physicist responsibilities in the clinic are carried out by the specialists who do not have the basic radiation physics education and the necessary basis of physical and technical knowledge. Medical and clinical physics knowledge is acquired at random through various courses, by self education or empirically without quality and thoroughness control. It is natural that it adversely affects the physical and technical maintenance of radiation therapy and, in the end, the cancer patient treatment quality. Medical physicists are required in different areas, such as: 1. clinics together with the physician to deliver procedures in radiotherapy, nuclo deliver procedures in radiotherapy, nuclear medicine and diagnostic radiology 2. scientific and engineering organizations involved in the new radiological equipment and technology development 3. universities and other educational institutions engaged in the system of continuing education and professional development of medical physicists and research activities 4. companies supplying medical radiological equipment 5. companies busy with the equipment maintenance, adjustment and certification 6. project organizations involved in scientific planning, design and development of the system equipment of radiation therapeutic and diagnostic centres. It is understood that the areas mentioned above demand specific knowledge and skills from the medical physicists and this should be taken into consideration when elaborating the educational programmes. There are several departments of 'medical physics' speciality in Russian universities. However, the approved student education programme does not meet the modern requirements. Practically, there are no qualified medical physics professors in universities. Therefore, as before, the majority of graduates and medical physicists in clinics do not fit the necessary qualification. The Association of Medical Physicists in Russia (AMPR) has developed and realized the programme on the system of continuing education and professional development of medical radiation physicists based on the cycle of special courses on different sections of radiation therapeutic and diagnostic physics. AMPR and the leading oncology centres in Russia regularly organize courses. The ESTRO teaching courses, supported by the IAEA, also contribute a lot to the professional education of Russian medical physicists. For the efficient organization of scientific and education activities, mainly in the field of the continuing education and professional development of medical physicists, AMPR has established a non-profit Institute of Medical Physics and Engineering (IMPE) which has united practically all leading scientists and professors in medical radiation physics. The group of highly skilled professors is chosen from the best Russian specialists and specially prepared for the training courses. Guidelines and recommendations are developed. Practical studies are conducted in the leading oncology centres. A viable education and training system allows to provide the necessary professional knowledge level, individual qualification control and certification of medical physicists. However, AMPR and IMPE are doing on their own without support from the government, sp
Full Text Available Objective: The aim of this study was to evaluate, by means of a questionnaire, the degree of knowledge that pediatricians, maternal-infant health nurses and medical and nursing students have of the concept of health. Methods: It was a cross-sectional and prospective study, previously approved by UNIFENAS Committee on Ethics in Research, having been carried out with pediatricians (n=42, maternal-infant health nurses (n=69, medical students (n=118, and nursing students (n=68 from two southern towns of the State of Minas Gerais, Brazil, which have medical and nursing schools. A survey was done in hospitals, medical clinics, City Health Bureaus and universities to reach the total number of students and professionals, weighing the possibility of a professional working in more than a job. The replies were qualitatively and quantitatively analyzed. For the open questions the contents analysis was used, according to BARDIN (1977. The data were presented in table. Results: According to the answer of 71,74% of the pediatricians 72,60% of the maternal-infant unit nurses, 77,77% of the medical school students and 63,76% of the nursing school students, health is a total physical, mental and social well-being. Health was also found to be a balance between the body and its environment by 10,87% of the pediatricians, 10,95% of the maternal-infant unit nurses, 15.07% of the medical school students and 18,84% of the nursing school students. Conclusions: The difficulty to define health is well known, once it is a condition with different meanings. The notions of health and disease are strongly influenced by the cultural context in which they occur. The binomial health / disease is not related only to microorganisms, but also to socioeconomic, political and educational issue, and, the students as well as the health professionals are committed with this new health concept.
João Bosco Oliveira Ribeiro da Silva
Full Text Available Objectives: To explore medical students' experiences of an emotionally challenging learning situation: the autopsy. Methods: Qualitative data were collected by means of written accounts from seventeen students after their first and third autopsies and a group interview with seven students after their first autopsy. Data was interpreted using inductive thematic analysis. Results: Students experienced the autopsy in three ways: as an unnatural situation, as a practical exercise, and as a way to learn how pathologists work. Most students found the situation unpleasant, but some were overwhelmed. Their experiences were characterised by strong unpleasant emotions and closeness to the situation. The body was perceived as a human being, recently alive. Students who experienced the autopsy as a practical exercise saw it mainly as a part of the course and their goal was to learn anatomy and pathology. They seemed to objectify the body and distanced themselves from the situation. Students who approached the autopsy as a way to learn how pathologists work concentrated on professional aspects of the autopsy. The body was perceived as a patient rather than as a biological specimen. Conclusions: Autopsies are emotionally challenging learning situations. If students attend autopsies, they need to participate in several autopsies in order to learn about procedures and manifestations of pathological changes. Students need opportunities to discuss their experiences afterwards, and teachers need to be aware of how different students perceive the autopsies, and guide students through the procedure. Our findings emphasize the importance of investigating emotional aspects of medical education.
Full Text Available Introduction: The Comprehensive Healthcare (CHC module was developed to introduce pre-clinical medical and pharmacy students to the concept of comprehensive healthcare. This study aims to explore their shared learning experiences within this module. Methodology: During this module, medical and pharmacy students conducted visits to patients’ homes and to related community-based organisations in small groups. They were required to write a reflective journal on their experiences regarding working with other professions as part of their module assessment. Highly scored reflective journals written by students from the 2011/2012 academic session were selected for analysis. Their shared learning experiences were identified via thematic analysis. We also analysed students’ feedback regarding the module. Results: Analysis of 25 selected reflective journals revealed several important themes: ‘Understanding of impact of illness and its relation to holistic care’, ‘Awareness of the role of various healthcare professions’ and ‘Generic or soft skills for inter-professional collaboration’. Although the primary objective of the module was to expose students to comprehensive healthcare, the students learnt skills required for future collaborative practice from their experiences. Discussion: The CHC module provided early clinical exposure to community-based health issues and incorporated some elements of inter-professional education. The students learnt about the roles of other healthcare professions and acquired soft skills required for future collaborative practice during this module.
35 students have been participating in the program of educating Botswana medical students in Norway from 1995 until resent date. The purpose of this study has been to clarify the goal of the program and to find to what degree the program has been a success focusing on numbers of students having graduated, how many having returned home working as doctors, and the student’s experiences during their time of study. 11 of the Botswana medical students were participating in the study. It was done...
The aim of this study was to determine student nurses' attitudes towards professional containment methods used in psychiatric wards and its relation to their perception of aggression. We employed a cross-sectional descriptive design to evaluate nurses' attitudes. Participants included 120 student nurses who were enrolled in psychiatric nursing during their fourth (final) year of education. The 'Attitude to Containment Measures Questionnaire' and 'The Perception of Aggression Scale' were used for assessments. Student nurses exhibited positive attitudes toward 'intermittent observation', 'Pro re nata Medication' and 'Psychiatric Intensive Care Unit', respectively. The least approved method was 'net bed'. The data showed a negative correlation between approval of 'Intra-Muscular Medication' and 'mechanical restraint' with the perception that aggression was dysfunctional/unacceptable. Student nurses who believed that professional containment methods were effective also perceived aggression as less functional/acceptable. These results emphasize the importance of health care perceptions of aggression towards patients and their experience with containment measures. PMID:25157938
Ozcan, Neslihan Keser; Bilgin, Hülya; Bad?rgal? Boyac?o?lu, Nur Elçin; Kaya, Fadime
The Differential Impact of Various Assessment Parameters on the Medical Students Performance in the Professional Anatomy Examination in a New Medical School / El Impacto Diferencial de Varios Parámetros de Evaluación del Desempeño de Estudiantes de Medicina en el Examen Profesional de Anatomía en una Nueva Escuela de Medicina
Full Text Available SciELO Chile | Language: English Abstract in spanish Existe escasez de conocimiento sobre el nivel de concordancia entre todas las varias tareas de evalución sobre los contenidos de una misma área. En orden a evaluar esta hipótesis, adoptamos el concepto de validez convergente y también de área aislada, de falta de solidez académica entre los estudian [...] tes y readecuar el contenido curricular para balancear esa falta de solidez. Se llevó a cabo un estudio retrospectivo al azar sobre un total de 66 alumnos de Medicina de Tercer Año, quienes tuvieron su primer examen profesional de Anatomía en la nueva Escuela de Medicina de la Universidad del Estado de Lagos, Nigeria. Usando registros de sus grados en varios parámetros de evaluación: promedio final de la evaluación del Curso, preguntas cortas de redacción, ítemes de selección múltiple y prácticas. La media + desviación estándar, correlación de Person con el t-test de Sudents (p Abstract in english There is a dearth of knowledge on the level of agreement between all the various assessment tasks on the same content area, in order to test this hypothesis we adopted the concept of convergent validity and also to isolate area of academic weakness among the students and to readjust the curriculum c [...] ontent to balance the weakness. A blinded cohort retrospective study was carried out on a total of sixty-six third year medical students who had sat for their first professional examination in anatomy in the new medical college of Lagos State University. Using records of their grades in the various assessments parameters- the average end-in course assessment, short essays question (SEQ), multiple-choice questions (MCQ), and practical (Steeple-chase). The mean + S.D. Pearson's correlation with students t-test (p
L. A. J., Shittu; M. P., Zachariah; M. C., Izegbu; O. A., Adesanya; O. A., Ashiru.
Abstract Background Emotional intelligence (EI) is increasingly discussed as having a potential role in medicine, nursing, and other healthcare disciplines, both for personal mental health and professional practice. Stress has been identified as being high for students in healthcare courses. This study investigated whether EI and stress differed among students in four health professions (dental, nursing, graduate mental health workers, medical) and whether there was evidence ...
McKendree Jean; Birks Yvonne; Watt Ian
Background: Reports in the last decade have shown that healthcare students face a high degree of stress. Cumulative stress leads to depression and suicidal behaviour in some of them.Aims: This study was designed to identify levels of perceived stress amongst medical and dental students in a private institution of South India.Methods: A cross-sectional, questionnaire-based survey carried out on the first year undergraduate medical and dental students. Perceived stress was assessed using the Pe...
Harihar Chilukuri; Sowjanya Bachali; Nagaiah Jupalle Naidu; Ahmed Shaik Basha; Samuvel Verrapam Selvam
Objectives: To assess the self-perceived need and preferred format for educational intervention among Latvian medical students in fostering the increasing demanding of management-related competences for healthcare professionals. Methods: A cross sectional study design was used to assess student-perceived deficiencies and the need for knowledge and skills in 10 different domains of activity. All medical students from one of the two major Latvian universities were invited to participate in this...
Juris Barzdins; Atis Barzdins
Third-year medical students prepared case studies involving ethical issues, drawn from clinical experience. A study of the quality of the projects, the types of ethical issues raised, and attitudes expressed in them revealed limited student understanding of the range of ethical issues and widespread disagreement with physician handling of cases.…
Redmon, Robert B.
As Australian medical educators become more accustomed to the increasing pressures imposed upon them, there is a risk that the traditional educational relationship between a student and his or her teacher is replaced by a pure transactional relationship between a customer and his or her supplier. A large sample of medical students surveyed revealed that medical students seem to value directed rather than independent learning. New approaches to teaching, such as being innovative or entertaining, as well as facilitating participation, do not appear to be very important to medical students. Medical students do not seem to have strong preferences when it comes to assessment, contradicting some of the fundamental suggestions of the recent educational literature, in which assessment is often viewed as a key element in the formation and the direction of learning. The fact that medical students seem to reject many of the paradigms of the psychology-based educational literature, at least based on the large sample surveyed at the University of New South Wales, suggests that caution should be used in the development of training programs for teachers in medical faculties, and that learning and teaching should ensure that students' expectations and teachers' training do not mismatch. PMID:17669057
Ho, Maria Theresa; Tani, Massimiliano
Full Text Available Background: Medical education across the globe is perceived as being inherently stressful. Studies on psychological problems such as stress, depression and anxiety among medical students have found that these disorders are under diagnosed and under treated. In this background the present study was undertaken with the objectives to assess the magni-tude of depression and its association with stress among medical students. Methods: A Cross sectional study was undertaken among 235 medical students in a private medical college, Pondicherry. Tools similar to General Health Questionaire (GHQ-12 and Beck depression Inventory (BDI was used to screen psychological stress and depression respectively. Results: The prevalence of depression was 71% among medical students. Psychological stress was associated with depression. Conclusion: Emphasize should be laid on the importance of screening for depression of medical students on a regular basis for early detection and rendering appropriate intervention like group counseling, stress management training etc. to protect the future professionals.
Devi Kittu, Rohan Patil
Full Text Available Background: Medical education can contribute to the development of depression in medical students which may have possible negative academic and professional consequences. The aims of this study were to explore the prevalence of depressive symptoms and their relationships to socio-demographic variables among a cross section of medical students of a private medical college in India. Methods: A cross-sectional anonymous questionnaire-based survey was conducted including all students from first to fourth year of a medical college in India. Beck depression inventory was used to assess the level of depression with a score of 12 or higher considered depressive. Additional questions regarding demographic variables were also included in the survey. Data analysis was done on Epi info version 6. Results: A total of 336 students participated giving a response rate of 88%. A total of 49.1% students reported depressive symptoms. It was significantly higher in 1st year (59.3% and 2nd year (65.6%, as compared to 3rd (34.4% and 4th year (37.2% students [p<0. 05]. Substance abuse(p<0.0001, first and second year of study, female sex and language of instruction other than English at 10+2 level were associated factors for the development of depressive symptoms [p<0.05]. A significant negative association was also found between regular exercise and depression (p<0.05. Conclusion: Depression may be a significant hidden problem in Indian medical students and mechanisms to identify and help students with mental health problems should be seriously considered.
Social media now form a common part of university students' experience. Both at university and after graduation, in their personal and professional lives, social media offer opportunities for connection previously unavailable. The ubiquitous nature of social networking has brought with it professional and ethical issues that need to be…
Chester, A.; Kienhuis, M.; Pisani, H.; Shahwan-Akl, L.; White, K.
In the current rapidly evolving healthcare environment of the United States, social justice programs in pre-medical and medical education are needed to cultivate socially conscious and health professionals inclined to interdisciplinary collaborations. To address ongoing healthcare inequalities, medical education must help medical students to become physicians skilled not only in the biomedical management of diseases, but also in identifying and addressing social and structural determinants of...
Ambrose, Adrian Jacques H.; Andaya, January M.; Yamada, Seiji; Maskarinec, Gregory G.
Full Text Available Background: Although medical students’ initial orientation is an important point of transition in medical education, there is a paucity of literature on the subject and major variations in the ways that different institutions orient incoming medical students to their programs. Methods: We conducted a discourse analysis of medical education orientation in the literature and on data from a survey of peer institutions’ approaches to orientation. Results: These two discourses of orientation had clear similarities, in particular, the critical role of ceremony and symbols, and the focus on developing professionalism and physician identities. There were also differences between them, in particular, in the way that the discourse in the literature focused on the symbolic and professional aspects of orientation; something we have called ‘cultural orientation’. Meanwhile, those who were responsible for orientation in their own institutions tended to focus on the practical and social dimensions. Conclusion: By examining how orientation has been described and discussed, we identify three domains of orientation: cultural, social, and practical. These domains are relatively distinct in terms of the activities associated with them, and in terms of who is involved in organizing and running these activities. We also describe orientation as a liminal activity system on the threshold of medical school where incoming students initially cross into the profession. Interestingly, this state of ambiguity also extends to the scholarship of orientation with only some of its aspects attracting formal enquiry, even though there is a growing interest in transitions in medical education as a whole. We hope, therefore, that this study can help to legitimize enquiry into orientation in all its forms and that it can begin to situate the role of orientation more firmly within the firmament of medical education practice and research.
Rachel H. Ellaway
Internationally medical student debt is a cause of concern. A survey of medical students in UCC (response rate of 191 representing 35% of the EU student cohort) reveals that 34 (26%) of direct entry medicine (DEM) students and 36 (61%) graduate entrants (GEM) have a loan with an anticipated average debt of Euro17,300 and Euro80,000 on graduation respectively. Fifty-three (90%) graduate entrants and 75 (57%) direct entrants revealed that they often worry about their current financial situation. Fifty-three (28%) of students have a part-time job and many were concerned about the degree to which this conflicted with their academic workload. 118 (89%) of school leavers and 48 (81%) graduates received financial assistance from their families to fund their college expenses. Student responses recommended the introduction of a government supported low interest rate loan and other incentives to help service high levels of debt associated with medical education. PMID:24988840
Haugh, C; Doyle, B; O'Flynn, S
Full Text Available Abstract Background Communication training builds on the assumption that understanding of the concepts related to professional communication facilitates the training. We know little about whether students' knowledge of clinical communication skills is affected by their attendance of communication training courses, or to what degree other elements of the clinical training or curriculum design also play a role. The aim of this study was to determine which elements of the curriculum influence acquisition of knowledge regarding clinical communication skills by medical students. Methods The study design was a cross-sectional survey performed in the four Norwegian medical schools with different curricula, spring 2003. A self-administered questionnaire regarding knowledge of communication skills (an abridged version of van Dalen's paper-and-pencil test was sent to all students attending the four medical schools. A total of 1801 (59% students responded with complete questionnaires. Results At the end of the 1st year of study, the score on the knowledge test was higher in students at the two schools running communication courses and providing early patient contact (mean 81% than in the other two medical schools (mean 69–75%, P ? 0.001, with students studying a traditional curriculum scoring the lowest. Their scores increased sharply towards the end of the 3rd year, during which they had been subjected to extensive patient contact and had participated in an intensive communication course (77% vs. 72% the previous year, P ? 0.01. All students scored generally lower in academic years in which there was no communication training. However, at the end of the final year the difference between the schools was only 5% (81% vs. 86%, P ? 0.001. Conclusion The acquisition of knowledge regarding communication skills by medical students may be optimised when the training is given together with extensive supervised patient contact, especially if this teaching takes place in the initial years of the curriculum.
introduction. Care is seen as something that is peculiar to the medical sciences but its meaning and status for physicians and nurses differs. objectives. The aim of this research was to learn how nursing and medical students understand and define care, and how their definition and views on their practice of caring change as they advance through their studies. material and methods. The study was conducted among two groups of students: before and after their first practicum (n=102). Analysis of the students' answers was carried out using Colaizzi's phenomenological descriptive methodology, which means that a qualitative approach was used. results. The qualitative analysis shows that the medical and nursing students define care in the same way, using 9 main categories: compassion, commitment, competence, confidence, conscience, communication, patience, courage and support. The nursing students viewed their caring to be within both practical and emotional dimensions and this was a core feature of their identity as nurses. Medical students, on the other hand, viewed the practical dimension of care as an additional activity. All the students in the study underlined the importance of having time to care and showed that, for them, 'time' in this context has a moral meaning. What was interesting to the research team centered on the initial attitudes to 'caring' from both medical and nursing students. conclusions. We found that students of both nursing and medicine do not begin their studies with different attitudes and concepts of care. However, after their initial exposure to practical placements a process begins which forges different identities around the concept of care. This implies trends in the division of professional roles during their initial education. PMID:25528934
Dobrowolska, Beata; ?lusarska, Barbara; Zarzycka, Danuta; McGonagle, Ian; Pawlikowski, Jakub; Cuber, Tomasz
Full Text Available Bahia Abdallah,1 Jihad Irani,2 Silva Dakessian Sailian,1 Vicky George Gebran,1 Ursula Rizk1 1Nursing Program at the Faculty of Health Sciences, University of Balamand, 2Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon Abstract: Nursing faculty teaching medical students a module in clinical skills is a relatively new trend. Collaboration in education among medical and nursing professions can improve students' performance in clinical skills and consequently positively impact the quality of care delivery. In 2011, the Faculty of Medicine in collaboration with the Faculty of Health Sciences at the University of Balamand, Beirut, Lebanon, launched a module in clinical skills as part of clinical skills teaching to first-year medical students. The module is prepared and delivered by nursing faculty in a laboratory setting. It consists of informative lectures as well as hands-on clinical practice. The clinical competencies taught are hand-washing, medication administration, intravenous initiation and removal, and nasogastric tube insertion and removal. Around sixty-five medical students attend this module every year. A Likert scale-based questionnaire is used to evaluate their experience. Medical students agree that the module provides adequate opportunities to enhance clinical skills and knowledge and favor cross-professional education between nursing and medical disciplines. Most of the respondents report that this experience prepares them better for clinical rotations while increasing their confidence and decreasing anxiety level. Medical students highly appreciate the nursing faculties' expertise and perceive them as knowledgeable and resourceful. Nursing faculty participating in medical students' skills teaching is well perceived, has a positive impact, and shows nurses are proficient teachers to medical students. Cross professional education is an attractive model when it comes to teaching clinical skills in medical school. Keywords: cross-professional education, CPE, clinical skills, medical education, nursing faculty, clinical performance
BACKGROUND: Following the introduction of a new, integrated, problem-oriented undergraduate medical curriculum at the University of Pretoria (UP) in 1997, a research project was undertaken to study interpersonal skills, professional attitudes, teamwork, ethics and related topics – which have come to be known collectively as ‘soft skills’. This contribution is the first of two articles on the professional socialisation of medical students and their development of ‘soft skills’. It...
Schurink, W. J.; Kruger, Christa; Bergh, Anne-marie; Staden, C. W.; Roos, J. L.; Pickworth, G. E.; Joubert, Pierre M.; Du Preez, R. R.; Grey, Somarie V.; Lindeque, B. G.
Full Text Available SciELO Public Health | Language: English Abstract in english OBJECTIVES: To examine smoking prevalence, attitudes, knowledge and behaviours/beliefs among Health Professional School students according to the Global Health Professional Student Survey (GHPSS) approach. METHODS: A cross-sectional study was carried out in Catania University Medical Schools. The GH [...] PSS questionnaires were self-administered. Logistic regression model was performed. The level of significance was p
Margherita, Ferrante; Rosella, Saulle; Caterina, Ledda; Roberto, Pappalardo; Roberto, Fallico; Giuseppe, La Torre; Maria, Fiore.
Abstract Background Professionalism is a critical quality for physicians to possess. Physician professionalism has received increased attention in recent years, with many authorities suggesting that professionalism is in decline. An understanding of the factors contributing to professionalism may allow the development of more effective approaches to promoting this quality in medical education. Discussion We propose a model of personal and environmental factors t...
Shanafelt Tait D; West Colin P
Few medical educators would dispute that the emotional development and well being of the medical student is of critical importance in the pathway to physicianhood. It has been suggested that failure to address this aspect of medical education may account for various health problems and levels of impairment during medical school and beyond. Some authors have suggested that the personal development and "professionalization" of the student occurs through modeling, the medical school "culture," and the "hidden curriculum." In recognition of the randomness, incompleteness, or inadequacy of this approach, a number of attempts have been made to address this important but difficult dimension of medical education. However, programs designed to foster self-reflection and appreciation of affect in the physician-patient relationship are often limited as electives or unsupported by faculty and staff and therefore fall short of their objective. The author proposes that a pedagogical framework based on an analogy of life cycle theory (a la Erikson or others) offers a schema within which to consider efforts being made in medical curricula to promote self-awareness, appreciation of affect in oneself and one's patients, and a context in which to minimize the risk of illness and impairment. PMID:25001431
Lipsitt, Don R
Previous attempts to change the prevailing negative attitudes of health professionals toward cancer and cancer patients have consisted mainly of elective courses for small groups of students at advanced levels of medical training. In order to develop more positive attitudes, the Cancer Coordinating Committee at the Medical College of Pennsylvania…
Appel, Marilyn H.; And Others
Full Text Available The author considers organizational and methodological terms of implementation of professional and applied physical training for maritime students subject to their motivation to physical self-perfection. The purpose of the research is to define organizational and pedagogical terms for professional and applied physical training of maritime students to improve their physical condition and special physical attainment. The applied methods were: anthropometric metrology, functional probes, tonometry, pulsometry, motion tests and mathematical analysis. 70 students of 17-18 years participated in the research. It was determined that organizational and pedagogical terms directed on acceleration of making necessary for students to self-improve physically, positively impact on development of special physical state that are fundamental for professional activities of maritime students.
Full Text Available Purpose: The paper presents the stages and technology of professional student competence of students in higher vocational school.Method or the methodology of the work: Theoretical and methodological basis of the proposed technology of formation of professional student competence in higher education are: a synergetic approach, student-centered approach, social learning theory, the activity approach, the concept of humane education.Results: In the article the theoretical and methodological basis of the statement of technology, disclosed pedagogical conditions and principles of the technology of formation of professional student competence of higher educational institutions as a result of own personal readiness.Field of application of the results: the educational system of higher education institutions.DOI: http://dx.doi.org/10.12731/2218-7405-2013-1-23
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Full Text Available Purpose: The paper presents the stages and technology of professional student competence of students in higher vocational school. Method or the methodology of the work: Theoretical and methodological basis of the proposed technology of formation of professional student competence in higher education are: a synergetic approach, student-centered approach, social learning theory, the activity approach, the concept of humane education. Results: In the article the theoretical and methodological basis of the statement of technology, disclosed pedagogical conditions and principles of the technology of formation of professional student competence of higher educational institutions as a result of own personal readiness. Field of application of the results: the educational system of higher education institutions.
