scholarly journals Start the Right Way: A Foundation for Improving Connection to Service and People in Medical Education

2020 ◽  
Vol 185 (Supplement_3) ◽  
pp. 46-51
Author(s):  
Ofir Noah Nevo ◽  
Laura Lambert

ABSTRACT Bottom Line Up Front: In this perspective essay, ENS Ofir Nevo and Dr Laura Lambert briefly discuss the concept of an outward mindset and how they have applied it in the context of medical education. ENS Nevo shares his story of deciding to attend medical school at the Uniformed Services University, as part of his desire and commitment to serve others. Early on, the requirements of medical school created intense demands that began to disconnect him from the commitment and connection that first drew him to a medical career. ENS Nevo describes how an awareness of the choice of mindset helped him address these challenges and stay better connected to his purpose and calling. A case analysis by Dr Lambert further explores how the awareness and practice of an outward mindset may help students, residents, and attendings see how they can improve their own well-being and connection to the people that brought them to medicine in the first place. Their experiences demonstrate how outward mindset principles can be a valuable tool for empowering students and physicians with a perspective that invites new solutions for the challenges of life and work.

2020 ◽  
pp. 12-22
Author(s):  
Louis R. Caplan

Abstract: Fisher’s medical school experience and training are described in this chapter. Medical education and medicine in general at the time of Fisher’s matriculation seem quite primitive and undisciplined by today’s standards. A very brief review of the history of medicine and medical education up to that time places the situation during the 1930s when Fisher matriculated into perspective. William Osler’s career, which predated but influenced Fisher, is described. Fisher’s medical internship at Henry Ford Hospital in Detroit, Michigan, is also briefly discussed. During his entire medical career, Fisher maintained a strong commitment to accurate measurement and quantification of physical signs and observations, a discipline he first learned in Toronto as a student.


2018 ◽  
Vol 6 (2) ◽  
pp. 98-102
Author(s):  
Agus Suryono

Welfare of the people is one of the goals of the state. In certain mechanism is required to make it happen that is reflected in public policy is made. Issues related to the problems that arise in realizing kesejahkteraan through public policy challenge. The right strategy in providing public policy that supports the well-being of the people in overcoming social problems are very important for further investigation.


2019 ◽  
Vol 26 (1) ◽  
pp. 27-48
Author(s):  
Mohammad-Javad Haj’jari ◽  
Noorbakhsh Hooti

Abstract An honest intellectual dutifully standing with truth against lies and treacheries of his society is a parrhesiastic figure in Foucault’s terminology. Foucault takes parrhesia as the fearless and frank speech regarding the truth of something or a situation before truthmongering and public deception and he takes the parrhesiastic as the spokesperson for truth. In this light, Dr. Stockmann in Ibsen’s An Enemy of the People occupies a unique position within Ibsen’s political philosophy. Dutifully criticizing what the majority blindly take for granted from their liar leaders in the name of democracy, Dr. Stockmann fulfills the role of a parrhesiastic figure that stands against socio-political corruption. He enters a parrhesiastic game with both the majority and the officialdom to fulfill his democratic parrhesia as a truthful citizen before the duped community, while covertly preparing for his own philosophic parrhesia or self-care within the conformist community. However, his final failure lies in his confrontation with democracy itself, which wrongly gives the right of speaking even to the liars. This article thus aims at analyzing Ibsen’s play through a Foucauldian perspective regarding the concept of parrhesia and its relation to democracy. It is to reveal Ibsen’s satire on the fake ideology of democracy and highlight the necessity of humanity’s parrhesiastic self-care for the well-being of the self and the others.


2020 ◽  
Vol 8 ◽  
pp. 232470962094931
Author(s):  
Asim Kichloo

Research stands at the foreground of modern advances in medicine. Doing clinical research helps you become a good clinician, and doing good clinical work in turn makes you a better researcher. Being a good researcher and being a good clinician, most of the times, has one thing in common, a good mentor. When student at some point in medical school contemplates a research rotation, and this first rendezvous with the processes and, more important, the people involved in the project, determines how much interest one generates to carry forward in their medical career. This editorial focuses on the early mentoring for research and academic careers.


