scholarly journals Competency differences in ECG interpretations between medical students, interns, and family residents

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
H Alanazi ◽  
A Ahmed ◽  
M Alsadi ◽  
S Almousa ◽  
E Homoud ◽  
...  
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Care Facility ◽  
Health Care Facility ◽  
P Value ◽  
Study Cohort ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Medical Interns ◽  
Family Medicine Residents

Abstract Background The 12-lead electrocardiogram (ECG) is an indispensable screening and diagnostic tool used to identify cardiovascular abnormalities as well as fatal cardiac emergencies. Our aim was to identify whether a competency difference in interpreting ECG strips between medical students, interns, and family residents exists. Methods A cross-sectional, single-center study conducted at tertiary health care facility and its academic institution. Participants were given a self-administered questionnaire which consisted of a demographic sheet and 10-ECGs each with 9 multiple choice questions about the basic ECG parameters. Correct answer was given a 1-point score, with the minimum and maximum scores being 0 and 90, respectively. Results The total participants were 93; 54 (58.1%) medical students, 27 (29.0%) interns, and 12 (12.9%) family Medicine residents. Medical students had a statistically significant higher mean score 84.7±9.5 when compared to the medical interns 73.4±12.9 (p<0.001) and family medicine residents 58.2±18.0 (p<0.001). There were no differences in the mean scores between male and female medical students and interns. However, female family medicine residents had a higher mean score when compared to their male colleagues (p-value=0.04). Medical students performed better in detection of more than 65% of all ECG parameters when compared to the interns and residents. Fifty-seven (61.3%) reported that ECGs exposure during their medical program was not sufficient. Lectures were reported as the most effective modality of ECG teaching among 38 medical students (70.4%) and 9 residents (75.0%). However, 9 medical interns reported self-teaching (33.3%) as effective as standard lectures (33.3%) in teaching ECG. Conclusion Among our study cohort, medical students had higher ECGs-related skills, interpretation skill and more reading competency than medical interns and family residents. Most used method of learning ECG in all levels was lectures. Although Study generalizability is limited, refining ECG reading skills is required. Funding Acknowledgement Type of funding source: None

scholarly journals Percepção dos estudantes de medicina sobre medicina de família e comunidade

2019 ◽  
Vol 4 (7) ◽  
pp. 27-37
Author(s):  
Ellen Tieko Tsugami Dalla Costa ◽  
Débora Dornelas Belchior Costa Andrade ◽  
Conrado Carvalho Horta Barbosa
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Role Model ◽  
P Value ◽  
Cross Sectional ◽  
Significance Level ◽  
University Center ◽  
Medicine Physician ◽  
Physician Role ◽  
De Medicina

Avaliar a influência de uma matriz curricular na percepção dos discentes de medicina sobre medicina de família e comunidade e na escolha por essa especialidade. Estudo qualitativo-quantitativo de cunho exploratório e transversal, efetuado por meio de questionário semiestruturado com acadêmicos do primeiro e do décimo-segundo semestres de medicina de um centro universitário brasileiro. Foram realizadas as análises descritivas e não paramétricas, com um nível de significância de 5%. Egressos conheciam bem a especialidade medicina de família e comunidade, ao contrário dos que estavam iniciando o curso. Dentre os fatores curriculares estudados, apenas o contato com um profissional modelo médico de família e comunidade foi estatisticamente significante para a escolha pela carreira (p-valor de 0,02). Este estudo sugere que o contato com médicos de família e comunidade e a inserção precoce e contínua na atenção básica durante a graduação contribuem para o interesse por essa especialidade.Descritores: Educação Médica, Medicina de Família e Comunidade, Currículo. Medical students’ perceptions on family medicineAbstract: To evaluate the influence of a medical program in medical students’ perceptions towards family medicine and in choosing a career in this field. A cross-sectional exploratory and qualitative-quantitative survey accomplished by the application of a semi-structured questionnaire. This research encompasses first and twelfth semesters medical students from a Brazilian university center. We performed a descriptive and a non-parametric analysis, with a significance level of 5%. Family Medicine was not well known by medical students who were beginning their graduation and very well known by those finishing medical school. Among the curriculum aspects studied, only the contact with a family medicine physician role model was statistically significant to affect the graduates’ career choice in family medicine (p-value 0.02). This study suggests that the contact with family physicians and the early and continued insertion in primary care during graduation contribute to a greater interest in this specialty.Descriptors: Medical Education, Family Practice, Curriculum. Percepción de los estudiantes de medicina sobre medicina de família y comunidadResumen: Evaluar la influencia de una matriz curricular en la percepción de los estudiantes de medicina con foco en la medicina de família y comunidade. Estudio cualitativo-cuantitativo de cuño exploratório trabajando la transversalidad, efectuado por medio de cuestionários semi estructurado aplicado a academicos de medicina de una institución universitária brasileña. Fueron realizadas los análisis descriptivas y no paramétricas, con un nível de significancia de un 5%. Egresos conocian bien la especialidad, En oposición a los que estaban iniciando el curso. Entre los factores curriculares estudiados, fué registrado como importante el contacto con un profisional modelo médico de família y comunidad que resultó estadísticamente significante para la elección de esta carrera (p-valor 0,02). Este Estudio sugiere que el contacto con médicos de família y comunidade, la inserción precoz y contínua em los servicios de atención básica durante la graduação contribuyen para despertar el interés por esa especialidad.Descriptores: Educación Médica, Medicina de Família y Comunidad, Currículum.

