scholarly journals Responsibility with a Safety Net: Exploring the Medical Student to Junior Doctor Transition During COVID-19

2021 ◽  
Author(s):  
Chris Wilkinson ◽  
Gabrielle Finn ◽  
Paul Crampton
Keyword(s):  
Medical Student ◽  
Safety Net ◽  
Prescribe Medication ◽  
Junior Doctors ◽  
Healthcare Team ◽  
Individual Interviews ◽  
Transition Experience ◽  
Core Member ◽  
Template Analysis ◽  
The Right

Abstract Introduction The Foundation Interim Year-one (FiY1) Programme was part of a UK strategy to increase the medical workforce in response to the COVID-19 pandemic. However, the strategy was introduced urgently without evidence. We sought to explore the transition experience of medical student to FiY1 to foundation doctor, with a view to inform future undergraduate education. Methods In this hermeneutic phenomenology study, semi-structured individual interviews were completed with nine foundation doctors who had experience of an FiY1 placement. A template analysis approach was taken, and themes reported. Results Participants reported that FiY1 tended to offer a positive experience of transition as a stepping stone to becoming a foundation doctor. Having a degree of clinical responsibility including the right to prescribe medication with supervision was highly valued, as was feeling a core member of the healthcare team. Participants perceived that FiY1 made them more prepared for the foundation transition, and more resilient to the challenges they faced during their first foundation job. Discussion The FiY1 fostered many opportunities for junior doctors to bridge the transition to foundation doctor. Aspects of the FiY1 programme, such as early licencing and increased team membership, should be considered for final-year students in the future.

73. "I just don't want to kill anybody": The first six months of postgraduate trainings

2007 ◽  
Vol 30 (4) ◽  
pp. 69
Author(s):  
D. Martin ◽  
S. Glover Takahashi
Keyword(s):  
Medical Student ◽  
Education Reform ◽  
New England ◽  
Clinical Education ◽  
Postgraduate Training ◽  
Training Programme ◽  
Medical Teacher ◽  
Individual Interviews ◽  
Medicine Resident ◽  
Transition Experience

This paper describes a qualitative study that used focus groups and individual interviews to explore newly graduated medical students’ experience of the first six months of a postgraduate training programme. This study explored the residents’ concerns, changes that occurred and the influences the residents attributed to those changes during the first six months, this paper focuses on the residents’ experience of responsibility during this initial training period. Residents felt there was a huge leap in responsibility when they made the transition from being a medical student to being a doctor, specifically in the areas of knowledge, practice management, and relationships. This paper describes how the residents felt there was a disconnect between their experience of responsibility as a medical student and their experience of responsibility as a doctor. Residents were concerned they lacked the necessary medical experience and expertise for someone wearing the title “doctor”. It was not until residents felt relatively confident that they were not going to harm patients with their knowledge that they were able to begin the process of understanding what it meant to be the family physician, which allowed them to begin identifying with the role of family medicine resident. This process took weeks for some residents and several months for others. This study lays the groundwork for better understanding the transition experience from undergraduate to postgraduate training from the resident’s perspective. This paper focuses specifically on the concerns residents had adjusting to their new responsibilities and the implications this might have for medical educators and curriculum developers. Hirsh DA., Ogur B, Thibault GE, Cox M. “Continuity” as an Organizing Principle for Clinical Education Reform. The New England Journal of Medicine 2007 (Feb):858-866. Kendall ML, Hesketh EA, Macpherson SG. The learning environment for junior doctor training – what hinders, what helps. Medical Teacher 2005; 25:619 – 24. Luthy C, Perrier A, Perrin E, Cedrascht C, Allaz AF. Exploring the major difficulties perceived by residents in training: a pilot study. Swiss Medical Weekly 2004; 134:612-17.

