scholarly journals THE UNINTENDED CONSEQUENCE OF MEDICAL TRAINING: DELAYED CHILDBEARING. A SURVEY OF REPRODUCTIVE GOALS AND FERTILITY KNOWLEDGE IN MEDICAL RESIDENTS

2021 ◽  
Vol 116 (3) ◽  
pp. e214
Author(s):  
Marissa L. Bonus ◽  
Lia A. Bernardi ◽  
Eve C. Feinberg
Keyword(s):  
Medical Training ◽  
Unintended Consequence ◽  
Medical Residents ◽  
Delayed Childbearing

scholarly journals Canadian Association of Professors of Medicine Awards

2008 ◽  
Vol 31 (6) ◽  
pp. 410
Author(s):  
_ CAPM Awards
Keyword(s):  
Medical Training ◽  
Clinical Investigation ◽  
Research Participation ◽  
Medical Residents ◽  
Canadian Society ◽  
Training Experience ◽  
The Core ◽  
University Of British Columbia ◽  
Canadian Association ◽  
The University

The 2008 Core Medical Residents Research Awards were presented to Dr. Anna Mathew from the University of Western Ontario, Dr. Jeya Nadarajah of McMaster University, and Dr. Sara Stafford and Dr. Tara Sedlak from the University of British Columbia at the Annual Meeting of the Canadian Society for Clinical Investigation. The awards, co-sponsored by the CSCI and the Canadian Association of Professors of Medicine are to recognize outstanding research by core medicine residents and to highlight the importance of research participation as a component of the core medical training experience.

scholarly journals The Ethics of Teaching Physicians Electronic Fetal Monitoring: And Now for the Rest of the Story

2017 ◽  
Vol 03 (01) ◽  
pp. e42-e47
Author(s):  
Thomas Sartwelle ◽  
James Johnston ◽  
Berna Arda
Keyword(s):  
Medical Education ◽  
Patient Autonomy ◽  
Medical Training ◽  
Fetal Monitoring ◽  
Medical Residents ◽  
Diagnostic Modality ◽  
Ethical Concerns ◽  
Electronic Fetal Monitoring ◽  
Continued Use ◽  
Ethics Of Teaching

Electronic fetal monitoring (EFM) does not predict or prevent cerebral palsy (CP), but this myth remains entrenched in medical training and practice. The continued use of this ineffectual diagnostic modality increases the cesarean section rate with concomitant harms to mothers and babies alike. EFM, as it is used in defensive medical practice, is a violation of patient autonomy and raises serious ethical concerns. This review addresses the need for improved graduate medical education so that physicians and medical residents are taught both sides of the EFM–CP story.

scholarly journals Depression and suicidal ideations in relation to occupational stress in a sample of Egyptian medical residents

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A N Elbatrawy ◽  
D A Mahmoud ◽  
M Y Mohamed ◽  
M M Mohamed
Keyword(s):  
Medical Students ◽  
Suicidal Ideation ◽  
Occupational Stress ◽  
Support Groups ◽  
Medical Training ◽  
Medical Residents ◽  
Management Skills ◽  
University Hospitals ◽  
Cross Sectional ◽  
Prevalence Of Depression

Abstract Background Studies have suggested that medical students experience high rates of depression and suicidal ideation. However, estimates of the prevalence of depression or depressive symptoms among students vary across studies from 1.4% to 73.5% and those of suicidal ideation vary from 4.9% to 35.6%. Reliable estimates of depression and suicidal ideation prevalence during medical training are important to prevent, treat, and identify causes of emotional distress among medical students, especially in light of recent work revealing a high prevalence of depression in resident physicians Aim of the work to assess the occurrence of depression and its severity in a sample of Egyptian medical residents of Ain Shams university hospitals, as well as demonstrate the occurrence of suicidal ideations in residents and highlight relation between it and occupational stress. Patients and Methods This is a Cross sectional analytical study conducted in Ain Shams University hospitals. This present study aimed at analyzing the data of 256 medical residents graduation year 2013-2016, and at different periods of residency, 36 of which were excluded due to previous diagnosis with psychiatric illness before residency, over six months period from June 2018 to January 2019, and were screened for depression, suicidal ideations, socioeconomic stress and stressful aspects of residency. Results A total of 256 questionnaires were done by medical residents of Ain Shams University, 36 were excluded mostly due to previous psychiatric diagnosis before residency. Only 60 (27.27%) of the remaining 220 residents had normal ups and downs according to Beck depression inventory (BDI) with the rest of the 160 residents having depression of different severity ranging from mild (54, 24.55%), borderline (38, 17.27%), Moderate (51, 2.18%), severe (10, 4.55%), extreme(7, 3.18%). 50(22.7%) out of the 220 residents were considered to have high suicide risk according to beck suicidal ideation scale. Conclusion Professional and personal stress is a significant and frequently overlooked component of a resident’s life. In addition, residents are at higher risk to develop depression as studies have suggested that medical students experience high rates of depression and suicidal ideation. Intervention studies are needed, e.g. support groups, more intense coaching by senior physicians, training programs on ‘breaking bad news’ and teaching of stress management skills to study how to prevent or reverse burnout.

