Assessment of medical students’ preparedness and willingness for integration into a war-torn healthcare system: the example of COVID-19 pandemic scenario

2021 ◽  
pp. 1-18
Author(s):  
Tamim Alsuliman ◽  
Lugien Alasadi ◽  
Rahim Abo Kasem ◽  
Majd Hawat ◽  
Mohammad Almansour ◽  
...  

Subject Guatemala's struggling health service. Significance Repeated protests have taken place in Guatemala since late 2015, calling for greater investment in the struggling healthcare system. Recently elected President Jimmy Morales will come under pressure to allocate more funds to the system but Guatemala's precarious fiscal situation will prevent the large-scale investment that is required for major improvements. Impacts The healthcare system will come under additional pressure in the coming months as a result of the Zika virus, which emerged in late 2015. Protests (comprising largely doctors, medical students, patients and their families) could escalate if the issue remains unaddressed. Morales may prioritise his anti-corruption campaign, which could be expanded to address irregularities in the healthcare system.


2017 ◽  
Vol 59 (3) ◽  
pp. 36
Author(s):  
Tanko Salihu Tanimu ◽  
Godpower Chinedu Michael ◽  
Aliyu Ibrahim ◽  
Bukar Alhaji Grema ◽  
Abubakar Abiso Mohammed

Introduction: Undergraduate medical education requires the studying of a wide range of medical specialties to produce the future workforce of the healthcare system. Family medicine (FM), a relatively new specialty in Nigeria, aims at supplying doctors capable of providing comprehensive healthcare for the majority of the population. However, many Nigerian medical schools (Bayero University inclusive) are yet to include FM in their undergraduate curriculum. Methods: This was a descriptive cross-sectional study of 178 respondents randomly and proportionately selected from 400-, 500- and 600-level medical students of Bayero University Kano. Using a structured questionnaire, their awareness of FM discipline, specialty preferences, factors influencing specialty preferences and their views on the relevance of FM in improving health systems were assessed. Results: A majority of the respondents (60.7%) were males and most (93.8%) had heard of FM. However, only 19.7% of respondents were aware that FM was taught in the undergraduate programme of medical schools; 86% were aware of a postgraduate FM programme. FM (22.5%) was the second most preferred specialty following surgery (23.6%). Personal interest in the specialty was the main (76.5%) reason for preference. Only 2.9% believed the postgraduate training for FM had a longer duration. All respondents believed FM was relevant as a specialty. Conclusion: The knowledge and perception of the FM discipline among clinical medical students of Bayero University was good. They expressed that FM was relevant in the healthcare system as shown in their preference for the specialty, which ranked second among other specialties. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1313487


2019 ◽  
Vol 9 (2) ◽  
pp. 29-31
Author(s):  
Michael Tyler Pratte

How is medicine practiced on the other side of the world? As medical students in Canada, we learn much about pathophysiology and the North American healthcare system. Yet important observations can be made about how other cultures deliver care that can be used to help us address shortcomings of our own. In this opinion piece, I use my experience studying cardiac surgery in Shanghai, China to explore how each country confronts a similar problem: access to care in rural medicine. Despite their differences, both China and Canada come to creative solutions, reflecting the incredible diversity of their patients.


2013 ◽  
Vol 1 (2) ◽  
pp. 310 ◽  
Author(s):  
Johanna Shapiro

In this paper, I first address what medical students learn about appropriate (or tolerated) professional attitudes and emotions in the clinical context and how  the performance of emotional positions that create distance between doctor and patient and the defining of patients as other is encouraged through the informal and hidden curricula. Next, I examine what we know about medical students’ emotions. I then identify particular problematic emotional attitudes that can emerge in medical students toward patients, especially vulnerable patients who are marginalized or stigmatized in the healthcare system. To better understand this phenomenon, I discuss how such emotions emerge in response to both intrapsychic and systemic pressures. The paper then examines alternative models of healthcare that prioritize connection and solidarity with patients, considers how concepts such as emotional intelligence and emotional regulation may be pertinent in the training of future physicians and notes the relevance of such models and concepts to curricular innovation.