Effective safety netting in acute childhood illness: an important contribution to avoiding preventable deaths

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696893
Author(s):  
Sarah Neill ◽  
Damian Roland ◽  
Matthew Thompson ◽  
Sue Palmer-Hill ◽  
Natasha Bayes ◽  
...  
Keyword(s):  
Research Programme ◽  
Safety Net ◽  
Childhood Illness ◽  
Urgent Care ◽  
Video Capture ◽  
Delivery Modes ◽  
Care Services ◽  
The Right ◽  
Qualitative Exploration ◽  
Safety Netting

BackgroundChildren’s use of urgent care services continues to increase. If families are to access the right services at the right time they need access to information to inform their decision making. Providing a safety net of information has the potential to reduce morbidity and avoidable mortality and has been shown to reduce re-consultation safely.AimOur research programme aims to provide parents with information they can use to help them determine when to seek help for an acutely ill child.MethodOur programme includes: ASK SARA, a systematic review of existing interventions; ASK PIP, qualitative exploration of safety netting information used by parents and professionals; ASK SID, development of the content and delivery modes for the intervention; ASK ViC, video capture of children with acute illness; and ASK Petra, safety netting tool development using consensus methodology.ResultsThe ASK SNIFF programme findings demonstrate the need for professionally endorsed and co-produced safety netting resources focussing on symptoms of acute childhood illness. We now have consensus on the scripted content for a safety netting tool supported by video materials to enable parents to see symptoms for real.ConclusionSafety netting tools are a valuable aid to general practice enabling GPs to show parents what to look out for when their child is sick so that they know when to (re)consult. Recent reports of failure to recognise and appropriately safety net children with sepsis highlights the importance of such tools.

Tobacco use, knowledge of harms, and cessation support among patients with non-tobacco related cancers.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24029-e24029
Author(s):  
Laura Vater ◽  
Anup Trikannad Ashwini Kumar ◽  
Neha Sehgal ◽  
Maria Khan ◽  
Kelsey Bullens ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Treatment ◽  
Medical Center ◽  
Safety Net ◽  
Cancer Center ◽  
Prescribe Medication ◽  
Patients With Cancer ◽  
Quit Smoking ◽  
Increased Risk ◽  
Quit Attempts

e24029 Background: Continued cigarette smoking among patients with cancer leads to numerous adverse health outcomes, even among patients with non-tobacco-related cancers such as breast, colon, and prostate cancer. Continued smoking is associated with poorer response to cancer treatment, increased risk for treatment-related toxicities, and shorter overall survival. While some patients with a smoking-related cancer make efforts to quit smoking at the time of diagnosis, patients with other forms of cancer might not understand the negative effects of continued smoking. In this study, we assessed patient knowledge of the harms of continued smoking, previous cessation attempts, and cessation support. Methods: We surveyed 102 adults with breast, colon, and prostate cancer at three locations: an NCI-designated cancer center, an urban safety-net medical center, and a rural cancer center. Patients were asked about current smoking behaviors, beliefs about the harms of continued smoking, quit attempts and resources used, and cessation support. We also surveyed seven oncologists to assess beliefs about harms of continued smoking, cessation support provided to patients, training and confidence in cessation counseling, and barriers to providing cessation support. Results: Most patients (82%) agreed or strongly agreed that continued smoking may shorten life expectancy, and 70% agreed or strongly agreed that continued smoking increased the risk of getting a different type of cancer. Only 41% of patients agreed or strongly agreed that continued smoking may cause more side effects from cancer treatment, and only 40% agreed or strongly agreed that ongoing smoking may affect treatment response. The majority of patients (86%) had tried to quit smoking for good, with an average 4.1 quit attempts per patient. Patients reported that physicians advised them to quit the majority of the time (92%), prescribed medication 33% of the time, and followed up on cessation attempts 43% of the time. Overall, oncologists had higher knowledge of the harms of continued smoking on treatment outcomes and survival. Those in practice for 20 years or more had higher confidence in cessation counseling than those in practice less than 4 years. Oncologists described lack of time and lack of confidence in cessation counseling as barriers to providing more cessation support. Conclusions: Among 102 patients with breast, colon, and prostate cancer who currently smoke, there was incomplete knowledge of the harms of continued smoking. Oncologists believe that tobacco cessation is important and frequently advise patients to quit, however they less frequently prescribe medication or follow up on cessation efforts. Interventions are needed to educate patients with cancer about the harms of continued smoking and to provide further cessation support.