scholarly journals Prevalence of impostor phenomenon and its association with self-esteem among medical interns in Goa, India

2018 ◽  
Vol 6 (1) ◽  
pp. 355 ◽  
Author(s):  
Von R. Mascarenhas ◽  
Delia D’Souza ◽  
Abhishek Bicholkar
Keyword(s):  
Medical Students ◽  
Online Survey ◽  
Tertiary Care ◽  
Significant Negative Correlation ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
P Value ◽  
Impostor Phenomenon ◽  
Cross Sectional ◽  
Medical Interns

Background: Imposter phenomenon (IP) is an internal experience of intellectual phoniness that those who feel fraudulence and worthlessness have in spite of outstanding academic or professional accomplishment. It is desirable for Medical students and interns to have high self-esteem and low impostor characteristics in order to become successful medical practitioners. This study was carried out among the medical interns of a tertiary care medical college, to determine the prevalence of Impostor Phenomenon and its association with self-esteem.Methods: The present cross-sectional study was conducted among 150 medical interns. Clance’s impostor phenomenon scale and Rosenberg self-esteem scale were used to assess Impostor characteristics and self-esteem respectively. Data was collected using online survey method.Results: The majority (44.7%) of study participants had moderate IP characteristics, followed by 41.3% with high IP characteristics. Hours of sleep was found to be significantly associated with IP characteristics (p value<0.001). Self-esteem was found to be significantly and inversely correlated with age (r=-0.222), and positively correlated with hours of sleep (r=0.225). Impostor phenomenon and self-esteem were found to be moderately and inversely correlated (r=-0.519).Conclusions: A large number of medical interns were found to have high impostor phenomenon characteristics and low self-esteem. Impostor characteristics were found to be significantly associated with sleep, suggesting a relationship between feelings of fraudulence and skewed sleep patterns. A significant negative correlation between self-esteem and impostor phenomenon suggests that individuals with stronger IP characteristics had lower self-esteem, and vice versa. Low impostor phenomenon characteristics and high self-esteem are favourable for efficient medical practice. Measures to increase level of confidence and self-esteem among medical students and interns should be implemented. 

scholarly journals DENGUE FEVER

2018 ◽  
Vol 25 (06) ◽  
pp. 876-880
Author(s):  
Hamzullah Khan ◽  
Fazli Bari
Keyword(s):  
Health Care ◽  
Observational Study ◽  
Platelet Transfusion ◽  
Care Facility ◽  
Health Care Facility ◽  
Female Gender ◽  
P Value ◽  
Cross Sectional ◽  
Study Results ◽  
Study Setting

