The Impact of Psychiatry Round on The Attitude of Medical Students towards Psychiatry as a specialty and a career

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
S Ahmed ◽  
H Ramy ◽  
Moneim D Abdel ◽  
M Youssef
Keyword(s):  
Socioeconomic Status ◽  
Medical Students ◽  
Behavioral Science ◽  
General Health Questionnaire ◽  
Negative Attitude ◽  
Total Sample ◽  
P Value ◽  
Significant Positive Change ◽  
The Impact ◽  
5Th Grade

Abstract Background Psychiatry workplace shortage is a major problem seen in many countries around the world. This could be attributed to negative attitude of medical students towards psychiatry as a career for the past decades despite that medical students are exposed to psychiatry and behavioral science in most courses, starting in the preclinical years and progressing to clinical clerkships in the later years. Aim of the Work our study aims to assess the attitude of a sample of medical students towards psychiatry as a specialty and a career before the psychiatry round and the impact of psychiatry round on their attitude. Patients and Methods A sample of 50 participants was taken from both 4th and 5th grade of medical students. The socioeconomic status was assessed using socioeconomic status scale (SES), the general health questionnaire (GHQ-28) was used to assess the presence of minor psychiatric illness, the Attitude towards Psychiatry scale (ATP-30) was used to evaluate the attitude of students before psychiatric round and its impact afterwards. Results A total of 50 participants were enrolled, consisted of 24 males with 48% of sample and 26 females by 52% of total sample .There was a significant positive change in the attitude of participants toward psychiatry by a P value = 0.041, also it showed increasing in the percentage of the participants that will choose psychiatry as a career after the round than those before receiving the round. Conclusion The findings in our study highlight the positive effect of psychiatry round on the undergraduate attitude toward psychiatry as a post-graduation career, and that it could be considered as a strengthening point which can be used to compact stigma towards psychiatry as a career, as well as stigma towards mental illness and the mentally ill.

scholarly journals The Impact of an Educational Program on Medical Students’ Knowledge and Awareness of Elder Abuse

2021 ◽  
Vol 8 ◽  
pp. 238212052110164
Author(s):  
Abbie West ◽  
Cara Cawley ◽  
Elizabeth Crow ◽  
Alexis M. Stoner ◽  
Natalie M. Fadel ◽  
...  
Keyword(s):  
Medical Students ◽  
Educational Program ◽  
Survey Methodology ◽  
Elder Abuse ◽  
P Value ◽  
Significant Difference ◽  
Survey Results ◽  
Second Year ◽  
College Of Osteopathic Medicine ◽  
The Impact

Objective: Approximately 1 in 6 adults 60 and older have experienced a form of abuse in the past year. Many cases remain under-reported due to lack of knowledge and awareness. This study created an educational program on elder abuse for medical students to determine if participation would increase knowledge and awareness of elder abuse. Methods: This study used a pre and post survey methodology to evaluate students’ knowledge and awareness of elder abuse before and after participating in this educational program. Sixty first and second year osteopathic medical students at the Edward Via College of Osteopathic Medicine, Carolinas Campus participated in this study. Students were emailed a pre-survey to evaluate their pre-existing knowledge and awareness. The survey was, previously created by the Student Training on Preventing Domestic Violence (STOP-DV) team using validated measures. Participants then attended educational events about various forms of elder abuse and recognizing its associated signs, and afterward completed the post-survey. The results were compared using t-tests to determine if there was a significant difference. Results: First and second year students differed significantly in pre-survey results of knowledge but not post-survey results. The results showed a significant difference in overall mean knowledge ( P-value < .001) and awareness scores ( P-value < .001) in all students. Conclusion: These results suggest education on elder abuse can enable future physicians to better recognize, understand, and support older adults regarding elder maltreatment.

scholarly journals Impact of Jacobson’s Progressive Muscle Relaxation on Stress Levels of Exam Going MBBS Students of a Medical College in South Gujarat, India

2021 ◽  
Author(s):  
Devashish Palkar ◽  
Sanjibani Panigrahi ◽  
Pooja Shatadal ◽  
Ritambhara Mehta
Keyword(s):  
Muscle Relaxation ◽  
General Health Questionnaire ◽  
Progressive Muscle Relaxation ◽  
Stressful Event ◽  
P Value ◽  
Medical College ◽  
Post Test ◽  
Exam Anxiety ◽  
The Government ◽  
The Impact