scholarly journals Cerebellar Syndromes: A Medical Student Guide

2013 ◽  
Vol 1 (1) ◽  
pp. 37-42
Author(s):  
Claudia K. Sellers ◽  
Suvankar Pal
Keyword(s):  
Medical Student ◽  
Student Teaching ◽  
Relevant Literature ◽  
Functional Anatomy ◽  
Common Disease ◽  
Junior Doctors ◽  
Final Exams ◽  
Medical Student Teaching ◽  
Cerebellar Anatomy ◽  
Cerebellar Syndromes

The cerebellum is central to normal motor function and co-ordination, and can be frequently affected in a number of common disease processes. However, medical student teaching relating to cerebellar anatomy and pathology is lacking, leaving many graduates with a significant knowledge gap. Junior doctors need to be able to recognize ‘cerebellar syndromes’ on presentation to hospitals, and to identify and manage reversible causes rapidly and effectively. After review of relevant literature, a simple approach to the functional anatomy and practical classifications of common cerebellar pathology is presented here, with a focus on symptoms, signs and examination techniques essential to medical school final exams.

scholarly journals Not Just a Medical Student: Delivering Medical Education Through a Short Video Series on Social Media (Preprint)

2018 ◽  
Author(s):  
Nadine Abbas ◽  
Utkarsh Ojha
Keyword(s):  
Social Media ◽  
Medical Education ◽  
Medical Student ◽  
Medical Curriculum ◽  
Medical Community ◽  
Junior Doctors ◽  
Leadership Academy ◽  
Healthcare Leadership ◽  
Short Video ◽  
Education Award

UNSTRUCTURED “Not Just a Medical Student” is an innovative bite-size medical education video series founded and hosted on social media. Its primary aim is to inspire tomorrow’s doctors to be creative while engaging and informing them with the latest innovations, technology, and conferences within various specialties. To our knowledge, these themes are scarcely covered in the structured medical curriculum. Created and launched in August 2017, “Not Just a Medical Student” quickly gained traction; with over 1000 followers on Facebook and a rapidly increasing number of views, it reached the medical community across the globe. The video series features a trailblazer in virtual reality surgery and its potential impact on the evolution of medical education, reviewing future medical technology apps, such as Touch Surgery, and reporting on the latest medical education and health apps. The series engaged in topical medico-politics at the British Medical Association House and reported on global health issues and innovations at the Royal Society of Medicine Conference. The video series has further received several national awards including the Association and Study of Medical Education (ASME) Educator Innovator 2017 award, runner up to the Zeshan Qureshi Outstanding Contribution to Medical Education Award, and the Alternative Docs National Social Media Influencer award. The concept has been presented at international conferences (eg, the Healthcare Leadership Academy conference) and gained international recognition upon personal invitation at the Norwegian Annual Junior Doctors Conference. With the rise of the social media generation, innovative methods to inspire, engage, and inform students contributing to the continuous evolution of medical education should be encouraged and further explored.

scholarly journals Penerapan Self-Directed Learning Melalui Sistem PBL Pada Mahasiswa Fakultas Kedokteran di Asia: Suatu Kajian Literatur

2017 ◽  
Vol 6 (3) ◽  
pp. 133
Author(s):  
Nur Meity ◽  
Titi Savitri Prihatiningsih ◽  
Efrayim Suryadi
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Human Resources Management ◽  
World Federation ◽  
Self Directed Learning ◽  
Learning Readiness ◽  
Medical Specialties ◽  
Life Long Learning ◽  
Directed Learning ◽  
The Right