Objectives: To determine the frequency and characteristics of dengue patients.Study Design: Cross sectional observational study. Setting: Qazi Hussain Ahmed MedicalComplex Nowshera. Period: 5th July to 25th Sept 2017. Material and Methods: A total of72 cases were received for dengue serology. Relevant information’s were collected on a predesignedquestionnaire prepared in accordance with the objectives of the study. Results: Atotal of 117 patients were referred from fever clinic and emergency OPD for dengue serology.72(61.5%) were males and 45(38.5%) were females. 24(20.5%) cases were dengue positive.14(12%) were NSL1 positive, 8(8.8%) were IgM positive and 2 (1.7%) were IgM&IgG positive.We received patient in the range of 4 years to 60 years, Mean with SD was 27 +3 years. Out of14 NSL1 positive cases 8 were males and 6 females. 2 females were IgG positive. The spectrumof dengue in correlation with gender was significantly positive with p value .026. In two casesplatelet at first visit were 58000/cmm3 that were both IgM&IgG positive. Out of 24 positivedengue cases two cases were also positive for plasmodium vivax (ring tropozoites). 6 caseswere managed in hospital and discharged home with an average stay of 3 days and 4 casesreferred to Lady Reading Hospital Peshawar for repeated platelet transfusion. Mortality waszero in our cases. Conclusion: The suspicion rate of the clinician for dengue from fever clinicwas 1:7. The cause of poor rate can be contributed to the patient insist for doing the denguetest before they are screened for MP and FBC etc. NSL1 was positive in 6 cases that showsthat people reach the health care facility for screening well in time and patient are educatedabout the dengue. Females 50% positive cases were IGM and IGG positive that shows femalereceive the health care later than males as NSL1 positivity in female gender is less than males.The spectrum of dengue in correlation with gender was significantly positive with p value .025that shows mosquito has some affinity for specific gender, or dengue virus has it for differencein gender or the inside immunity of the both gender is involved that causes different mode ofpresentation and activation of antibodies.

scholarly journals Determinants of Diagnostic and treatment delay among Thalassemia patients in Sialkot

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 93-99
Author(s):  
Taskeen Zahra ◽  
◽  
Ayesha Parvez ◽  
Fizza Tabassum ◽  
Shahid Mahmood Sethi ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Diagnostic Delay ◽  
Care Facility ◽  
Health Care Facility ◽  
Thalassemia Major ◽  
Treatment Delay ◽  
P Value ◽  
Previous Knowledge ◽  
Cross Sectional

Objectives: To find out determinants of diagnostic and treatment delay among patients with thalassemia major in Sialkot. Methods: A cross –sectional analytical study was conducted in Sundas Foundation, Sialkot, from April 2019 to July 2019. A total of 120 patients were selected by convenient sampling and data was collected through semi-structured, pre-tested questionnaire. Important determinants considered were age, gender, literacy of parents, previous knowledge of disease and first health care facility visited. Data was analysed on SPSS version 25.0 and presented in the form of tables and figures. Chi-Square test was applied to study relationships between diagnostic and treatment delays with sociodemographic profile and other factors. P- value < 0.05 considered significant. Results: There was considerable delay of 30-180 days in diagnosis of thalassemia patients (37.5%), 42.7% patients diagnosed in less than 30 days. Treatment delay of 7-21 days in 18% patients seen, 71% started treatment within a week. 30-180 days delay in seeking medical care, was observed in 20.8% patients. Only 24.2%patients visited government health facility for medical care. First facility visited and delay in seeking medical care were significantly associated with diagnostic delay (p value 0.000 and 0.005 respectively). Only 16.7% had previous knowledge about thalassemia and 21.6% parents knew about legislation regarding mandatory pre-marital screening for thalassemia. Conclusion: Among important determinants, first health care facility visited and delay in seeking medical care had significant relationship with diagnostic delay. Better accessibility to healthcare facilities can overcome them. Key words: Diagnostic Delay, Treatment Delay, Thalassemia, Determinants How to cite: Zahra k,pervaiz A,Tabassum F,Sethi S,Khalid A;Determinants of diagnostic and treatment delay among thalassemia patients in Sialkot, Esculapio.2021;17(1);93-99

scholarly journals Evaluating Knowledge Level of the Medical Students about Children Cardiopulmonary Resuscitation in Aliebne University of Medical Science

2021 ◽  
Author(s):  
Hamideh Shajari ◽  
Seyed Mohammad Amin Hashemipour ◽  
Ahmad Shajari
Keyword(s):  
Medical Students ◽  
Cardiopulmonary Resuscitation ◽  
Cardiopulmonary Arrest ◽  
Medical Science ◽  
Basic Knowledge ◽  
P Value ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Pediatric Resuscitation ◽  
Resuscitation Training