Yakovlev Boris Petrovich
The Differential Impact of Various Assessment Parameters on the Medical Students Performance in the Professional Anatomy Examination in a New Medical School El Impacto Diferencial de Varios Parámetros de Evaluación del Desempeño de Estudiantes de Medicina en el Examen Profesional de Anatomía en una Nueva Escuela de Medicina
Full Text Available There is a dearth of knowledge on the level of agreement between all the various assessment tasks on the same content area, in order to test this hypothesis we adopted the concept of convergent validity and also to isolate area of academic weakness among the students and to readjust the curriculum content to balance the weakness. A blinded cohort retrospective study was carried out on a total of sixty-six third year medical students who had sat for their first professional examination in anatomy in the new medical college of Lagos State University. Using records of their grades in the various assessments parameters- the average end-in course assessment, short essays question (SEQ, multiple-choice questions (MCQ, and practical (Steeple-chase. The mean + S.D. Pearson's correlation with students t-test (pExiste escasez de conocimiento sobre el nivel de concordancia entre todas las varias tareas de evalución sobre los contenidos de una misma área. En orden a evaluar esta hipótesis, adoptamos el concepto de validez convergente y también de área aislada, de falta de solidez académica entre los estudiantes y readecuar el contenido curricular para balancear esa falta de solidez. Se llevó a cabo un estudio retrospectivo al azar sobre un total de 66 alumnos de Medicina de Tercer Año, quienes tuvieron su primer examen profesional de Anatomía en la nueva Escuela de Medicina de la Universidad del Estado de Lagos, Nigeria. Usando registros de sus grados en varios parámetros de evaluación: promedio final de la evaluación del Curso, preguntas cortas de redacción, ítemes de selección múltiple y prácticas. La media + desviación estándar, correlación de Person con el t-test de Sudents (p< 0.05 fueron analizados con el programa SPSS 11 (SPSS inc. Chicago, Illinois. La parte práctica fue significativamente correlacionada con todo el rendimiento (r = 0.89, p< 0.01; con un valor del t-Students de 6.15 (p< 0.01. Aunque las preguntas cortas mostraron correlación significativa para la totalidad de lo hecho (r =0.72; p<0.01, el valor de t de 0,4 no fue significativo, pero estuvo dentro de un rango aceptable. La parte práctica, selección múltiple y preguntas cortas de redacción y final del curso, mostraron un orden de clasificación de relativo desempeño en las tareas de evaluación, lo que indica que, en general, la actividad de los estudiantes en el examen profesional fue mejor que en el examen del curso y de ahí, la necesidad de readecuar este patrón y enfatizar el rol de evaluación dentro del curso en el curriculum
L. A. J. Shittu
Medical school curricular reform to address humanism is now a prominent issue in Taiwan. Taiwan's community of medical professionals have for the last 100 years played a leading role in the nation's modernization and democratization. With the democratic opening of 1990, they took up the cause of humanistic reform of medical education. Although the reform has not sufficiently specified the depth and breadth of professionalism to be achieved through the medical school curriculum, it points at least to the most desired professionalism goals. Collaboration with the international community, particularly with Taiwanese-American medical educators and researchers who bring their experience back to Taiwan, has been a potent force for the advancement of the humanities and professionalism in medical education. This paper presents the definition of professionalism and the history of the medical profession from the perspective of medical education in Taiwan, and discusses recent transitions. PMID:19717370
Chiu, Chiung-Hsuan; Arrigo, Linda Gail; Tsai, Duujian
Full Text Available Background: Worldwide tobacco is the second most common cause of death. It is the biggest enemy of public health, still people smoke knowing well the consequences. In addition to the high public health costs of treating tobacco-caused diseases, tobacco kills people at the height of their productivity, depriving families of bread winners and nations of a healthy workforce. Tobacco addiction mostly starts at adolescence. Various reasons cited by adolescents being; peer pressure, stress or for fun. Research Question: What is the level of awareness regarding tobacco use among medical students? Objectives: To assess awareness about tobacco abuse among medical students of Uttarakhand. Study Design: Cross-Sectional epidemiological study. Settings and Participants: Medical and Dental students of all professionals excluding Interns of two Medical and two Dental colleges of Uttarakhand were selected for survey. Study Period: May 2008 to October 2008 Sample Size: 400 Medical and Dental students. Sampling Technique: Simple stratified random sampling. Study Variable: A predesigned, pretested, self-administered questionnaire was used for collecting information on Age, Sex, Socio-demographic profile, Knowledge and awareness regarding Tobacco use, etc. Statistical Analysis: Standard statistical package i.e. SPSS, Microsoft Excel. Results: Life time prevalence of tobacco use was found to be 31.75%, the most common reasons cited by students was peer pressure 33.7%. The level of awareness regarding the harmful effects of tobacco smoking was found to be 91.8%. Majority 68.3% of tobacco users think that media plays an important source for creating awareness about harmful effects of tobacco. 83.25% students are against tobacco advertisements and support ban, 84.75% on tobacco use in public place. 83.75% students surveyed believed that the preventive measures taken up by the Government are not sufficient.
Early career medical technologists (n=392) were surveyed in 1994 and 1997. They participated in both scholarly and administrative types of professional development; both types increased over time. Distinct types of professional development opportunities were recommended. (Contains 32 references.) (SK)
Summers, Stephanie H.; Blau, Gary; Ward-Cook, Kory
Background: Professionalism in nursing is critical for creating credibility and a positive image. Objectives: This study was carried out to explain the use of hidden curriculum in teaching professionalism in nursing students. Materials and Methods: This qualitative study was conducted through purposeful sampling strategy by the participation of 32 nursing students. The data were collected by using semi-structured interviews, and this process was continued until achieving data saturation and themes’ emergence. Content analysis method was used for data analysis. Results: Data analysis revealed three main themes: Development of understanding the professionalism elements, Variety of influenceability strategies, and Influenceability to various resources. Each theme consisted of some subthemes. Conclusions: The nursing students learnt the professionalism elements by different methods from different resources through the hidden curriculum. Therefore, exploration of the currently administered hidden curricula is suggested. PMID:24829784
Karimi, Zohreh; Ashktorab, Tahereh; Mohammadi, Easa; Abedi, Heidar Ali
Full Text Available Background: There is hardly any structured study reporting the perspective of medical students, with regard to the medical education system in Maharashtra, which is facing challenges. Aim: A perception study of students was conducted to explore the situation, challenges, and consequent solutions of medical education in Maharashtra. Settings and Design: A descriptive perception study. Materials and Methods: A structured questionnaire was e-mailed to 92 students, and interviews with seven key-informants comprising of faculty, administrators, and policy makers were conducted, to gather qualitative insights. Results: Thirty-seven student replies were received and analyzed. The satisfaction level of student respondents for various factors was as follows: infrastructure 18/37 (48.6%, quality of teaching 14/37 (37.8%, patient population 22/37 (59.5%, and administration 8/37 (21.6%. Ninety-two percent (34/37 of the students stated that the fundamental problem was the inability of the system to attract good, quality teachers. The reasons stated were low salaries, low level of job satisfaction, high level of bureaucracy, and high work load. Conclusions: The medical education system in Maharashtra is viewed as being stagnant. The respondents emphasized an urgent need for educational reforms, which should include better compensation for teachers, sharing of facilities between government and private medical colleges, and improved efficiency of the Medical Council of India. In the long run a public-private mix with sharing of resources may be a plausible solution.
The Indian medical professional is dependent for current information on his institutional library, which may or may not have Internet facilities. The Indian MEDLARS Centre (IMC) set was up in 1986 with the objective to meet the ever-increasing information needs of the medical professionals. The professionals, who earlier had to look up printed resources available in their libraries could avail the services of IMC, which opened up vistas of information access for these professionals by providi...
Pandita, Naina; Dash, Shefali S.
Background To practice medicine, doctors must master leadership, communication, team management, and collaboration, in addition to medical knowledge. The CanMEDS framework describes seven roles of a doctor, but the six nonmedical expert roles are de-emphasized in the academic medical curriculum. Innovative opportunities are needed for medical students to develop as participants in a world of interdisciplinary health care. Methods We founded a volunteer-based, interdisciplinary, student-run project called SUNDdag (HEALTHday) with 60 students from 12 different educational backgrounds. To evaluate the learning outcomes of the project, we conducted a cross-sectional study using an anonymous, self-administered questionnaire. Results Students joined the project due to it being health-promoting, volunteer-based, and interdisciplinary. The medical students reported a significant increase of skills in all seven roles except for “medical expert”. They reported an increased understanding of the non-health-related students’ skills. Conclusion In their future careers, medical students must collaborate with health care professionals in a team-based approach to patient care and with non-health-related professionals in administrative tasks. Interdisciplinary volunteer-based initiatives like SUNDdag are potential platforms for medical students to improve their CanMEDS competencies. We encourage students to initiate similar projects and we encourage faculties to support volunteer-based, interdisciplinary initiatives due to their favorable cost-benefit ratio.
Vildbrad, Mads Dam; Lyhne, Johanne Marie
Introduction:Clinical teachers have an important role in creating an environment for effective clinical teaching to students. In addition, the faculty has a significant impact on the students' feeling of success or failure in professional competence. This study was performed to determine the characteristics of an influential instructor according to the nursing students' viewpoints in Jahrom University of Medical Sciences.Material and Methods:In this cross-sectional survey, 75 nursing students...
Sedigheh Najafipour; Sohrab Najafipour; Rahim Raoofi; Mohammad Hashem Abdi; Leili Mosalanejad
Full Text Available The emotional and sociocognitive aspects of human dissection are important aspects of professionalism in medical training and so should be critically evaluated in the present day changing society. Medical students of Ebonyi State University, Nigeria completed 390 questionnaires. The questionnaires included questions seeking demographic information; open-ended questions on their first experience of dissection and suggestions on improvements in training. The Visual analogue scale (VAS was used to assess anxiety and satisfaction levels. The questionnaires were analyzed statistically with P<0.05 indicating level of significance. Majority (35.7% of the students was excited/fulfilled after their first experience and 41.5% were of the opinion that life in humans is more appreciated by dissection. Their mean anxiety level was 3.42 while satisfaction rating was 7.13 on a scale of 1-10. A greater number of students suggested that conducive learning environment and improved preservation techniques would improve satisfaction (30.3% and 33.1% respectively. A Conducive environment and better preservation of cadavers are the major factors that improve satisfaction. Psychosocial factors should be assessed constantly to ascertain attitudinal changes of students, which will be helpful in quality of professional formation.
Mr. C. O. Njoku
The present study examined undergraduate psychology students' (N = 83) self-reported interest in and familiarity with five specialty areas in professional psychology: counseling psychology, clinical psychology, school psychology, forensic psychology, and criminal profiling. Results suggest that although students are quite interested in careers…
Stark-Wroblewski, Kimberly; Wiggins, Tina L.; Ryan, Joseph J.
This article describes a method for the assessment of professional student outcomes (performance-type outcomes or soft skills). The method is based upon group activities, research on modern electrical engineering topics by individual students, classroom presentations on chosen research topics, final presentations, and technical report writing.…
Keshavarz, Mohsen; Baghdarnia, Mostafa
Full Text Available Professional ethics instruction in engineering is commonly conducted by examining case studies in light of the code of conduct of a suitable professional body. Although graphical presentations of spectacular failures, sobering stories of the repercussions and the solid framework provided by the tenets of a code of ethics may leave a lasting impression, students generally gain their professional identity from relatives and colleagues. Their professional ethics tend to be mostly an extension of their personal ethics. Instruction on ethics generally serves only to reinforce students’ inclination to act ethically and provides encouragement to act on these beliefs. In this study a survey based on previous investigations was conducted (n=1136 to examine the personal ethical perceptions of engineering students. The survey measured how engineering students perceive their own ethical beliefs and how they perceive the ethical beliefs and actions of their peers. As a learning exercise, students were then challenged by examining their personal ethical beliefs in light of the professional ethics requirements of the Institute of Engineers Australia (IEAust code of conduct. After familiarisation with the Engineers Australia code of ethics, students were also invited to comment regarding their beliefs regarding adherence to this code.
Using a standard epidemiological survey instrument for psychoactive drug use, 215 medical students in three classes were studied. One third of all students reported non-medical drug use. The substances ever used were: betel nut 13%, smokeless tobacco 3%, cigarettes 12%, alcohol 12.5%, cannabis 0.9% and benzodiazepines 3.7%. Last month use was reported for four substances and daily use was reported for cigarettes only (3.2%). Cigarette and benzodiazepine use mostly began after entry to medical...
Ali, R. V. Zulfikar; Vankar, G. K.
Full Text Available Objective: To determine the overall perception and utilization of the pharmacist managed medication therapy management (MTM clinic services, by healthcare professionals in a large, urban, university medical care setting.Methods: This was a cross-sectional, anonymous survey sent to 195 healthcare professionals, including physicians, nurses, and pharmacists at The University of Illinois Outpatient Care Center to determine their perception and utilization of the MTM clinic. The survey consisted of 12 questions and was delivered through a secure online application. Results: Sixty-two healthcare professionals (32% completed the survey. 82% were familiar with the MTM clinic, and 63% had referred patients to the clinic. Medication adherence and disease state management was the most common reason for referral. Lack of knowledge on the appropriate referral procedure was the prominent reason for not referring patients to the MTM clinic. Of the providers that were aware of MTM services, 44% rated care as ‘excellent’, 44% as ‘good’, 5% as ‘fair’, and 0% stated ‘poor’. Strengths of MTM clinic identified by healthcare providers included in-depth education to patients, close follow-up, and detailed medication reconciliation provided by MTM clinic pharmacists. Of those familiar with MTM clinic, recommendations included; increase marketing efforts to raise awareness of the MTM clinic service, create collaborative practice agreements between MTM pharmacists and physicians, and ensure that progress notes are more concise.Conclusion: In a large, urban, academic institution MTM clinic is perceived as a valuable resource to optimize patient care by providing patients with in-depth education as it relates to their prescribed medications and disease states. These identified benefits of MTM clinic lead to frequent patient referrals specifically for aid with medication adherence and disease state management.
Objective To determine the overall perception and utilization of the pharmacist managed medication therapy management (MTM) clinic services, by healthcare professionals in a large, urban, university medical care setting. Methods This was a cross-sectional, anonymous survey sent to 195 healthcare professionals, including physicians, nurses, and pharmacists at The University of Illinois Outpatient Care Center to determine their perception and utilization of the MTM clinic. The survey consisted of 12 questions and was delivered through a secure online application. Results Sixty-two healthcare professionals (32%) completed the survey. 82% were familiar with the MTM clinic, and 63% had referred patients to the clinic. Medication adherence and disease state management was the most common reason for referral. Lack of knowledge on the appropriate referral procedure was the prominent reason for not referring patients to the MTM clinic. Of the providers that were aware of MTM services, 44% rated care as ‘excellent’, 44% as ‘good’, 5% as ‘fair’, and 0% stated ‘poor’. Strengths of MTM clinic identified by healthcare providers included in-depth education to patients, close follow-up, and detailed medication reconciliation provided by MTM clinic pharmacists. Of those familiar with MTM clinic, recommendations included; increase marketing efforts to raise awareness of the MTM clinic service, create collaborative practice agreements between MTM pharmacists and physicians, and ensure that progress notes are more concise. Conclusions In a large, urban, academic institution MTM clinic is perceived as a valuable resource to optimize patient care by providing patients with in-depth education as it relates to their prescribed medications and disease states. These identified benefits of MTM clinic lead to frequent patient referrals specifically for aid with medication adherence and disease state management. PMID:24223083
Shah, Mansi; Markel Vaysman, Anna; Wilken, Lori
OBJECTIVES This study was designed to identify the deficiencies of the history taken by final medical students at the University of Bahr Elghazal, Khartoum, Sudan, during the academic year 2000 through to 2001. METHODS Throughout the academic year the author observed the students while taking history. Each student was asked to give a fully written case history. I assessed the basic skills of history taking (questioning, facilitation, cl...
Ahmed, Awad M.
Since the completion of the Human Genome Project, technology has developed markedly in fields such as medical genetics and genetic counseling in the medical arena. In particular, this technology has advanced the discovery of and ways of understanding various genes responsible for genetic diseases, and genetic polymorphisms thought to be associated with disease. Some have been implicated as factors in common lifestyle diseases and have increased the significance of genetic testing. In Japan, doctors and other health professionals, such as nurse and medical technologists have been engaged in genetic testing and genetic disease treatment. Chromosomal and gene aberrations were detected mainly by medical technologists. However, due to the nature of medical technologists who have to provide various clinical tests, such as blood test, pre-medical technology students are required to cover tremendous knowledge of different academic fields to pass the national exam. Therefore, the time allowed for such students to study chromosomal and gene analysis is quite limited. Moreover, they are forced to enter the medical setting without receiving sufficient training. Among them, only few medical technologists specialize in chromosomal and gene analysis. However, with the advancement of clinical genetics and development of chromosomal and gene analysis, conducting clinical practice is becoming more and more difficult for medical technologists who just passed the national exam. Also, doctors and other health professionals have not been able to keep up with service demands either. This paper attempts to address knowledge and skills gaps (especially clinical genetics, English, and ICT literacy) of medical technologists and we propose educational methods to prepare medical genetics professionals in Japan to meet these gaps. PMID:25202688
Creative arts have been increasingly implemented in medical education. This study investigated the use of interactive theater and role play with professional actors in teaching breaking bad news to medical students. The objectives were to explore the contexts, approaches, experiences, and reactions in giving and receiving bad news. Second-year medical students participated in a required educational session that utilized interactive theater which helps students learn about the issues of breaking bad news to a patient with cancer. Following the interactive theater piece, professional actors provided students role play experiences in small groups with breaking bad news. Anonymous evaluation surveys were given out to all second-year medical students at the conclusion of the breaking bad news session. Surveys contained quantitative and qualitative responses. Three years of evaluations were analyzed. A total of 451 (88 %) students completed the evaluations. Comments were thematically analyzed. Ninety-four percent agreed that the theater piece prompted reflection on patient-provider communications, and 89 % agreed that it stimulated discussion on complex issues with breaking bad news. The two most common themes in student comments concerned the importance of realism in the theater piece, and the value of experiencing multiple perspectives. Use of professional actors during the role play exercises enhances the realism and pushed the students out of their own "comfort zones" in ways that may more closely approximate real life clinical situations. Interactive theater can be a potentially powerful tool to teach breaking bad news during medical school. PMID:24683056
Skye, Eric P; Wagenschutz, Heather; Steiger, Jeffrey A; Kumagai, Arno K
Objectives: The demanding and intense environment of medical training can create excessive pressures on medical students that eventually lead to unfavorable consequences, either at a personal or professional level. These consequences can include poor academic performance and impaired cognitive ability. This study was designed to explore associations between pass-fail outcome and psychological health parameters (i.e. stress, anxiety, and depression symptoms). Methods: A cross-sectional study w...
Yusoff, Muhamad S. B.
Full Text Available Objective: To use 360-degree evaluations within an Observed Structured Clinical Examination (OSCE to assess medical student comfort level and communication skills with intimate partner violence (IPV patients.Methods: We assessed a cohort of fourth year medical students’ performance using an IPV standardized patient (SP encounter in an OSCE. Blinded pre- and post-tests determined the students’ knowledge and comfort level with core IPV assessment. Students, SPs and investigators completed a 360-degree evaluation that focused on each student’s communication and competency skills. We computed frequencies, means and correlations.Results: Forty-one students participated in the SP exercise during three separate evaluation periods. Results noted insignificant increase in students’ comfort level pre-test (2.7 and post-test (2.9. Although 88% of students screened for IPV and 98% asked about the injury, only 39% asked about verbal abuse, 17% asked if the patient had a safety plan, and 13% communicated to the patient that IPV is illegal. Using Likert scoring on the competency and overall evaluation (1, very poor and 5, very good, the mean score for each evaluator was 4.1 (competency and 3.7 (overall. The correlations between trainee comfort level and the specific competencies of patient care, communication skill and professionalism were positive and significant (p<0.05.Conclusion: Students felt somewhat comfortable caring for patients with IPV. OSCEs with SPs can be used to assess student competencies in caring for patients with IPV. [West J Emerg Med. 2010; 11(5:500-505.
Heron, Sheryl L
Full Text Available The results of the study of organism functional status of resident students of military medical higher schools in different situations and modes of professional education (during their study day, round-the clock shifts in a clinic, duties, and an examination period in the process of military professional adaptation have been analyzed. The technique of functional body status optimization which takes into account both psycho-physiological specificity of military professional training as well as the regularities of psycho-physiologic reserve-capacity changes and military professional adaptation has been worked out. It constitutes the sum total of physiologically proved structural and functional components such as adaptation improvements, correction and recreation of functional body status
Objectives: Virtual patient simulation (VPS) is used in the education of health care professionals. This method brings an opportunity for the learner to examine necessary diagnostic and therapeutic skills. The aim of this study was to assess the efficacy of VPS on clinical reasoning abilities of medical students and to evaluate their attitude towards VPS in clinical endocrinology course in a teacher centered educational environment.Methods: Fifty-one medical students in their 6th academic yea...
Rokhsareh Aghili; Khamseh, Mohammad E.; Mansoureh Taghavinia; Mojtaba Malek; Zahra Emami; Baradaran, Hamid R.; Mahboobeh Khabaz Mafinejad
During last few years, the competential paradigm has become a standard for modern Human Resources Management. The importance and the impact of this concept have led higher education institutions to adopt this concept in the definition of educational resources. In this scenario, knowing which competencies and characteristics define professionals in…
Garcia-Crespo, Angel; Colomo-Palacios, Ricardo; Gomez-Berbis, Juan Miguel; Tovar-Caro, Edmundo
Full Text Available Objectives: Medical school faculty and students actively engaged in curriculum reform often experience angst. Change management literature emphasizes that grounding change in common values is critical to managing stakeholder angst and ultimately successful change. However the literature provides only limited descriptions of the shared underlying features as perceived by faculty and students associated with curriculum reform. This study sought to bridge this gap by identifying the underlying student and faculty beliefs associated with success in medical student education programs and reform. Methods: A qualitative study approach using an appreciative inquiry interview methodology was selected given its proven success as an inquiry technique for change management. To identify cross-cutting curriculum success tenets, a purposeful sample of 24 stakeholders participating in an established curriculum and/or new integrated curriculum were selected: 12 students and 12 faculty seven of whom were curriculum/college leaders. Two rounds of appreciative inquiry interviews focusing on successes associated with medical student education were conducted. Interviews were digitally recorded, transcribed, coded, and then analyzed to delineate common themes and cross-cutting tenets using constant comparative methodology. Results: Analysis revealed six underlying themes associated with success for students and faculty: engagement of students and faculty in education, sense of community and collaboration, faculty/student relationships, active learning, faculty excitement/willingness to teach leads to impactful student learning, and identity/professional formation. Conclusions: The identified tenets associated with successful medical student education programs can be used to manage a critical element of curriculum form: stakeholder change angst.
Alexandria J. Bear
OBJECTIVE: The Soft Skills Project examined the professional development of medical students at the University of Pretoria, especially their doctor-patient interaction skills and professional socialisation. This paper reports on one of the findings of the project, namely the importance that medical students attach to role models in the development of soft skills. METHODS: We used a qualitative method with symbolic interactionism and grounded theory as framework. Fourty two final-year...
Joubert, Pierre M.; Kruger, Christa; Bergh, Anne-marie; Pickworth, G. E.; Staden, C. W.; Roos, J. L.; Schurink, W. J.; Du Preez, R. R.; Grey, Somarie V.; Lindeque, B. G.
Self-medication, usually with over-the-counter (OTC) medication, is reported as a community health problem that affects many people worldwide. Most self-medication practice usually begins with the onset of adolescence. A school-based cross-sectional study was conducted in Mafraq Governorate, Jordan, using a simple random sampling method to select 6 public schools from a total of 34 schools. The total sample consisted of 422 school students from Grades 7 through 12. Measures of central tendency and ?(2) were used to compare the difference between the categorical variables. The prevalence of self-medication among the participants was 87.0%. Nearly 75% of self-medication was used for pain relief. The prevalence of self-medication among school students is very high and increases with age. School nurses and other local health-care workers must coordinate with school principals to disseminate health education campaigns about safe use of medication to provide awareness and education to school students, parents, and families. PMID:25318643
ALBashtawy, Mohammed; Batiha, Abdul-Monim; Tawalbeh, Loai; Tubaishat, Ahmad; AlAzzam, Manar
Full Text Available SciELO South Africa | Language: English Abstract in english INTRODUCTION: While undergraduate training in South Africa places an emphasis on ensuring the competence of occupational therapy graduates, very little attention has been paid to exploring their professional confidence, despite the fact that this has been highlighted as an issue for students. The fo [...] undation for professional confidence is laid during student years, and is influenced by a number of determinants, which this study aimed to identify. METHODS AND MATERIAL: Qualitative methodology was used with a purposive sample of nineteen final year occupational therapy students. Students were invited to participate voluntarily in focus group interviews and/or submit their reflective journal. Five lecturers and six clinical supervisors at the University concerned also participated in focus group interviews. Deductive thematic analysis of the data was undertaken. RESULTS: Two broad themes emerged. The first theme, external determinants, included clinical experience, relationships with peers, staff and patients, and the changing environment in which they worked. The second theme, internal determinants, included certain identified personal characteristics and influencers. The external and internal sources of professional confidence beliefs were either within the control of the student, or the lecturer/clinical supervisor or the profession. DISCUSSION: A number of recommendations ranging from re-thinking clinical practicals and supervision are made. These findings have implications for student selection, teaching methodology and experiences, and the professional identity of the profession. Greater formal emphasis needs to be placed on confidence building during the undergraduate experience.
Kathy, Holland; Lyn, Middleton; Leana, Uys.
A checklist of communication skills and techniques for student teachers includes items in the following categories: knowledge of content; knows students' names; blackboard use; use of notes; distracting mannerisms; eye contact; use of voice; facial expressions; use of humor; seating arrangement; classroom control. (JMF)
Grosshans, Onie R.
Full Text Available In this article the authors demonstrate the results of using mark-rating system in estimation of professional competence of the fifth-year students of pediatric department during summer professional practice.
In this article the authors demonstrate the results of using mark-rating system in estimation of professional competence of the fifth-year students of pediatric department during summer professional practice.
Gumenyuk O.I.; Chernenkov Yu.V.; Svistunov A.A.; Raskina E.E.
Full Text Available In almost every country, the organ supply for transplantation does not match the increasing demand; health professionals may play an important role in eliminating barriers and increasing organ donation. Therefore, assessing medical students’ knowledge and attitudes regarding organ donation is important for the future organ supply. Some 409 of 508 first- and second-year medical students answered an anonymous, multiple-choice questionnaire about demographic variables, knowledge about transplant issues, and willingness to donate organs. The mean age was 20.3±1.8 years (range: 17 to 29 years; 50.1% were male, 49.9% were female. Some 44.8% of the total respondents reported that they had sufficient knowledge about organ donation, and 40.1% reported knowledge about organ transplantation. The primary source of their knowledge was reported as the media (72.1%. Willingness to donate their own organs was 58.4% and willingness as to their relatives’ organs was 39.9%. The acceptance of live organ donation was higher (74.6% than cadaver donation. Only 1.2% had a organ donation card. Female students were more willing to donate their own and their relatives’ organs. Since medical students are prospective leaders of promoting organ donation action, these issues should be taught within the context of social medicine lessons, and desirable behavioral changes should be implemented.
