scholarly journals Investigating Wilms’ Tumours Worldwide: A Report of the OxPLORE Collaboration—A Cross-Sectional Observational Study

2019 ◽  
Vol 44 (1) ◽  
pp. 295-302 ◽  
Author(s):  
K. Ford ◽  
S. Gunawardana ◽  
E. Manirambona ◽  
G. S. Philipoh ◽  
B. Mukama ◽  
...  
Keyword(s):  
Medical Students ◽  
Observational Study ◽  
Research Collaboration ◽  
Multidisciplinary Treatment ◽  
High Income ◽  
Junior Doctors ◽  
Paediatric Surgery ◽  
Cross Sectional ◽  
Oncology Research ◽  
The Uk

Abstract Background Childhood cancer is neglected within global health. Oxford Pediatrics Linking Oncology Research with Electives describes early outcomes following collaboration between low- and high-income paediatric surgery and oncology centres. The aim of this paper is twofold: to describe the development of a medical student-led research collaboration; and to report on the experience of Wilms’ tumour (WT). Methods This cross-sectional observational study is reported as per STROBE guidelines. Collaborating centres included three tertiary hospitals in Tanzania, Rwanda and the UK. Data were submitted by medical students following retrospective patient note review of 2 years using a standardised data collection tool. Primary outcome was survival (point of discharge/death). Results There were 104 patients with WT reported across all centres over the study period (Tanzania n = 71, Rwanda n = 26, UK n = 7). Survival was higher in the high-income institution [87% in Tanzania, 92% in Rwanda, 100% in the UK (X2 36.19, p < 0.0001)]. Given the short-term follow-up and retrospective study design, this likely underestimates the true discrepancy. Age at presentation was comparable at the two African sites but lower in the UK (one-way ANOVA, F = 0.2997, p = 0.74). Disease was more advanced in Tanzania at presentation (84% stage III–IV cf. 60% and 57% in Rwanda and UK, respectively, X2 7.57, p = 0.02). All patients had pre-operative chemotherapy, and a majority had nephrectomy. Post-operative morbidity was higher in lower resourced settings (X2 33.72, p < 0.0001). Methodology involving medical students and junior doctors proved time- and cost-effective. This collaboration was a valuable learning experience for students about global research networks. Conclusions This study demonstrates novel research methodology involving medical students collaborating across the global south and global north. The comparison of outcomes advocates, on an institutional level, for development in access to services and multidisciplinary treatment of WT.

scholarly journals 841 The psychological impact of Foundation Interim Year 1 Placements on Final Year UK Medical Students Transitioning to Foundation Year One During the COVID Era

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Durand-Hill ◽  
D I Ike ◽  
A N Nijhawan ◽  
A B Shah ◽  
A Dawson ◽  
...  
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Psychological Impact ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stress Scale ◽  
The Uk

Abstract Introduction During the COVID pandemic, the 2019-2020 cohort of final year students were invited to participate in Foundation interim Year 1 placements (FiY1). FiY1 aimed to ease transition to Foundation Year 1 doctor (FY1). We assessed the psychological impact of FiY1 on final year medical students. Method A cross-sectional survey was distributed to final year medical students in the UK between June 4th and July 4th, 2020. The survey contained the following domains: participant demographics, rationale for FiY1 participation, a checklist of the key safety principles for FiY1s, the Hospital Anxiety and Depression Scale and the Perceived Stress scale-4. Results 107 final years responded to the survey. 72.0% (n = 77) of final year students surveyed were working as FiY1s. Final year students participating in FiY1 postings had reduced rates of anxiety (29.9% vs 43.4%, P = 0.186), depression (5.2% vs 20.0%, P = 0.018) and lower perceived stress levels (5.0 vs 7.2, P &lt; 0.001). 19.5% (15/77) FiY1s reported working beyond their competency, 27.3% (22/77) felt unsupervised, but 94.8% (73/77) of FiY1s felt the post prepared them for FY1. Conclusions Students participating in FiY1 postings felt less stressed and depressed than those not participating in the scheme and the majority felt it was preparing them for FY1.

