An Address ENTITLED "MEDICAL STUDENTS AND MEDICAL PRACTITIONERS."

The Lancet ◽  
1910 ◽  
Vol 176 (4556) ◽  
pp. 1816-1819
Keyword(s):  
Medical Students ◽  
Medical Practitioners

How Do Cardiology Practitioners Interpret an Electrocardiogram: An Eye Tracking Study (Preprint)

2021 ◽  
Author(s):  
Mohammed Tahri Sqalli ◽  
Dena Al-Thani ◽  
Mohamed Badreldin Elshazly ◽  
Mohammed Ahmad Al-Hijji ◽  
Yahya Sqalli Houssaini
Keyword(s):  
Standard Deviation ◽  
Medical Students ◽  
Eye Tracking ◽  
Practical Experience ◽  
Healthcare Sector ◽  
Visual Expertise ◽  
Medical Practitioners ◽  
Eye Fixations ◽  
Expertise Level ◽  
Ecg Leads

BACKGROUND Visual expertise refers to advanced visual skills demonstrated when executing domain‐specific visual tasks. Understanding healthcare practitioners’ visual expertise across different levels in the healthcare sector is crucial in clarifying how to acquire accurate interpretations of electrocardiograms (ECGs). OBJECTIVE The study aims to quantify, through the use of eye-tracking, differences in the visual expertise of medical practitioners, such as medical students, cardiology nurses, technicians, fellows, and consultants, when interpreting ECGs. METHODS Sixty-three participants with different healthcare roles participated in an eye-tracking study that consisted of interpreting 10 ECGs with different heart abnormalities. A counterbalanced within-subjects design was employed with one independent variable consisting of the expertise level of the medical practitioners and two measured eye-tracking dependent variables (fixations count and fixations revisitation). Eye-tracking data was assessed according to the accuracy of interpretation and frequency interpreters visited different leads in ECGs. In addition, the median and standard deviation in the interquartile range for the fixations count and the mean and standard deviation for the ECG lead revisitations were calculated. RESULTS Accuracy of interpretation ranged between 98% among consultants and 52% among medical students. Eye-tracking features also reflected this difference in the accuracy of interpretation. The results of the eye fixations count and eye fixations revisitations indicate that the less experienced medical practitioners need to observe various ECG leads more carefully. However, experienced medical practitioners rely on visual pattern recognition to provide their ECG diagnoses. CONCLUSIONS The results show that visual expertise for ECG interpretation is linked to the practitioner’s role within the healthcare system and the number of years of practical experience interpreting ECGs. Medical practitioners focus on different ECG leads and different waveform abnormalities according to their role in the healthcare sector and their expertise levels.

The state of ethical-legal oaths in UK medical practice today: Is it time to look at standardising?

2016 ◽  
Vol 84 (4) ◽  
pp. 200-202
Author(s):  
RL Atenstaedt
Keyword(s):  
Medical Students ◽  
Medical Practice ◽  
Response Rate ◽  
Medical Schools ◽  
Hippocratic Oath ◽  
The State ◽  
Rite Of Passage ◽  
Medical Practitioners ◽  
Electronic Survey ◽  
The Uk

The taking of an ethical-legal oath is a “rite of passage” for many medical practitioners. A 1997 paper noted that half of medical schools in the UK administer an oath. I performed a survey of UK medical schools to see whether these are still used today. An electronic survey was sent to 31 UK medical schools, asking them whether the Hippocratic Oath (in any version) was taken by their medical students; non-respondents were followed up by telephone. Information was obtained from 21 UK medical schools, giving a response rate of 68% (21/31). A total of 18 (86%) institutions use an oath. Ethical-legal oaths are therefore taken in the vast majority of UK medical schools today. However, a great variety are used, and there are advantages in standardisation. My recommendation is that the Standard Medical Oath of the UK (SMOUK) is adopted by all medical schools, and that this is also taken regularly by doctors as part of revalidation.