In my recent roles as Education Officer for SPUMS and also SPUMS representative on Standards Australia, there were frequent queries regarding the requirements for professional diving medicals in Australia. The requirements for Australia have been set by Australian Federal Government Legislation: Australian model work health and safety regulations (4 November 2011). The legislation requires the medical practitioner providing certification of divers to be registered in Australia. In keeping with this legislation, the 2014 version of Australian/New Zealand Standard 2299.1 will separate the medical requirements for divers depending in which country they are working. New Zealand has a centralised registry and health review system for its professional diver medicals, whereas this is not the case in Australia. In the new Australian model work, health and safety regulations, the section on Diving work commences on page 177, section 4.8. The legislation requires that all occupational divers receive a "current certificate of medical fitness to dive by a doctor with appropriate training in underwater medicine". By the legislated reference to AS2299.1:2007,2 the South Pacific Underwater Medicine Society is referred to as the appropriate body to provide information on training courses in diving medicine for medical practitioners. The following is offered for guidance, and the linkages for this mandate are as follows: (The page numbers referred to are in the model work, health and safety regulations) Definition of "appropriate training in underwater medicine" (Page 4): Appropriate training in underwater medicine means training that results in knowledge of the matters specified in clause M3 of Appendix M to AS/NZS 2299.1:2007 (Occupational diving operations-Standard operational practice). The requirement for workers to hold a "current certificate of medical fitness" (Page 177, clause 168) Division 2 General diving work - Fitness and competence of worker 168 Person conducting business or undertaking must ensure fitness of workers. A person conducting a business or undertaking at a workplace must not direct or allow a worker to carry out general diving work or undergo training for general diving work unless the worker holds a current certificate of medical fitness. Definition of "fitness criteria" (Page 19): Fitness criteria, in relation to diving work, means the fitness criteria specified in clause M4 of Appendix M to AS/NZS 2299.1:2007 (Occupational diving operations- standard operational practice) M 4.1 General: The following bodily systems Paragraphs M 4.2 to M 4.14) should be evaluated from the diver's history and the medical examination. Where relevant, numerical values are given for certain medical fitness requirements. The paragraphs M 4.2 to M 4.14 then cover a comprehensive assessment of body systems that can only be carried out with a medical assessment which includes a physical examination. Definition of "current" (Page 15): Current certificate of medical fitness means a certificate of medical fitness that: (a) was issued within the past 12 months; and (b) has not expired or been revoked. Requirement that the certificate is issued by a registered medical practitioner with "appropriate training in underwater medicine" (Page 178, clause 169); 169 Certificate of medical fitness. A certificate of medical fitness must: be issued by a registered medical practitioner with appropriate training in underwater medicine. and (E) Definition of "registered medical practitioner" (Page 39): Registered medical practitioner means a person registered under the Health Practitioner Regulation National Law to practise in the medical profession (other than as a student). PMID:25596840
Abstract Background An integrated sense of professionalism enables health professionals to draw on relevant knowledge in context and to apply a set of professional responsibilities and ethical principles in the midst of changing work environments 12. Inculcating professionalism is therefore a critical goal of health professional education. Two multi-professional courses for first year Health Science students at th...
Duncan Madeleine; Gibbs Trevor J; Olckers Lorna
To alleviate the shortage of competent undergraduate-level medical professionals in the central and western rural regions of China, from 2010 to 2012, the Chinese government mandated 100 medical colleges to recruit 30,000 rural-oriented, tuition-waived medical students (RTMS) for the township and village hospitals. But no educational curriculum is…
Che, Xiang-Xin; Niu, Li; Xia, Xiu-Long; Wang, Xin
...designated as primary medical care, mental health...professional types (primary medical care, dental, psychiatric...podiatric, pharmacy, and veterinary care). The criteria...use only the primary medical care, mental health...state medical and dental societies and others, with...
...designated as primary medical care, mental health...professional types (primary medical care, dental, psychiatric...podiatric, pharmacy, and veterinary care). The criteria...use only the primary medical care, mental health...state medical and dental societies, and others with...
...designated as primary medical care, mental health...professional types (primary medical care, dental, psychiatric...podiatric, pharmacy, and veterinary care). The criteria...use only the primary medical care, mental health...state medical and dental societies and others, with...
Objective Studies from the USA have identified medical students as a major source of stigmatizing attitudes towards overweight and obese individuals. As data from Europe is scarce, medical students’ attitudes were investigated at the University of Leipzig in Leipzig, Germany. Design Cross-sectional survey containing an experimental manipulation consisting of a pair of vignettes depicting an obese and a normal weight 42-year-old woman, respectively. Vignettes were followed by the Fat Phobia Scale (FPS), a semantic differential assessing weight related attitudes. In case of the overweight vignette a panel of questions on causal attribution for the overweight preceded administration of the FPS. Subjects 671 medical students were enrolled at the University of Leipzig from May to June 2011. Results The overweight vignette was rated significantly more negative than the normal weight vignette (mean FPS score 3.65±0.45 versus 2.54±0.38, p<0.001). A higher proportion of students had negative attitudes towards the overweight as compared to the normal weight individual (98.9% versus 53.7%, p<0.001). A “positive energy balance” was perceived as the most relevant cause for the overweight, followed by “negligent personality trait”, “societal and social environment” and “biomedical causes”. Attributing a “positive energy balance” or “negligent personality trait” as relevant cause for the overweight was positively associated with negative attitudes. Conclusion The results of this study confirm and complement findings from other countries, mainly the USA, and indicate that weight bias in the health care setting may be a global issue. Stigmatizing attitudes towards overweight and obesity are prevalent among a sample of medical students at the University of Leipzig. Negative attitudes arise on the basis of holding the individual accountable for the excess weight. They call for bringing the topic of overweight and obesity more into the focus of the medical curriculum and for enhancing medical students’ awareness of the complex aetiology of this health condition. PMID:23144850
Pantenburg, Birte; Sikorski, Claudia; Luppa, Melanie; Schomerus, Georg; König, Hans-Helmut; Werner, Perla; Riedel-Heller, Steffi G.
Full Text Available OBJECTIVE: To explore factors that influence senior medical students to pursue careers in family medicine. DESIGN: Qualitative study using semistructured interviews. SETTING: University of Western Ontario (UWO in London. PARTICIPANTS: Eleven of 29 graduating UWO medical students matched to Canadian family medicine residency programs beginning in July 2001. METHOD: Eleven semistructured interviews were conducted with a maximum variation sample of medical students. Interviews were transcribed and reviewed independently, and a constant comparative approach was used by the team to analyze the data. MAIN FINDINGS: Family physician mentors were an important influence on participants' decisions to pursue careers in family medicine. Participants followed one of three pathways to selecting family medicine: from an early decision to pursue family medicine, from initial uncertainty about career choice, or from an early decision to specialize and a change of mind. CONCLUSION: The perception of a wide scope of practice attracts candidates to family medicine. Having more family medicine role models early in medical school might encourage more medical students to select careers in family medicine.
Full Text Available Abstract Background Instruments to detect changes in attitudes towards people with disabilities are important for evaluation of training programs and for research. While we were interested in instruments specific for medical students, we aimed to systematically review the medical literature for validated survey instruments used to measure attitudes of healthcare students and professionals towards patients with physical disability. Methods We electronically searched Medline, EMBASE, PsycINFO, Health and Psychosocial Instruments. We included papers reporting on the development and/or validation of survey instruments to measure attitudes of healthcare students and professionals towards patients with physical disability. We excluded papers in which the attitudes were not measured in a provider-patient context. Two reviewers carried out titles and abstracts screening, full texts screening, and data abstraction in a duplicate and independent manner using standardized and pilot tested forms. Results We identified seven validated survey instruments used for healthcare students and professionals. These instruments were originally developed for the following target populations: general population (n = 4; dental students (n = 1; nursing students (n = 1; and rehabilitation professionals (n = 1. The types of validity reported for these instruments were content validity (n = 3, criterion-related validity (n = 1, construct validity (n = 2, face validity (n = 1, discriminant validity (n = 1, and responsiveness (n = 1. The most widely validated and used tool (ATDP was developed in the late 1960s while the most recent instrument was developed in the early 1990s. Conclusion Of the seven identified validated instruments, less than half were specifically designed for healthcare students and professionals and none for medical students. There is a need to develop and validate a contemporary instrument specifically for medical students.
Symons Andrew B
Cancer education offers an ideal opportunity to inspire and initiate medical students in life-long, self-directed learning. Early and innovative out-of-the-box learning experiences, tailored to appeal to a multi-media savvy generation of medical students, form the theme of these reflections. Students never fail to surprise teachers when the seed of an idea appeals and motivates their minds. 'Walk with me…' is the story of a journey together of students, mentors, patients, and the manifold professionals who manage breast cancer. PMID:23884546
Lakhtakia, Ritu; Al Badi, Majid; Al Obaidani, Athari; Al Jarrah, Adil
Abstract Background Non-medical prescribing (NMP) is a six month course for nurses and certain allied health professionals. It is critical that these students develop a good understanding of pharmacology; however, many students are mature learners with little or no formal biological science knowledge and struggle with the pharmacology component. The implications for patient safety are profound, therefore we encourage students not just to memorise enough pharmacology to pass t...
Mostyn Alison; Lymn Joanne S
Background: Sleep has a major role in daily cycles and reconstruction of physical and mental abilities. Regarding the importance of this feature, we decided to determine sleep quality in medical students.Methods: A questionnaire containing demographic data, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index was prepared. We distributed the questionnaires using a census method to every student at the Zanjan Faculty of Medicine. The completed questionnaires were collected and the data ...
Ghoreishi A; Aghajani A H
The Pacific Southwest Regional Medical Library Service (PSRMLS) studied how health professionals use documents obtained through the regional medical library (RML) network and how various factors, such as delivery time, affected that use. A random sample of libraries in Region 7 of the RML network was selected to survey health professionals who had received documents through the interlibrary loan (ILL) network. The survey provided data about the purposes for which health professionals requeste...
Lovas, I.; Graham, E.; Flack, V.
The paper discusses students' process of acquiring a feeling of being professionals within a vocational education programme for elderly care in Denmark. The focus is on what seems to be a paradox within the programme: the future care helper being constructed within the overall term ‘the professional care helper’ in the school setting but the job being closely related to daily life's routine tasks; the paper points to difficulties for students in identifying the exact content of the term ‘professional’. Furthermore students seem to be uncertain about their ‘professionalism’ in relation to other health professionals, when they are in the work place setting. The analysis indicates that the care work programme still struggles to make a clear distinction between the former non-paid female domestic work and the current work carried out by the care workers. The analysis mobilises the concept ‘storyline’, c.f. Bronwyn Davies and the empirical material consists of observations and interviews in the theoretical periodsand in the traineeships.
Jensen, Anne Winther
The Medical Students, Cancer Control, and the Deaf Community Training program (DCT) intended to create physicians who were culturally competent to care for deaf patients were evaluated. DCT medical students (n?=?22), UCSD medical faculty (n?=?131), and non-DCT medical students (n?=?211) were anonymously surveyed about their perceptions related to deaf patients, deaf cultural competency, and interpreter use. The faculty and non-DCT medical students displayed less knowledge than the...
Hoang, Lisa; Lahousse, Sheila F.; Nakaji, Melanie C.; Sadler, Georgia Robins
There are multiple reasons that justify teaching computer game design. Its multi-aspectual nature creates opportunity to develop, at the same time, creativity, technical skills and ability to work in team. Thinking of game design classes, one needs direction on what to focus on so that the students could benefit the most. In this paper, we present results of a survey on both the students' and working professionals' expectations from game design course and opinions on game designer job. Althou...
Swacha, Jakub; Skrzyszewski, Adam; Syslo, Wojciech A.
Introduction: Global health education is becoming more important for developing well-rounded physicians and may encourage students toward a career in primary care. Many medical schools, however, lack adequate and structured opportunities for students beginning the curriculum. Methods: Second-year medical students initiated, designed, and facilitated a pass–fail international health elective, providing a curricular framework for preclinical medical students wishing to gain exposure to t...
Nirali Vora; Mina Chang; Hemang Pandya; Aliya Hasham; Cathy Lazarus
Full Text Available India today has one of the largest educational systems in theworld. The total enrolment exceeds 70 million, there are two millionstudents in higher education, and the number engaged in research is about 10,000. Teachers total over two million. There has been a great upsurge in Indian education since independence, but it is only the beginning of an educational revolution crucial to the economic and social development of the country. Professional education has occupied a dominant position in independent India since it was perceived as a promoter of economic growth, technological development and also as an instrument of equal opportunity and upward social mobility. The present paper will discussvarious commissions and committees deliberated on its criticality to the social and economic development of the country. Further, the paper will find out, the gender parity of professional education, at Under Graduate Level in Karnataka particularly and analyze the student’s enrolment in different professional courses.
The summer season at CERN is known for the traditional visit of Summer Students coming from Member and non-Member States. This time, a total of 176 future scientists are spending part of their summer with us, learning and working in the laboratory. Summer Students enjoying a lecture on particle physics by Ronald Kleiss. Now that summer has finally arrived, you'll have noticed some changes at CERN: longer queues at the bar, faces you don't recognise in the corridors, and a breath of fresh air, but where is it coming from? The answer is easy: the Summer Students are here! Aged between 20 and 27, this group of 176 future scientists has been selected from 600 candidates to spend their summer at the Laboratory. This year, there are 24 more 'Summies' than last following a recommendation in the 2000 5-yearly review to increase the number of students. The Summies mainly come from Member States, but this year there are also 11 Americans, two Mexicans, an Armenian, a Turk, a Pakistani and two South Africans. Judith N...
This study examined the impact of gender, race, intergroup contact, and diversity training on racial prejudice of student affairs professionals. Diversity training and race of participants were statistically significant contributors to change in racial prejudice. Findings suggest that racial prejudice decreases as diversity training increases.…
Choi-Pearson, Catherine; Castillo, Linda; Maples, Mary Finn
Describes one teacher-author's classroom use of interview samples, editors' comments, and other materials from his own article-then-in-progress for the "New York Times Magazine." Describes how students, who were creating their own in-depth magazine articles, could see principles and techniques discussed in class applied on a professional level.…
Self-perceptions of male and female medical students on various psychosocial characteristics were compared in 1980. The questionnaire consisted of: the Social Support Networks questions, the Social Readjustment Rating Scale (Holmes and Rahe, 1967), the General Well Being Scale (Gurin, Veroff, and Felds, 1960), the Zung Self-Rating Depression Scale…
Blumberg, Phyllis; And Others
Objective: The aim of the study was to evaluate the perspectives of the academic medical staff and residents concerning continuing professional development in a medical faculty.Method: This descriptive research was performed on 152 academic medical staff and residents who was accepted to participate in the study in a medical faculty in August 2007. Study data was collected through face to face interviews by a questionnaire made up of three parts and 40 questions.Results: Sixty-seven point eig...
Seyhan H?d?ro?lu; Muhammed Fatih Önsüz; Ahmet Topuzo?lu; Melda Karavu?
Full Text Available The purpose of this study was to measure selected anthropometrical characteris-tics, motor abilities and cardiorespiratory functions of medical students. Eighty-seven students were involved in this investigation. The students were categorized into five groups: (1 recreational, doing sport activities irregularly, (2 basketball and (3 handball players, having training at least two times per week, as well as men (4 and women (5 students entering medical school. In all groups the mean body mass index and waist-to-hip ratio were at the upper level of the normal range, while body fat percentage was similar to standards for sedentary subjects. Better motor per-formances were obtained from the basketball and handball players than from the other groups. Static strength for the sample was somewhat above the normal sedentary level. The resting blood pressure and heart rate for most subjects were in the normal. Cardiovascular risk factors were found in six students. Their systolic blood pressure was above 140 mm Hg. There were no sub-jects identified with low blood pressure. The heart rate was elevated for three students from the recreational group, and in the women. Bradycardia did not occur. The vital capacity and the ability to hold one?s breath was at the upper level of the normal range. The present results emphasis the need to improve the students` prevention oriented life style through participation in exercising.
Dr. Lajos Ángyán
Training in pairs (dyad practice) has been shown to improve efficiency of clinical skills training compared with single practice but little is known about students' perception of dyad practice. The aim of this study was to explore the reactions and attitudes of medical students who were instructed to work in pairs during clinical skills training. A follow-up pilot survey consisting of four open-ended questions was administered to 24 fourth-year medical students, who completed four hours of dyad practice in managing patient encounters. The responses were analyzed using thematic analysis. The students felt dyad practice improved their self-efficacy through social interaction with peers, provided useful insight through observation, and contributed with shared memory of what to do, when they forgot essential steps of the physical examination of the patient. However, some students were concerned about decreased hands-on practice and many students preferred to continue practising alone after completing the initial training. Dyad practice is well received by students during initial skills training and is associated with several benefits to learning through peer observation, feedback and cognitive support. Whether dyad training is suited for more advanced learners is a subject for future research. PMID:25073865
Tolsgaard, Martin G; Rasmussen, Maria B; Bjørck, Sebastian; Gustafsson, Amandus; Ringsted, Charlotte V
Since written reports are completed on most calls to which emergency medical technicians (EMTs) respond, report writing is an important part of their professional lives. Discourse analysis focused on how EMTs establish professional authority using specific rhetorical strategies when completing "run reports." One way of understanding the role of…
Munger, Roger H.
Full Text Available SciELO Chile | Language: Spanish Abstract in spanish [...] Abstract in english Background: The relationship between medical students and patients has special characteristics that require to be well understood to prepare both students and tutors. Aim: To learn about medical students' thoughts and experiences once they start working with patients, how do they solve difficulties [...] or problems and their perceptions about professional roles and patient rights. Material and methods: Qualitative study based on semi-structured interviews applied to 30 volunteer third year medical students who were beginning their clinical practice. The answers to open questions were transcribed and then analized and grouped by topics and categories. Results: Helping others was the main motivation to go to medical school. Other reasons were scientific interest and social status. Students felt prepared to communicate with patients. However they felt anxious, stressful and fearful of not being competent or not being able to answer patients' questions. There were some differences between male and female students' feelings. Nevertheless students declared that they had rewarding experiences with patients. They all recognized that patients have the right to reject being treated by students. The answers also showed that the first clinical experiences led to significant changes in their views of the medical profession. Conclusions: Students are aware of their trainee condition, the benefits that they obtain being in contact with patients and of their limitations. Patients must voluntarily accept to be subject of the students' training program and informed consent procedures need to be developed
Juan Pablo, Beca I; Francisca, Browne L; Paula, Repetto L; Armando, Ortiz P; Camila, Salas A.
Undergraduate (UG) medical students of II Semester of different institutions were surveyed to determine the prevalence of 13 different misconceptions (conceptual difficulties) about cardiovascular physiology. The prevalence of these misconceptions ranged from 75.60% to 25.30%. Methods: A list of questionnaire was selected that were diagnostic for difficulties that can seriously interfere with students mastery of the topic. Diagnostic questions were generally of the form: 'If x increases, then will y increases/decrease/show no change'. Results: The result suggests that students have a number of underlying conceptual difficulties about cardio-vascular phenomena. Our possible source of some misconceptions is the students inability to apply simple general models to specific cardiovascular phenomena. Conclusion: UG students may understand less than they appear to 'know'. Some implications of these results for teachers of physiology and medicine are explained. (author)
Philosophers who studied moral development have found that individuals normally progress rapidly in early adulthood from a conventional stage in which they base behavior on the norms and values of those around them to a more principled stage where they identify and attempt to live by personal moral values. Available data suggest that many medical students, who should be in this transition, show little change in their moral development. Possibly, this relates to perceived pressures to conform to the informal culture of the medical wards. Many students experience considerable internal dissidence as they struggle to accommodate personal values related to empathy, care, and compassion to their clinical training. Educational interventions that positively influence this process have established regular opportunities for critical reflection by the students in small groups. Other interventions include faculty development to enhance role modeling and feedback by clinical faculty. The author espouses more widespread adoption of these educational interventions. PMID:10940138
Branch, W T
Full Text Available The article presents the structure of personal features of students decided to devote their life to medical profession, their personal readiness for a profession of a doctor. 241 students going to enter the Saratov Medical University in 2013 serve as an object of research. Methods of research included psychology tests on a self-assessment of a mental state, ability to empathy, a motivation orientation. Result. It was revealed that the majority of respondents low level of uneasiness, low level of frustration, the average level of aggression, the average level of a rigidity, and also high rates on an empathy scale. The types of the personality in relation to work are emotive and intuitive. Prevalence of motive of achievement of success or motive of avoiding of failures directly depends on specifics of a situation. Conclusion. Students possess qualities which are necessary in professional activity for doctors, namely high resistance to stress, absence of fear before difficulties, low level of rigidity, high level of empathy, the average level of aggression. Students are motivated on success, in situations when they are fully confident.
Full Text Available Purpose: Promotion by pharmaceutical company often takes advantage of mental shortcuts. Significant deficiencies have been found in student’s knowledge about pharmaceutical marketing expenditures, professional ethics and accuracy of drug information. The purpose of study was to assess the attitudes of medical students towards relationship with pharmaceutical companies and drug promotion by them. Methods: To assess the attitudes, a prevalidated questionnaire consisting of 18 questions was designed. Questionnaire was istributed when a series of lectures were scheduled for the entire medical class (253 medical students. Completed questionnaires werecollected at the end of the session and analysis was done using statistical methods. Results: Overall 81% of the medical students were of the opinion that pharmaceutical companies should be allowed to interact with them at the college level. About 95% believe that the information given by MRs is reliable and confirmation of the claims is not required (75% students. Overall 68% students believe that drug promotional offers never compromise the decision making of the physicians. About 70% students think that physicians should be compensated with gifts by medical representatives whenever their drugs are prescribed. Conclusion: The medical students are generally not opposed to interact with MR at some point of time or receive gifts from them. Also many students may not be conscious potential subconscious expectations of give-and-take relationship. Perhaps, the insight gained from our study will be used to reinforce the existing teaching curriculum with added emphasis on this issue.
Dr. Shahu Ingole
Graduate nursing programs facilitate the transition of RNs to advanced roles through a complex process of professional socialization. The purpose of this study was to explore the professional socialization of clinical nurse specialist (CNS) students. Two hundred twenty-five students, representing 73 CNS programs, responded to an online survey. Both preprogram variables and educational experiences contributed to an adequate level of CNS socialization. Students' self-concept was strong, and they felt prepared to practice in the role, which was highly correlated with their perceptions of how well the program prepared them academically and experientially. Having a CNS mentor was positively associated with readiness to practice. Outcomes did not vary with cohort status, and online instruction did not impede socialization. These findings provide implications for CNS program advisement and design. PMID:25350045
Ares, Terri L
Full Text Available Tzu-Chieh Yu¹, Nichola C Wilson², Primal P Singh¹, Daniel P Lemanu¹, Susan J Hawken³, Andrew G Hill¹¹South Auckland Clinical School, University of Auckland, Auckland, New Zealand; ²Department of Surgery, University of Auckland, Auckland, New Zealand; ³Department of Psychological Medicine, University of Auckland, Auckland, New ZealandIntroduction: International interest in peer-teaching and peer-assisted learning (PAL during undergraduate medical programs has grown in recent years, reflected both in literature and in practice. There, remains however, a distinct lack of objective clarity and consensus on the true effectiveness of peer-teaching and its short- and long-term impacts on learning outcomes and clinical practice.Objective: To summarize and critically appraise evidence presented on peer-teaching effectiveness and its impact on objective learning outcomes of medical students.Method: A literature search was conducted in four electronic databases. Titles and abstracts were screened and selection was based on strict eligibility criteria after examining full-texts. Two reviewers used a standard review and analysis framework to independently extract data from each study. Discrepancies in opinions were resolved by discussion in consultation with other reviewers. Adapted models of “Kirkpatrick’s Levels of Learning” were used to grade the impact size of study outcomes.Results: From 127 potential titles, 41 were obtained as full-texts, and 19 selected after close examination and group deliberation. Fifteen studies focused on student-learner outcomes and four on student-teacher learning outcomes. Ten studies utilized randomized allocation and the majority of study participants were self-selected volunteers. Written examinations and observed clinical evaluations were common study outcome assessments. Eleven studies provided student-teachers with formal teacher training. Overall, results suggest that peer-teaching, in highly selective contexts, achieves short-term learner outcomes that are comparable with those produced by faculty-based teaching. Furthermore, peer-teaching has beneficial effects on student-teacher learning outcomes.Conclusions: Peer-teaching in undergraduate medical programs is comparable to conventional teaching when utilized in selected contexts. There is evidence to suggest that participating student-teachers benefit academically and professionally. Long-term effects of peer-teaching during medical school remain poorly understood and future research should aim to address this.Keywords: peer-teaching, peer-assisted learning, near-peer teaching, medical student, medical school
Full Text Available To compare the study motives and career choices of senior undergraduate medical and dental students in Iran. A cross-sectional questionnaire-based survey study involving final year medical and dental students from 4 dental and medical schools was conducted in 2010. The questionnaire was designed in three sections (Demographic details, motivational items and career choice items and after confirming the validity and reliability of the questions, it was distributed among the students. Data were entered into SPSS; statistical analysis included logistic regression and multiple linear regression. The response rate was 62% (n=219 for medical and 64% (n=300 for dental students. The factor analysis identified six motivational items: "Social and professional status", "Health care and people", "Others recommendation", "personal interest and nature of occupation", "Occupational experience" and "Personal life". Medical students were more influenced by "Playing a role in community health" and "Personal interest". "Work independence" and "Social factors" however were two major influential factors among dental students. There were significant differences in important influences by age (Social and professional status, Others' recommendation, Parents education (Social and professional status, Health care and people, Personal life and marital status (single >married: Occupational experience, married > single: Personal life. Engaging in postgraduate studies was the first career preference among 90.9% and 89.8% of dental and medical students respectively. Medical and dental students report a wide range of motivational factors in studying medicine/dentistry and future career plans which is affected by age, parents' education and marital status.
Elahe Vahid Dastjerdi
Full Text Available Abstract Background Medical education can affect medical students’ physical and mental health as well as their quality of life. The aim of this study was to assess medical students’ perceptions of their quality of life and its relationship with medical education. Methods First- to sixth-year students from six Brazilian medical schools were interviewed using focus groups to explore what medical student’s lives are like, factors related to increases and decreases of their quality of life during medical school, and how they deal with the difficulties in their training. Results Students reported a variety of difficulties and crises during medical school. Factors that were reported to decrease their quality of life included competition, unprepared teachers, excessive activities, and medical school schedules that demanded exclusive dedication. Contact with pain, death and suffering and harsh social realities influence their quality of life, as well as frustrations with the program and insecurity regarding their professional future. The scarcity of time for studying, leisure activities, relationships, and rest was considered the main factor of influence. Among factors that increase quality of life are good teachers, classes with good didactic approaches, active learning methodologies, contact with patients, and efficient time management. Students also reported that meaningful relationships with family members, friends, or teachers increase their quality of life. Conclusion Quality of teachers, curricula, healthy lifestyles related to eating habits, sleep, and physical activity modify medical students’ quality of life. Lack of time due to medical school obligations was a major impact factor. Students affirm their quality of life is influenced by their medical school experiences, but they also reframe their difficulties, herein represented by their poor quality of life, understood as necessary and inherent to the process of becoming doctors.