scholarly journals Development and psychometric properties of the Subtle Gender-Based Violence Among Medical Residents Assessment Scale (SGEVRA)

Salud Mental ◽  
2019 ◽  
Vol 42 (5) ◽  
pp. 227-234
Author(s):  
Diana Guízar-Sánchez ◽  
Ingrid Vargas-Huicochea ◽  
Aura Silva-Aragón ◽  
Gerhard Heinze ◽  
Luis Manjarrez-Gutiérrez ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Gender Discrimination ◽  
Medical Training ◽  
Factor Model ◽  
Assessment Scale ◽  
Medical Residents ◽  
Gender Based Violence ◽  
High Internal Consistency ◽  
Two Phases ◽  
Gender Based

Introduction. Medical residents (MR) are an important pillar for a future effective health system. As such, it is important to study all the factors throughout their training that may influence their professional development, like gender-based violence (GV). Objetive. To design and evaluate the psychometric proprieties of subtle GV among medical residents’ assessment scale (SGEVRA). Method. The design was carried out in two phases: (1) in the qualitative phase, three focus groups were interviewed to obtain information about GV during medical training; and (2) in the quantitative phase, the information was incorporated into the instrument and the psychometric properties were tested. Results. A total of 1,645 medical residents (MRs) completed the instrument. Exploratory factor analysis led to a final two factor model comprised of 31 items that explained 74.9% of the variance. The factors were labelled as gender discrimination (factor 1) and sexual violence (factor 2); both demonstrated high internal consistency using Cronbach’s alpha (factor 1: .987; factor 2: .935). Discussion and conclusion. The SGEVRA is a brief, valid, and reliable instrument for assessing subtle GV among MR.

scholarly journals Depression, Anxiety, Stress among Postgraduate Medical Residents: A Cross sectional Observation in Bangladesh

2019 ◽  
Author(s):  
Mohammad Shibli Sadiq ◽  
Nahid Mahjabin Morshed ◽  
Wasima Rahman ◽  
Nafia Farzana Chowdhury ◽  
S M Yasir Arafat ◽  
...  
Keyword(s):  
Large Scale ◽  
Depressive Disorders ◽  
Medical Training ◽  
Demographic Variable ◽  
Stress Disorders ◽  
Medical Residents ◽  
Cluster Sampling ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Axis I

  Objective: Medical training has been reported as being stressful, and postgraduate medical training environment has always been regarded as highly stressful, which may lead to different psychiatric disorders. In this study, it was aimed to determine the extent of depression, anxiety, and stress among the postgraduate medical residents of Bangladesh. Method: This cross sectional study was conducted at the Department of Psychiatry of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Data were collected from 200 residents through face to face interview which was conducted by a psychiatrist using research instruments. Initially, respondents were approached by cluster sampling. Then, they were selected from each cluster using simple random sampling method (lottery method). Sample size was calculated by considering the prevalence of 50%; however, 200 residents were interviewed due to time constraints. The questionnaire consisted of 3 parts: (1) demographic variable, (2) the structured clinical interview for DSM-IV Axis-I disorders, and (3) Bangla Depression Anxiety Stress Scale (DASS-21). Data were analyzed using software Statistical Package for Social Sciences version 16.0. Results: Distribution of depression, anxiety, and stress revealed that 11.5% of the residents had depressive disorders, 11% anxiety disorders, and 10.5% stress disorders. Also, it was found that 14.5% of the respondents were found to have at least one of three disorders. The DASS-21 score revealed that 6% of the residents had severe to extremely severe depression, 3.5% severe to extremely severe anxiety, and 6.5% severe to extremely severe stress disorder. Conclusion: The study revealed that one in every seven residents has been suffering from at least one disorder from depression, anxiety, and stress related disorders. A large-scale multicenter study is recommended to validate the findings of the present study.

scholarly journals Clinical skills assessment and feedback in pediatric residency

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Bruna de Sá Duarte Auto ◽  
Maria Viviane Lisboa de Vasconcelos ◽  
Ana Lydia Vasco de Albuquerque Peixoto
Keyword(s):  
Action Research ◽  
Medical Training ◽  
Clinical Skills ◽  
Assessment Methods ◽  
Assessment System ◽  
University Hospital ◽  
Medical Residents ◽  
Medical Residency ◽  
Clinical Skills Assessment ◽  
Pediatric Residency