Introduction: Awareness of pediatric cardiopulmonary resuscitation (CPR) is obligatory for every graduated medical student. In fact, only correct and effective Cardiopulmonary resuscitation can increase the survival rate of patients with cardiopulmonary arrest and since CPR techniques and maneuvers should be done in a specific way for children, it is important to evaluate the knowledge of pediatric resuscitation. Methods: In a cross-sectional study, multiple-choice questions were designed about basic and advanced pediatric cardiopulmonary resusitation (under 8 years) and 100 medical students enrolled in undergraduate training. Results were analyzed using the software SPSS 15. Results: The interns' advanced awareness was significantly less than the basic knowledge (P-Value < 0.001). The awareness of students who studied in CPR was higher than students who did not (P-Value < 0.027). Moreover, students who participated in the rehabilitation of children were more aware (P-Value < 0.002) and interns who attended the Heart Ward had a higher level of awareness (P-Value < 0.001). Conclusion: In general, results obtained from the interns' awareness in the present showed the importance of pediatric resuscitation training courses and participation in resuscitation operations. So, this training course should be considered as a training strategy course in the internship program.

scholarly journals A study of knowledge, attitude and practice of voluntary blood donation among interns of a municipal medical college

2017 ◽  
Vol 4 (4) ◽  
pp. 1166
Author(s):  
Durgesh Prasad Sahoo ◽  
Chaitanya Patil ◽  
Armaity Dehmubed
Keyword(s):  
Medical Students ◽  
Blood Donation ◽  
P Value ◽  
Blood Safety ◽  
Cross Sectional ◽  
Medical College ◽  
Attitude And Practice ◽  
Medical Interns ◽  
Donated Blood ◽  
Knowledge Attitude And Practice

Background: Inspiration among and participation of medical students is essential to make the “voluntary blood donation” movement a success. By assessment of knowledge, attitude and practice of blood donation, donor mobilization and retention strategies can be designed and optimally modified. In this study, knowledge about voluntary blood donation in medical interns was undertaken because by the end of their MBBS course they are supposed to have understood the importance of blood donation and become capable motivators for blood donation amongst potential donors in public.Methods: A cross-sectional descriptive study was conducted on 111 interns of Topiwala National Medical College, Mumbai using universal sampling method. Self-administered structured questionnaire was used to collect data.Results: Mean age of interns was 23.13 years with standard deviation of 0.832 of which girls comprised 48.6%. Forty seven point seven percent interns had donated blood before. The correct knowledge was prevalent in 45.0% only. Practice of blood donation amongst interns had male propensity and positive correlation with gender difference (p value 0.001). Most interns (79.3%) donated for moral satisfaction and social responsibility The commonest reason in the non-donors, for not donating was being medically unfit for donating (69.0%).Conclusions: Almost half (55.0%) of the medical students under study didn’t have adequate knowledge on blood safety and donor eligibility. Majority of them intended to donate blood in future however, a very few had ever actually donated blood. Increased awareness about blood donation among medical interns is expected to have amplified effects in the society, as an aware and motivated doctor can motivate and mobilize many others for voluntary non-remunerated blood donation and thus blood safety. 

e-Learning: Practices Among Undergraduates of a Medical College of Khyber Pakhtunkhwa

2020 ◽  
Keyword(s):  
Information Technology ◽  
Medical Students ◽  
Background Information ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical College ◽  
Learning Practices ◽  
E Learning

Background: Information technology (IT) is a new way of teaching and learning. One of the promising media of information technology is e-Learning, which is used to enhance knowledge and skills among users. A student gains better and deep knowledge through a useful tool. This survey aimed to determine practices among medical students for e-Learning. Methods: This cross-sectional survey was conducted on 184 students amongst the 500 students currently enrolled in medical college. Data was collected using questionnaires and were analyzed through SPSS version 22. Chi-square was used for qualitative values. Results: Majority 90.80% (n=167) students were aware of e-Learning and were statistically high in first year students (p-value: 0.018). The student did not show statistically significant results for content learned through e-Learning with a p-value of 0.063. Different resources were used for e-Learning in which videos had the highest percentage (87.60%) and audios were used as the least resource for e-Learning (29.20%). Daily, 56% of the students use e-Learning for 1 hour or less and only 3% of the students used it for more than 4 hours. Conclusion: Majority of undergraduate medical students were aware of the use of e-Learning and most of them preferred e-Learning for their course work and studies showing a significant increase in understanding and use, compared to studies conducted earlier. Participants found e-Learning useful and effective tool in increasing knowledge and understanding of their subject. Keywords: e-Learning; Practices; Students.

