Making sense of how physician preceptors interact with medical students: discourses of dialogue, good medical practice, and relationship trajectories

2013 ◽  
Vol 19 (1) ◽  
pp. 85-98 ◽  
Author(s):  
J. van der Zwet ◽  
T. Dornan ◽  
P. W. Teunissen ◽  
L. P. J. W. M. de Jonge ◽  
A. J. J. A. Scherpbier
2021 ◽  
Vol 4 (1) ◽  
pp. 13-17
Author(s):  
Nasir Ahmad ◽  
Aabish Mehreen Khan ◽  
Muhammad Awais Asghar ◽  
Nosheen Nasir

Introduction: Patient safety is a vital part of healthcare. It is vital for the medical students that the concepts of the “Do no harm” theory must be understood. Those that do not understand this ultimately perform poorly in healthcare practice. Therefore, it is very important that medical students must be tutored for the concept of good medical practice.Objective: To assess the patient safety perception among medical students in a public sector Medical College.Methods: A sample size of 179 medical students (n=179) from the final year were selected. A questionnaire tool was used to calculate the understanding of medical students. Participants' responses were recorded and computed into SPSS 19 for descriptive analysis.Results: About 55% of participants indicated a lack of knowledge regarding patient safety.25% of the medical students could not understand the type and nature of the iatrogenic error in providing good healthcare and exercising good medical practice. Also, 57% and 48 % of medical students were unable to understand that how to explain the iatrogenic error to patients, their attendants,s and their superiors respectively and 59% did not know that patient safety can be improved by targeted medical practice.Conclusion: The majority of the medical students in final year MBBS were unaware of patient safety and how to improve it. However, they showed keen interest in understanding it and applying the concept of good medical practice to ensure patient safety. KEYWORDS: Patient safety, undergraduates, knowledge, attitude


2019 ◽  
Author(s):  
Stéphane Sanchez ◽  
Cécile Payet ◽  
Marie Herr ◽  
Anne Dazinieras ◽  
Caroline Blochet ◽  
...  

BACKGROUND The elderly are particularly exposed to adverse events from medication. Among the various strategies to reduce polypharmacy, educational approaches have shown promising results. OBJECTIVE We aimed to evaluate the impact of the implementation of a good medical practice booklet on polypharmacy in nursing homes. METHODS We identified nursing homes belonging to a geriatric care provider that had launched a policy of proper medication use using a good medical practice booklet delivered to prescribers and pharmacists. Data were derived from electronic pill dispensers. The effect of the intervention on polypharmacy was assessed with multilevel regression models, with a control group to account for natural trends over time. The main outcomes were the average daily number of times when medication was administered and the number of drugs with different presentation identifier codes per resident per month. RESULTS 96,216 residents from 519 nursing homes were included between 1 January 2011 and 31 December 2014. The intervention group and the control group both decreased their average daily use of medication (-0.05 and -0.06). The good medical practice booklet did not have a statistically significant effect (exponentiated difference-in-differences coefficient 1.00, 95% confidence interval 0.99-1.02, P=.45). CONCLUSIONS Although the good medical practice booklet itself did not seem effective in decreasing medication use, our data show the effectiveness of a higher-level policy to decrease polypharmacy.


2012 ◽  
Vol 94 (4) ◽  
pp. 128-130
Author(s):  
Sac MacKeith ◽  
Svelusamy ◽  
A Pajaniappane ◽  
P Jervis

Doctors' handwriting has long been criticised as being difficult to read or even illegible. In more recent years research has confirmed that it is not uncommon to find medical case note entries that are deficient, illegible or unidentifiable. In Good Medical Practice the General Medical Council (GMC) asks that doctors 'keep clear, accurate, legible and contemporaneous patient records'. In addition, the GMC 'expects that all doctors will use their reference numbers widely to identify themselves to all those with whom they have professional contact'. This includes encouragement for its use in case note entries and prescribing.