This longitudinal study aimed at investigating Polish medical students' career choice motivation, factors influencing specialty choices, professional plans and expectations. The same cohort of students responded to the same questionnaire, at the end of Year 1 and Year 6. The Chi-square, Mann-Whitney U tests and logistic regression were used in analyses. The results showed that altruistic and scientific reasons were the main motives for choosing a medical career. The motives remained stable over time. The effect of gender on altruistic motivation was stronger at the end of the study, with females' rating higher. The most favored career paths were associated with non-primary care specializations and work in a hospital. Results of the multivariate logistic regression showed that primary care specializations were more attractive to females, final year students, those from small agglomerations, and those less concerned about high earnings. Preferences regarding sector of work were formed at later stages of training. A preference shift was observed, between Year 1 and Year 6, towards favoring work in the public sector. Predictors of the desire to work in the public sector were: being a male and the final year student, paying less attention to high earnings, wanting certainty of finding work, having a stronger need for interesting and socially important work. A significant decline in the level of interest in seeking employment abroad was observed with the progress of studies. Our findings are likely to provide useful information for educators, policy planners and policy makers. PMID:25352498
G?siorowski, Jakub; Rudowicz, El?bieta; Safranow, Krzysztof
Objectives: The ability to develop quality medical student exposures in child and adolescent psychiatry is critical to the professional development of these future physicians and to the growth of recruitment efforts into the field. This study identifies teaching perspectives among child and adolescent psychiatry faculty to determine whether there…
Hunt, Jeffrey; Barrett, Rowland; Grapentine, W. Lex; Liguori, Gina; Trivedi, Harsh K.
Full Text Available Background: In recent years there has been a rising optimistic reception on the stresses involved in professional examination as this may affect student’s wellbeing, learning and academic performance.Competitiveness in today’s world has made stress inevitable in life. Medical students face stress in all stages of their academic career, including pre-clinical, paraclinical, and clinical years. The students of first M.B.B.S. probably face a major stress especially during the first credit examination.Materials and Methods: Study was carried out among first year MBBS students of Sri Muthukumaran Medical College during November 2012. 108 first year MBBS students were randomly selected and first part of study captured personal data. The rest comprised anthropometric measurements [ht(cms , wt(kgs] and pulse rate and blood pressure recordings ten days before, on the day(one hour before the examination and ten days after first credit examination. Statistical analysis was done using SPSS software version 2.0. Student’s t- test was used to compare the data and p value < 0.05 was considered significant.Result: The overall response rate was 72% (108 out of 150 students. It was observed that 29 males (60 % and 32 (53% females students were having increase in pulse rate and systolic blood pressure one hour before the examination compared to pulse rate(PR and systolic blood pressure(SBP ten days before and ten days after the examination. Diastolic blood pressure (DBP was also increased one hour before to examination compared to ten days before examination, though the difference was not statistically significant.Conclusion: It is evident that the first year MBBS students undergo stress during their academic examinations and need for the hour is to use interventions like social and psychological to improve the quality of life. Student advisors and counsellors can train students about stress management.
OBJECTIVE--To assess the knowledge and attitudes of medical students to HIV/AIDS and whether attitudes correlate with knowledge and clinical experience. To determine if students felt adequately prepared to deal with medical and psychological aspects of HIV/AIDS. SUBJECTS AND METHODS--The subjects consisted of 190 London and 99 Cambridge medical students at the end of their genitourinary medicine attachment, plus 230 Cambridge medical students at the end of their second pre-clinical year. Betw...
Evans, J. K.; Bingham, J. S.; Pratt, K.; Carne, C. A.
The study reports the professional commitment and academic engagement situation of business school students in order to find the causal relationship. With classroom observation, individual interviewing and questionnaires investigation, it shows the business school students in different majors have different levels in professional commitment but not in academic engagement. It studies the characteristics of professional commitment for business school students...
Chen Yewei; Li Jiming
Full Text Available Learning results in gain of knowledge, skills and attitudes. Some like to learn by seeing, some by hearing and some by demonstration. Learning style influences the retention of information and depth of comprehension. Understanding their preferred learning styles as visual, auditory, read-write or kinesthetic learners will help improve the teaching methods adopted. Role of the educator necessitates making the most of each teaching opportunity by understanding the characteristics of the learning audience and incorporating demonstrated principles of adult educational design, with a focus on collaborative learning and variety in presentation techniques. The goal is to provide student oriented education, producing efficient doctors. A cross-sectional study among 92 medical students of the Govt. Medical College, Bhavnagar, conducted in 2009. VARK questionnaire was used to access their learning preference. Preference for different learning styles were, visual (V 1.08%, auditory (A 20.65%, reading/writing (R 2.17% and kinesthetic (K 17.39%. 41.30% of the total 92 students preferred a single mode of information presentation. Of the 92 students who preferred multiple modes of information presentation, some preferred two modes (bimodal, 31.52%, some preferred three modes (tri-modal, 27.13%, and only one student preferred quadri-modal.
Patients' receptivity towards medical student participation has been examined predominantly from the patient and/or the medical student perspective. Few studies have investigated the preceptor's perspective. The study examined preceptors' experience with patients declining medical student participation in clinical care and identified…
Tang, Tricia S.; Skye, Eric P.
BACKGROUND: Although in the recent years gender distribution in medical schools has changed, with the proportion of female medical students drastically increasing, medical specialties continue to have gender disparities. This study aimed at determining gender differences in career choices among medical students in Kenya.
Philip Maseghe Mwachaka; Eric Thuo Mbugua
Vietnam has had a long history of international mission teams that volunteer needed surgical care to underserved populations for various medical problems. As senior medical students, we joined a non-profit organization’s surgical mission trip led by a community practice surgeon and staffed by 32 health care professionals to provide cleft lip and palate reconstructions for 75 patients at a local hospital in Nha Trang, Vietnam. As a surgical mission team in a resource-poor country, we intende...
Hoang, Don; Nguyen, Kim T.
Full Text Available Objectives: The study is aimed at exploring the association between beginning students' attitudes towards group learning and their awareness of learning strategies, to demographic variables and their exposure to problem-based or mixed curricula. Methods: The descriptive cross-sectional design included students (N = 351 from two medical schools with lecture-based and two with problem-based curricula from Germany and Sweden. Gender, age, personal and parents' practice experience within health care were assessed. A questionnaire was designed for measuring attitudes towards group and individual learning, awareness of learning strategies was assessed with the Metacognitive Awareness Inventory. The t-test for independent groups was applied to compare dependent variables between personal factors, and multivariate statistics to compare medical schools. Results: Students' personal work experience correlated with self-regulation (t[sub](333[/sub] = -3.307; p = 0.001 and group learning experience (t[sub](341[/sub] = -2.971; p = 0.003. Students from the German problem-based curriculum reported most experience with group learning (largest mean difference compared to the German lecture-based curriculum = 1.45 on a Likert scale from 1 to 7; SE = 0.181; p < 0.001, and were better at regulating their learning strategies than students from the Swedish lecture-based school (mean difference 0.18; SE = 0.181; p = 0.034. Conclusions: Students' clinical experience seemed to benefit self-regulation skills. Problem-based teaching methods and early interprofessional education appear to be favorable learning conditions for the development of professional skills.
Antje L umma-Sellenthin
Prelicensure nursing students often have difficulty performing medication calculations (MCs). Faculty at one baccalaureate nursing program wanted to use nursing theory to guide the development of a teaching-learning approach related to MC's. Finding little theory related to the topic of MCs, a constructivist-based teaching-learning approach was used instead. The purpose of the study was to assess whether nursing students who received an MC review class that used a teaching-learning approach based on constructivist philosophy had better results on an MC examination than students who received their review via traditional teaching-learning methods. The study participants consisted of two cohorts of first-semester junior-level nursing students from one university-based school of nursing in the Midwestern United States. The results indicated that students in the simulation review class had higher mean scores on an MC examination than students who received their review via more traditional means. Teaching-learning strategies related to MCs based on constructivist philosophy have the potential to improve student learning outcomes, but more research is needed before middle-range theory related to this critically important area of nursing education can be developed. PMID:24052999
Newton, Sarah E; Harris, Margaret; Pittiglio, Laura
Background. Hand hygiene is a cost-effective method in preventing infection transmission. Hand hygiene practices have been found to be faulty in most healthcare settings. We conducted a study to evaluate the awareness, and compliance of hand hygiene among undergraduate medical students during their clinical phase in Qassim College of Medicine, Saudi Arabia. Methods. A questionnaire based on World Health Organization's concept of “Five Moments for Hand Hygiene” was used to evaluate the awa...
Azzam al Kadi; Sajad Ahmad Salati
Philosophers who studied moral development have found that individuals normally progress rapidly in early adulthood from a conventional stage in which they base behavior on the norms and values of those around them to a more principled stage where they identify and attempt to live by personal moral values. Available data suggest that many medical students, who should be in this transition, show little change in their moral development. Possibly, this relates to perceived pressures to conform ...
Branch, William T.
The University of Arkansas for Medical Sciences (UAMS) is planning interprofessional training in electronic health records (EHRs) and medical informatics. Training will be integrated throughout the curricula and will include seminars on broad concepts supplemented with online modules, didactic lectures, and hands-on experiences. Training will prepare future health professionals to use EHRs, evidence-based medicine, medical decision support, and point-of-care tools to reduce errors, improve st...
Hart, Jan K.; Newton, Bruce W.; Boone, Steven E.
This study was the first to explore factors associated with emotional burnout (EB) among medical residents in Malaysia. A cross-sectional study was conducted in a universal sample of 205 medical residents in a Malaysian general hospital. The self-administered questionnaire used consisted of questions on sociodemographics and work characteristics, sources of job stress, professional fulfillment, engagement, and EB. EB was measured using the emotional exhaustion subscale, the Maslach Burnout Inventory (MBI). Mean (±SD) age of the respondents was 26.5 (±1.6). The most common source of job stress was "fear of making mistakes." Most of the participants were dissatisfied with the increase of residentship period from one year to two years. A high level of EB was reported by 36.6% of the respondents. In multivariate analysis, the most important correlates of EB were sources of job stress, professional fulfillment, and engagement. A high prevalence of EB was found among medical residents. Sociodemographic characteristics, performance pressure, and satisfaction with policies were significantly associated with EB. Although this study was limited by its cross-sectional design, its findings posit a sufficient foundation to relevant authorities to construct, amend, and amalgamate existing and future policies. Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life-the poetry of the common place, of the common man, of the plain, toil-worn woman, with their loves and their joys, their sorrows and their grief.SirWilliam Osler, Aphorisms from the Student Life (Aequanimitas, 1952). PMID:24367238
Al-Dubai, Sami Abdo Radman; Ganasegeran, Kurubaran; Perianayagam, Wilson; Rampal, Krishna Gopal
Full Text Available Introduction:Clinical teachers have an important role in creating an environment for effective clinical teaching to students. In addition, the faculty has a significant impact on the students' feeling of success or failure in professional competence. This study was performed to determine the characteristics of an influential instructor according to the nursing students' viewpoints in Jahrom University of Medical Sciences.Material and Methods:In this cross-sectional survey, 75 nursing students of Jahrom University of Medical Sciences were selected by census sampling method. The data collection tool was a valid and reliable questionnaire consisting of 4 domains including professional competence, interpersonal relationship, personality characteristics, and teaching ability. The data were analyzed by SPSS.Results:The results showed that influential clinical teacher must be professionally competent (mean=4.4 ± 0.80, have interpersonal relationships (mean=4.2 ± 0.96 have good personality characteristics (mean=4.1 ± 0.95, and have high eaching ability (mean=4 ± 0.89. According to the students, the most important characteristics of an influential clinical instructor are having interest in patient care (98.4%, having sufficient professional knowledge (80%, explaining and demonstrating new nursing techniques (80%, performing nursing skills procedures (86.3%, being honest with the students and creating motivation in students (83%.Conclusion:The nursing students' viewpoints indicated that influential clinical instructor has an important role in promoting quality nursing experience and in getting knowledge, professional skills and attitude. Nursing faculty should plan for promoting professional competency in clinical instructors.
Full Text Available Evidence suggests that healthcare professionals are not optimally able to calculate medicine doses and various strategies have been employed to improve these skills. In this study, the performance of third and fourth year medical students was assessed and the success of various educational interventions investigated. Students were given four types of dosing calculations typical of those required in an emergency setting. Full competence (at the 100% level was defined as correctly answering all four categories of calculation at any one time. Three categories correct meant competence at the 75% level. Interventions comprised an assignment with a model answer for self-assessment in the third year and a small group tutorial in the fourth year. The small groups provided opportunities for peer-assisted learning. A subgroup of 23 students received individual tuition from the lecturer prior to the start of the fourth year. Amongst the 364 eligible students, full competence rose from 23% at the beginning of the third year to 66% by the end of the fourth year. More students succeeded during the fourth than the third year of study. Success of small group tuition was assessed in a sample of 200 students who had formal assessments both before and after the fourth year tuition. Competence at the 75% level improved by 10% in attendees and decreased by 3% in non-attendees, providing evidence of the value of students receiving assistance from more able same-language peers. Good results were achieved with one-on-one tuition where individualised assistance allowed even struggling students to improve.
The article discusses the positive and negative impact of the new Federal state educational standards of higher professional education on the quality of studying the discipline «Law» in medical schools
Erugina ?.V.; Vlasova ?.V.; Sazanova G.U.; Dolgova ?.?.; Abyzova N.V.
The experience of many countries with a well-educated workforce highlights the important role of vocational counselling services for advantageous youth professional orientation. Researchers manifest in their turn, a growing interest to study the role of vocational counselling, from the perspective of increasing the efficiency of investment in education and strengthening the capacity of enterprises to meet the challenges of the knowledge economy. In Romania, high school students have access to...
Gabriel Br?tucu; Anca Madar; Nicoleta Andreea Neac?u; Dana Bo?cor; Codru?a Adina B?ltescu
Background: Distress and burnout among medical and psychology professionals are commonly reported and have implications for the quality of patient care delivered. Already in the course of university studies, medicine and psychology students report mental distress and low life satisfaction. There is a need for interventions that promote better coping skills in students in order to prevent distress and future burnout. This study examines the effect of a seven-week Mindfulness-Based Stress Reduc...
Vibe, Michael; Solhaug, Ida; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H.; Sørlie, Tore; Bjørndal, Arild
Background: Distress and burnout among medical and psychology professionals are commonly reported and have implications for the quality of patient care delivered. Already in the course of university studies, medicine and psychology students report mental distress and low life satisfaction. There is a need for interventions that promote better coping skills in students in order to prevent distress and future burnout. This study examines the effect of a seven-week Mindfulness-Based Stress Reduc...
Vibe, Michael; Solhaug, Ida; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H.; Sørlie, Tore; Bjørndal, Arild
Objectives - To categorise senior health professionals' experience with poor medical practice in hospitals and in general practice, to describe perceptions which senior NHS staff have of good medical practice, and to describe how problems of poor medical practice are currently managed. Design - A postal questionnaire survey. The questionnaire sought perceptions of good medical practice, asked participants to characterise deviations from good practice, and to describe e...
Hutchinson, A.; Williams, M.; Meadows, K.; Barbour, R. S.; Jones, R.
Full Text Available Purpose: First-year students negotiate new professional culture with a certain amount of excitement and anxiety. There are different approaches for offering guidance. In this study, the authors present Weill Cornell Medical College's experience with an advising program for first- and second-year students. Methods: Fifty faculty advisors were each assigned 1–3 first-year students who they would follow for 2 years. The responsibilities were outlined to both faculty and students. The program was evaluated using an anonymous questionnaire. Results: For the two classes surveyed (2011 and 2012, most students met their advisors once. For both classes, the most frequently discussed issues were general adjustment to medical school, academic life, and the professional life of the advisor. Summer research and career opportunities were also discussed. Most students were satisfied with the advising program. Satisfaction increased with an increase in visits. Most students who did not meet their advisors established an advisor relationship on their own. Conclusions: An advising program was established at Weill Cornell Medical College that satisfied most of the students. It is important to evaluate its format regularly, from both student and advisor perspectives, in order to ensure its continued success.
Lewis M. Drusin
The general aim of this thesis was to investigate perceptions of oral health among elderly persons and among medical professionals working at primary health care centres. The study samples consisted of elderly persons and medical professionals in the County of Stockholm. The thesis combines a quantitative and a qualitative perspective. The quantitative method was based on a questionnaire and clinical examination with defined variables carried out by a dental hygienist. Two ...
Background Delivering effective clinical pediatric communication skills training to undergraduate medical students is a distinct and important challenge. Pediatric-specific communication skills teaching is complex and under-researched. We report on the development of a scenario-based pediatric clinical communication skills program as well as students’ assessment of this module. Methods We designed a pediatric clinical communication skills program and delivered it five times during one academic year via small-group teaching. Students were asked to score the workshop in eight domains (learning objectives, complexity, interest, competencies, confidence, tutors, feedback, and discussion) using 5-point Likert scales, along with free text comments that were grouped and analyzed thematically, identifying both the strengths of the workshop and changes suggested to improve future delivery. Results Two hundred and twenty-one of 275 (80%) student feedback forms were returned. Ninety-six percent of students’ comments were positive or very positive, highlighting themes such as the timing of teaching, relevance, group sizes, and the use of actors, tutors, and clinical scenarios. Conclusion Scenario-based teaching of clinical communication skills is positively received by students. Studies need to demonstrate an impact on practice, performance, development, and sustainability of communications training.
Frost, Katherine A; Metcalf, Elizabeth P; Brooks, Rachel; Kinnersley, Paul; Greenwood, Stephen R; Powell, Colin VE
Full Text Available The aim of this study is to evaluate the knowledge and behavior toward antibiotic self-medication among medical and non-medical university students in Iran. A cross-sectional study was conducted on a sample of 200 students randomly chosen from a medical and a non-medical university in Ahwaz, South of Iran in 2008. Data was collected using self administered questionnaires with open-ended and close-ended items. Data were entered and analyzed using SPSS 14 and the results were presented as the percentage 97.5% of respondents filled and returned the questionnaire. Self-medication with antibiotics was reported by 42.2% of the medical and 48% of the non-medical students during the last 3 months. Respiratory problems such as sore throat and common cold was the main indication for self-medication with antibiotics (73.3% and amoxicillin was the most commonly used antibiotic in both groups. The choice of self-medication was based on medical knowledge among medical students (50% and on a previous suggestion by a physician (32.6% for the non-medical ones. The prevalence of self-medication with antibiotics among medical and non-medical students was high. Educational programs are needed to teach university students about the potential problems of self-medication with antibiotics.
This study reports on the career intentions of 179 final year medical students who completed an online survey that included measures of personality, values, professional and lifestyle expectations, and well-being. Logistic regression analyses identified the determinants of preferred medical specialty, practice location and hours of work.…
Rogers, Mary E.; Searle, Judy; Creed, Peter A.; Ng, Shu-Kay
Full Text Available Background: Sleep has a major role in daily cycles and reconstruction of physical and mental abilities. Regarding the importance of this feature, we decided to determine sleep quality in medical students.Methods: A questionnaire containing demographic data, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index was prepared. We distributed the questionnaires using a census method to every student at the Zanjan Faculty of Medicine. The completed questionnaires were collected and the data was analyzed using SPSS.Results: A total of 224 students answered the questionnaire, with 133 (59.4% students evaluated to have good sleep quality and 91 (40.6% poor sleep quality. Of these 91 students, 38% were female and 44.8% were male (p=0.307. The prevalence of poor sleep quality according to the four stages of medical training was 24.6% of those in basic sciences, 42.9% of those in physiopathology, 41.7% of externs, and 53.5% of interns (p=0.008. According to residential status, the prevalence of poor sleep quality was 61.5% among students living with their spouse, 44.6% for students living in their own private homes, 37.6% among students living in the dormitory, and 20.8% for those living with their parents (p=0.024. According to marital status, 35.8% of singles and 64.9% of married students had poor sleep quality (p=0.001. According to financial status, 57.9%, 46.9%, and 33.9% of those from low, moderate and high economic classes, respectively, were sleep deprived (p=0.049. Among those with average grades of under 16 and over 16 out of 20, 47.5% and 32%, respectively, were suffering from poor sleep quality (p=0.047. There was no obvious relationship between sleep quality and BMI, sex, or history of depression or anxiety.Conclusion: Poor sleep quality was significantly associated with lower grades, economic status, living arrangement and type of training. A large number of students quality of life and work may suffer because sleep deprivation.
The purpose of the article is to study motivation of students of medical schools in choice of profession of the doctor and dynamics of defining motives in educational space of university. Material and methods: 497 students of the 1 st course took part in comparative research (356 students of medical faculty and 141 students of pediatric faculty) and 382 students of the 6th course (270 students of medical faculty and 112 students of pediatric faculty) of Saratov state medical university n.a. V...
Full Text Available Katherine A Frost,1,2 Elizabeth P Metcalf,3 Rachel Brooks,2,3 Paul Kinnersley,3 Stephen R Greenwood,3 Colin VE Powell1,2,4 1Noah’s Ark Children’s Hospital for Wales, 2Department of Pediatrics, 3Institute of Medical Education, 4Molecular and Experimental Medicine, School of Medicine, Cardiff University, Cardiff, Wales Background: Delivering effective clinical pediatric communication skills training to undergraduate medical students is a distinct and important challenge. Pediatric-specific communication skills teaching is complex and under-researched. We report on the development of a scenario-based pediatric clinical communication skills program as well as students’ assessment of this module. Methods: We designed a pediatric clinical communication skills program and delivered it five times during one academic year via small-group teaching. Students were asked to score the workshop in eight domains (learning objectives, complexity, interest, competencies, confidence, tutors, feedback, and discussion using 5-point Likert scales, along with free text comments that were grouped and analyzed thematically, identifying both the strengths of the workshop and changes suggested to improve future delivery. Results: Two hundred and twenty-one of 275 (80% student feedback forms were returned. Ninety-six percent of students' comments were positive or very positive, highlighting themes such as the timing of teaching, relevance, group sizes, and the use of actors, tutors, and clinical scenarios. Conclusion: Scenario-based teaching of clinical communication skills is positively received by students. Studies need to demonstrate an impact on practice, performance, development, and sustainability of communications training. Keywords: communication training, undergraduates, pediatrics, actors
Students in competence-based vocational education are expected to actively construct a personal professional theory, in which they integrate different types of knowledge and beliefs. Students’ personal professional theories are seen as an important learning outcome of competence-based vocational education. However, it is unknown how personal professional theories can be measured. This study focused on measuring the content and nature of students’ personal professional theor...
Schaap, H.; Bruijn, E.; Schaaf, M. F.; Baartman, L. K. J.; Kirschner, P. A.
With the change of the concept of graduate enrollment, the recruiting proportion of clinical medicine professional degree graduate students is more and more, and the training of professional degree graduate students is increasingly focusing on practical. In our experience in clinical training for ophthalmology professional degree graduate students, increasing the ward clinical practice time is important. For particular emphasis on the guiding role of the typical cases, each professional group...
Zhe Wang; Tao Jiang; Jing Jiang; Ren-Ping Wang
Full Text Available Abstract Background A number of recent developments in medical and nursing education have highlighted the importance of communication and consultation skills (CCS. Although such skills are taught in all medical and nursing undergraduate curriculums, there is no comprehensive screening or assessment programme of CCS using professionally trained Standardized Patients Educators (SPE's in Ireland. This study was designed to test the content, process and acceptability of a screening programme in CCS with Irish medical and nursing students using trained SPE's and a previously validated global rating scale for CCS. Methods Eight tutors from the Schools of Nursing and Medicine at University College Cork were trained in the use of a validated communication skills and attitudes holistic assessment tool. A total of forty six medical students (Year 2 of 5 and sixty four nursing students (Year 2/3 of 4 were selected to under go individual CCS assessment by the tutors via an SPE led scenario. Immediate formative feedback was provided by the SPE's for the students. Students who did not pass the assessment were referred for remediation CCS learning. Results Almost three quarters of medical students (33/46; 72% and 81% of nursing students (56/64 passed the CCS assessment in both communication and attitudes categories. All nursing students had English as their first language. Nine of thirteen medical students referred for enhanced learning in CCS did not have English as their first language. Conclusions A significant proportion of both medical and nursing students required referral for enhanced training in CCS. Medical students requiring enhanced training were more likely not to have English as a first language.
Considering the explosive growth in internet use among medical students in India, this study aimed to determine the prevalence of internet addiction in undergraduate medical students.This cross-sectional study involved 90 subjects (18-20 years of age) selected by random sampling from the first year undergraduate medical student population at Kasturba Medical College Mangalore. Young’s Internet addiction test questionnaire was administered. Based on the scoring, subjects were classified into...
VIDYAMAVILA CHATHOTH; BHAGYALAKSHMI KODAVANJI; NAYANATARA ARUNKUMAR; SHEILA RAMESH PAI
Full Text Available Tobacco is a major preventable cause of premature morbidity and mortality. Health professionals are uniquely positioned to provide targeted interventions and should be empowered to provide cessation counselling that influence patient smoking. A cross-sectional national survey was administered to all third year students in four disciplines at the University of Malta. The Global Health Professional Student Survey (GHPSS questionnaire was distributed to collect standardised demographic, smoking prevalence, behavioural, and attitudinal data. 81.9% completed the questionnaire (n = 173/211. A positive significant association between tobacco smoke exposure at home and current smoking status was identified. Non-smokers regarded anti-tobacco policies more favourably than smokers, being more likely to agree with banning of tobacco sales to adolescents (OR 3.6; 95% CI: 2.5–5.3; p ? 0.001; and with a smoking ban in all public places (OR 8.9; 95% CI: 6.1–13.1; p ? 0.001. Non-smokers favoured a role for health professionals in promoting smoking cessation (OR 5.1; 95% CI: 3.1–8.5; p ? 0.001. Knowledge of antidepressants as tools for smoking cessation was also associated with a perceived role for skilled health professionals in cessation counselling (OR 4.9; 95% CI: 1.8–13.3; p = 0.002. Smoking negatively influences beliefs and attitudes of students toward tobacco control. There is a need to adopt a standard undergraduate curriculum containing comprehensive tobacco prevention and cessation training to improve their effectiveness as role models.