Perception, Attitude, and Knowledge Regarding Antimicrobial Resistance, Appropriate Antimicrobial Use, and Infection Control Among Future Medical Practitioners: A Multicenter Study

2016 ◽  
Vol 37 (5) ◽  
pp. 603-605 ◽  
Author(s):  
Nuttagarn Chuenchom ◽  
Visanu Thamlikitkul ◽  
Romanee Chaiwarith ◽  
Rawisut Deoisares ◽  
Pinyo Rattanaumpawan
Keyword(s):  
Medical Students ◽  
Antimicrobial Resistance ◽  
Infection Control ◽  
Multicenter Study ◽  
Control Unit ◽  
Antimicrobial Use ◽  
Antimicrobial Stewardship Program ◽  
Medical Practitioners ◽  
Stewardship Program ◽  
Appropriate Antimicrobial Use

A questionnaire-based study was conducted among final-year Thai medical students. The problem of antimicrobial resistance is well recognized, but their knowledge of antimicrobial resistance, appropriate antimicrobial use, and infection control was substantially limited. Only half of these students recognized existence of an antimicrobial stewardship program or infection control unit in their hospitals.Infect Control Hosp Epidemiol 2016;37:603–605

scholarly journals An Intervention to Remediate Unprofessional Behaviours of Pre-Clinical Medical Students

2021 ◽  
Vol 13 (2) ◽  
pp. 83-90
Author(s):  
Chan Choong Foong ◽  
Nurul Atira Khairul Anhar Holder ◽  
Aswini R Dutt ◽  
Hidayah Mohd Fadzil
Keyword(s):  
Professional Development ◽  
Medical Students ◽  
Thematic Analysis ◽  
Hidden Curriculum ◽  
Healthcare Education ◽  
Medical Practitioners ◽  
Corrective Measures ◽  
Published Evidence ◽  
One Year

Remediating the unprofessional behaviours of medical students is essential because the unprofessional behaviours of medical practitioners could be traced back to their previous behaviours in medical schools. This study evaluated a programme that used reflection in remediating students with unprofessional behaviours. Personal and professional development (PPD) assignments have a “hidden curriculum” on professional behaviours expected of medical students. Seven students who repeatedly failed to complete the PPD assignments were required to attend a remediation programme. The remediation programme aims to help students reflect on their behaviours. They compared professional behaviours between medical practitioners and students and discussed unprofessional behaviours using actual cases. Thematic analysis was performed on the reflective essays of the students, collected at the beginning and the end of the remediation programme. At the beginning of the programme, students expressed anger because they felt that the PPD assignments were minor tasks. At the end of the programme, students expressed their regretful feelings; they recognised lessons learnt and developed corrective measures. A follow-up reported that the faculty no longer deemed the students unsatisfactory in their professional behaviours one year later. Reflection is recognised as useful in healthcare education, but there is a lack of published evidence to answer whether reflection can be learned. In this study, the students learnt to reflect on their previous professional behaviours, and they developed corrective measures to avoid the recurrence of these previous behaviours. The findings may imply that reflection could be taught and learned to cultivate professional behaviours among medical students.

scholarly journals Medical students use, attitudes towards, and knowledge of complementary and alternative medicine: A scoping review

2021 ◽  
Vol 6 (4) ◽  
pp. 107-117
Author(s):  
Sarah Brown ◽  
Justin L C Bilszta
Keyword(s):  
Medical Students ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Scoping Review ◽  
Medical Curriculum ◽  
Undergraduate Medical Students ◽  
Medical Practitioners ◽  
Positive Attitudes ◽  
Attitudes And Knowledge ◽  
Complementary And Alternative