2018 ◽  
Vol 63 (3) ◽  
pp. 80-81
Author(s):  
Chevonne Brady ◽  
Mark Zarb

As a junior doctor in what is an increasingly struggling healthcare system, I am concerned to see that many of my junior and senior colleagues have opted not to continue onto the next stage of training. Whilst entrepreneurship, leadership and management are now accepted as important skills for doctors to be exposed to, this is clearly not filtering through to medical education at the undergraduate level. We have surveyed final year medical students regarding this and used these results to develop a national teaching programme which aims to provide junior doctors with skills such as management, leadership and enterprise which they would otherwise not be exposed to.


2018 ◽  
Vol 60 (6) ◽  
pp. 42
Author(s):  
Reabetswe Ntshabele ◽  
Rubeshan Perumal ◽  
Nesri Padayatchi

Medical education is evolving from a heavily hierarchical and paternalistic approach to a more developmental and student-centred paradigm. In addition, there has been a greater focus on decentralised medical education, taking medical students closer to the lowest tiers of the healthcare system and allowing for a more immersive experience within the communities of their patients. This paper presents the experience of an enlightening rural experience, in which the benefits of such a model to medical education are explored. Furthermore, it presents the highly personal and developmental journey that decentralised and, in particular, rural medical training can offer. A new concept of a ‘home-stay’ model has now been introduced as part of the rural medicine experience, where students are hosted by a family within the community in which they work. This is a transformative project in which the most fundamental principles of medical training and the art of medical practice can be honed. The convergence of clinical training, public health enlightenment, and family practice are highlighted.


2020 ◽  
Author(s):  
M Tasdik Hasan

We read with interest the correspondence by Representatives of the STARSurg Collaborative, EuroSurg Collaborative, and TASMAN Collaborative1 about the involvement of medical students in response to worldwide COVID-19 crisis. There is a positive correlation between inadequate health-care resources and COVID-19 related mortality.2 As this pandemic is ravaging through countries worldwide, even the most competent health systems are facing a dire need of workforce demand,3 likes of which have never been seen before. While developed countries are still skirmishing to get to grip with this crisis, developing nations like Bangladesh with comparatively incapacitated healthcare system is of no exception, and is in urgent need of innovative and outrageous ideas to tackle.


2016 ◽  
Vol 6 (2) ◽  
pp. 49-54
Author(s):  
Chelsea Soares ◽  
Jason Hu ◽  
Kyle Kai Ho Ng ◽  
Fan Yang