Abstract Despite the abundant supply of academically outstanding applicants to medical schools in most countries the regularly recurring debate in the academic literature, and indeed sometimes in the popular media, implies that admissions committees are still getting it wrong in a significant number of instances. How can this be so when our procedures are directed unashamedly at selecting the most highly academically and intellectually qualified students in the expectation that they will make the best doctors? Perhaps it is time for a radical change in emphasis. Instead of endeavouring to differentiate among the top ranks of a pool of outstandingly qualified applicants, the selection effort might be better focused on identifying those potentially unsuitable in terms of their non-academic personal qualities to ensure they do not gain entry. The account that follows is an analysis of the problems of medical student selection and offers a potential solution - a solution that was first suggested in the medical literature 70 years ago, but not adopted. It is the present author's contention that the cycle of debate will continue to recur unless such an approach is pursued. PMID:25532428
Full Text Available Abstract Objective This study aims to examine knowledge and attitudes towards Complementary and Alternative Medicine among medical students in Turkey, and find out whether they want to be trained in Complementary and Alternative Medicine (CAM. Methods A cross-sectional study was carried out between October and December 2010 among medical students. Data were collected from a total of seven medical schools. Findings The study included 943 medical students. The most well known methods among the students were herbal treatment (81.2?%, acupuncture (80.8?%, hypnosis (78.8?%, body-based practices including massage (77?% and meditation (65.2?%, respectively. Acupuncture, aromatherapy, herbal treatment and meditation were better known among female participants compared to males (p? Conclusions Majority of the medical students were familiar with the CAM methods widely used in Turkey, while most of them had positive attitudes towards CAM as well as willingness to receive training on the subject, and they were likely to recommend CAM methods to their patients in their future professional lives. With its gradual scientific development and increasing popularity, there appears a need for a coordinated policy in integrating CAM into the medical curriculum, by taking expectations of and feedback from medical students into consideration in setting educational standards.
Full Text Available ????????????????????????????????????????????????????????(NEO-PI-R??????????????????????????????????????????????????????????????????????????????????1 ????????????????????????????????????????2 ?????????????????????????????????????3 ?????????????????????????????????????????????(p ?4 ????????????????????????????????????????????????(p ????????????????????????????????????????????????????????????????????????????????????????????????????Objective: To find out the medical ethics personality tendency among medical students, and provide reference for consummation medical ethics education. Methods: The study is based on a survey of 439 medical students in Gansu, who are assessed with the NEO-PI-R and the medical ethics personality questionnaire which is compiled, the significant difference and the related factors are analyzed. Results: It is agreeableness, conscientious, tender-mindedness, dutifulness, trust, warmth, and altruism that constitute the main factors of the personality traits. Ethic cognition, emotions, will, faith, and behaviour are the main factors of the medical ethics personality. In addition to medical ethics cognition and openness, medical ethics faith and neuroticism, the score of medical students in personality traits and medical ethics personality have significant difference (p . Conscientiousness, altruism, warmth, impulsiveness, depression, achievement striving, values and feelings, these factors can predict the medical ethics personality tendency of medical students (p . Conclusion: The major goal of ethics education is to cultivate the medical ethics personality in medical colleges and universities, we should guide the formation of medical students to dedicate to the cause of medical solid psychological traits and good behavior habits, by the cultivation of medical students’ kindheartedness, rigorous, modest, honest, honest good personality quality, and the increase of the teaching research and reform.
Objective. To determine the use patterns of social media among graduating pharmacy students, characterize students’ views and opinions of professionalism on popular social media sites, and compare responses about social media behavior among students seeking different types of employment.
Ness, Genevieve Lynn; Sheehan, Amy Heck; Snyder, Margie E.; Jordan, Joseph; Cunningham, Jean E.; Gettig, Jacob P.
Full Text Available Abstract Background The internet is increasingly being used worldwide in imparting medical education and improving its delivery. It has become an important tool for healthcare professionals training but the data on its use by medical students in developing countries is lacking with no study on the subject from Pakistan. This study was, therefore, carried out with an aim to evaluate the pattern of internet access and utilization by medical students in Pakistan. Methods A structured pre-tested questionnaire was administered to a group of 750 medical students in clinical years studying at various public and private medical colleges in Lahore. The questions were related to patterns of internet access, purpose of use and self reported confidence in performing various internet related tasks, use of health related websites to supplement learning and the problems faced by students in using internet at the institution. Results A total of 532 medical students (70.9% returned the questionnaire. The mean age of study participants was 21.04 years (SD 1.96 years. Majority of the respondents (84.0% reported experience with internet use. About half of the students (42.1% were using internet occasionally with 23.1%, 20.9% and 13.9% doing so frequently, regularly and rarely respectively. About two third of the students (61.0% stated that they use internet for both academic and professional activities. Most of the participants preferred to use internet at home (70.5%. Self reported ability to search for required article from PubMed and PakMedinet was reported by only 34.0% of the entire sample. Students were moderately confident in performing various internet related tasks including downloading medical books from internet, searching internet for classification of diseases and downloading full text article. Health related websites were being accessed by 55.1% students to supplement their learning process. Lack of time, inadequate number of available computers and lack of support from staff were cited as the most common problems faced by students while accessing internet in the institution premises. There were significant differences among male and female students with respect to the place of internet use (p = 0.001 and the ability to search online databases for required articles (p = 0.014. Conclusions Majority of the medical students in this study had access to internet and were using it for both academic and personal reasons. Nevertheless, it was seen that there is under utilization of the potential of internet resources to augment learning. Increase in awareness, availability of requisite facilities and training in computing skills are required to enable better utilization of digital resources of digital resources by medical students.
OBJECTIVES: To explore the way ethical principles develop during a medical education course for three groups of medical students--in their first year, at the beginning of their penultimate (fifth) year and towards the end of their final (sixth) year. DESIGN: Survey questionnaire administered to medical students in their first, fifth and final (sixth) year. SETTING: A large medical school in Queensland, Australia. SURVEY SAMPLE: Approximately half the students in each of three years (first, fi...
Price, J.; Price, D.; Williams, G.; Hoffenberg, R.
BACKGROUND: Studies of career and parenting satisfaction have focused separately on medical students, residents and practising physicians. The objective of this study was to compare satisfaction across a spectrum of stages of medical career. METHODS: A survey of incoming medical students, current medical students, residents and physician teachers at the University of Saskatchewan was conducted in the spring of 1997. Response rates were 77% (43/56), 81% (177/218), 65% (134/206) and 39% (215/55...
Cujec, B.; Oancia, T.; Bohm, C.; Johnson, D.
Full Text Available Romanian specialist`s studies show a harsh reality: Romanian universities programs have only theoretical value, creating specialists but not for real life, but for a more abstract environment. Our university graduates are doing very well in a stable economic and institutional environment that offers relatively easy material and financial resources, with a set of skills and professional skills which fail to meet harsh reality of the labor market. An effective solution for professional skills development is the accumulation of work experience during college in the environment and on the job we have in view by following an internship program. As a form of practical education through work, internship meets young people, particularly students keen to gain experience through practical work in a job within a company or institution chosen, giving them the opportunity to translate theoretical knowledge into practice and to develop skills and experience of labor market activities that waits for them. This paper is an original applied research conducted in the West University of Timisoara, Faculty of Economics and Business Administration. It aims to identify whether there is a need for specialization Management students to acquire work experience before graduating, to what extent they are able to assess their skills and work in a company and especially the role of internship programs in professional and personal development of students. The results show that participation in an internship program is beneficial not only for students but also for employers. Leading to increased competences and to training and professional skills and personal development, internship becomes a more attractive alternative for young people because it gives them the opportunity to be â€œa ringer" of an employee on the position you have in view. Without being employed, students can gain practical experience in a certain position they sought in a company or institution on the labor market, practical experience they need so much and they can also learn what responsibilities and tasks the job entails and whether or not they are suitable for that position.
Many graduate medical education (GME) programs have started to consider and adopt entrustable professional activities (EPAs) in their competency frameworks. Do EPAs also have a place in undergraduate medical education (UME)? In this Perspective article, the authors discuss arguments in favor of the use of EPAs in UME. A competency framework that aligns UME and GME outcome expectations would allow for better integration across the educational continuum. The EPA approach would be consistent with what is known about progressive skill development. The key principles underlying EPAs, workplace learning and trust, are generalizable and would also be applicable to UME learners. Lastly, EPAs could increase transparency in the workplace regarding student abilities and help ensure safe and quality patient care. The authors also outline what UME EPAs might look like, suggesting core, specialty-specific, and elective EPAs related to core clinical residency entry expectations and learner interest. UME EPAs would be defined as essential health care activities with which one would expect to entrust a resident at the beginning of residency to perform without direct supervision. Finally, the authors recommend a refinement and expansion of the entrustment and supervision scale previously developed for GME to better incorporate the supervision expectations for UME learners. They suggest that EPAs could be operationalized for UME if UME-specific EPAs were developed and the entrustment scale were expanded. PMID:25470310
Chen, H Carrie; van den Broek, W E Sjoukje; Cate, Olle Ten
An anonymous self-report survey of the medical students at the University of Colorado Health Sciences Center assessed how many of the students' parents were alcohol abusers. The results indicated that 27% of the student body were children of alcohol abusers, a rate twice that of the general population. This finding has implications for teaching strategies, student substance abuse, prevention efforts during the medical-school years, and provision of appropriate programs through student health services. PMID:8245323
Dilts, S L; House, R M; Arthur, W R; Hurley, M E
The object here was to elaborate on the development, implementation, and evaluation of a sexuality course entitled "Principles of Healthy Sexuality." The goal of the educational process was for future medical professionals to be sensitized to sexuality issues and become comfortable with them both in their professional and personal lives. This…
Objective: To explore the effects of brief training in Motivational interviewing (MI) for medical students. Design: Video recordings of consultations between 113 final-year medical students and simulated patients were scored blind by two independent raters with the Motivational Interviewing Skill Code (MISC). Half of the students participated in a…
Opheim, Arild; Andreasson, Sven; Eklund, Astri Brandell; Prescott, Peter
Annette Burgess,1 Debra Nestel2 1Sydney Medical School – Central, The University of Sydney, Sydney, NSW, Australia; 2School of Rural Health/HealthPEER, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Melbourne, VIC, Australia Abstract: Peer assisted learning (PAL) is well documented in the medical education literature. In this paper, the authors explored the role of PAL in a graduate entry medical program with respect to the development of professional identity. T...
Burgess A; Nestel D
Full Text Available Research Question: What is the level of knowledge, sexual practices and attitude of medical students towards AIDS/ HIV. Objective: To assess the knowledge, sexual practices and attitudes of medical students in relation to HIV/AIDS. Study Design: Cross- sectional. Participants: 409 first year medical students. Study variables: Sex knowledge, sexual practices, Attitudes, Risk perception. Results: 92% of the students had heard about AIDS predominantly through mass media. Many students had misconception about transmission of HIV infection should not be allowed to work in the clinic or hospital. 36% of male and 9% of female students admitted indulging in safe sexual practices mostly with their friends.
Amalraj Edwin R
While the medical ethics literature has well explored the harm to patients, families, and the integrity of the profession in failing to disclose medical errors once they occur, less often addressed are the moral and professional obligations to take all available steps to prevent errors and harm in the first instance. As an expanding body of scholarship further elucidates the causes of medical error, including the considerable extent to which medical errors, particularly in diagnostics, may be attributable to cognitive sources, insufficient progress in systematically evaluating and implementing suggested strategies for improving critical thinking skills and medical judgment is of mounting concern. Continued failure to address pervasive thinking errors in medical decisionmaking imperils patient safety and professionalism, as well as beneficence and nonmaleficence, fairness and justice. We maintain that self-reflective and metacognitive refinement of critical thinking should not be construed as optional but rather should be considered an integral part of medical education, a codified tenet of professionalism, and by extension, a moral and professional duty. PMID:25033249
Stark, Meredith; Fins, Joseph J
Background Interprofessional collaboration between pharmacists and physicians to conduct joint home medication reviews (HMR) is important for optimizing the medical treatment of patients suffering from chronic illnesses. However, collaboration has proved difficult to achieve. The HMR programme "Medisam" was launched in 2009 at the University of Copenhagen with the aim of "developing, implementing and evaluating a collaboration model for HMRs and medicine reconciliations in Denmark". The Medisam programme involves patients, pharmacy internship students, the (pharmacist) supervisor of the pharmacy students and physicians. Objective To explore if it was possible through the Medisam programme to obtain a fruitful HMR collaboration between pharmacy internship students and physicians as a means to develop HMR collaboration between trained pharmacists and physicians further. Setting Ten matching pairs of student-physician collaboration were studied across Denmark. Method Semi-structured interviews about existing collaboration were conducted with pharmacy internship students in the HMR programme, their supervisors and physicians partners. The theoretical framework forming the analyses was derived especially from works of Bradley et al. (Res Soc Adm Pharm 8:36-46, 2012), and Snyder et al. (Res Soc Adm Pharm 6:307-23, 2010) on pharmacists/physician collaboration. Main outcome measure The development of inter-professional collaboration between students and physicians according to the three collaboration drivers: trustworthiness, role specification and professional interaction. Results Full collaboration was not achieved. Physicians found collaboration satisfactory, students however expressed the need of more interaction with physicians. The written collaboration contracts did not ensure a possible need of students to re-negotiate roles and tasks, and did therefore not entirely ensure role specification. Developing mutual professional interdependence through students being recognized by physicians to contribute to improved patient outcomes was also limited. Conclusion Some challenges to fruitful collaboration were identified. Solutions to these challenges include students and their pharmacist supervisors to find ways to present their collaborative needs to physicians and for students to illustrate more explicitly the benefits patient achieve if physicians implement the recommendations of students.
Kaae, Susanne; SØrensen, Ellen Westh
There is increasingly wide-spread recognition in astronomy that professional training must broaden beyond its traditional approaches to academic classes and research. Many recent community advisory reports, including the National Academy of Sciences Decadal survey, Astro2010, recommend that graduate education accommodate the variety of career paths taken by graduates, taking into account the wide range of activities scientists engage in and the skills necessary to succeed in career options both inside and outside academia and specific scientific disciplines. In response to this need, Indiana University has recently offered a new graduate seminar in astronomy to provide this broader perspective and to prepare students for a variety of career paths after graduate school. The course uses a mixture of class discussion on selected topics supplemented by short readings, activities that prepare students for seeking employment and practice some necessary skills, and discussions with astronomers who have followed a variety of career paths. An important part of the seminar is the practical preparation of complete applications for typical positions students are likely to pursue following graduation, and the revision of these applications to be appropriate for a non-traditional career path. The goal of the course is to make students aware of the many options for careers that will be available to them and the skills that will be important for their success, and to equip students with strategies for following a personally satisfying career path.
Friel, Eileen D.
Full Text Available Abstract: Context: There is evidence of significant career dissatisfaction among practicing physicians and those considering medicine as a profession. Most research on career satisfaction has examined practicing physicians. This study was undertaken to look at determinants of satisfaction in those at the earliest stage of their medical careers ? medical students. Methods: As part of a larger study, students comprising one class at the University of Washington School of Medicine were surveyed three times over the course of their medical education. For the present study we examined measures specifically related to determinants of career satisfaction. Findings: Over time, students? sense of the importance of most measured determinants of satisfaction showed significant change, the majority of which were in the direction of decreased importance. However, most of the change was relative. That is, factors that students considered to be most important at the start of medical school continued to be most important throughout the educational experience and those factors students considered to be least important at Year 1 continued to be least important at Years 2 and 4. Discussion: These findings have implications for medical education, a time when students are forming expectations that will impact their career satisfaction. In addition to information on career satisfaction, students should understand the professional values of medicine, their own values and expectations, current practice patterns, economics, and the role of advocacy.
Virginia A. Reed, PhD
Stigmatising attitudes towards persons with mental illness are commonly reported among health professionals. Familiarity with mental illness has been reported to improve these attitudes. Very few studies have compared future medical doctors’ attitudes toward types of mental illness, substance use disorders and physical illness. A cross-sectional survey of 5th and 6th year medical students as well as recently graduated medical doctors was conducted in April 2011. The 12-item level of contact...
Joyce Ohiole Omoaregba; Esther Osemudiamen Okogbenin; Bawo Onesirosan James
Abstract Context: Professionalism development entails learning to make judgments in ambiguous situations. A Concordance of Judgment Learning Tool (CJLT), comprised of 20 vignettes involving professionalism issues, was developed. Students obtained a measure of how concordant their judgments were with a panel of experts and learned from given explanations. Method: Twenty clinical vignettes implying professionalism issues were written including, for each, four possible courses of action. Expert panel, nominated by all clerkship students, was made up of attending physicians that best represented professionalism role models. Experts completed CJLT and gave explanations for their answers. All clerks were invited to answer each vignette, and then received automated expert feedback including explanations. Results: Seventy-nine students sat for the activity. The optimized test included 20 cases and 54 questions (Cronbach's alpha coefficient of 0.64). Student - expert concordance scores ranged from 54 to 77 with a mean at 64.6 (standard deviation 5.1). Satisfaction survey results indicated high satisfaction and relevance of tool despite some pitfalls. Post-test focus group data revealed relevant experiential learning on professionalism issues. Discussion: Students' scores and perceptions suggest pedagogic relevance of the CJLT in fostering professionalism development in clerkship. CJLT is user-friendly and shows promise as a situation experiential learning activity. PMID:25336258
Foucault, Amélie; Dubé, Serge; Fernandez, Nicolas; Gagnon, Robert; Charlin, Bernard
Medical physiology is known to be a complex area where students develop significant errors in conceptual understanding. Students' knowledge is often bound to situational descriptions rather than underlying principles. This study explores how medical students discern and process underlying principles in physiology. Indepth interviews, where…
Fyrenius, Anna; Silen, Charlotte; Wirell, Staffan
This is a questionnaire study analyzing the influence of various medical school experiences on 146 final year medical students' interest and respect for psychiatry. The results indicated that clinical postings, lectures, contact with psychiatric patients and psychiatry faculty had a positive influence on majority of students. Many students perceived non-psychiatric faculty and fellow students as critical of psychiatry. Students with greater career interest in psychiatry were more positively i...
Alexander, P. John; Kumaraswamy, N.
Examines the research and theory about attention deficit disorder (ADD) in college students and discusses how learning assistance professionals can better assist college students with ADD. Appended in this article are strategies for faculty/learning center professionals in accommodating students with ADD and a list of suggested readings. Contains…
Eaton, Shevawn; Wyland, Sharon
Background: Median indebtedness at graduation is now more than $170,000 for graduates of US Medical Schools. Debate still exists as to whether higher debt levels influence students to choose high paying non-primary care specialties. Notably, no previous research on the topic has taken into account cost of attendance when constructing a debt model, nor has any research examined the non-career major life decisions that medical students face. Methods: Medical students were surveyed using an anon...
James Rohlfing; Ryan Navarro; Maniya, Omar Z.; Hughes, Byron D.; Rogalsky, Derek K.
The performance during the preclinical course of 517 students who had applied to this medical school for admission in 1981 and who had been accepted by the school or by another British medical school was analysed in relation to variables measured at the time of application to find factors that predicted success in the preclinical course, whether students chose to take an intercalated degree, and the class achieved in the intercalated degree. Thirty one of the 507 students who entered medical ...
Mcmanus, I. C.; Richards, P.
Background: The assessment of medical students is a complicated process with medical schools ?making constant updates. This ensures that assessment is not only comprehensive and robust, but ?also standardised and fair. Nowadays, there is more stress laid upon the importance of formative ?assessment in medical schools.?Introduction: Some University of Nottingham students undertake their final year surgical ?placement at the Lincoln County Hospital. Each rotation has 6 students and ru...
Z?, Hashim; A?, Miller; Fahim N.?
Background: Medical education is perceived as being stressful with negative effects on students’ mental health. However, few studies have addressed the influence of gender on stress in medical students.Aim: To compare male and female medical students in Egypt on sources of stress, perception of stress, anxiety, depression, physical symptomatology, and personality profile.Methods: Data were collected through an anonymous self-administered questionnaire covering socio-demographic data, stress...
Mostafa Amr, Md; Abdel Hady El Gilany, Md; Aly El-hawary, Md
Objectives: The aim of this study was to develop a uniquely tailored mentoring program for medical students and evaluate the success of implementation. Methods: A cross-sectional survey among medical students at University Medical Center Hamburg-Eppendorf, Germany, in 2007 (response rate 74 n=1235) was administered to explore student needs for an individual counseling service (mentoring program). These data were supplemented with additional qualitative data (telephone interviews (n=52) and ex...
Jennifer Kurré; Monika Bullinger; Corinna Petersen-Ewert; Guse, Andreas H.
Background: Although medical students’ initial orientation is an important point of transition in medical education, there is a paucity of literature on the subject and major variations in the ways that different institutions orient incoming medical students to their programs. Methods: We conducted a discourse analysis of medical education orientation in the literature and on data from a survey of peer institutions’ approaches to orientation. Results: These two discourses of orientation h...
Ellaway, Rachel H.; Gerry Cooper; Tracy Al-Idrissi; Tim Dubé; Lisa Graves
Examines whether the individual personality characteristic of power motivation increases during medical school. Recorded interviews with a diverse group of medical students at two points in time were coded for power motivation. Results showed that white students' power motivation decreased, whereas minority students' levels remained the same,…
Kressin, Nancy R.
Full Text Available The experience of many countries with a well-educated workforce highlights the important role of vocational counselling services for advantageous youth professional orientation. Researchers manifest in their turn, a growing interest to study the role of vocational counselling, from the perspective of increasing the efficiency of investment in education and strengthening the capacity of enterprises to meet the challenges of the knowledge economy. In Romania, high school students have access to career guidance services, but there is little information on the extent to which they use or how useful they consider these services. Many times, there is a social conformism among high school graduates, which determines them to choose professions valued at a certain moment, without making a personal judgment. The aim of this paper is to analyse, as a good practice, the role of high school graduate vocational counselling in developing professional skills, in order to help them make the right career decision. In order to monitor the high school students` opinions on the vocational guidance and their perceptions of the integration in the labour market, a market research study has been conducted. This is a survey conducted on a sample of 2,364 high school students in their final year of study (twelve grade. The research has shown that a reduced percentage of the interviewed high school students have knowledge about the vocational guidance activity. From those who have used these services, most of them were satisfied. The study also highlighted the fact that the most important criteria for getting a job are the skills acquired during studies.
We report upon the design, content and feedback from an interactive, experiential series of Workshops in Healing for senior medical students. Fifty-six final year medical students enrolled in 2×3?h workshops designed around the core themes of 'physician know thyself' (Workshop 1) and 'confronting suffering' (Workshop 2). Of the 56 students who initially enrolled, 48 students completed both workshops and provided a written open-ended reflection of their learning experience. The study, undertaken over a consecutive 5-year period (2008-2012), employed an emergent, qualitative design using thematic analysis of the reflective comments. We found that the design and content of both workshops promoted transformative learning for these final year medical students. Students identified the following benefits: (1) the opportunity to reaffirm their commitment to their chosen career path; (2) the value of listening to other students share their stories; (3) the importance of the timing of the workshops to occur after exams; (4) the use of various mediums such as art, poetry, music and contemporary/classic literature to present concepts of suffering and healing; and (5) the creation of a safe and confidential space. Students reported that these innovative workshops gave them a renewed sense of drive and enthusiasm for their chosen career. They highlighted the importance of addressing an aspect of medicine (healing) not covered in the traditional medical curriculum. Workshops in Healing helped them to rediscover a deeper meaning to medicine and their roles as future healthcare professionals. PMID:24473159
Kearsley, John H; Lobb, Elizabeth A
Full Text Available Children with special needs present a unique set of challenges that require the services of specially trained educators and therapists. However, the various therapies and educational strategies are compartmentalized among these professionals. There is little interaction between educators and therapists that promote early childhood education and development. The purpose of this paper is to investigate the perceived impact of early childhood educators and medical therapists using a structured case study interview. The findings indicated that transference of professional knowledge impacts best practice for both professionals. This paper contributes to the unique perspectives of the medical community; and the connection between medicine, education, and the benefits and challenges of a transdisciplinary approach. This paper also provides insight on how to collaborate better to improve outcomes of teamwork and to develop coordinated approaches to education and service delivery to improve the efficiencies of both professionals.
Seong Bock Hong
Full Text Available Background: Worldwide, patients are the cornerstone of bedside teaching of medical students. In this study, the authors aimed to assess patients’ acceptability toward medical students in teaching hospitals of the Faculty of Medicine of Kuwait University. Methods: Ninehundred and ninety five patients were approached in 14 teaching hospitals; 932 patients agreed to participate (refusal rate is 6.3%. A self-administered questionnaire was used to collect data. Results: In general, higher acceptance of students by patients was found when there is no direct contact between the patient and the student (e.g., reading patients’ files, presenting in outpatient clinic, observing doctors performing examination or procedures compared to other situations (e.g., performing physical examination or procedures. Pediatrics patients showed higher acceptance of students compared to patients in other specialties, while Obstetrics/Gynecology patients showed the highest refusal of students. Gender of patients (especially females and students appeared to affect the degree of acceptance of medical students by patients. Majority of the patients (436; 46.8% believed that the presence of medical students in hospitals improves the quality of health care. Conclusion: Patients are an important factor of bedside teaching. Clinical tutors must take advantage of patients who accept medical students. Clinical tutors and medical students should master essential communication skills to convince patients in accepting students, thus improving bedside teaching. Also, using simulation and standardization should be considered to address scenarios that most patients are unwilling to allow students to participate.
Full Text Available The number of college students who take psychiatric medication has dramatically increased. These students may be at risk for negative mental health outcomes because research shows that mental illness can delay the attainment of developmental milestones critical to adulthood. This article explores college students’ experience with psychiatric medication and how it impacts functioning and stigma. Perceptions of medication treatment could be crucial to understanding the factors that enable college students with mental illness to thrive in a university setting. Seventeen undergraduate college students in a private, Midwestern university who had a psychiatric illness and were taking prescribed psychiatric medication, were enrolled. A semi-structured interview queried college students about their perceptions of taking psychiatric medications and how the use of medication influences their functioning. Authors conducted thematic analysis by using the constant comparative method for coding data and sorting in-vivo codes by shared theme. Respondents generally reported positive attitudes toward medication and minimal stigma. Particular themes included: higher functioning; mitigation of symptoms; willingness to disclose; and positive long-term outlook regarding the use of medication. Students were empowered by their treatment because it positively impacted functioning and integration into the college setting. However, in contrast to the majority of study participants, one minority student reported experiencing significant external and internal stigma due to her use of psychiatric medication. Although the study’s qualitative nature, small sample size,and lack of ethnic diversity of respondents limit generalizability, important preliminary findings indicate that some college students are benefiting from the use of psychiatric medication with minimal stigma. More research is needed on college students’ experience of psychiatric medication, particularly the experience of minority students, since extant literature indicates their reluctance to utilize psychiatric medications, and a tendency toward negative perceptions of help-seeking for mental illness.
Eileen P. Anderson-Fye
As the Medical Library Association (MLA) enters its second century, its role in providing leadership and focus for the education of health information professionals in a changing environment will be critical. MLA members face dramatic changes in the health care environment as well as significant opportunities and must position themselves to thrive in the new environment. This paper examines new roles for health information professionals, new approaches to education and training, and related i...