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

Undergraduate performance assessment

2017 ◽  
Vol 5 (9) ◽  
pp. 1-7
Author(s):  
Umayya Musharrafieh ◽  
Khalil Ashkar ◽  
Dima Dandashi ◽  
Maya Romani ◽  
Rana Houry ◽  
...  
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Assessment Tool ◽  
Clinical Skills ◽  
Faculty Evaluation ◽  
Multiple Choice Questions ◽  
Final Exam ◽  
Monthly Basis ◽  
Medicine Clerkship ◽  
Clinical Evaluations

Introduction: Objective Structured Clinical Examination (OSCE) is considered a useful method of assessing clinical skills besides Multiple Choice Questions (MCQs) and clinical evaluations. Aim: To explore the acceptance of medical students to this assessment tool in medical education and to determine whether the assessment results of MCQs and faculty clinical evaluations agree with the respective OSCE scores of 4th year medical students (Med IV). Methods: performance of a total of 223 Med IV students distributed on academic years 2006-2007, 2007-2008, and 2008-2009 in OSCE, MCQs and faculty evaluations were compared. Out of the total 93 students were asked randomly to fill a questionnaire about their attitudes and acceptance of this tool. The OSCE was conducted every two months for two different groups of medical students who had completed their family medicine rotation, while faculty evaluation based on observation by assessors was submitted on a monthly basis upon the completion of the rotation. The final exam for the family medicine clerkship was performed at the end of the 4thacademic year, and it consisted of MCQsResults: Students highly commended the OSCE as a tool of evaluation by faculty members as it provides a true measure of required clinical skills and communication skills compared to MCQs and faculty evaluation. The study showed a significant positive correlation between the OSCE scores and the clinical evaluation scores while there was no association between the OSCE score and the final exam scores.Conclusion: Student showed high appreciation and acceptance of this type of clinical skills testing. Despite the fact that OSCEs make them more stressed than other modalities of assessment, it remained the preferred one.

Medical Student Syndrome: A Hypochondriacal Distress In Undergraduates– Verity Or Myth

2020 ◽  
Vol 10 (3) ◽  
pp. 200-204
Author(s):  
Sana Akbar ◽  
Misbah Riaz ◽  
Lalarukh Munawar ◽  
Shazia Shakoor
Keyword(s):  
Medical Students ◽  
Engineering Students ◽  
Health Anxiety ◽  
Depression Scale ◽  
Strong Relationship ◽  
Cross Sectional Study ◽  
P Value ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Exact Test

Objective: The purpose of this study was to correlate the hypochondriacal concerns related to diseases with level of anxiety and depression symptoms among medical and engineering undergraduates. Study design and Setting: Cross sectional study was conducted among undergraduates of final year students of BUMDC (Bahria University Medical & Dental College) and engineering students from NUST- PNEC (NUST – Pakistan Navy Engineering College). Methodology: In this study; (99) final year medical students and (92) engineering students were recruited. In order to maintain consistency of age, students aging between 21–26 years were selected. Selected students were handed to fill the required ‘Self-administered Questionnaire’ comprising of demographic details, short health anxiety inventory, medical history and DASS (depression, anxiety and stress scale) which were completed on-site. Data was entered in SPSS version 21 and analyzed using Fisher’s exact test. P value < 0.05 was considered as statistically significant. Result: Out of 191 students in total from both the groups n=86 (45%) were females and n=105(55%) were males. There were 99 participants from MBBS and 92 from engineering. The participants’ ages ranged from 21-26 years with a mean= 23.95 (SD±2.29), both the cohorts belonged to approximately same age group. While assessing depression the responses were not very different for both the groups. When responses of depression scale were related to visits to psychiatrists or psychologist or psychotherapist a strong relationship was observed (p=0.012) in medical students cohort. Conclusion: The results of the study reflected comparable psychosocial strain at an elevated level among both student groups

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