scholarly journals Amyotrophic Lateral Sclerosis Knowledge among University Students

2020 ◽  
pp. 26-33
Author(s):  
Muhammad Shahid Iqbal ◽  
Salah-Ud-Din Khan ◽  
Eldowaik Mohamed Salah Saad ◽  
Muhammad Zahid Iqbal
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Medical Students ◽  
Observational Study ◽  
Social Science ◽  
University Students ◽  
Healthcare Provider ◽  
The Other ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Lateral Sclerosis

Objective: The objective of the study was to evaluate the knowledge of ALS among students in a university in Malaysia. Methods: A cross-sectional and observational study was performed among the students of three different healthcare provider faculties (Medical, Pharmacy and Dental) in a university with the help of pre-validated research questionnaire. The Statistical Package for Social Science (SPSS) Version 24.0 was used to analyze and present the data. Results: A total of 268 university students from three faculties participated in the current study. The medical faculty students and final year students had more appropriate knowledge towards the ALS. Conclusion: Overall appropriate knowledge was observed among the studied faculty students. The present study concluded that medical students had adequate knowledge of ALS than the other two faculty students.

scholarly journals Characteristics and treatment regimens across ERS SHARP severe asthma registries

2019 ◽  
Vol 55 (1) ◽  
pp. 1901163 ◽  
Author(s):  
Job J.M.H. van Bragt ◽  
Ian M. Adcock ◽  
Elisabeth H.D. Bel ◽  
Gert-Jan Braunstahl ◽  
Anneke ten Brinke ◽  
...  
Keyword(s):  
Severe Asthma ◽  
Research Collaboration ◽  
Forced Expiratory Volume ◽  
European Respiratory Society ◽  
Cross Sectional ◽  
Aggregated Data ◽  
Treatment Regimens ◽  
Severe Asthmatic ◽  
Definition Of ◽  
The Uk

Little is known about the characteristics and treatments of patients with severe asthma across Europe, but both are likely to vary. This is the first study in the European Respiratory Society Severe Heterogeneous Asthma Research collaboration, Patient-centred (SHARP) Clinical Research Collaboration and it is designed to explore these variations. Therefore, we aimed to compare characteristics of patients in European severe asthma registries and treatments before starting biologicals.This was a cross-sectional retrospective analysis of aggregated data from 11 national severe asthma registries that joined SHARP with established patient databases.Analysis of data from 3236 patients showed many differences in characteristics and lifestyle factors. Current smokers ranged from 0% (Poland and Sweden) to 9.5% (Belgium), mean body mass index ranged from 26.2 (Italy) to 30.6 kg·m−2 (the UK) and the largest difference in mean pre-bronchodilator forced expiratory volume in 1 s % predicted was 20.9% (the Netherlands versus Hungary). Before starting biologicals patients were treated differently between countries: mean inhaled corticosteroid dose ranged from 700 to 1335 µg·day−1 between those from Slovenia versus Poland when starting anti-interleukin (IL)-5 antibody and from 772 to 1344 µg·day−1 in those starting anti-IgE (Slovenia versus Spain). Maintenance oral corticosteroid use ranged from 21.0% (Belgium) to 63.0% (Sweden) and from 9.1% (Denmark) to 56.1% (the UK) in patients starting anti-IL-5 and anti-IgE, respectively.The severe asthmatic population in Europe is heterogeneous and differs in both clinical characteristics and treatment, often appearing not to comply with the current European Respiratory Society/American Thoracic Society guidelines definition of severe asthma. Treatment regimens before starting biologicals were different from inclusion criteria in clinical trials and varied between countries.

scholarly journals Knowledge of first aid methods and attitude about snake bite among medical students: a cross sectional observational study