Homan, J. Michael; Mcgowan, Julie J.
The views of health professionals are an important and often overlooked aspect of changes in health policy. This paper examines the impact of healthcare reform on the medical professionals of Nicaragua over the last 40 years. First, the historical context of Nicaraguan healthcare is discussed. This history is presented as both an outgrowth of and a reaction to Nicaragua’s changing political environment. The changes in health policy over this time period are then examined through the lens of...
Gardner, James E.
The authors describe a participatory research project undertaken by a group of people with schizophrenia under the guidance of a university researcher. Participatory research involves members of the research group in meaningful participation in all stages of the research process. In this study, group members chose the topic-experiences with medical professionals-and method of data collection-in-depth interviews that they conducted with each other. They developed and performed a readers' theater presentation of the results and their recommendations for how they would like to be treated by medical professionals. The results indicate that good communication with medical professionals is essential to people with schizophrenia; it helps them accept the fact that they are ill and learn to live with the illness. The research offered a transformative experience to group members and is contributing to change in the practice of health care for people with severe mental illnesses. PMID:15068580
Schneider, Barbara; Scissons, Hannah; Arney, Laurie; Benson, George; Derry, Jeff; Lucas, Ken; Misurelli, Michele; Nickerson, Dana; Sunderland, Mark
Full Text Available Abstract Background Medical education and training can contribute to the development of depressive symptoms that might lead to possible academic and professional consequences. We aimed to investigate the characteristics of depressive symptoms among 481 medical students (79.8% of the total who matriculated. Methods The Beck Depression Inventory (BDI and cluster analyses were used in order to better describe the characteristics of depressive symptoms. Medical education and training in Brazil is divided into basic (1st and 2nd years, intermediate (3rd and 4th years, and internship (5th and 6th years periods. The study organized each item from the BDI into the following three clusters: affective, cognitive, and somatic. Statistical analyses were performed using analysis of variance (ANOVA with post-hoc Tukey corrected for multiple comparisons. Results There were 184 (38.2% students with depressive symptoms (BDI > 9. The internship period resulted in the highest BDI scores in comparison to both the basic (p Conclusion There is a high prevalence towards depressive symptoms among medical students, particularly females, in the internship level, mainly involving the somatic and affective clusters, and not having a parent who practiced medicine. The active assessment of these students in evaluating their depressive symptoms is important in order to prevent the development of co-morbidities and suicide risk.
de Andrade Arthur
Objectives: To investigate future life expectations among male and female medical students in their first and final year. Methods: The study was cross-sectional and conducted at a Swedish medical school. Out of 600 invited students, 507 (85%) answered an open-ended question about their future life, 298 (59%) first-year students and 209 (41%) last-year students. Women constituted 60% of the respondents. A mixed model design was applied; qualitative content analysis was utilized to create stati...
Saima Diderichsen; Jenny Andersson; Johansson, Eva E.; Petra Verdonk; Antoine Lagro-Janssen; Katarina Hamberg
Full Text Available We describe a training program on “Psychology of effective professional activity”, realized on the basis of the Ural College of the Beauty Industry. The purpose of this discipline is to improve the effectiveness of education and professional activities of college students acquiring professions of “Human-Human” type. To improve effectiveness of education and professional activities, this program provides formation of professionally important qualities of students. The results of the program can be: students’ acquisition of knowledge required for the effective performance of professional activities (ways to prevent burnout, increase self-confidence, etc.; mastery of professional skills (planning, simulation, etc.; formation of professionally important qualities (stress, tolerance, etc.; increasing the efficiency of their professional activities.
SUMMARYIn Spain a million and a half blood transfusions by year are carried out, that supposes between 2 and 10 cases of infection of VIH by year. The present state of science invites to do something more with tests to detect other virological and immunological markers, in order to identify seronegative carriers and thus avoid HIV transmission by them. We must consider the possibility to incur in professional responsibilities if we do not report adequate of this risk or if we do not provide p...
Ortiz Lejarazu Leonardo, R.; Jm, Eiros Bouza; Domi?nguez-gil Gonza?lez, M.; Curiel Lo?pez Arcaute, Aitor M.
The Professional Doctorate has become an increasingly popular doctoral route. Research has tended to focus on outcomes and "impact" or on the epistemological nature of programmes and resulting student identities compared to other routes. This paper takes a different focus, examining the "process" through which students come to…
Pratt, Nick; Tedder, Michael; Boyask, Ruth; Kelly, Peter
Full Text Available Abstract Background Patients regard health care professionals as role models for leading a healthy lifestyle. Health care professionals' own behaviour and attitudes concerning healthy lifestyle have an influence in counselling patients. The aim of this study was to assess consumption of alcohol, cigarettes and illegal substances among physicians and medical students in two German states: Brandenburg and Saxony. Methods Socio-demographic data and individual risk behaviour was collected by an anonymous self-administered questionnaire. Physicians were approached via mail and students were recruited during tutorials or lectures. Results 41.6% of physicians and 60.9% of medical students responded to the questionnaire; more than 50% of the respondents in both groups were females. The majority of respondents consumed alcohol at least once per week; median daily alcohol consumption ranged from 3.88 g/d (female medical students to 12.6 g/d (male physicians. A significantly higher percentage of men (p Conclusion More than one third of the medical students and health care professionals showed problematic alcohol-drinking behaviour. Although the proportion of non-smokers in the investigated sample was higher than in the general population, when compared to the general population, medical students between 18-24 reported higher consumption of illegal substances. These results indicate that methods for educating and promoting healthy lifestyle, particularly with respect to excessive alcohol consumption, tobacco use and abuse of illegal drugs should be considered.
Self-reported tobacco smoking practices among medical students and their perceptions towards training about tobacco smoking in medical curricula: A cross-sectional, questionnaire survey in Malaysia, India, Pakistan, Nepal, and Bangladesh
Abstract Background Tobacco smoking issues in developing countries are usually taught non-systematically as and when the topic arose. The World Health Organisation and Global Health Professional Student Survey (GHPSS) have suggested introducing a separate integrated tobacco module into medical school curricula. Our aim was to assess medical students' tobacco smoking habits, their practices towards patients' smoking habits and attitude towards teaching about smoking in medical...
Shah Mohsin; Pereira Xavier V; Islam Md R; Rahman Mahbubur; Hn, Kumar Harsha; Menezes Ritesh G; Suri Sushil; Sreeramareddy Chandrashekhar T; Sathian Brijesh; Shetty Ullasa; Vaswani Vina R
OBJECTIVE: This paper reports on the conceptualisation of "soft skills" as part of a study carried out among two groups of undergraduate medical students before and after curriculum reform at the School of Medicine of the University of Pretoria. Congruent with a call from the World Psychiatric Association, the curriculum reform that was undertaken aimed, inter alia, to place more emphasis on soft skills, including professional interpersonal and social skills, communication skills, an...
Staden, C. W.; Joubert, Pierre M.; Pickworth, G. E.; Roos, J. L.; Bergh, Anne-marie; Kruger, Christa; Schurink, W. J.; Du Preez, R. R.; Grey, Somarie V.; Lindeque, B. G.
Full Text Available Objective: The aim of this paper is to evaluate a hypothesis premised on the idea that if medical leaders in the United States support an unfettered access for patients injured by medical error to the American civil justice system, that approach would improve patient safety and be cost effective. Method: An analysis of the relevant legal and medical literature. Results: Medical liability in the American civil justice system derived from traditional tort law is based on accountability. Reforms applied to medical liability cases urged by healthcare providers limit and in some cases eliminate legal rights of patients injured by healthcare error which rights exist for all others in non-medical cases. Yet medical liability cases have promoted a culture of safety. Information learned from medical liability cases has been used to make care safer with a reduced incidence of adverse outcomes and lower costs. A just culture of safety can limit provider emotional stress. Using the external pressures to reduce the incidence of law suits and promoting ethical mandates to be safer and disclose the truth can promote provider satisfaction. Conclusions: An alliance between legal and medical professionals on the common ground of respect for the due process legal rights of patients in the American system of justice and the need for accountability can make care safer and can be cost effective.
Steven E. Pegalis
Purpose: This study examined the impact of medical education on students' views of substance abuse treatment, public policy options and training. Method: A longitudinal survey was conducted on a single-class cohort of 101 students in a major American, urban medical school. The survey was administered in the Spring semesters of the first to third…
Agrawal, Shantanu; Everett, Worth W.; Sharma, Sonali
Objective: This pilot project, designed and taught by a resident, created a curriculum to introduce medical students to the practice of psychotherapy. Medical students who are knowledgeable about psychotherapy can become physicians who are able to refer patients to psychotherapeutic treatments. A search of the literature did not identify a…
Aboul-Fotouh, Frieda; Asghar-Ali, Ali Abbas
OBJECTIVES To estimate the prevalence of tobacco smoking, and understand the attitude, practice, and knowledge among medical students. METHODS A cross-sectional study was conducted from September 2009 to May 2010. An anonymous, self-administered, Global Adult Tobacco Survey based questionnaire was completed by the students attending the main Medical College of King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. RES...
Al-mendalawi, Mahmood D.
Teaching pharmacology to medical students has long been seen as a challenge, and one to which a number of innovative approaches have been taken. In this article, we describe and evaluate the use of primary research articles in teaching second-year medical students both in terms of the information learned and the use of the papers themselves. We…
Halliday, Amy C.; Devonshire, Ian M.; Greenfield, Susan A.; Dommett, Eleanor J.
Reports on the results of a survey meant to ascertain the views of 16- to 18-year-old students (n=778) on using animals in medical research. Suggests that students have no greater objection to the use of genetically engineered animals over naturally bred animals in medical research. Contains 16 references. (Author/WRM)
Hill, Ruaraidh; Stanisstreet, Martin; O'Sullivan, Helen; Boyes, Edward
Objective: This pilot study provides firsthand feedback from medical students and residents in training regarding their perceptions of technology in medicine. Method: The authors distributed an e-mail invitation to an anonymous Web-based survey to medical students and residents in two different U.S. training institutions. Results: Respondents…
Briscoe, Gregory W.; Fore Arcand, Lisa G.; Lin, Terence; Johnson, Joel; Rai, Aanmol; Kollins, Kevin
Objective: To examine the ability of medical students to identify hazardous drinkers using screening tools recommended in clinical practice. Design: Observational cross-sectional study. Setting: Faculty of Medicine of Castilla-La Mancha, Spain. Method: The medical students learnt to use Alcohol Use Disorders Identification Test (AUDIT) and…
Hidalgo, Jesús López-Torres; Pretel, Fernando Andrés; Bravo, Beatriz Navarro; Rabadan, Francisco Escobar; Serrano Selva, Juan Pedro; Latorre Postigo, Jose Miguel; Martínez, Ignacio Párraga
The promise of health information technology (HIT) has led to calls for a larger and better trained work-force in medical informatics. University programs in applied health and biomedical informatics have been evolving in an effort to address the need for health-care professionals to be trained in informatics. One such evolution is the American Medical Informatics Association’s (AMIA) 10x10 program. To assess current delivery and content models, participant satisfaction, and how graduates h...
Feldman, Sue S.; Hersh, William
Full Text Available Abstract Background An integrated sense of professionalism enables health professionals to draw on relevant knowledge in context and to apply a set of professional responsibilities and ethical principles in the midst of changing work environments 12. Inculcating professionalism is therefore a critical goal of health professional education. Two multi-professional courses for first year Health Science students at the University of Cape Town, South Africa aim to lay the foundation for becoming an integrated health professional 3. In these courses a diagram depicting the domains of the integrated health professional is used to focus the content of small group experiential exercises towards an appreciation of professionalism. The diagram serves as an organising framework for conceptualising an emerging professional identity and for directing learning towards the domains of 'self as professional' 45. Objective This paper describes how a diagrammatic representation of the core elements of an integrated health professional is used as a template for framing course content and for organising student learning. Based on the assumption that all health care professionals should be knowledgeable, empathic and reflective, the diagram provides students and educators with a visual tool for investigating the subjective and objective dimensions of professionalism. The use of the diagram as an integrating point of reference for individual and small group learning is described and substantiated with relevant literature. Conclusion The authors have applied the diagram with positive impact for the past six years with students and educators reporting that "it just makes sense". The article includes plans for formal evaluation. Evaluation to date is based on preliminary, informal feedback on the value of the diagram as a tool for capturing the domains of professionalism at an early stage in the undergraduate education of health professional students.
Background: Currently there is a lack of data exploring the value added by Clinical Teaching ?Fellow posts over teaching led by regular working clinicians.?Aim: To explore the perceptions of medical students regarding the value attached to having ?fulltime Teaching Fellows to deliver undergraduate medical education. ?Method: A total of 521 clinical year medical students from the University of Leicester were ?asked to complete an online questionnaire.?Result: 375 medical students...
Hashim Z.?; Miller A.?; N?, Fahim; Sam M.?
Background Studies are needed to examine predictors of success in medical school. The aim of this work is to explore factors that potentially influence excellence of medical students. Methods The study was conducted in the Medical Faculty of King Abdulaziz University during October 2012. A self-administered questionnaire was used. Medical students with a grade point average (GPA) ?4.5 (out of 5) were included and compared to randomly selected medical students with a GPA social events was found. However, 60.7% of high GPA students spend less than 2 hours on social networking per day as compared to 42.6% of the lower GPA students (Psocial networking for prolonged periods of time, and they have strong motivation and study enjoyment. Further studies are needed to examine whether these differences have a real impact on GPA or not. PMID:25674033
Al Shawwa, Lana; Abulaban, Ahmad A; Abulaban, Abdulrhman A; Merdad, Anas; Baghlaf, Sara; Algethami, Ahmed; Abu-shanab, Joullanar; Balkhoyor, Abdulrahman
Full Text Available Background: Matriculation of international students to United States’ (US medical schools has not mirrored the remarkable influx of these students to other US institutions of higher education. Methods: While these students’ numbers are on the rise, the visibility for their unique issues remains largely ignored in the medical literature. Results: These students are disadvantaged in the medical school admissions process due to financial and immigration-related concerns, and academic standards for admittance also continue to be significantly higher compared with their US-citizen peers. Furthermore, it is simply beyond the mission of many medical schools – both public and private – to support international students’ education, especially since federal, state-allocated or institutional funds are limited and these institutions have a commitment to fulfill the healthcare education needs of qualified domestic candidates. In spite of these obstacles, a select group of international students do gain admission to US medical schools and, upon graduation, are credentialed equally as their US-citizen counterparts by the Accreditation Council for Graduate Medical Education (ACGME. However, owing to their foreign citizenship, these students have visa requirements for post-graduate training that may adversely impact their candidacy for residency placement. Conclusion: By raising such issues, this article aims to increase the awareness of considerations pertinent to this unique population of medical students. The argument is also made to support continued recruitment of international students to US medical schools in spite of these impediments. In our experience, these students are not only qualified to tackle the rigors of a US medical education, but also enrich the cultural diversity of the medical student body. Moreover, these graduates could effectively complement the efforts to augment US physician workforce diversity while contributing to healthcare disparity eradication, minority health issues, and service in medically underserved areas.
In the current rapidly evolving healthcare environment of the United States, social justice programs in pre-medical and medical education are needed to cultivate socially conscious and health professionals inclined to interdisciplinary collaborations. To address ongoing healthcare inequalities, medical education must help medical students to become physicians skilled not only in the biomedical management of diseases, but also in identifying and addressing social and structural determinants of the patients' daily lives. Using a longitudinal Problem-Based Learning (PBL) methodology, the medical students and faculty advisers at the University of Hawai'i John A. Burns School of Medicine (JABSOM) developed the Social Justice Curriculum Program (SJCP) to supplement the biomedical curriculum. The SJCP consists of three components: (1) active self-directed learning and didactics, (2) implementation and action, and (3) self-reflection and personal growth. The purpose of introducing a student-driven SJ curriculum is to expose the students to various components of SJ in health and medicine, and maximize engagement by using their own inputs for content and design. It is our hope that the SJCP will serve as a logistic and research-oriented model for future student-driven SJ programs that respond to global health inequalities by cultivating skills and interest in leadership and community service. PMID:25157325
Ambrose, Adrian Jacques H; Andaya, January M; Yamada, Seiji; Maskarinec, Gregory G
In the current rapidly evolving healthcare environment of the United States, social justice programs in pre-medical and medical education are needed to cultivate socially conscious and health professionals inclined to interdisciplinary collaborations. To address ongoing healthcare inequalities, medical education must help medical students to become physicians skilled not only in the biomedical management of diseases, but also in identifying and addressing social and structural determinants of the patients' daily lives. Using a longitudinal Problem-Based Learning (PBL) methodology, the medical students and faculty advisers at the University of Hawai‘i John A. Burns School of Medicine (JABSOM) developed the Social Justice Curriculum Program (SJCP) to supplement the biomedical curriculum. The SJCP consists of three components: (1) active self-directed learning and didactics, (2) implementation and action, and (3) self-reflection and personal growth. The purpose of introducing a student-driven SJ curriculum is to expose the students to various components of SJ in health and medicine, and maximize engagement by using their own inputs for content and design. It is our hope that the SJCP will serve as a logistic and research-oriented model for future student-driven SJ programs that respond to global health inequalities by cultivating skills and interest in leadership and community service. PMID:25157325
Andaya, January M; Yamada, Seiji; Maskarinec, Gregory G
OBJECTIVES To evaluate the perspectives of medical students and patients on bedside teaching (BST). METHODS A cross-sectional study was undertaken to elicit patients and learners opinions on BST in Hazrat Rasool Hospital, a university teaching hospital in Tehran, Iran. From June 2008 to September 2008, 100 fourth-year medical students and 100 adult patients admitted to the general medical service of a teaching hospital were chosen rando...
Nahid Kianmehr; Mani Mofidi; Reza Yazdanpanah; Ahmadi, Marjan A.
Full Text Available Abstract Background Family and community medicine (FM became a recognized specialty in Spain in 1978; however, most medical schools in Spain still lack mandatory core courses in FM. In order to explore the perceptions, expectations and level of information amongst medical students in Spain in relation to FM and PC, and the training in these areas in the curriculum of the Medical Schools, a survey was developed to be administered in medical schools every two years. This article presents data from the first questionnaire administration. Methods The study population was all first-, third-, and fifth-year students (2009–2010 in 22 participating medical schools in Spain (of 27 total. The 83-item survey had three sections: personal data, FM training, professional practice expectations, and preferences. Chi-squared test or analyses of variance were used, as appropriate. Results We had a 41.8% response rate (n?=?5299/12924; 89.8% considered the social role of FM to be essential, while only 20% believed the specialty was well respected within the medical profession. The appeal of FM increased with years of study, independent of student characteristics or medical school attended. Among third and fifth-year students, 54.6% said their specialty preferences had changed during medical school; 73.6% felt that FM specialists should teach FM courses, and 83.3% thought that FM rotations in primary care centres were useful. Conclusions Students valued the social role of FM more highly than its scientific standing. The vast majority believe that FM training should be mandatory. Only 25% of first-year students have clear preferences for a specialization. Interest in FM increases moderately over their years of study. Working conditions in FM have decisive influence in choosing a specialty.
Histology is a traditional core basic science component of most medical and dental education programs and presents a didactic challenge for many students. Identifying students that are likely to struggle with histology would allow for early intervention to support and encourage their learning success. To identify student characteristics that are associated with learning success in histology, three first-year medical school classes at the University of Michigan (>440 students) were surveyed about their educational background, attitudes toward learning histology, and their use of histology learning strategies and resources. These characteristics were linked with the students' quiz and examination results in histology. Students who reported previous experience in histology or pathology and hold science or biomedical science college degrees usually did well in histology. Learning success in histology was also positively associated with students' perception that histology is important for their professional career. Other positive indicators were in-person participation in teacher-guided learning experiences, specifically lecture and laboratory sessions. In contrast, students who relied on watching histology lectures by video rather than going to lectures in-person performed significantly worse. These characteristics and learning strategies of students who did well in this very visual and challenging study subject should be of help for identifying and advising students early, who might be at risk of failing a histology course or component. Anat Sci Educ 8: 1-11. © 2014 American Association of Anatomists. PMID:24706527
Selvig, Daniel; Holaday, Louisa W; Purkiss, Joel; Hortsch, Michael
Full Text Available SciELO Peru | Language: Spanish Abstract in spanish Propósito: Estudiar la vocación médica desde una perspectiva científica. Objetivos: Analizar la vocación médica respecto a sus orígenes y factores asociados a su desarrollo en médicos considerados ejemplos de conducta profesional y vocación médica. Diseño: Investigación cualitativa, con muestreo de [...] caso típico y entrevistas en profundidad. Institución: Instituto de Ética en Salud, Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú. Participantes: Médicos. Metodología: La muestra estuvo conformada por 76 médicos seleccionados en base a criterios pre-establecidos, miembros de las cuatro instituciones médicas más prestigiadas del país: Academia Nacional de Medicina, Academia Peruana de Cirugía y Facultades de Medicina de la Universidad Nacional Mayor de San Marcos y Universidad Peruana Cayetano Heredia. Se obtuvo su consentimiento informado. Principales medidas de resultados: Orígenes y factores asociados a vocación médica. Resultados: El 82% correspondió al sexo masculino; edad promedio 71,6 años, con rango de edad 49 a 88 años; 8% era hijo/a de médico y 14% tenía otro familiar médico; 30% era el/la mayor de los hijos. La vocación médica no siguió un patrón único, pudiendo iniciarse en diferentes momentos del ciclo vital, incluso después de que el alumno hubo ingresado a la Facultad de Medicina. Entre los factores explicativos más frecuentemente asociados destacaron una dinámica personal y la influencia familiar, aunque hubo dos casos en los que no se encontró factor explicativo alguno. A base de los resultados se presenta definiciones de vocación y vocación médica. Conclusiones: El análisis de la información permite entender la vocación médica como un proceso que se genera en un ser humano en virtud de dos factores: uno individual y otro social (entorno que estimula su desarrollo). Su inicio puede ocurrir a edades y en formas variadas constituyéndose, finalmente, en parte del ‘proyecto de ser’ (se dan ejemplos específicos). Abstract in english Purpose: To study medical vocation from a scientific perspective. Objectives: To analyze origins and development-associated factors of medical vocation in physicians considered examples of high-level professional behavior and medical vocation. Design: Qualitative study, with typical case sampling an [...] d in-depth interviews. Setting: Institute on Ethics in Health, Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru. Participants: Physicians. Methodology: The sample consisted in 76 physicians selected by pre-established criteria from the four more prestigious Peruvian medical institutions: National Academy of Medicine, Peruvian Academy of Surgery, San Marcos University’s and Peruvian Cayetano Heredia University’s Schools of Medicine. Informed consent was previously obtained. Main outcome measures: Medical vocation origins and associated factors. Results: Eighty-two per cent of physicians interviewed were male, 71.6 year-old average with range 49-88 years; only in 8% their father was MD also and in 14% a family member was MD. In 30% the physician was the oldest son/daughter. Medical vocation did not follow a unique pattern and begun in different periods of the vital cycle even after the student had been admitted to the School of Medicine. Most frequently associated factors were personal dynamics and family influence, and in two cases no explanation was found. Upon results vocation and medical vocation definitions are proposed. Conclusions: Data analysis allows understanding medical vocation as a process generated in a human being on account of two factors: individual (the subject) and social (the environment that stimulates its development). Its beginning may occur at different ages and in several ways, finally becoming part of the ‘oneself project’ (specific examples are given).
Alberto, Perales; Alfonso, Mendoza; Elard, Sánchez.
Full Text Available Background: Gadget holds the great importance in everyday life. Mobile phone and internet usage have become universal practice especially among the student community. Gadgets usage has both pros and cons. Objective: To assess the magnitude of gadget utilization among medical college students in Delhi and to estimate the burden of gadget dependency. Methodology: A cross sectional study was conducted in three medical colleges. The participants were 957 medical students selected by systematic random sampling, interviewed using a self-administered questionnaire. Result: The sample consisted of 485 (50.7% males and 472 (49.3% females, aged 17-25 years. Gadgets of at least one variety were uniformly used by all the students, 22.4% of the students surveyed were found to be gadget dependent. Conclusion: Our study shows high prevalence of gadget dependency among medical students. There is need to create awareness regarding the problem of gadget dependency and its social and health effects.
Full Text Available The study reports the professional commitment and academic engagement situation of business school students in order to find the causal relationship. With classroom observation, individual interviewing and questionnaires investigation, it shows the business school students in different majors have different levels in professional commitment but not in academic engagement. It studies the characteristics of professional commitment for business school students and finds that continuance commitment is at the first place; normative commitment and affective commitment are at the next; ideal commitment is at the last. With regressive analysis, it illustrates the effect of professional commitment on academic engagement from the affective, normative and continuance dimensions. Ideal commitment is related but not a predictor to academic engagement. It is professional commitment not professional major induced the differentiated situation of academic engagement. Four strategies are discussed to improve the academic engagement for business school students.
Both American and Canadian residency accreditation bodies have formal requirements in core competencies that include training in ethics and professionalism without prescribing content. A structured seminar series in medical ethics and professionalism relating to dermatology practice was started at Brown Medical School's dermatology residency in 2001. Methods of instruction include discussion groups, review of medical and lay literature, book review, didactic teaching, case presentation, and informal e-mail exchange. Some of the topics that have been covered include basic medical ethics, research ethics, physician-industry relationships, truth telling, privacy and confidentiality, duty to treat, and ethical and legal issues in cosmetic dermatology, dermatologic surgery, dermatologic genetics, occupational dermatology, and pediatric dermatology. The main goals of the curriculum are to fulfill the core competency requirement in professionalism of the specialty certifying boards, introduce trainees to the cross-disciplinary literature of biomedical ethics and current ethical controversies, and encourage dialogue on ethics and professionalism among faculty, colleagues in other specialties, and dermatology trainees. PMID:17367619
Bercovitch, Lionel; Long, Thomas P
As a patient approaches the end of life, he or she faces a number of very difficult medical decisions. Allied health care professionals, including speech-language pathologists (SLPs) and occupational therapists (OTs), can be instrumental in assisting their patients to make advance care plans, although their traditional job descriptions do not…
Little is known about how language-discordant mobile medical professionals (MMPs), defined as doctors who work in foreign countries, cultures, and languages, interact with their colleagues. The number of MMPs around the world is growing, and their interactions with colleagues have direct consequences for both patients' health and their own…
Gasiorek, Jessica; van de Poel, Kris
Although professional staff comprise more than half the Australian higher education workforce, typically research has concentrated on the work of academic staff. Professional staff are increasingly researching the working lives of professional staff, adding to the understanding of the work of professional staff and the contributions they make…
Full Text Available Background: Periodontics is fast evolving dental specialty. But periodontics is still seen to be nascent & perception of it is variable among different health professionals. Aim: To assess the awareness of periodontal diseases, it’s causes & treatment modalities available among medical professionals. Materials & methods: Two hundred & five medical professionals working in Ahmednagar were interviewed through questionnaire. The questionnaire was consist of different terminologies, periodontal diseases their cause, it’s systemic effects, different treatment techniques used and newer treatment modalities. Results: positive attitude towards periodontal diseases were observed. The level of awareness was marginally higher with consultants. The difference was statistically significant among three groups. Conclusion: Awareness about periodontal diseases, it’s aetiology and association between systemic diseases was observed. But awareness about periodontal therapy & newer treatment modalities was poor.