Background: Medical student need to develop self-directed learning skills in order to promote life-long learning skill which important for medical professionality.  Rate of progression and innovation in science along with future medical world challenge incresingly strengthen self-directed learning and life-long learning as something that need to be noted.  The importance of SDL can be discerned   when American Board of Medical Specialties and World Federation for Medical Education put it as something that need to be evaluate in medical student during their time of study. The aims of this study is to gain explanation about self-directed learning implementation through PBL system and self-directed learning readiness in medical institutions in Asia.Method: This study is a literature review, that is a study been held by searching, collect, analyze and summarize a number of articles concerning  self-directed learning implementation through problem-based learning to medical students in Asia.Results: Self-directed learning readiness medical students in Asia is found inferior, especially in first year students. In addition, self-directed learning implementation for Asian context, found  that influence of lecturer exceedingly intense, where the right insight of self-directed learning will have an impact to succeed it implementation. Moreover, self-directed learning acquaintance have to be accompanied with accurate human resources management as well as support of facility and infrastructure, where the successfulness of self-directed learning implementation required entailment  and commitment of all party.

scholarly journals “There’s a Lot of Support”: Junior Doctors’ Experiences of the Medical Internship

2020 ◽  
Author(s):  
Yvonne Carlsson ◽  
Anna Nilsdotter ◽  
Stefan Bergman ◽  
Matilda Liljedahl
Keyword(s):  
Content Analysis ◽  
Medical Student ◽  
Medical School ◽  
Scientific Knowledge ◽  
Qualitative Content Analysis ◽  
Clinical Work ◽  
Qualitative Description ◽  
Healthcare Organisation ◽  
Junior Doctors ◽  
Depth Interviews

Abstract Background: It is known that the transition from medical school to clinical work can be stressful. In some countries, an introductory service bridges the gap, introducing the doctor-to-be to clinical work. However, there is a lack of scientific knowledge about whether these introductory services serve their purpose as justifiable introductions. To address the gap, this paper aimed to explore experiences that junior doctors hold of the medical internship.Methods: Using a qualitative description approach, data was collected through twelve individual in-depth interviews with volunteering medical interns from three different hospital sites in Sweden. Data were verbatim transcribed and analysed by qualitative content analysis, generating categories and themes. Results: Four main themes were identified in our data. The interns felt increasingly comfortable as doctors (‘finding one’s feet’) through taking responsibility for patients while receiving necessary help and assistance (‘a doctor with support’). Although appreciative of getting an overview of the healthcare organisation (‘healthcare sightseeing’), interns were exhausted by repeatedly changing workplaces and felt stuck in a rigid framework (‘stuck at the zoo’).Conclusions: This study showed that the transition from medical student to clinical doctor does not necessarily have to be characterised by stress and mental exhaustion but can, with extensive support, provide a fruitful opportunity for interns to grow into their roles as doctors.

scholarly journals Medical student confidence in care of the dying and their family: a systematic review

2020 ◽  
pp. bmjspcare-2019-001977
Author(s):  
Geoffrey Wells ◽  
Elaney Youssef ◽  
Rebecca Winter ◽  
Juliet Wright ◽  
Carrie Llewellyn
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Medical Student ◽  
Cochrane Review ◽  
Assessment Tools ◽  
Junior Doctors ◽  
Medical Council ◽  
Dying Patients ◽  
Medical Undergraduate ◽  
Student Confidence

BackgroundThe General Medical Council expects medical graduates to care for dying patients with skill, clinical judgement and compassion. UK surveys continually demonstrate low confidence and increasing distress amongst junior doctors when providing care to the dying.AimThis systematic review aims to determine what has been evidenced within worldwide literature regarding medical undergraduate confidence to care for dying patients.DesignA systematic electronic search was undertaken. Data extraction included measurements of baseline confidence, associated assessment tools and details of applied educational interventions. Pre/postintervention confidence comparisons were made. Factors influencing confidence levels were explored.Data sourcesMEDLINE, CINAHL, EMBASE, ISI Web of Science, ERIC, PsycINFO, British Education Index and Cochrane Review databases were accessed, with no restrictions on publication year. Eligible studies included the terms ‘medical student’, ‘confidence’ and ‘dying’, alongside appropriate MeSH headings. Study quality was assessed using the Mixed Methods Appraisal Tool.ResultsFifteen eligible studies were included, demonstrating a diversity of assessment tools. Student confidence was low in provision of symptom management, family support, and psycho-spiritual support to dying patients. Eight interventional studies demonstrated increased postinterventional confidence. Lack of undergraduate exposure to dying patients and lack of structure within undergraduate palliative care curricula were cited as factors responsible for low confidence.ConclusionThis review clarifies the objective documentation of medical undergraduate confidence to care for the dying. Identifying where teaching fails to prepare graduates for realities in clinical practice will help inform future undergraduate palliative care curriculum planning.PROSPERO registration numberCRD42019119057.