The Lancet ◽  
2002 ◽  
Vol 359 (9309) ◽  
pp. 895
Author(s):  
MJ Henderson ◽  
K Holland-Elliot

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021310 ◽  
Author(s):  
Martin N Stienen ◽  
Felix Scholtes ◽  
Robin Samuel ◽  
Alexander Weil ◽  
Astrid Weyerbrock ◽  
...  

ObjectivesMedical practice may attract and possibly enhance distinct personality profiles. We set out to describe the personality profiles of surgical and medical specialties focusing on board-certified physicians.DesignProspective, observational.SettingOnline survey containing the Ten-Item Personality Inventory (TIPI), an internationally validated measure of the Five Factor Model of personality dimensions, distributed to board-certified physicians, residents and medical students in several European countries and Canada. Differences in personality profiles were analysed using multivariate analysis of variance and Canonical Linear Discriminant Analysis on age-standardised and sex-standardised z-scores of the personality traits. Single personality traits were analysed using robust t-tests.ParticipantsThe TIPI was completed by 2345 board-certified physicians, 1453 residents and 1350 medical students, who also provided demographic information.ResultsNormal population and board-certified physicians’ personality profiles differed (p<0.001). The latter scored higher on conscientiousness, extraversion and agreeableness, but lower on neuroticism (all p<0.001). There was no difference in openness to experience. Board-certified surgical and medical doctors’ personality profiles were also different (p<0.001). Surgeons scored higher on extraversion (p=0.003) and openness to experience (p=0.002), but lower on neuroticism (p<0.001). There was no difference in agreeableness and conscientiousness. These differences in personality profiles were reproduced at other levels of training, that is, in students and training physicians engaging in surgical versus medical practice.ConclusionThese results indicate the existence of a distinct and consistent average ‘physician personality’. Despite high variability within disciplines, there are moderate but solid and reproducible differences between surgical and medical specialties.


PEDIATRICS ◽  
1967 ◽  
Vol 40 (3) ◽  
pp. 390-394
Author(s):  
Richard Winkelmayer ◽  
A. Bradford Judd ◽  
Richard P. Stearns

Understanding the emotional impact of physical illness is generally recognized as an indispensable aspect of good medical practice. The diagnosis of fatal illness and the feelings connected with it possibly present the most difficult challenge in the art of medicine. We have tried to present some of the factors that led a mother to influence independent specialists to supply her with diagnoses of fatal diseases for two of her children. We feel that such processes are quite often at work, and we might have dismissed the untenable diagnosis of a fatal disease with the remark, "such things happen," were it not for the fact that this unlikely event happened twice in the same family. As physicians, we should all like to believe that our knowledge of the science of medicine is sufficient to remove us from the possibility of parental or other influence in such an instance. However, we are always exposed to these influences, and we may be swayed by them more often than we care to admit.


2020 ◽  
pp. 197-214
Author(s):  
Ben Vincent

The conclusion considers what systemic improvements may be made to queer communities and medical provisions, to allow the heterogeneity of non-binary identifying people to feel legitimised in their identities, and have equal access and experience of services. One of the most fundamental recommendations for medical practice that can be made is inspired by those communities that non-binary people expressed affinity with, such as bisexual and kink communities. Such spaces were sensitive and reflexive to gender plurality, and tended to construct language and space to be more fully inclusive. Gendered assumptions rooted in cisnormativity should be challenged within medical practice. Practices in gendered medicine may be similarly adjusted at the administrative level to improve preventative health screening for trans individuals. Much of this may be attained initially through the provision of training to both medical students and existent medical staff and administrators. This is followed by a critical reflection on gender affirming medical services, whereby the impact of a shift to an informed-consent focused model is considered. In order to optimise such recommendations, the limitations of this study and future necessary directions of enquiry are then addressed. This includes final methodological reflections and intersectional factors – such as the limited classed and racial diversity of the participants.


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