Mundhe Priti G, Neelima Rajhans S, Nilofer Sheikh.S, Nikesh Moolya N, Nilkanth Mhaske, Nikhil Gutte D
Many of the current approaches used in teaching and learning in engineering education are not the most appropriate to prepare students for the challenges they will face in their professional careers. The active involvement of students in their learning process facilitates the development of the technical and professional competencies they need as…
Fernandes, Joao M.; Van Hattum-Janssen, Natascha; Ribeiro, Antonio Nestor; Fonte, Victor; Santos, Luis Paulo; Sousa, Pedro
This study was conducted to explore the relationship between university students' school engagement and instructors' professional competencies. The study group consisted of 314 students from the Faculty of Art at Çankiri Karatekin University. The participants filled in the Scale for Professional Competence of Instructor (SPCI) and the…
Provides a brief introduction for student affairs professional to the American rape culture. Offers suggestions and examples to assist student affairs professionals in their quest to develop adequate programs and services on their campus with regard to rape and sexual assault incidents. (Contains 31 references.) (GCP)
Watson, Lemeul W.; Derby, Dustin
The study was aimed at determining the prevalence, pattern and factors associated with psychoactive substance use among medical students in the University of Ilorin, Nigeria. All consenting medical students were requested to compile a 22-item modified, pilot-tested semi- structured self-report questionnaire based on the World Health Organization's guidelines for student substance use survey. It was found that the most currently used substances were mild stimulants (33.3%), a...
Makanjuola, Alfred B.; Daramola, Temitayo O.; Obembe, Ayo O.
Objectives: To investigate the subjective presence of a range of subsyndromal and syndromal mental health conditions in medical students, and to compare the presence of these conditions between preclinical and clinical training. Methods: A cross sectional study was used among first-and fifth-year medical students. Student reported their mental health conditions using the Diagnostic and Statistical Manual of Mental Disorders criteria, the fourth version (DSM-IV). Data analysis was based on 110...
Strous, Rael D.; Netta Shoenfeld; Avi Lehman; Aharon Wolf; Leah Snyder; Ori Barzilai
Full Text Available Questions are considered professionally-applied physical preparation of students of economic specialities with the prevailing use of facilities of football. The methodical receptions of development of professionally important qualities of future economists are presented. Expedience of application of the offered methodical receptions is certain. The elective component of on-line tutorial is improved on physical education. The experimental professionally oriented program of psychophysical preparation of students is developed.
This thesis, based on a socio-cognitive approach, deals with the professional training of student teachers in French agricultural education during their practical work experience. The main objective is to demonstrate that the student teacher's social interaction with his academic advisor allows him to use and develop his professional knowledge relating to practical matters and also to develop a feeling of professional efficiency. Based on a qualitative analysis this study presents the results...
The questions of the use of facilities are examined professionally-applied physical preparation of students. The necessity of more rapid and high-quality mastering of certain labour abilities and skills, increase of the labour productivity, prophylaxis of professional diseases is marked. It is marked that forms and facilities of physical education of students of forestry specialities are determined features professionally-labour to activity of this industry. Employments of the special applied...
Full Text Available Abstract Many breastfeeding women require and regularly take medicines, especially those available over-the-counter, and the safe use of these is dependent on the advice provided by health professionals such as general practitioners and pharmacists. The primary aim of this review therefore, was to investigate the literature relating to health professionals' and women's knowledge, attitudes and practices towards medication use and safety in breastfeeding. The limited literature that was uncovered identified that general practitioners and pharmacists have poor knowledge, but positive attitudes, and variable practices that are mostly guided by personal experience. They tend to make decisions about the use of a medicine whilst breastfeeding based on the potential 'risk' that it poses to the infant in terms of possible adverse reactions, rather than its 'compatibility' with breast milk. The decision-making process between health professionals and women is usually not a negotiated process, and women are often asked to stop breastfeeding whilst taking a medicine. Women, in turn, are left dissatisfied with the advice received, many choosing not to initiate therapy or not to continue breastfeeding. Some directions for future research have been suggested to address the issues identified in this critical area. This review is important from a societal perspective because many breastfeeding women require and regularly take medications, especially those available without prescription, and the safe use of these is dependent on the advice provided by health professionals, which is ultimately influenced by their knowledge, attitudes and practices. However, there is an absence of high quality evidence from randomised controlled trials on the safety of medications taken during breastfeeding, which naturally would hinder health professionals from appropriately advising women. It is equally important to know about women's experiences of advice received from health professionals, and whether there is consistency between recommendations made across resources on medication safety in breastfeeding, in order to gain a full understanding of the issues prevalent in this area of practice.
A study of 110 first-year University of Virginia medical students taking a required course in medical ethics found that the curriculum had little effect on student attitudes toward certain ethical questions or on their factual knowledge regarding particular ethical and legal issues. (Author/MSE)
Shorr, Andrew F.; And Others
Full Text Available Asthma results from a combination of three essential features: airflow obstruction, hyperresponsiveness of airways to endogenous or exogenous stimuli and inflammation. Inadequacy of the techniques to use different inhalation devices is one of the causes of therapeutic failure. The main purpose of this study was to evaluate how 20 medical students, 36 resident physicians of Internal Medicine/Pediatrics, and 40 asthma patients used three devices for inhalation therapy containing placebo. All patients were followed at the Pulmonary Outpatient Service of Botucatu Medical School and had been using inhaled medication for at least six months. The following devices were evaluated: metered dose inhalers (MDI, dry powder inhalers (DPI, and MDI attached to a spacer device. A single observer applied a protocol containing the main steps necessary to obtain a good inhaler technique to follow and grade the use of different devices. Health care professionals tested all three devices and patients tested only the device being used on their management. MDI was the device best known by doctors and patients. MDI use was associated with errors related to the coordination between inspiration and device activation. Failure to exhale completely before inhalation of the powder was the most frequent error observed with DPI use. In summary, patients did not receive precise instruction on how to use inhaled medication and health care professionals were not well prepared to adequately teach their patients.
Muniz Janaína Barbosa
Full Text Available Background: Some researchers have observed that medical students used computer and internet for nonmedical purposes. Is this the case among medical students in a newly established medical college of Hadramout University in Yemen?Objectives: To assess the knowledge and usage of computer and internet among medical students of Hadramout University, find out the medical applications for which they use internet, and the factors that encourage the students to use computer and internet, with an emphasis on gender variations.Methods: In a cross-sectional study, data were collected from 102 randomly selected students from second to sixth year at the academic year 2005/2006 by using structured questionnaire of 23 items. Results: Seventy four students have computer at home (73%, 77 students use internet for general purposes (76.2% and lesser use internet for educational and research purposes, with significant gender variations. The students opined that accessibility of internet in the college (84.2% and training about online searching (74.3% were the most expected factors to improve using of internet for medical research.Conclusion: Incorporating online search of medical literature in curriculum planning is essential to improve the student skills in research.
Abdulla Salim Bin Ghouth
Full Text Available BackgroundKIST Medical College, Lalitpur, Nepal conducts problem-basedpharmacology learning during small-group practical sessions.The present study was carried out to obtain student feedbackregarding the sessions and suggestions for improvement.MethodThe questionnaire-based study was carried out among firstyear medical students during July 2009. Respondents wereenrolled after explaining the aims and objectives of the studyand obtaining written, informed consent. Basic demographicinformation and student agreement with a set of 30statements using a modified Likert-type scale was noted.ResultsSixty-four of the 75 students (86% participated. The mediantotal score was 107 (maximum score 150 and was higheramong males, students from within the Kathmandu valley andself-financing students. The differences were not statisticallysignificant. The suggestions for improvement were improvingthe physical infrastructure of the lab and providing more timefor the practical exercises.ConclusionStudent opinion was favourable. The findings would be ofinterest to medical educators especially in developingcountries.
Shankar PR, ,
When final year medical students reporting poor prescribing confidence were tested, key prescribing weaknesses emerged. This study aimed to characterize student variability in both the experience of and cognitive levels displayed during prescribing. Blooms Taxonomy cognitive categories were assigned to each question of a student test measuring…
Harries, C. S.; Botha, J.
A survey of 100 first-year medical students found that, although they felt adequately prepared prior to exposure to a human cadaver, they wished greater preparation after the experience, especially through more discussion with anatomy staff. Results suggest a need for preparation for coping with dissection and followup for professional and…
Horne, David J. de L.; And Others
Explorating reform of the teaching evaluation method for vocational competency-based education (CBE) curricula for medical students is a very important process in following international medical education standards, intensify ing education and teaching reforms, enhancing teaching management, and improving the quality of medical education. This…
Zhang, Hongkui; Wang, Bo; Zhang, Longlu
A significant number of asylum seekers who largely survived torture live in the United States. Asylum seekers have complex social and medical problems with significant barriers to health care access. When evaluating and providing care for survivors, health providers face important challenges regarding medical ethics and professional codes. We review ethical concerns in regard to accountability, the patient-physician relationship, and moral responsibilities to offer health care irrespective of patient legal status; competing professional responsibility toward society and the judiciary system; concerns about the consistency of asylum seekers' claims; ethical concerns surrounding involving trainees and researching within the evaluation setting; and the implication of broader societal views towards rights and social justice. We discuss contributing factors, including inadequate and insufficient provider training, varying and inadequate institutional commitment, asylum seekers' significant medical and social problems, and the broader health and social system issues. We review existing resources to address these concerns and offer suggestions. PMID:23767428
Asgary, Ramin; Smith, Clyde L
Abstract Background Little is known about teaching medical ethics across cultural and linguistic boundaries. This study examined two successive cohorts of first year medical students in a six year undergraduate MBBS program. Methods The objective was to investigate whether Arabic speaking students studying medicine in an Arabic country would be able to correctly identify some of the principles of Western medical ethical reasoning. This cohort study was conducted...
Margolis Stephen A; Ypinazar Valmae A
Abstract This study evaluates whether medical and veterinary students' attitudes toward "One Health" and interprofessional education changed after participating in a joint small group learning exercise focused on risk factors associated with zoonotic disease. A survey was distributed to third-year medical students (n?=?98) and second-year veterinary students (n?=?140), each with a 95% response rate. Overall, 92% of veterinary students and 73% of medical students agreed or strongly agreed that "One Health" was relevant to their desired specialty. Students from both schools largely agreed that interprofessional education should be a goal of the curriculum for their school, and that interprofessional approaches strengthen their overall education. Students reported increased confidence in their communication skills and improved ability to contribute to One Health collaborative teams. This educational intervention, built around a patient case, focused on a variety of learning objectives including skills (such as communication), knowledge (of zoonotic toxoplasmosis) and attitudes (toward collaborative learning and practice). By sparking an interest in One Health during their early professional education, we sought to encourage a new generation of physicians and veterinarians to adopt a more collaborative spirit to their clinical practice, which will ultimately benefit human, animal and environmental health. PMID:25051087
Winer, Jenna Nicole; Nakagawa, Keisuke; Conrad, Patricia A; Brown, Lauren; Wilkes, Michael
Vikas Seth, Prerna Upadhyaya, Mushtaq Ahmad, Vijay MogheDepartment of Pharmacology, Mahatma Gandhi Medical College, Jaipur, Rajasthan, IndiaPurpose: To assess students’ perceptions of the impact of PowerPoint (PPT) presentations in lectures in comparison to the traditional chalk and talk method and lectures using transparencies and overhead projector (TOHP). The study analyzes the preferences for teaching aids of medical students versus dental students.Methods: Second year ...
Vikas Seth; Prerna Upadhyaya; Mushtaq Ahmad; et al.
Full Text Available Abstract Background The Federal Democratic Republic of Nepal is a developing country in South Asia with a population of 29.8 million. In September 2011, there were 18 medical schools with 14 being in the private sector. KIST Medical College is a private school in Lalitpur district. The present study was conducted to obtain information on student perceptions about working in rural Nepal after graduation. Methods The study was conducted among first- and second-year undergraduate medical students using a semi-structured questionnaire developed by the authors using inputs from the literature and their experiences of teaching medical students. Year of study, gender, method of financing of medical education, place of family residence and occupation of parents were noted. Participant responses were analysed, grouped together and the number of respondents stating a particular response was noted. Results Of the 200 students, 185 (92.5% participated with 95 being from the first year and 90 from the second. Most students were self-financing and from urban areas. Regarding the question of working in rural Nepal after graduation, 134 (72.4% said they will work after their undergraduate course. Students preferred to work in the government or nongovernmental sector. Student felt doctors are reluctant to serve in rural Nepal due to inadequate facilities, low salary, less security, problems with their professional development, less equipment in health centres, decreased contact with family and difficulties in communicating with an illiterate, rural population. About 43% of respondents felt medical education does not adequately prepare them for rural service. Repeated rural exposure, postings in rural hospitals and health centres, and training students to diagnose and treat illness with less technology were suggested. The median monthly salary expected was 60 000 Nepalese rupees (US$ 820 and was significantly higher among first-year students. Conclusions The majority of respondents were in favour of working in rural Nepal after graduation. They wanted facilities in rural areas and health centres to be improved. Changes in the education system were suggested. Providing relatively better facilities for rural doctors compared with urban doctors and reorienting medical education for producing doctors for rural Nepal can be considered. Further studies are required in other private medical schools.
This article describes a study of Nigerian medical students' perceptions of traditional didactic lectures and their overall learning environment. The results confirm declining interest in didactic lectures and practical sessions with preferences for peer-tutored discussion classes, which were considered more interactive and interesting. This study recommends more emphasis on student-centered learning with alternatives to passive lecture formats and repetitive cookbook practical sessions. The institutionalization of student feedback processes in Nigerian medical schools is also highly recommended.
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Prescription of drugs follows some principles about which the medical students should be aware, and they should practice them efficiently so that they become experienced in the field. This study aims to determine the practice and knowledge of drug prescription in senior medical students. A cross-sectional study was conducted on a sample of 140 students from Shiraz University of Medical Sciences. Data were collected using self administered questionnaires in the format of case study and essay questions. The questions were designed based on principles of drug prescription presented to the interns in Shiraz University of Medical Sciences on the subjects including drug indication, interaction and side effects; contraindication of drugs in pregnancy; maximum drugs prescribed in one prescription letter; and the rules of insurance organizations in Iran. The data analysis was performed using SPSS, version 15. Content validity of multiple choice questions was confirmed by expert opinion and the consensus of four reference texts. 120 students participated in this study with a response rate of 85.7%. As to the knowledge of medical students, only 34.18% of them were competent in prescribing drugs; however, no one got a full score in the exam. 27.73% of them answered the questions incompletely, and 30.09% of them showed wrong prescription. Most mistakes were related to drug interaction, antibiotics and analgesics drugs (68.3%. As to the reference books of pharmacology, 16.9% had complete knowledge, 54.8% moderate level of knowledge, 28.3% had no information about that. This study shows that the knowledge of medical students as to drug prescription is inadequate. Also, many studies have approved that effective education has a significant effect on improvement of drug prescription by physicians. We recommend interventions such as curriculum development to increase the students’ skills. This should be taken into account in further research and by public health professionals and health policy makers.
Objective To assess pharmacy students' Facebook activity and opinions regarding accountability and e-professionalism and determine effects of an e-professionalism education session on pharmacy students' posting behavior. Methods A 21-item questionnaire was developed, pilot-tested, revised, and administered to 299 pharmacy students at 3 colleges of pharmacy. Following a presentation regarding potential e-professionalism issues with Facebook, pharmacy students with existing profiles answered an additional question concerning changes in online posting behavior. Results Incoming first-year pharmacy students' Facebook usage is consistent with that of the general college student population. Male students are opposed to authority figures' use of Facebook for character and professionalism judgments and are more likely to present information they would not want faculty members, future employers, or patients to see. More than half of the pharmacy students planned to make changes to their online posting behavior as a result of the e-professionalism presentation. Conclusions There is high social media usage among pharmacy students and many do not fully comprehend the issues that arise from being overly transparent in online settings. Attitudes toward accountability for information supplied via social networking emphasize the need for e-professionalism training of incoming pharmacy students. PMID:19885073
Scott, Doneka R.; Akers, Paige
Abstract Background: The task of engaging senior medical students in ethical inquiry while on rural clinical placements has received minimal attention in the medical education literature. As there is an international trend for medical students to undertake part or all of their clinical training in rural areas, the need to deliver clinically relevant ethics teaching in a sustainable manner has emerged as a challenge for medical schools. Clinicians tend to be hesitant about delivering this kind of teaching. What we did: We introduced a novel teaching program which involved recruiting, training and supporting experienced rural clinicians to facilitate a series of Rural Ethics Ward Rounds with the senior medical students on extended rural placements. Evaluation: The clinical facilitators expressed some initial uncertainty with the teaching model, but generally reported a positive experience, including significant professional benefits such as increased ethical awareness and opportunity for self-reflection. Conclusion: This model enables experienced rural clinicians to facilitate student development in ethical awareness and skill, and requires relatively low demands on academic time and resources. PMID:24935634
Parker, Lisa; Watts, Lisa D
Background: Medical Ethics is structured to guide doctors towards a better professional practice. However, its teaching in medical schools seems to be neglected. Aim: To evalúate the perception of Federal University of Sergipe medical students about ethical conflicts duringtheir academic practice, in two different periods of a medical course. Material ana Methods: A cross-sectional, analytic and observatio-nal study. Using a qualitative approach, analytic categories were identified using an ...
DÉBORAH PIMENTEL; CARLA BARBOSA DE OLIVEIRA; MARÍA JÉSIA VIEIRA
Full Text Available Background: The use of self-medication is highly prevalent in the community more so amongst the medical students. Self-medication can be defined as the use of drugs to treat self-diagnosed disorders or symptoms, or the intermittent or continued use of a prescribed drug for chronic or recurrent disease or symptoms. Aims and Objectives: To study the prevalence and pattern of use of self-medication among medical students from first year to internship. Methods: This cross sectional study was carried out among under graduate medical students including interns of Smt. NHL Municipal Medical College, Ahmedabad during the period of March 2010 to May 2010. Results: Out of 747 students and interns enrolled, 685 responded (91.7%. Out of 685 respondents 564 (82.3% reported self-medication within one year of recall period. Most common conditions/symptoms for self-medication in students were fever (72.7%, headache (69.1%, upper respiratory tract infections (64.1% followed by others like body-ache, abdominal pain, diarrhoea etc. Over the counter drugs (84.2% was the most common category of drugs used by all the students except first year students who used prescription only drugs more frequently (48.5%. Herbal and Ayurvedic drugs were also used as self-medication (17.8%; most frequently by the first year students (22.7%. Conclusion: The pattern of self-medication practice changes with time and advancement of knowledge. [Int J Basic Clin Pharmacol 2013; 2(3.000: 275-280
Rushi N. Pandya
Full Text Available Abstract Background Psychosocial competence and frustration tolerance are important characteristics of skilled medical professionals. In the present study we explored the usefulness of applying a comprehensive motivational theory (Goal orientations, for this purpose. According to goal orientation theory, learning motivation is defined as the general goals students pursue during learning (either mastery goals - gaining new knowledge; or performance goals - gaining a positive evaluation of competence or avoiding negative evaluation. Perceived psychosocial abilities are a desirable outcome, and low frustration tolerance (LFT, is a negative feature of student behavior. The hypothesis was that the mastery goal would be positively associated with psychosocial abilities while performance goals would be positively associated with LFT. Methods 143 first-year medical students completed at the end of an annual doctor-patient communication course a structured questionnaire that included measures of learning goal orientations (assessed by Pattern of Adaptive Learning Scale - PALS, psychosocial abilities (assessed by Psychological Medicine Inventory- student version -PMI-S and Low Frustration Tolerance (LFT. Results All study variables were found reliable (Cronbach's ? ranged from .66 to .90 and normally distributed. Hierarchical multiple regression analysis revealed significant associations supporting the hypotheses. The mastery goal orientation was positively associated with perceived psychosocial abilities (PMI-S (? = .16, p Conclusions The results suggest that the goal orientations theory may be a useful theoretical framework for understanding and facilitating learning motivation among medical students. Limitations and suggestions for practice within medical education context are discussed.
Full Text Available Background: The north-east (NE region of Sri Lanka observed a critical health workers’ shortage after the long-lasting armed conflict. This study aimed to explore medical students’ attitudes towards working in the NE and to identify factors determining such attitudes. Methods: A semi-structured, self-administered questionnaire survey was conducted in two medical schools, one in the NE and the other near the capital, in October 2004. Data were qualitatively analysed using the framework approach. Results: Three main themes were identified: 1 Professional motives and career plans; 2 Students’ perceptions of the healthcare situation in the NE; and 3 Students’ choice of the NE as a future practice location. It was found that familiarity with the difficulties faced by the NE people was a major motivation for medical students to work in the NE in the future. For NE students, familiarity was linked to their sense of belonging. For non-NE students, their personal experience of the NE familiarized them with the difficult situation there, which positively influenced their willingness to work there. Demotivations to work in the NE were poor working and living conditions, fewer opportunities for postgraduate education, language differences, insecurity, and fear of an unpleasant social response from the NE communities. Conclusions: NE local medical students had a sense of belonging to the NE and compassion for the Tamil people as members of the ethnic group. They were willing to work in the NE if their concerns about difficult working and living conditions and postgraduate education could be solved. Non-NE students who were familiar with the NE situation through their personal experience also showed a willingness to work there; thus, early exposure programmes in medical education might help to increase the health workforce in the NE. It is also expected that non-NE physicians working for the NE people would facilitate reconciliation and the rebuilding of trust between two ethnic groups.
Azeem Dad Gadi
The role of nurse with Master Degree represents an challenge career opportunity for professional nurses. The Professional Master in Nursing at Fluminense Federal University (RJ) - Brazil was approved by CAPES and will open a new class in March 2006.
Cf, Isabel Da Cruz
Use and opinion of herbs among medical students of Imo State University Nigeria was assessed. Information on herb use, indication and opinion from returned self-administered questionnaire was analyzed. A total of 114 students (91.2%) of 125 responded. 32 (28.1%) students had used herbs before, a significant proportion being males (OR 3.7). Herbal tea was the most popular herb used; maintaining good health and treating malaria were the only indications (50% each). Most students (>90%) believe ...
Enwere, O. Okezie
Globalization is a part of modern life. Sharing a common set of professional nursing values is critical in this global environment. The purpose of this research was to examine the professional values of nursing students from two distinct cultural perspectives. Nurse educators in Taiwan partnered with nurse educators in the United States to compare professional values of their respective graduating nursing students. The American Nurses Association Code of Ethics served as the philosophical framework for this examination. The convenience sample comprised 94 Taiwanese students and 168 US students. Both groups reported high scores on an overall measure of values. They did differ substantially on the relative importance of individual items related to advocacy, competence, education, self-evaluation, professional advancement, and professional associations. Global implications for the collaborative practice of nurses from different cultures working together can be improved by first recognizing and then attending to these differences in value priorities. PMID:23702893
Alfred, Danita; Yarbrough, Susan; Martin, Pam; Mink, Janice; Lin, Yu-Hua; Wang, Liching S
Abstract Background: Contemporary student affairs units arm students with professional skills, abilities and dispositions as they promote student learning, growth and development, as opposed to providing only administrative services. Aim: To describe the process for designing, planning, implementing and assessing a comprehensive student affairs unit that serves graduate and professional students at the University of North Carolina at Chapel Hill Eshelman School of Pharmacy. Method: A student services office that served only professional students was transformed in 2011 to an office of student affairs. The goal of the expanded, comprehensive unit is to work, in collaboration with academic affairs, to promote holistic student growth and development through proactive, intentional planning of co-curricular experiences. Results: The comprehensive student affairs model has allowed for more student programming and mentoring opportunities, improved graduate students' feelings of connectedness to the School and improved efficiency of processes. The next steps include thorough assessment of the model and monitoring of the strategic plan. Conclusions: A comprehensive, centralized student affairs unit, working in partnership with academic affairs, can help professional and graduate health affairs programs meet their goals for student development, while improving the efficiency of administrative processes. This model can be easily implemented in other schools. PMID:24986548
Cox, Wendy C; Wingo, Bradford; Todd, Aaron J
The application of radiation in the field of medicine is the most active area. Due to the rapid and strong development of intervention radiology at present near 20 years, particularly, the medical workers become a popularize group which most rapid increasing and also receiving the must high of professional exposure dose. Because, inter alias, radiation protection management nag training have not fully follow up, the aware of radioactive protection and appropriate approach have tot fully meet the development and need, the professional exposure dose received by medical workers, especially those being engaged in intervention radiology, are more higher, as well as have not yet fully receiving the complete personal dose monitoring, the medical workers become the population group which should be paid the most attention to. The writer would advice in this paper that all medical workers who being received a professional radiation exposure should pay more attention to the safety and healthy they by is strengthening radiation protection and receiving complete personal dose monitoring. (authors)
Full Text Available "nMedical education in Iran has witnessed important reforms within the last three decades. Among them was the formation of the Ministry of Health and Medical Education and a sudden rise in medical student admissions. This reform took place in a specific time period and was aimed to meet the country's requirement of training more physicians. Other reforms have aimed to improve the quality and outcomes of physician training. This is possible through two measures: a change in medical education procedures, or a change in the ‘input' of medical education (i.e. students or both. Graduate admission to medical schools is a step toward changing the ‘input'. In 2008, twenty one bachelor students were admitted in Tehran University of Medical Sciences through a series of prerequisites, tough scientific exams and structured interviews. This move had three objectives: strengthening the links between basic and clinical sciences, selecting the students on the basis of a wider range of criteria (instead of strictly academic ones, and providing a chance for applicants to make a more informed choice of medicine (considering that the graduate applicants are older and have previous academic experience. Further areas of education reform are also being followed: a change in medical students' educational content and procedures, and considerations and development of joint degrees such as MD-MPH and MD-PhD.