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Nuwadatta Subedi ◽  
Ishwari Sharma Paudel ◽  
Ajay Khadka ◽  
Umesh Shrestha ◽  
Vipul Bhusan Mallik ◽  
...  
Keyword(s):  
Medical Students ◽  
Observational Study ◽  
First Aid ◽  
Snake Bite ◽  
Cross Sectional

International work and leadership in UK general practice

2014 ◽  
Vol 27 (2) ◽  
pp. 87-103 ◽  
Author(s):  
Peter Young ◽  
Chris Smith ◽  
Luisa Pettigrew ◽  
Ha-Neul Seo ◽  
David Blane
Keyword(s):  
General Practice ◽  
Clinical Skills ◽  
High Income ◽  
Service Improvement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
International Work ◽  
Low Middle Income Countries ◽  
The Uk

Purpose – The purpose of this paper is to present an exploration of the leadership competencies developed by UK GPs through having undertaken international work and the ability to transfer these competencies back to the UK. Design/methodology/approach – The approach taken is a cross-sectional survey. Findings – A total of 439 UK-based, ranging from GP specialty trainees to retired GPs who had worked overseas, responded to an online survey of UK general practice and international work. Doctors were asked to report competency development through international work using the domains of the Medical Leadership Competency Framework (MLCF). The most common competencies developed, to a “moderate or significant” degree, related to “personal qualities” (89 per cent) and “working in teams” (87 per cent). To a lesser extent Doctors developed competencies in “setting direction” (60 per cent), “managing services” (59 per cent), and “service improvement” (56 per cent), and found these competencies harder to transfer back to the UK. A common reason for limited transfer of competency was the lack of leadership opportunities for Doctors when returning to UK locum roles. Overseas posts were more common in low/middle income countries, and these Doctors reported a greater range of leadership roles, including in health policy, management and teaching, compared to high-income countries. Most doctors felt that they were able to develop their clinical skills overseas whilst relatively few Doctors performed research, especially in high-income countries. Originality/value – To the authors' knowledge this is the first cross-sectional survey exploring the international work of UK GPs and leadership development using the MLCF domains.

scholarly journals Evaluation of the Skin Infections and Conditions among Students of Gomal Medical College Pakistan

2021 ◽  
pp. 218-222
Author(s):  
Shumaila Parveen ◽  
Yaser M. Alahmadi ◽  
Faryal Adnan ◽  
Eshawa Darr ◽  
Ali Alalawi ◽  
...  
Keyword(s):  
Medical Students ◽  
Observational Study ◽  
Sample Size ◽  
Total Sample ◽  
Skin Infections ◽  
Age Group ◽  
Cross Sectional ◽  
Total Sample Size ◽  
Medical College ◽  
Dermatological Disorders

Objective: The objective of the current study is to determine the pattern of dermatological disorders and to find out their connection with different socioeconomically factors among students of the Medical College. Methodology: The Cross sectional observational study was carried out for the period of three months .The research instrument used was the well developed questionnaire. Results: The questionnaire was administered among total 350 students and the most participant age group was the > 22 and that was about 47.4% of the total sample size the more skin complication seen was the acne that was about 59.7%, in addition to this dandruff contributed very heavily to the hair complexities which makes about 35.7% of the sample. Conclusion: Skin infections especially the cosmetic are very common among the Medical students.

scholarly journals Quality improvement education for medical students: a near-peer pilot study

2020 ◽  
Author(s):  
Elizabeth McGeorge ◽  
Charles Coughlan ◽  
Martha Fawcett ◽  
Robert Klaber
Keyword(s):  
Quality Improvement ◽  
Medical Students ◽  
Peer Teaching ◽  
Junior Doctors ◽  
Teaching Content ◽  
Single Centre Study ◽  
The Uk ◽  
The University ◽  
Competing Priorities ◽  
Future Work