ABSTRACTShanghai is one of the world’s fastest growing megacities. With a population of 24 million, it is clear that there is a huge demand for healthcare services. With the establishment of the first Canadian-International medical school, Ottawa-Shanghai Joint School of Medi­cine (OSJSM), four Student Builders were chosen to pilot clinical learning at Shanghai Jiao Tong University (SJTU) affiliated hospitals. Students were given opportunities to learn about the healthcare system in Shanghai, to work closely with medical students and physi­cians, to complete pre-clerkship observerships, and to be immersed in Chinese culture. The ongoing purpose of the Student Builder Program (SBP) is to evaluate the feasibility of having comprehensive undergraduate medical student engagement between the two cities. Students spent over 3 months in clinical settings with SJTU affiliated hospitals. Additionally, students worked closely with the OSJSM Student Affairs Office (SAO), delivered a presentation about Ottawa’s medical curriculum to SJTU faculty, as well as conducted clinical research. To gain a deeper understanding of Chinese healthcare, students also had the opportunity to take a one-month Tra­ditional Chinese Medicine (TCM) course. As a result, the Canadian medical students became familiarized with the Chinese healthcare system and culture, in addition to expanding their knowledge in medicine. This experience also provided the students with an oppor­tunity to work with a large volume of patients. Moreover, the physicians at SJTU affiliated hospitals (primarily Renji Hospital) were able to gain a deeper understanding of University of Ottawa’s medical school curriculum and clinical teaching methods. RÉSUMÉShanghai est une mégapole connaissant une des croissances les plus rapides. Avec une population de 24 millions de personnes, il est clair qu’il y existe une demande soutenue de services de soins de santé. À la suite de la fondation de la première école de mé­decine canadienne internationale, soit l’École conjointe de médecine Ottawa-Shanghai (ECMOS), quatre étudiants « bâtisseurs » ont été sélectionnés pour être les premiers à explorer l’enseignement clinique offert dans les hôpitaux affiliés à l’Université Jiao Tong de Shanghai (UJTS). Les étudiants ont eu la possibilité d’en apprendre plus au sujet du système de soins de santé à Shanghai, de travailler en étroite collaboration avec des étudiants en médecine et des médecins, de compléter des stages observatoires du préexternat, et de s’immerger dans la culture chinoise. L’objectif du programme des étudiants-bâtisseurs, qui persiste à ce jour, est d’évaluer la possibilité d’établir un partenariat complet entre les deux villes, dont bénéficieraient les étudiants de premier cycle en médecine. Les étudiants ont passé plus de trois mois en milieu clinique dans les hôpitaux affiliés à la UJTS. En outre, ils ont travaillé de près avec le Bureau des services aux étudiants du ECMOS, ont présenté le curriculum médical d’Ottawa à la faculté de la SJTU, et ont effectué de la recherche clinique. Afin d’approfondir leur compréhension des soins de santé chinois, les étudiants ont aussi eu l’occasion de suivre un cours de médecine chinoise traditionnelle pendant un mois. Par conséquent, les étudiants en médecine canadiens se sont familiarisés avec le système de soins de santé chinois et la culture chinoise, en plus d’avoir acquis de nouvelles connaissances médicales. Cette expérience a aussi permis aux étudiants de travailler avec un grand nombre de patients. De surcroît, les médecins des hôpitaux affiliés à la UJTS (principalement l’hôpital Renji) ont pu développer une meilleure compréhension du curriculum médical à l’Université d’Ottawa et de ses méthodes d’enseignement clinique.


2016 ◽  
Vol 27 (1) ◽  
pp. 28 ◽  
Author(s):  
Ariel A. Benson ◽  
Nathaniel Mendelsohn ◽  
Maria Gervits ◽  
Folashade Adeshuko ◽  
Carlo S. Garcia ◽  
...  

PurposeTo assess the opinions of Albert Einstein College of Medicine (Einstein) medical students about U.S. healthcare reformin the context of the 2008 U.S. presidential election through the use of an online survey. The study additionallyevaluates the influences on students’ healthcare opinions and whether there is sufficient instruction given to medicalstudents about healthcare systems.MethodDuring January and February 2009, first-year and second-year (classes of 2011 and 2012) Einstein medical students(n=362) were surveyed about U.S. healthcare using a web-based electronic survey. The survey included questionsabout students’ healthcare views and influences, political views, and education related to healthcare systems.ResultsWith a response rate of 56%, the survey showed that, among Einstein students, the most popular reform to the U.S.healthcare system would be a multipayer system (41%) in which all U.S. citizens would have access to healthcare paidfor by the U.S. government, but could also choose to obtain private insurance. More than 86% of the respondentsfelt that they had not received adequate education in medical school about the U.S. healthcare system. Seventy-fourpercent of respondents supported Barack Obama in the 2008 U.S. presidential election.ConclusionsEinstein students overwhelmingly recognize the need for reform in the U.S. healthcare system, and students are confidentthat, under Barack Obama’s leadership, the number of uninsured American citizens will decrease in the nextfour years. Survey findings also reveal the need for improved medical student education about the U.S. healthcaresystem.


2019 ◽  
Vol 16 (1) ◽  
pp. 119-125
Author(s):  
Sahil Sharma ◽  
Matthew Rowe

New research suggests Canadian physicians order more than 1,000,000 potentially unnecessary tests and treatments each year. Strategies to educate medical students about the CanMEDs Resource Stewardship directive and judicious testing practices can help the healthcare system manage fiscal stress and improve healthcare experiences for patients. This article outlines several strategies that can be implemented at the undergraduate medical education level through Choosing Wisely Canada’s Students and Trainees Advocating for Resource Stewardship (STARS) program. The educational strategies feature group-based learning, lecture integration, and supportive online modules. Educating medical students across the country about judicious testing can produce the generation of resource-conscientious doctors that healthcare’s increasingly tight budget demands.


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