Full text: Introduction: Every profession has a collection of principles and rules, which it is regulated. The professional behavior in medical activities is particularly importance due to their specific nature. The modern education of the X-ray technician strives to meet the need to create and shape the personalities to provide quality care and services. Materials and Methods: The study was conducted among students of the Medical College ‘J. Filaretova’ at Sofia, specialty ‘X-ray Technician’ and mentors from the education- practical bases in different directions - diagnostic imaging, nuclear medicine, radiotherapy. The inquiry study included thirty-four students in the third course and twenty- two of their mentors. Following methods were used: sociological (direct anonymous inquiry); documentary (discussing and analyzed the curriculum and training programs for X-ray Technician); statistical method (survey data were processed with statistical computer program SATGRAPHICS PLUS and EXCEL). Results: The study found that 61% of students feel fully prepared theoretically to have a professional conduct in their practice, which is supported by 50% of their mentors. 50% believe that students are partly prepared as there is no one who claims that they are not well prepared. 94% of students say they keep the workplace discipline and actively participate in the activities carried out at the education- practical bases. A large percentage of mentors (77%) confirm this. The training enables them to acquire the skills to work in a team and communicate with patients and colleagues. Conclusion: College education creates conditions and prerequisites the students from the specialty ‘X-ray Technician’ to acquire professional knowledge and skills and to apply them in practice with providing a quality health care
Full Text Available SciELO Chile | Language: Spanish Abstract in spanish [...] Abstract in english Background: During the last few years, multiple new medical schools have emerged in Chile, associated to the constant preoccupation to provide a good quality medical care. This created the need to evaluate medical training programs and to open a discussion about the attributes that a good physician [...] should have. Aim: To evaluate the medical student's perception of the ideal medical doctor profile. Material and methods: An analytical, descriptive and cross sectional study was designed. Eleven second year, 11 third year, nine fourth year, 13 fifth year, 6 sixth year and 8 seventh year students were studied. Data collection was gathered by focus groups. Codes and triangulation were used for data analysis. Results: As attitudes and moral-ethical values, students valued the absence of discrimination a listening attitude and empathy. Among job related issues, they valued responsibility and punctuality. Emotional and legal self-care were valued as self related attitudes. Among skills, competences and capacities, a value was given to communicational skills, team work and professional easiness. Knowledge about medical and non medical topics was appraised. The valued attributes among duties and activities were patient diagnosis, treatment and education, team leadership and continuous medical training. Conclusions: These findings should help to design new curricula for medical schools (Rev Méd Chile 2006; 134: 947-54)
Diego, García-Huidobro M; Felipe, Núñez V; Paula, Vargas I; Smiljan, Astudillo M; Mario, Hitschfeld A; Rubén, Gennero R; Loreto, Salvatierra L; Ángela, Benavente C.
BACKGROUND: This paper reports on medical students’ views on the ways in which their ‘soft skills’ were developed. It is the result of a study on soft skills among two groups of students before and after curriculum reform at the School of Medicine of the University of Pretoria. One of the aims of the reform was to provide more teaching and learning opportunities for the development of soft skills. Soft skills include professional interpersonal and social skills, communication skills,...
Bergh, Anne-marie; Staden, C. W.; Joubert, Pierre M.; Kruger, Christa; Pickworth, G. E.; Roos, J. L.; Schurink, W. J.; Du Preez, R. R.; Grey, Somarie V.; Lindeque, B. G.
Full Text Available Background: Patients have always been part of medical education. The patients’ co-operation with the undergraduate medical students is vital in clinical education. Patient contact is an integral component of medical education, training and assessment. It provides students and doctors with an opportunity to learn and to develop their professional skills, attitudes and identity. Patients can also benefit from involvement in teaching and training, by increasing their own knowledge, and indirectly through improved training of the medical workforce. Recent reforms of medical education now use more structured and extensive patient contact. Patients should be actively involved in the development, review and implementation of Medical curriculum. But lack of experience of the large number students may evoke negative attitude and acceptability of patients which may sometimes adversely affect the clinical teaching environment. Lots of studies conducted on this area in the different part of the world with varying results with different cultural patients with socio-demographic variation. In this area there was need of more studies especially at this part of the world, Burdwan Medical College, India, where there was no such study conducted before. Objective: In this study my objective was to explore the attitude & acceptability of the undergraduate medical students by the patients in a tertiary care teaching hospital of eastern India. Methods: This study was conducted among 560 patients in OPD & inpatients in Burdwan Medical College, Burdwan , India, from March 2012- June 2012, using predesigned structured questionnaires. Results: Among 560 patients 545 patients responded. Male patients were 54.678% & female were 45.32%. Hindu patients were 37.064% (n=202 and Muslim patients were 62.935% ( n=343. Higher acceptance of both male& female undergraduate medical students at the rate of 86.972% (n=474 by the patients when there was medical examination with the presence of doctors. Whereas only 30.09% (n=164 acceptance of both male& female students by the patients when there was no doctors. In general there was higher acceptance of both sexes’ students by the patients when there was no direct contact with the patients, e.g. taking history of illness, presenting at the OPD clinic, reading the patients file etc. 69.908% (n=381 of patients felt comfortable with the presence of medical students, while 79.266% (n=432 of patients gave favorable opinion regarding the improvement of the quality of health care with the presence of undergraduate medical students. Conclusion: Though a large number of patients did not accept the students without the presence doctor, but majority of the patients showed overall positive attitude towards the involvement of medical students. Key Words: Medical Students, Medical Education, Patients’ acceptability, OPD Clinic.
Introduction: Assuming any social role has obligations and fulfilling the related responsibilities has ethical aspects that must be addressed carefully. Each role requires extensive training, which usually takes place in university institutions. Ethics is applied in at least three academic areas, including: a) in education of students' personal growth, b) in patient care, and c) in university communion in population-based health care. Given the importance of this issue in the moral domain, this study examines the correlation among the students, nurses and teacher's opinions regarding principles of medical ethics at Shiraz University of Medical Sciences. Methods: This is a descriptive-analytic and cross-sectional study conducted in 2010. The participants of this research consisted of all medical students, nurses in public hospitals, and faculty members in Shiraz University of Medical Sciences. For validity evaluation, the expert panel method and for reliability evaluation, test-retest method was used. Results: Based on the medical ethics’ scores in these three groups, there was a significant relationship between the mean scores of student-nurses and employed nurses, but there was no significant relationship between those of student-faculties. Also the mean score of the students was the highest in medical ethics. Conclusion: In this study, we presented a list of virtues and moral characteristics of medical staff and found out the method of practicing medical ethics in everyday life of students to improve the moral reasoning of teachers, nurses and students. Moreover, medical ethics, with the presentation of specific criteria for ethical behavior in various domains of human life, especially in dealing with patients, can help practice ethical values in the medical community. PMID:25587553
BAZRAFCAN, LEILA; NABEIEI, PARISA; SHOKRPOUR, NASRIN; MOADAB, NEDA
Introduction: Assuming any social role has obligations and fulfilling the related responsibilities has ethical aspects that must be addressed carefully. Each role requires extensive training, which usually takes place in university institutions. Ethics is applied in at least three academic areas, including: a) in education of students' personal growth, b) in patient care, and c) in university communion in population-based health care. Given the importance of this issue in the moral domain, this study examines the correlation among the students, nurses and teacher's opinions regarding principles of medical ethics at Shiraz University of Medical Sciences. Methods: This is a descriptive-analytic and cross-sectional study conducted in 2010. The participants of this research consisted of all medical students, nurses in public hospitals, and faculty members in Shiraz University of Medical Sciences. For validity evaluation, the expert panel method and for reliability evaluation, test-retest method was used. Results: Based on the medical ethics’ scores in these three groups, there was a significant relationship between the mean scores of student-nurses and employed nurses, but there was no significant relationship between those of student-faculties. Also the mean score of the students was the highest in medical ethics. Conclusion: In this study, we presented a list of virtues and moral characteristics of medical staff and found out the method of practicing medical ethics in everyday life of students to improve the moral reasoning of teachers, nurses and students. Moreover, medical ethics, with the presentation of specific criteria for ethical behavior in various domains of human life, especially in dealing with patients, can help practice ethical values in the medical community.
BAZRAFCAN, LEILA; NABEIEI, PARISA; SHOKRPOUR, NASRIN; MOADAB, NEDA
Team-based learning (TBL) has been used for many years in business and science, but little research has focused on its application in nursing education. This quasi-experimental study was to apply the TBL in four nursing courses at a university in Taiwan and to evaluate its effect on students' learning outcomes and behaviors. Adult health nursing, maternal-child nursing, community health nursing, and medical-surgical nursing were the 4 designated courses for this study. Three hundred ninety-nine students in 2-year registered nurse-bachelor of science in nursing, and regular 4-year nursing programs enrolled in the designated courses were contacted. Three hundred eighty-seven students agreed to participate in the data collection. Results showed that the TBL significantly improved the learning behaviors of students in both programs, including class engagement (p professional development. The TBL method can be considered for broader application in nursing education. PMID:25150421
Cheng, Ching-Yu; Liou, Shwu-Ru; Hsu, Tsui-Hua; Pan, Mei-Yu; Liu, Hsiu-Chen; Chang, Chia-Hao
Full Text Available Goal of the research was to study conditionality of overcoming strategies in difficult situations of social interaction by personal representations of attitude to others among medical students. Material and methods. 134 first-year students of Saratov State Medical University n.a. V. I. Razumovsky took part in the comparative diagnostic study. Results. Comparison of average indices of various strategies evidence in coping behaviour allowed revealing statistically significant dependence of coping behaviour modi in difficult situations of social interaction upon types of personal representations of attitude toward others and gender features of forming effective strategies of coping behaviour among medical students. Conclusion. Correlation between coping behaviour modi in difficult situations of social interaction and typology of personal representations of attitudes toward others among medical students was marked.
Full Text Available Considering the explosive growth in internet use among medical students in India, this study aimed to determine the prevalence of internet addiction in undergraduate medical students.This cross-sectional study involved 90 subjects (18-20 years of age selected by random sampling from the first year undergraduate medical student population at Kasturba Medical College Mangalore. Young’s Internet addiction test questionnaire was administered. Based on the scoring, subjects were classified into normal users (score 79 internet addiction groups.The prevalence of internet addiction (moderate and severe was determined to be 18.88%. Majority (57.77% conformed to mild addiction. The most common purpose for internet use was found to be social networking (97.8%, followed closely by e mailing (87.8%.The prevalence of moderate to severe internet addiction appeared to be low, a significant number of students conform to mild addiction.
An increasingly diverse population and ongoing health disparities have brought national attention to cultural competence training in medical schools. However, few data exist on medical students' knowledge in cultural competence. The purpose of this study is to assess medical students' knowledge in cultural competence to identify training areas for curriculum development. All third-year medical students at a single institution during the period of November 2001 to February 2004 completed a questionnaire to assess their knowledge of cultural competence during their medicine clerkship. The 40-item questionnaire measured several domains of cultural competence: health disparities, stereotyping, exploring culture, perceptions of health and illness, and communication/language. The mean knowledge score was 55%, and no student scored >80%. Race and prior cultural training were not predictors of overall performance. PMID:16296218
Bussey-Jones, Jada; Genao, Inginia; St George, Diane Marie; Corbie-Smith, Giselle
A novel patient-centered approach was used to deliver ethics curriculum to medical students. Two medical school clinicians designed a telemedicine session linking their facilities (across 2 continents). The session, Exploring the Patient Experience Through Telemedicine: Dialysis and End-Stage Renal Disease, allowed second-year medical students to explore various parameters of quality of life experienced by dialysis patients. A panel of 4 medical students interviewed a dialysis patient via Skype video connection between the medical school and the hospital's dialysis unit. Interview questions were adapted from the Kidney Disease Quality of Life instrument. During the live video-streamed interview, the remaining 23 second-year medical students observed the session. Afterward, the 23 were offered a voluntary anonymous online feedback survey (15 responded). The 4 panelists submitted narrative responses to 2 open-ended questions about their experience. All 15 responding students "Strongly agreed" or "Agreed" that the session was an aid to their professionalism skills and behaviors; 14 of 15 "Strongly agreed" or "Agreed" that telemedicine technology contributed to their understanding of the topic; 12 of 15 "Strongly agreed" that the session improved their understanding of the psychosocial burdens of dialysis, quality of life, and human suffering, and increased their empathy toward patients; and 12 of 15 "Strongly agreed" or "Agreed" that the session encouraged reflective thinking and was an aid to improving their communication skills. Telemedicine can be an effective and feasible method to deliver an ethics curriculum with a patient-centered approach. Additionally, the cross-cultural experience exposes students to additional contextual features of medicine. PMID:25193732
Bramstedt, Katrina A; Prang, Melissa; Dave, Sameer; Shin, Paul Ng Hung; Savy, Amani; Fatica, Richard A
The NRAO 20m telescope is now on-line as a part of UNC's Skynet worldwide telescope network. The NRAO is completing integration of radio astronomy tools with the Skynet web interface. We present the web interface and astronomy projects that allow students and astronomers from all over the country to become Radio Astronomers. The 20 meter radio telescope at NRAO in Green Bank, WV is dedicated to public education and also is part of an experiment in public funding for astronomy. The telescope has a fantastic new web-based interface, with priority queuing, accommodating priority for paying customers and enabling free use of otherwise unused time. This revival included many software and hardware improvements including automatic calibration and improved time integration resulting in improved data processing, and a new ultra high resolution spectrometer. This new spectrometer is optimized for very narrow spectral lines, which will allow astronomers to study complex molecules and very cold regions of space in remarkable detail. In accordance with focusing on broader impacts, many public outreach and high school education activities have been completed with many confirmed future activities. The 20 meter is now a fully automated, powerful tool capable of professional grade results available to anyone in the world. Drop by our poster and try out real-time telescope control!
Hosmer, Laura; Langston, G.; Heatherly, S.; Towner, A. P.; Ford, J.; Simon, R. S.; White, S.; O'Neil, K. L.; Haipslip, J.; Reichart, D.
Background/Objective: This study aimed at estimating the prevalence and associated factors of premenstrual dysphoric disorder (PMDD) among medical students in a University in the North-Central State of Nigeria. PMDD is the severest form of premenstrual symptoms and is associated with impairment of social and role functioning. Methods: A cross-sectional study of female medical students of the University of Ilorin College of Health Sciences (n=208), which involves completing a qu...
Issa Baba; Yussuf Abdullah; Olatinwo Abdul Waheed; Ighodalo Martin
Introduction: The Comprehensive Healthcare (CHC) module was developed to introduce pre-clinical medical and pharmacy students to the concept of comprehensive healthcare. This study aims to explore their shared learning experiences within this module. Methodology: During this module, medical and pharmacy students conducted visits to patients’ homes and to related community-based organisations in small groups. They were required to write a reflective journal on their experiences regarding wor...
Chai-Eng Tan; Aida Jaffar; Seng-Fah Tong; Majmin Sheikh Hamzah; Nabishah Mohamad
The article presents the structure of personal features of students decided to devote their life to medical profession, their personal readiness for a profession of a doctor. 241 students going to enter the Saratov Medical University in 2013 serve as an object of research. Methods of research included psychology tests on a self-assessment of a mental state, ability to empathy, a motivation orientation. Result. It was revealed that the majority of respondents low level of uneasiness, low level...
Akimova O.V.; Shchibrya A.V.; Aranovich I.U.
Goal of the research was to study conditionality of overcoming strategies in difficult situations of social interaction by personal representations of attitude to others among medical students. Material and methods. 134 first-year students of Saratov State Medical University n.a. V. I. Razumovsky took part in the comparative diagnostic study. Results. Comparison of average indices of various strategies evidence in coping behaviour allowed revealing statistically significant dependence of copi...
Veretelnikova Yu.Ya.; Chernyshkova E.V.; Ye, Belyakov A.
OBJECTIVES To estimate the prevalence of smoking habits among male medical students at the College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia (KSA). METHODS We carried out this cross-sectional study using Arabic questionnaires distributed to the medical students in the College of Medicine, King Saud University, Riyadh, KSA at different educational levels from September 13 to September 25, 2005. A total of 322 med...
Al-turki, Yousef A.
Introduction: There are 2 million corneal blind in India with a big gap between corneal demand and supply. The Govt. of Haryana by launching Nehru Drishti Yojna has taken a big step to eliminate corneal blindness from Haryana. Medical students are from a different educational background with a scientific base and thus have a pivotal role play in becoming as role models and mass educators. Objective: To assess the perception of medical students regarding eye donation. Methods: A cross sectiona...
Singh, M.; Bhardwaj, A.; Ahluwalia, S. K.; Saini, S.; Qadri, S.
OBJECTIVE: This Institutional Review Board-approved, prospective, observational study compared the clinical performance of senior medical students in an emergency medicine (EM) clerkship using a clinical behavioral evaluation tool in which one group had mandatory, topic specific readings and the other did not.METHODS: The study took place in an urban, tertiary referral center emergency department treating 43,000 patients annually and supporting medical student clerkships and an EM residency. ...
Hoffman, Lance; Bott, Kristine; Puumala, Susan; Shostrom, Valerie
Abstract Background To reduce harm caused by health care is a global priority. Medical students should be able to recognize unsafe conditions, systematically report errors and near misses, investigate and improve such systems with a thorough understanding of human fallibility, and disclose errors to patients. Incorporating the knowledge of how to do this into the medical student curriculum is an urgent necessity. This paper aims to systematically review the literature about p...
Zhang Mingming; Barraclough Bruce H; Chen Peixian; Duan Yurong; Li Lin; Nie Yanli; Li (Tiffany) Jing
A computer based education system has been developed which teaches medical students efficient imaging management of common medical and surgical problems. Through the use of imaging algorithms students learn the sequence of imaging tests which are necessary to effectively determine a patient's clinical diagnosis. The instruction is presented on a personal computer which is interfaced to a random access slide projector. Visual feedback of images ordered are provided along with textual results.
Cronan, John J.; Hanson, Daniel J.; Mcenery, Kevin W.; Rowe, Lynda E.
Afshin Habibzadeh1 Mahasti Alizadeh2 Ayoub Malek3 Leili Maghbooli1 Mohammadali M Shoja4 Kamyar Ghabili41Students' Research Committee, 2Department of Community Medicine, 3Department of Psychiatry, 4Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IranBackground: Methylphenidate, a medication prescribed for individuals suffering from attention-deficit/hyperactivity disorder, is increasingly being misused by students.Objective: The aims of thi...
Afshin Habibzadeh Mahasti Alizadeh Ayoub Malek; et al.
Describes the biochemistry component of study to become a medical technologist in a Chilean university. Provides details of program structure, course content descriptions, and teaching strategies. (DDR)
Gomez-Silva, Benito; And Others
Full Text Available Work related musculoskeletal disorders are common health problem and increasing cause of disability. Laboratory professionals are unique group of healthcare professionals who play an essential part in diagnosis and therapy planning and often their work is associated with potential health hazards. Objective of current study was to review literature on prevalence of work-related musculoskeletal disorders among medical laboratory professionals. Electronic databases and bibliographies were searched and identified papers evaluated against inclusion criteria. The searching strategy uncovered 13 reports. Total 7 studies were included for the review. A high degree of heterogeneity among studies was observed. The overall prevalence's ranges from 40-60%. With neck being more prevalent 18-78%. However additional high quality studies are required in this area. [Int J Res Med Sci 2014; 2(4.000: 1262-1266
Parul Raj Agrawal
Full Text Available Introduction: Special concerns often arise when medical students are themselves the subjects of education research. A recently completed large, multi-center randomized controlled trial of computer-assisted learning modules for surgical clerks provided the opportunity to explore the perceived level of risk of studies where medical students serve as human subjects by reporting on: 1 the response of Institutional Review Boards (IRBs at seven institutions to the same study protocol; and 2 the thoughts and feelings of students across study sites about being research subjects. Methods: From July 2009 to August 2010, all third-year medical students at seven collaborating institutions were eligible to participate. Patterns of IRB review of the same protocol were compared. Participation burden was calculated in terms of the time spent interacting with the modules. Focus groups were conducted with medical students at each site. Transcripts were coded by three independent reviewers and analyzed using Atlas.ti. Results: The IRBs at the seven participating institutions granted full (n=1, expedited (n=4, or exempt (n=2 review of the WISE Trial protocol. 995 (73% of those eligible consented to participate, and 207 (20% of these students completed all outcome measures. The average time to complete the computer modules and associated measures was 175 min. Common themes in focus groups with participant students included the desire to contribute to medical education research, the absence of coercion to consent, and the low-risk nature of the research. Discussion: Our findings demonstrate that risk assessment and the extent of review utilized for medical education research vary among IRBs. Despite variability in the perception of risk implied by differing IRB requirements, students themselves felt education research was low risk and did not consider themselves to be vulnerable. The vast majority of eligible medical students were willing to participate as research subjects. Participants acknowledged the time demands of their participation and were readily able to withdraw when those burdens became unsustainable.
Adina L. Kalet
Recent survey data gathered from British medical students reveal widespread acceptance of conscientious objection in medicine, despite the existence of strict policies in the UK that discourage conscientious refusals by students to aspects of their medical training. This disconnect demonstrates a pressing need to thoughtfully examine policies that allow conscience objections by medical students; as it so happens, the USA is one country that has examples of such policies. After presenting some background on promulgated US conscience protections and reflecting on their significance for conscience objections by medical students, this paper observes that the dominant approach (following the American Medical Association's conscience clause) is to allow exempted students to instead be evaluated on the basis of alternative curricular activities to learn the associated underlying content. This paper then introduces and discusses an example in which male Muslim students who believe it is wrong to touch members of the opposite sex object to performing physical examinations on female subjects in their medical training. This sort of case, it is argued, causes difficulty for a conscience clause that resolves the dilemma by granting reasonable exemptions in the form of participation in alternative curricular activities: there are cases where one must perform the 'objectionable' activity itself in order to learn the necessary content and underlying principles. PMID:22556313
Card, Robert F
Objective: To review the principles underlying medical student selection from the perspective of the imperatives of widening access policies. Setting: A recent government initiative has increased the number of medical school places in Great Britain. A priority is to widen access to sections of the community hitherto inadequately represented in…
Powis, David; Hamilton, John; McManus, I. C.
Best practice communication between healthcare professionals and patients involves using quality patient information leaflets (PILs). We assessed medical and physiotherapy students' (N = 337) ability to appraise the readability, psychology theory content and quality of nine international smoking PILs. Flesch scores ranged from 52.8-79.7% (fairly difficult to fairly easy). Students identified components of the Health Belief Model (84-98%), Theory of Planned Behaviour (65-88%) and Transtheoretical Model (37-86%). Importantly, student-proposed additional theory-based content had no detrimental effect on readability scores. Overall quality scores indicated low-moderate quality. This assignment helped students critically evaluate the utility of PILs for communication. PMID:22689589
Doyle, Frank; Doherty, Sally; Morgan, Karen; McBride, Orla; Hickey, Anne
AIDS-related knowledge, attitudes, and precautionary behaviors were assessed among a random sample of Michigan-licensed emergency medical service (EMS) professionals between June and August 1988. Of 2,000 mailed questionnaires, 1,020 were returned (51 percent response), and 997 of the returned questionnaires were used in the final analysis. Survey results indicated that most respondents were able to correctly identify the transmission routes of the human immunodeficiency virus (HIV), but many...
Smyser, M. S.; Bryce, J.; Joseph, J. G.
This poster expands on a methodology presented at the 2003 International Medical Informatics Association ( IMIA) Conference on Education by analyzing the match between four graduate informatics programs to both the IMIA Working Group for Education (WG1) recommendations and the Certified Professional in Healthcare Information Management Systems (CPHIMS) exam objectives published by the Healthcare Information and Management Systems Society (HIMSS). Similarities and differences among the program...
Moore, Rick A.; Berner, Eta S.
Aim: This pilot study aimed to explore the perceptions of general medical practitioners (GPs) towards the professional training and roles of community pharmacists. Methods: A self-administered questionnaire was distributed to all private clinics (n=160) run by GPs in a northern state of Malaysia. The instrument contained questions to evaluate the practitioners’ level of agreement using a 5-point Likert-type scale. Results: Of 160 GPs, 80 returned the questionnaire (response rate 50%). The r...
SAEED MS; SHAFIE AA; Awaisu, A.; HASSALI MA
Abstract Background The views of medical professionals on efficiency of health system and needs for any changes are very critical and constitute a cornerstone for any health system improvement. This is particularly relevant to Iraqi Kurdistan case as the events of the last few decades have significantly devastated the national Iraqi health system while the necessity for adopting a new health care system is increasingly recognized since 2004. This study aims to examine the reg...
Saleh Abubakir M; Shwani Falah H; Tahir Rebaz; Al-Tawil Namir G; Shabila Nazar P; Al-Hadithi Tariq S
"nMedical education in Iran has witnessed important reforms within the last three decades. Among them was the formation of the Ministry of Health and Medical Education and a sudden rise in medical student admissions. This reform took place in a specific time period and was aimed to meet the country's requirement of training more physicians. Other reforms have aimed to improve the quality and outcomes of physician training. This is possible through two measures: a change in medi&...
Majdzadeh, R.; Nedjat, S.; Keshavarz, H.; Rashidian, A.; Eynollahi, B.; Larijani, B.; Kb, Lankarani
Full Text Available Background: Self-medication is an important component of self-care. Though it is widely practiced globally, very few studies have evaluated its pattern and prevalence in dental students.Aim: The study was conducted to compare pattern of self-medication practices between junior and senior dental undergraduate students.Methods: This was a cross-sectional, anonymous, descriptive study with a six month illness recall that evaluated two groups of dental students- Group I: second year BDS students who were unexposed to pharmacology subject; Group 2: students pursuing internship (interns having a sound knowledge of pharmacology. A questionnaire consisting of both open and close ended questions related to various aspects of self-medication was handed to the students. Consenting students anonymously filled the questionnaire. Comparison between the two groups was done by two- tailed Chi-square test. P values<0.05 were considered as statistically significant.Results: A total of 167 students participated in the study.90% respondents in group 1 (second year and 94% respondents in group 2 (interns practiced self-medication. Illnesses for which self-medication was practiced included fever (76% vs. 78% and pain (46% vs.67%; p<0.05 followed by common cold and cough (37% vs. 47%. Lack of time (61% vs.72% and simplicity of illness (63% vs. 72% were two major factors resulting in self-medication. Parents (71% vs.54%, previous prescription records (21% vs.38% and pharmacists (24% vs.15% were the main guiding source of self-medication. Non-steroidal anti-inflammatory drugs (NSAIDs were the most commonly used drug group followed by antihistamines (28% vs.38% and antibiotics (12%vs. 27%.Conclusion: Self-medication is widely practiced among dental students. Prevalence of self-medication was more in senior dental students than their juniors. However, practice of self-medication was inappropriate in both the groups. Therefore, there is a pressing need to create awareness about risks and adverse consequences of self-medication in order to ensure rational and safe use of drugs.