Author(s):  
M. Srivani ◽  
T. Mala ◽  
Abirami Murugappan

Personalized treatment (PT) is an emerging area in healthcare that provides personalized health. Personalized, targeted, or customized treatment gains more attention by providing the right treatment to the right person at the right time. Traditional treatment follows a whole systems approach, whereas PT unyokes the people into groups and helps them in rendering proper treatment based on disease risk. In PT, case by case analysis identifies the current status of each patient and performs detailed investigation of their health along with symptoms, signs, and difficulties. Case by case analysis also aids in constructing the clinical knowledge base according to the patient's needs. Thus, PT is a preventive medicine system enabling optimal therapy and cost-effective treatment. This chapter aims to explore how PT is served in works of literature by fusing machine learning (ML) and artificial intelligence (AI) techniques, which creates cognitive machine learning (CML). This chapter also explores the issues, challenges of traditional medicine, applications, models, pros, and cons of PT.


2020 ◽  
Vol ahead-of-print (0) ◽  
pp. 1-25
Author(s):  
Adam Sheppard ◽  
Katie McClymont

Planning, at its most basic, is about making better places. In recent years, there has been a positive renewed focus on strengthening the links between planning and the promotion of well-being and good health outcomes. This is a welcome emphasis with origins relatable to the health narrative in the 1909 Housing and Town Planning Etc. Act. Within the post-1947 Town and Country Planning Act context, planning in some respects regressed to a land-use and infrastructure focus, with health considerations limited to physical-health infrastructure provisions and environmental/amenity considerations. This relatively recent ‘reuniting’ of planning and health is one way in which planning has been expressly identified as central to the ability of the state to improve the quality of life of the people. This is based on two implicit assumptions. First, that the characteristics of the built environment have an impact on the health of the population, and second, that planning, via its current policy, regulatory and legislative provisions, has the right tools to achieve positive on-the-ground changes in relation to this. The first aspect of this is well established through a public-health evidence base; the second, however, remains substantively under-researched as part of a broader lack of attention paid to the regulatory or development management aspect of planning. This article begins to address this deficit by examining the manner in which issues of health are or are not encompassed in decision making on the site scale by looking at appeal decisions into the location of fast-food outlets. By so doing, it challenges some of the assumptions inherent in policy aspirations and calls for a renewed and detailed investigation of the tools needed to achieve such good intentions on the ground.


2015 ◽  
Vol 41 (2) ◽  
pp. 164-179
Author(s):  
Komi Ahiatroga Hiagbe

The snail-pace of social and economic development within sub-Saharan Africa is of major concern not only to the development community, but to all who have the continent’s well-being at heart. Various attempts (many rather elusive) at diagnosis and prescription of the right antidotes to the problem have been made for decades. This paper, however, shares Jeffrey Sachs’s optimism in End of Poverty with the point of departure being that organised religion holds the key to a reversal of the trend. The paper explores the impact of religious beliefs on the development of some communities in the past and the present before concluding that Christianity could unlock the prospects to sub-Saharan Africa’s economic fortunes. In the view of this researcher, African theological reflections, in response to the challenges of endemic corruption, nepotism, superstition, and bad work ethics on the continent, must be grounded in the language, traditional beliefs, values and practices (i.e. culture) of the people as grounds for integration with the modern scientific and technological advancement that confronts the continent. This underscores the need for Christianity itself to become that culture which is willing to accommodate a consciously reconstructed past as the pathway to a developed future.