Abstract Background Quality improvement (QI) is an essential component of modern clinical practice. Front-line professionals offer valuable perspectives on areas for improvement and are motivated to deliver change. In the UK, all junior doctors are expected to participate in QI in order to advance to the next stage of their training. However, UK undergraduates receive no standardized training in QI methodology. This is perpetuated within medical schools by a lack of teaching capacity and competing priorities, and may lead to tokenistic engagement with future QI projects. Methods We describe a near-peer teaching programme designed to introduce students to QI methodology. This programme was conceived and delivered in full by junior doctors and used existing resources to ensure high quality teaching content. 111 fifth-year medical students from the University of Cambridge were taught in interactive, participative workshops that encourage them to develop their own QI change ideas and projects. Core topics included the model for improvement, driver diagrams, stakeholder engagement, measurement for improvement and analysing and presenting data. Students completed surveys before and immediately after this intervention to assess their understanding of and confidence in utilizing QI methodology. Questionnaires were also completed by junior doctor tutors. Results Analysis of questionnaires completed before and immediately after the intervention revealed statistically significant improvements in students’ self-reported understanding of QI (p<0.05) and confidence in applying techniques to their own work (p<0.05). Students expressed a preference for QI teaching delivered by junior doctors, citing a relaxed learning environment and greater relevance to their stage of training. Tutors reported increased confidence in using QI techniques and a greater willingness to engage with QI in future. Conclusions In this single-centre study, near-peer teaching produced significant improvements in students’ self-reported understanding of QI and confidence in applying QI methodology. Near-peer teaching may constitute a sustainable means of teaching essential QI skills at undergraduate level. Future work must evaluate objective measures of student engagement with and competence in conducting QI.

scholarly journals Current infection control behaviour patterns in the UK, and how they can be improved by ‘Germ Defence’: an observational study of an online behavioural intervention to reduce the spread of COVID-19 in the home. (Preprint)

2020 ◽  
Author(s):  
Ben Ainsworth ◽  
Sascha Miller ◽  
James Denison-Day ◽  
Beth Stuart ◽  
Julia Groot ◽  
...  
Keyword(s):  
Observational Study ◽  
Infection Control ◽  
Control Measures ◽  
Behavioural Intervention ◽  
Behaviour Change Techniques ◽  
Cross Sectional ◽  
Local Public Health ◽  
Current Infection ◽  
The Uk ◽  
Control Behaviour

BACKGROUND To control the COVID-19 pandemic, people should adopt protective behaviours at home (self-isolation, social distancing, putting shopping/packages aside, wearing face-covering, cleaning and disinfecting, handwashing). There is currently limited support to help individuals conduct these behaviours. OBJECTIVE We aimed to report current household infection control behaviours in the UK, and examine how they might be improved. METHODS This was a pragmatic, cross-sectional observational study of anonymous participant data from Germ Defence (https://germdefence.org/), a freely available website providing behavioural advice for infection control within households. 28,285 users sought advice from four website pathways based on household status (advice to protect themselves generally, to protect others if the user was showing symptoms, to protect themselves if household members were showing symptoms, and to protect a household member who is at high risk). Users reported current infection control behaviours within the home, and intentions to change these behaviours. RESULTS Current behaviours varied across all infection control measures but were between ‘sometimes’ and ‘quite often’, except handwashing (‘very often’). Behaviours were similar regardless of the website pathway used. After using Germ Defence, users recorded intentions to improve infection control behaviour across all website pathways and for all behaviours. CONCLUSIONS Self-reported infection control behaviours other than handwashing are lower than is optimal for infection prevention, although handwashing is much higher. Advice using behaviour change techniques in Germ Defence led to intentions to improve these behaviours. Promoting Germ Defence within national and local public health/primary care guidance could reduce COVID-19 transmission.

scholarly journals Clinical Educator-Facilitated Schwartz Centre Rounds in Second-Year Medical Students: “A Facilitated Whinge”?