Abstract: Introduction: A medical residency is the specialization par excellence in medical training and the program is responsible for ensuring that the recently graduated doctor reaches the established level of competence. A well-prepared assessment system with feedback is an effective tool to enhance the performance of future specialists and guarantee their qualification. Objective: To analyze the assessment system for pediatric residents at a university hospital, aiming to promote teaching training in assessment methods. Methodology: educational action research (research-teaching), conducted with teachers and preceptors in the pediatric residency of a university hospital. The stages consisted of: a) the application of a questionnaire on participant profile and assessment methods used to evaluate the medical residents; b) intervention (workshop) on the assessment of clinical skills and feedback; c) immediate assessment after the workshop, by applying another questionnaire based on level 1 of the Kirkpatrick model. Simple statistical analysis was used for the objective data and the content analysis, according to recommendations by Malheiros (2011) and Bardin (2013), for the qualitative part. Result: Ten (48%) of the 21 participants declared not being formally trained in assessment and that they applied the more traditional methods learned from personal experience. Regarding the assessment methods, 81% (17/21) of the participants used more than one, aiming to obtain a more encompassing and reliable assessment. However, none of the teachers/preceptors used a systematized assessment of the clinical skills or provided feedback to the medical residents. After the workshop, with a focus on assessing performance in a simulated ‘Objective Structured Clinical Examination’ (OSCE) environment, all the participants were favorable to apply the OSCE in their teaching-learning practice with residents and undergraduate students, reaching Kirkpatrick level 3. Conclusion: The action research helped identify limitations in the assessment and feedback system of the pediatric resident physician. The methodology used revealed an aggregating effect and contributed to the development of the collaborative and integrative sense in the group. However, it was not enough to positively interfere with the pediatric medical residency assessment in the short term.

scholarly journals Avaliação de habilidades clínicas e feedback na residência médica em Pediatria

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Bruna de Sá Duarte Auto ◽  
Maria Viviane Lisboa de Vasconcelos ◽  
Ana Lydia Vasco de Albuquerque Peixoto
Keyword(s):  
Action Research ◽  
Undergraduate Students ◽  
Medical Training ◽  
Clinical Skills ◽  
Feedback System ◽  
Assessment Methods ◽  
Assessment System ◽  
University Hospital ◽  
Medical Residents ◽  
Medical Residency

Abstract: Introduction: A medical residency is the specialization par excellence in medical training and the program is responsible for ensuring that the recently graduated doctor reaches the established level of competence. A well-prepared assessment system with feedback is an effective tool to enhance the performance of future specialists and guarantee their qualification. Objective: To analyze the assessment system for pediatric residents at a university hospital, aiming to promote teaching training in assessment methods. Methodology: educational action research (research-teaching), conducted with teachers and preceptors in the pediatric residency of a university hospital. The stages consisted of: a) the application of a questionnaire on participant profile and assessment methods used to evaluate the medical residents; b) intervention (workshop) on the assessment of clinical skills and feedback; c) immediate assessment after the workshop, by applying another questionnaire based on level 1 of the Kirkpatrick model. Simple statistical analysis was used for the objective data and the content analysis, according to recommendations by Malheiros (2011) and Bardin (2013), for the qualitative part. Result: Ten (48%) of the 21 participants declared not being formally trained in assessment and that they applied the more traditional methods learned from personal experience. Regarding the assessment methods, 81% (17/21) of the participants used more than one, aiming to obtain a more encompassing and reliable assessment. However, none of the teachers/preceptors used a systematized assessment of the clinical skills or provided feedback to the medical residents. After the workshop, with a focus on assessing performance in a simulated ‘Objective Structured Clinical Examination’ (OSCE) environment, all the participants were favorable to apply the OSCE in their teaching-learning practice with residents and undergraduate students, reaching Kirkpatrick level 3. Conclusion: The action research helped identify limitations in the assessment and feedback system of the pediatric resident physician. The methodology used revealed an aggregating effect and contributed to the development of the collaborative and integrative sense in the group. However, it was not enough to positively interfere with the pediatric medical residency assessment in the short term.

scholarly journals Improving Medical Education

2016 ◽  
Vol 60 (1) ◽  
pp. 603-607 ◽  
Author(s):  
Mary Yovanoff ◽  
David Pepley ◽  
Katelin Mirkin ◽  
Jason Moore ◽  
David Han ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Training ◽  
Venous Catheter ◽  
Medical Residents ◽  
Simulator Training ◽  
Complication Rates ◽  
Learning Gains ◽  
Central Venous ◽  
Post Test ◽  
The Impact

Virtual simulation is an emerging field in medical education. Research suggests that simulation reduces complication rates and improves learning gains for medical residents. One benefit of simulators is their allowance for more realistic and dynamic patient anatomies. While potentially useful throughout medical education, few studies have explored the impact of dynamic haptic simulators on medical training. In light of this research void, this study was developed to examine how a Dynamic-Haptic Robotic Trainer (DHRT) impacts medical student self-efficacy and skill gains compared to traditional simulators developed to train students in Internal Jugular Central Venous Catheter (IJ CVC) placement. The study was conducted with 18 third year medical students with no prior CVC insertion experience who underwent a pre-test, simulator training (manikin, robotic, or mixed) and post-test. The results revealed the DHRT as a useful method for training CVC skills and supports further research on dynamic haptic trainers in medical education.

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