scholarly journals A Diverse Specialty: What Students Teach Us About Neurology and “Neurophobia”

Author(s):  
Fraser G. A. Moore

ABSTRACT:Objective:To explore what elective students learn about the specialty of Neurology.Methods:A prospective qualitative study using pre- and post-elective written questionnaires.Results:Analysis concentrated on three main themes: What did students learn about the specialty of Neurology? What would they change about their experience? Did their opinions change? Major findings were (i) pre- and post-elective the most frequent response for “what is the best thing about Neurology?” was the “process of localization” and (ii) post-elective students were less likely to cite the challenge or problem-solving aspect of Neurology as the best thing while more emphasized the importance of the physical exam and the variety of cases. (iii) Students were most surprised by the scope of neurological practice. (iv) They would diversify the setting of their elective to include less time spent in the emergency room and more time in clinic. (v) The perception of Neurology as a specialty in which patients have a poor prognosis was the opinion that changed the most.Conclusions:Showcasing the diversity of cases and careers in Neurology may be a useful strategy to increase interest in the specialty and reduce neurophobia. Lectures or small groups early in medical school should concentrate on clear examples of common neurological conditions and emphasize the role of general neurologists and subspecialists involved in patient care. Whenever possible students should rotate through different clinics and not concentrate exclusively on emergency room and in-patient cases.

2018 ◽  
Vol 39 (4) ◽  
pp. 431-445 ◽  
Author(s):  
Susan E. Pories ◽  
Sorbarikor Piawah ◽  
Gregory A. Abel ◽  
Samyukta Mullangi ◽  
Jennifer Doyle ◽  
...  

Pharmacy ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 71 ◽  
Author(s):  
Eugene Yeung

Physicians and pharmacists nowadays are often described as adversaries rather than members of the same team. Some pharmacists apply to medical school later in their careers, and experience obstacles during the transition process. This article details interviews with two physician–pharmacists, who each have a past pharmacist license and current physician license. The respondents described the limitations of pharmacists’ scope of practice as their main reasons to pursue a medical career. However, the respondents enjoy applying their pharmacy knowledge and experience to improve their medical practice. They do not feel pharmacy seniors and medical recruiters are supportive towards their chase for medical careers. The respondents noted the importance of peer-reviewed articles to promote pharmacist involvement in patient care and collaboration between physicians and pharmacists. Conflicts between physicians and pharmacists tend to happen because of their different focuses on patient care. The respondents do not see themselves having an edge over other medical school applicants, and noted that recruiters could negatively view their pharmacy experience. The respondents believe that physician–pharmacists are catalysts to foster collaboration between physicians and pharmacists, because they clearly understand the role of each profession. Nevertheless, the respondents feel that physicians and pharmacists are generally lukewarm towards pharmacists transitioning into physicians.


1990 ◽  
Vol 21 (4) ◽  
pp. 507-521 ◽  
Author(s):  
Roger L. Firestien

This study investigated tlhe differences in communication behaviors in small groups trained in creative problem solving (CPS) with groups not trained in CPS. Forty groups of five members each were evaluated (22 trained groups and 18 untrained groups). Communication behaviors evaluated were amount of participation, evenness of participation, verbal indications of criticism, verbal indications of support, and verbal and nonverbal indications of humor. Groups were also evaluated on the quantity of ideas generated. Results indicated that groups trained in CPS participated more, criticized ideas less, supported ideas more, exhibited more verbal and nonverbal indications of humor, and produced more ideas than did untrained groups-all at a significant level. Groups trained in CPS did not participate evenly as compared to groups not trained in CPS. This finding is examined in light of the role of the idea recorder in the groups.


2020 ◽  
Vol 78 (8) ◽  
pp. 494-500 ◽  
Author(s):  
Adalberto STUDART-NETO ◽  
Bruno Fukelmann GUEDES ◽  
Raphael de Luca e TUMA ◽  
Antonio Edvan CAMELO FILHO ◽  
Gabriel Taricani KUBOTA ◽  
...  

ABSTRACT Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse outcomes. Notwithstanding, the role of neurologists in COVID-19 is probably underrecognized. Objective: The aim of this study was to report the reasons for requesting neurological consultations by internists and intensivists in a COVID-19-dedicated hospital. Methods: This retrospective study was carried out at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil, a 900-bed COVID-19 dedicated center (including 300 intensive care unit beds). COVID-19 diagnosis was confirmed by SARS-CoV-2-RT-PCR in nasal swabs. All inpatient neurology consultations between March 23rd and May 23rd, 2020 were analyzed. Neurologists performed the neurological exam, assessed all available data to diagnose the neurological condition, and requested additional tests deemed necessary. Difficult diagnoses were established in consensus meetings. After diagnosis, neurologists were involved in the treatment. Results: Neurological consultations were requested for 89 out of 1,208 (7.4%) inpatient COVID admissions during that period. Main neurological diagnoses included: encephalopathy (44.4%), stroke (16.7%), previous neurological diseases (9.0%), seizures (9.0%), neuromuscular disorders (5.6%), other acute brain lesions (3.4%), and other mild nonspecific symptoms (11.2%). Conclusions: Most neurological consultations in a COVID-19-dedicated hospital were requested for severe conditions that could have an impact on the outcome. First-line doctors should be able to recognize neurological symptoms; neurologists are important members of the medical team in COVID-19 hospital care.


2018 ◽  
pp. 57-67
Author(s):  
P. E. Tulin ◽  
M. B. Dolgushin ◽  
D. I. Nevzorov ◽  
P. V. Kochergin ◽  
Yu. I. Patyutko

Pancreatic cancer has a poor prognosis, often because most pancreatic neoplasms are found to be unresectable at diagnosis. Early staging of the tumor process can change the tactics of treatment and affect the survival of patients. The purpose of this review is to provide an overview of pancreatic cancer and the role of modern imaging in its diagnosis with an emphasis on PET/CT with a various radiopharmaceuticals.


2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Astri Furqani ◽  
Hafidhah .

In this era, a lot of activities that can not be separated from the practice of cheating or fraud , no exception In the government . Inspektorat Sumenep is the leading institution of internal Local Government in preventing and detecting fraud in the Local Government appropiate Perbup Sumenep No. 29 of 2008 . Dinas Pendidikan Sumenep need attention on the issue . This is due to Dinas Pendidikan Sumenep an agency with the largest number of assets and managing large budgets . These conditions led to the formulation of the problem is How Inspektorat Sumenep role in preventing and detecting fraud in Dinas Pendidikan Sumenep. This study used a qualitative approach in which the focus of this study is Inspektorat role in preventing and detecting fraud at Dinas Pendidikan Sumenep . Primary data obtained by direct interviews with the parties directly related to the determination of the source of research data in a qualitative study using nonprobability sampling . The sampling technique used was purposive sampling . The conclusion of this study, role of the Inspektorat Sumenep in the prevention of fraud in Dinas Pendidikan Sumenep still not maximal . This is due to Inspektorat Sumenep not supervise from the planning / budgeting and not optimal in overseeing and assisting the implementation of the SPIP as an instrument of fraud prevention in Dinas Pendidikan Sumenep . The role of Inspektorat Sumenep in the detection of fraud in Dinas Pendidikan Sumenep done by conducting an audit of financial and asset management in each financial year.Keywords: fraud, government, inspektorat.


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