The intimate-mobility entanglement: Subaltern trajectories in the Haitian-Dominican borderlands

2020 ◽  
pp. 239965442093072
Author(s):  
Masaya Llavaneras Blanco
Keyword(s):  
Participant Observation ◽  
Border Crossing ◽  
Intimate Violence ◽  
Domestic Worker ◽  
Individual Interviews ◽  
The One ◽  
The Right ◽  
Relationship Of ◽  
Spatial Trajectories ◽  
The Way

This article argues that intimacy and human (im)mobilities are interrelated, and that this relationship is integral to the way borders function and are experienced. I propose the concept of intimate-mobility entanglement to describe this relationship of interdependence. Based on primary research conducted with Haitian domestic workers that work in the Dominican Republic (DR), the article illustrates how intimate labour functions as a driver and a strategy for human (im)mobility. The article characterizes the interactions between (im)mobility and intimacy as a relationship of entanglement that is observable in domestic work, childrearing, intimate violence, border crossing and access to the right to nationality. The article centers on the spatial trajectory of Marie, a Haitian woman who works as a domestic worker in a Dominican border town after having lived and worked in several towns in the DR for twenty years. Marie’s spatial trajectories illuminate how the intimate-mobility entanglement is integral to the Dominican border regime. Through individual interviews, participant observation and mapping Marie’s journeys through Haitian and Dominican territories, the article revisits her spatial trajectories and sheds light on the dual relationship between the intimate-mobility entanglement and the border regime. On the one hand, the entanglement intervenes in the way the border is reinforced in the actual border strip while it also stretches out into Dominican territory. On the other, the border regime conditions Marie’s labour, how she moves and settles down, and influences how intimate labours are carried out and experienced. Building on a tradition of feminist and subaltern geographies, as well as on mobilities literature, the article presents a contextualized analysis of the politics of subaltern mobilities and explains how intimacy and intimate labours are critical aspects of how borders work.

scholarly journals From the safety net to the injury prevention web: applying systems thinking to unravel injury prevention challenges and opportunities in Cirque du Soleil

2019 ◽  
Vol 5 (1) ◽  
pp. e000492 ◽  
Author(s):  
Caroline Bolling ◽  
Jay Mellette ◽  
H Roeline Pasman ◽  
Willem van Mechelen ◽  
Evert Verhagen
Keyword(s):  
Injury Prevention ◽  
Systems Thinking ◽  
Safety Net ◽  
Shared Responsibility ◽  
Open Communication ◽  
Extrinsic Factors ◽  
Related Factors ◽  
Cirque Du Soleil ◽  
Individual Interviews ◽  
Challenges And Opportunities

ObjectiveWe undertook this qualitative study within an international circus company—Cirque du Soleil—to explore the narrative of artists and the artistic team in regards to injuries and their prevention and to describe the prevention of injuries from a systems thinking lens.MethodsFocus groups (FG) with artists and semistructured individual interviews with the artistic team were conducted in six selected shows. The structure of the interviews and FGs concerned the themes: ‘injury’, ‘injury-related factors’ and ‘injury prevention’. Data were analysed through comparative data analysis based on Grounded Theory. Concept mapping and systems thinking approaches were used to design a map of participants’ views on how to prevent injuries.ResultsInjury was mainly described based on performance limitation. The factors mostly mentioned to be related to injury occurrence were physical load factors. Many of these factors were said to be connected and to influence each other. Injury prevention was mapped as a multilevel system, composed by artist-related factors (eg, technique and life style) and extrinsic factors (eg, touring conditions and equipment) that integrate different strategies and stakeholders.ConclusionOur study reinforces the importance of multilevel injury prevention approaches with shared responsibility and open communication among stakeholders.

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