Introduction: Use of complementary and alternative medicine (CAM) is popular in the general population and medical practitioners may not be fully equipped in their knowledge of CAM to advise patients appropriately. The aim of this paper was to perform a scoping review of current literature describing undergraduate medical student use, attitudes, and knowledge of CAM as a means of better understanding the educational needs of these students. Methods: A systematic search of Medline, PubMed and the Education Resources Information Center (ERIC) databases with keywords related to “complementary and alternative medicine” and “undergraduate medical students” for relevant articles published until August 2020. Results: Of 131 papers identified, 38 underwent full review. It was found 13-80% of medical students use CAM, and overall have a positive attitude towards CAM therapies. Female medical students and those with religiosity had more positive attitudes towards CAM than their male colleagues and those without a religion. Knowledge of CAM is lacking with approximately only half of students feeling they were knowledgeable about CAM therapies. Popular information resources are the Internet and social media, but students expressed they want more teaching of CAM in the undergraduate medical curriculum. Conclusion: Evidence suggests high usage of CAM amongst undergraduate medical students, and positive attitudes towards CAM therapies; however, knowledge of CAM is poor, and students want more CAM teaching to upskill them in counselling patients interested in CAM therapies. Further areas for research include a better understanding of resources medical students use for their knowledge and how gender and religiosity influence attitudes towards CAM.

scholarly journals Study on the pattern of prescriptions available at rural households in Bangladesh

2013 ◽  
Vol 1 (1) ◽  
pp. 12-16
Author(s):  
Md Mahfuzar Rahman ◽  
Mazaherul Huq ◽  
Md Atiqur Rahman
Keyword(s):  
Public Health ◽  
Medical Students ◽  
Health Professionals ◽  
Rural Households ◽  
Cross Sectional Study ◽  
South East Asia ◽  
Sectional Study ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Medical Practitioners

This was a descriptive type of cross-sectional study conducted in October, 2010, in three villages of Shahjadpur Upazila of Sirajganj district in Bangladesh. Among the rural households, those who visited medical practitioners in the last three months, were included in the study. The present study aimed to examine the pattern of prescriptions available at rural households of Bangladesh, to analyze the prescriptions whether diagnoses and/or lifestyles advice were mentioned, and to find out number of drugs and antibiotics (including their dose and duration of use) prescribed. During last three months, 68% respondents had attended a doctor's chamber; however, prescriptions were available for 57% of the respondents. More than three quarters of the prescriptions (77.6%) included 3-5 medicines, and antibiotics were prescribed to 194 (61%) respondents which constituted 21.4% of the total number of drugs prescribed. The average number of drugs and antibiotics prescribed per prescriptions was 3.8 and 1.3 respectively. Only about 23% of the respondents received antibiotics for 3-6 days, 30% for 2 days, and 46% for one day. Advice on lifestyles and diagnoses were mentioned only to 32% and 52% prescriptions respectively. The study also found that 22.6% of the prescriptions were made by unqualified doctors. Specific programs should be implemented to motivate and train medical students, practitioners and allied health professionals to provide rational prescriptions to the consumers in regards to the number of drugs as well as clarity of instructions given in the prescriptions.DOI: http://dx.doi.org/10.3329/seajph.v1i1.13207 South East Asia Journal of Public Health 2011:1:12-16

Imperial continuities: Irish doctors and the British armed forces, 1922–45

2016 ◽  
Author(s):  
Steven O’Connor
Keyword(s):  
Medical Students ◽  
Military Service ◽  
Armed Forces ◽  
Medical Practitioners ◽  
The United Kingdom ◽  
British Military ◽  
The Social ◽  
Career Advice ◽  
Irish Medical ◽  
Military Services

In the nineteenth and early twentieth centuries, many Irish doctors led successful careers in the British Empire’s military medical services. Surprisingly, Irish medical connections with the British military were not simply severed once the Irish Free State seceded from the United Kingdom in 1921, as might be expected. Rather, they rapidly grew in the 1920s and 1930s. This chapter asks why British military service continued to prove so popular among Irish doctors, making extensive use of a database of 262 Irish medical officers who served in the British forces between 1922 and 1945. The chapter reveals striking patterns in the social profile of officers, their motives, career success and the peaks and troughs of recruitment. It seems that many Irish medical officers complained that appointments in Irish hospitals were controlled by nepotism and that limited jobs were available. Several Irish publications which dispensed career advice to medical students during the 1930s not merely acknowledged, but actually recommended, opportunities in the British military services in preference to the Irish Army Medical Service - castigated for its poor pay, promotion prospects and pension entitlements. The result was an outflow of Irish medical practitioners beyond the attaining of Irish independence.