Author(s):  
Ramakanta Satapathy ◽  
Bikram Kumar Das

<p>Right to health is recognized by the constitution of India. The Constitution of World Health Organization states that, “Health is a State of Complete physical, mental and social well being and not merely the absence of diseases or infirmity.” Right to health presupposes that, “ it is the duty of the State to raise the level of nutrition and standard of living of the people for good health. The apex court of India declared that Right to health is a fundamental right coming within Article 21 of the Indian Constitution. Right to health and health care needs multi-disciplinary services to monitor health condition of life. It is a huge task requires effective management and organized action.  In this article an attempt is made to introspect the right to health within the constitutional parameters, international provisions and judicial decisions of Supreme Court. In this work doctrinal method is adopted to draw the conclusion. </p>


2020 ◽  
Author(s):  
Robyn-Jenia Wilcha

BACKGROUND In December 2019, COVID-19 emerged and rapidly spread worldwide. Transmission of SARS-CoV-2, the virus that causes COVID-19, is high; as a result, countries worldwide have imposed rigorous public health measures, such as quarantine. This has involved the suspension of medical school classes globally. Medical school attachments are vital to aid the progression of students’ confidence and competencies as future physicians. Since the outbreak of COVID-19, medical schools have sought ways to replace medical placements with virtual clinical teaching. OBJECTIVE The objective of this study was to review the advantages and disadvantages of virtual medical teaching for medical students during the COVID-19 pandemic based on the current emerging literature. METHODS A brief qualitative review based on the application and effectiveness of virtual teaching during the COVID-19 pandemic was conducted by referencing keywords, including medical student virtual teaching COVID-19, virtual undergraduate medical education, and virtual medical education COVID-19, in the electronic databases of PubMed and Google Scholar. A total of 201 articles were found, of which 34 were included in the study. Manual searches of the reference lists of the included articles yielded 5 additional articles. The findings were tabulated and assessed under the following headings: summary of virtual teaching offered, strengths of virtual teaching, and weaknesses of virtual teaching. RESULTS The strengths of virtual teaching included the variety of web-based resources available. New interactive forms of virtual teaching are being developed to enable students to interact with patients from their homes. Open-access teaching with medical experts has enabled students to remain abreast of the latest medical advancements and to reclaim knowledge lost by the suspension of university classes and clinical attachments. Peer mentoring has been proven to be a valuable tool for medical students with aims of increasing knowledge and providing psychological support. Weaknesses of virtual teaching included technical challenges, confidentiality issues, reduced student engagement, and loss of assessments. The mental well-being of students was found to be negatively affected during the pandemic. Inequalities of virtual teaching services worldwide were also noted to cause differences in medical education. CONCLUSIONS In the unprecedented times of the COVID-19 pandemic, medical schools have a duty to provide ongoing education to medical students. The continuation of teaching is crucial to enable the graduation of future physicians into society. The evidence suggests that virtual teaching is effective, and institutions are working to further develop these resources to improve student engagement and interactivity. Moving forward, medical faculties must adopt a more holistic approach to student education and consider the mental impact of COVID-19 on students as well as improve the security and technology of virtual platforms.


Author(s):  
Sunardi ◽  
Nanny Roedjinandari ◽  
Estikowati

This research aims to analyze the sustainable tourism development implementation in Bromo-Tengger -Semeru (BTS) national park based on Elkington’s Triple Bottom Line and Muller’s sustainability pentagon. This is an exploratory research where methodology was flexible and aims to investigate the nature of the problem in order to get its better understanding. Qualitative data was analyzed using descriptive qualitative analysis. Quantitative data was analyzed using descriptive statistic analysis. Qualitative and quantitative approach is adoptive in this research. Data is collected through observation, in-depth interviews, documentation and questionnaire. This research concludes that tourism brings a lot of positive impact for the people around the BTS area especially in the social, local culture aspect and the well-being of the people. In the social and local culture aspect, the local wisdom working together (gotong royong) and helping each other as part of the community is increasing. On the other hand, negative impact can be seen in the environment. This research is original as it offers bird eye view of sustainable tourism development analysis based on Elkington’s Triple Bottom Line and Muller's Sustainability Pentagon.


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