2020 ◽  
Author(s):  
Joshua Smith ◽  
Molly Stewart ◽  
Emily Foggin ◽  
Stuart Matthews ◽  
Joanne Harris ◽  
...  
Keyword(s):  
Medical Students ◽  
Role Model ◽  
Effective Means ◽  
Junior Doctors ◽  
Undergraduate Medical Students ◽  
Clinical Exposure ◽  
Social And Emotional ◽  
Clinical Educator ◽  
Clinical Educators ◽  
The Uk

Abstract Background Medical students are increasingly being exposed to the clinic at early stages in their education, with the benefits becoming widely realised. This early exposure to such a highly pressurized environment can result in increased levels of stress and emotional unrest. Schwartz Center Rounds, reflective forums primed to aid social and emotional issues healthcare professionals’ experience, are now a relatively common and effective means to combat these effects in hospitals in the UK and USA. Recent studies show that the Schwartz Center Round format may also provide positive benefits for medical students. It has been suggested that students may be able to develop good coping strategies from discussions with “real” professionals.Methods This study investigated whether the guidance of Schwartz Center Rounds in year 2 of an MBChB by junior doctors enriches students’ appreciation and benefits of the Schwartz Center Round.Results The results reinforce the concept that Schwartz Center Rounds are an effective way of fostering empathy and understanding towards both patients and colleagues. Moreover, the facilitation of the Round by Clinical Educators, who also act as an imperfect role model, provides a pertinence to the exercise. The results show that early-year undergraduate medical students generally engage positively with SRs and demonstrate an ability to empathise with each other and share feelings regarding early clinical exposure without inhibition. However, correlation analyses suggest that engagement with the Schwartz Center Round is fundamental to gaining an understanding of its purpose and concurrently gain the most awareness of the emotional needs of themselves, their colleagues and patients.Conclusion Schwartz Center Rounds are an effective way of fostering empathy and understanding towards patients and colleagues in the healthcare environment. There is some evidence that the inclusion of Clinical Educators made the Round feel more pertinent to the students with the junior doctors’ clinical experiences being described as a useful addition to the discussion. Moreover, the students that benefitted most from the Round were the ones who engaged with and understood the process best and therefore it is important to help students realise that Schwartz Rounds are not merely a “facilitated whinge”.

scholarly journals The mental health and well-being benefits of exercise during the COVID-19 pandemic: a cross-sectional study of medical students and newly qualified doctors in the UK

2020 ◽  
Author(s):  
Conor Coyle ◽  
Hanya Ghazi ◽  
Ioannis Georgiou
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Medical Students ◽  
Well Being ◽  
Health Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mood Score ◽  
The Uk ◽  
Mental Well Being

Abstract Background University students have been uniquely affected by the COVID-19 pandemic. However, there is currently little data upon the measures that medical students and newly qualified doctors have taken to help their mental well-being and mood during the COVID-19 pandemic. Aim We aimed to identify the activities respondents found beneficial for their well-being and mental health and recorded a mood score from survey respondents. Methods A nationwide study was completed to investigate the mental health impact of the COVID-19 pandemic upon medical students and newly qualified doctors (interim foundation year one). We received 2075 respondents from across the UK. Results Physical activity was found to be the most common activity used by the survey respondents to help with their mental well-being (80.1%) (medical students, 83.7%; interim foundation doctors, 72.3%). Participants who stated that exercise helped their well-being had a mean score (SD) of 52.3 (20.7) which was significantly higher (P = 0.048) than those who reported that they did not exercise (49.8 (21.1)). Respondents who stated they had used exercise to help with their mental well-being had (on average) a higher mood score than those who did not. This was seen in both the medical student and interim foundation doctor subgroups. Discussion Exercise can help to benefit the well-being of medical students and interim foundation doctors. It is hoped that higher education providers and employers recognise the importance of promoting physical activity for the well-being of their students and staff, respectively.

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