Rural Undergraduate Support and Coordination, Rural Clinical School, and Rural Australian Medical Undergraduate Scholarship: rural undergraduate initiatives and subsequent rural medical workforce

2012 ◽  
Vol 36 (3) ◽  
pp. 301 ◽  
Author(s):  
Denese E. Playford ◽  
Edwina Cheong
Keyword(s):  
Medical Students ◽  
Western Australia ◽  
Medical Practitioners ◽  
Rural Background ◽  
Rural Workforce ◽  
Medical Undergraduate ◽  
Undergraduate Experience ◽  
History Of ◽  
Rural Work ◽  
Educational Placements

Background. This study examined postgraduate work after an undergraduate clinical year spent in the Rural Clinical School of Western Australia (RCSWA), compared with 6 weeks Rural Undergraduate Support and Coordination (RUSC)-funded rural experience in a 6-year undergraduate medical course. Rural background, sex and Rural Australian Medical Undergraduate Scholarship (RAMUS)-holding were taken into account. Methods. University of Western Australia undergraduate data were linked by hand with postgraduate placements to provide a comprehensive dataset on the rural exposure history of junior medical practitioners working in Western Australia between 2004 and 2007. Results. Participation in the RCSWA program was associated with significantly more postgraduate year one rural work than RUSC placement alone (OR = 1.5, CI 0.97–2.38). The RCSWA workforce effect increased at postgraduate year two (OR = 3.0, CI 1.6484 to 5.5935 relative to RUSC). Rural-origin practitioners who chose the RCSWA program were more likely than other rural-origin practitioners to take rural rotations in both postgraduate years. RAMUS holders’ choice in relation to the RCSWA program predicted later rural work. There were no effects of sex. Conclusions. Rural initiatives, in particular the Rural Clinical School program, are associated with postgraduate rural choices. The real impact of these data rely on the translation of early postgraduate choices into long-term work commitments. What is known about the topic? Specific training of rural graduates is strongly related to subsequent rural workforce. In addition, rural educational placements affect medical students’ intentions to practise rurally. Retrospective data from rural relative to urban general practitioners link rural background, rural undergraduate experience and rural postgraduate experience with rural work. What does this paper add? Much of the Australian prospective outcomes research has looked at workforce intentions of graduates, or the workforce outcomes of small graduate cohorts of Rural Clinical Schools. This paper followed nearly 500 graduates by name through to their PGY1 and PGY2 workforce decisions. As this cohort comprised 80% of three completely graduated MBBS years, these data validly represent the outcome of a medical school which is comparable to all Australian medical schools in its RUSC, Rural Clinical School and RAMUS recipients. The paper provides the first peer-reviewed outcomes data for the RAMUS scholarship program. What are the implications for practitioners? Rural supervision of medical students is an effective way to recruit new workforce. The longer students are supervised in rural settings, the better. But undergraduate programs need to be linked with postgraduate initiatives that take graduates of medical student initiatives into vocational programs able to deliver a trained rural workforce.

HOMAGE TO EDMUND PELLEGRINO

2015 ◽  
Vol 3 (2) ◽  
pp. 233
Author(s):  
Ricardo Abengozar Muela
Keyword(s):  
Clinical Practice ◽  
Medical Students ◽  
Medical Ethics ◽  
European Society ◽  
Annual Conference ◽  
Medical Practitioners ◽  
National Conference ◽  
Edmund Pellegrino ◽  
De Medicina

On the 4th of July 2014, a Sattelite Symposium on Bioethics was held during The First Annual Conference and Awards Ceremony of The European Society For Person Centered Healthcare, including a simple act of homage to Dr. Edmund Pellegrino. The necessity for training in medical ethics and bioethics is increasingly well acknowledged by both medical practitioners, medical students and indeed patients. This observation led to the Spanish CEEM (Consejo Estatal de Estudiantes de Medicina, España), in co-operation with The National Conference of Deans of Faculties of Medicine of Spain (Conferencia Nacional de Decanos de las Facultades de Medicina, España) and the OMC (Organización Médica Colegial) to create a guide entitled “Ethical Recommendations for Clinical Practice.”

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