Introduction: Academic examinations are a very stressful event for an Bachelor of Medicine and Bachelor of Surgery (MBBS) student. While many students learn to deal with it through the use of helpful or unhelpful coping skills, many still end up with considerable psychological morbidity in the form of anxiety and depression along with deterioration in overall health. Jacobson’s Progressive Muscle Relaxation (JPMR) causes deep muscle relaxation. Aim: To find out the prevalence of stress and exam anxiety in students of 1st year MBBS and to study the impact of JPMR. Materials and Methods: It was a quasi-experimental, pretest and post-test interventional study conducted amongst the first year MBBS students studying at the Government Medical College Surat, Gujarat, India, during March to May 2019. Two months before their internal exams, 114 1st year MBBS students were recruited for the study. They were given a pretest proforma which comprised of socio-demographic profile, Perceived Stress Scale (PSS), Test Anxiety Scale (TAS) and General Health Questionnaire (GHQ) 28. They were asked to attend JPMR sessions over the following month in batches of 30 each and asked to practise JPMR for one month leading up to their exams. Total 43 students attended these sessions while 71 did not. After one month, all 114 students were again given a post-test proforma comprising of the same scales. Paired t-test was applied to compare the pretest and post-test scores to see the impact of JPMR. Results: The mean age of participants was 19 years.The students who completed their schooling in Gujarati medium and those who reported to be staying at hostel experienced significantly more TAS scores at baseline evaluation as compared to their counterparts from English medium schools and those staying at home respectively. There was a statistically significant reduction in mean scores of PSS and TAS before and after practice of JPMR in the 43 students who attended and practiced JPMR (p-value=0.005 and p-value=0.002, respectively; p-value <0.05 was considered to be significant). Conclusion: One month practice of JPMR was found to be effective in reduction of stress and exam anxiety.

scholarly journals THE THE IMPACT OF ANTIRETROVIRAL THERAPY ON HEMOGLOBIN LEVELS OF HIV/AIDS PATIENTS AT MERPATI CLINIC, WANGAYA HOSPITAL, DENPASAR, BALI, INDONESIA

2020 ◽  
pp. 13-16
Author(s):  
PUTU DEWINTA DARMADA ◽  
KETUT SURYANA
Keyword(s):  
Antiretroviral Therapy ◽  
Total Sample ◽  
Hemoglobin Level ◽  
P Value ◽  
Aids Patients ◽  
Chi Square ◽  
Art Initiation ◽  
Chi Square Analysis ◽  
The Impact ◽  
Hiv Aids

Objective: Anemia is responsible for poor outcomes in HIV/AIDS patients. It’s related to disease progression, morbidity, and mortality. Antiretroviral therapy (ART) agent, zidovudine (ZDV) is also known to trigger anemia in the early initiation. However, studies found improved hemoglobin (Hb) levels of HIV/AIDS patients several months after ART routinely taken. This study aims to find the impact and correlation of ART on the hemoglobin level of HIV/AIDS patients. Methods: A retrospective cohort study was done at Merpati Clinic, Wangaya Hospital, Denpasar-Bali, Indonesia. Data were collected from medical records and laboratory results. A total sample of 64 HIV/AIDS patients with at least 6 mo on ART was included in this study. Results: Anemia was found in 34 (53.1%) of patients before ART initiation. After taking ART for 6 mo, we observed a significant improvement in patients’ hemoglobin levels, 48 (75%) shows increased hemoglobin levels. The paired t-test revealed a correlation between ART and Hb level (p<0.001). Fourteen (43.8%) patient taking ZDV shows no improvement, even declining of Hb level. Chi-square analysis performed with p = 0.001 to ZDV and lower or no improvement of hemoglobin level. Both results considered statistically significant (p-value less than 0.05) with a confidence interval (CI) of 95%. Relative risk (RR) of no improvement or decline in Hb level is 7 folds higher in the ZDV group than the non-ZDV group. Conclusion: This study concludes that ART affects hemoglobin levels in HIV/AIDS patients. Zidovudine regimen is more prone to lower or no increase of Hb.

scholarly journals The Effect Of Optimization Of The Utilization Of Mother And Child's Health Book On The Attitudes Of Midwives In The Completeness Of Filling In Kia Books

2021 ◽  
pp. 72-78
Author(s):  
Morita Wibowo ◽  
Suryo Ediyono ◽  
Heni Nur Kusumawati
Keyword(s):  
Simple Random Sampling ◽  
Total Sample ◽  
Child Health Services ◽  
Control Group ◽  
P Value ◽  
Validity And Reliability ◽  
District Health ◽  
Control Group Design ◽  
Before And After ◽  
The Impact

Background: One of the efforts that have been carried out by the Ministry of Health in supporting the acceleration of MMR reduction is optimizing PONED. Apart from being poned, the use of the MCH Handbook is one way of maintaining health and obtaining quality maternal and child health services. The purpose of this study was to determine the impact of training on the optimization of the use of the MCH book on the attitudes of the PONED midwives in completing the MCH booklet filling by village midwives in the working area of ​​the Paser District Health Center.  Methods: A Quantitative research method uses Quasy Experiment nonequivalent control group design. By involving 1 control group and 1 treatment group with a total sample size of 43 midwives in each group, using simple random sampling. Data analysis using Wilcoxon. Instrument that use can measure attitudes of midwives with good validity and reliability. Results: The results showed that there were significant differences in attitudes before and after treatment with a p-value of 0,000, but the mean value of attitudes before and after showed that training could not change the attitudes of midwives. The training held is not sufficient to change the attitude of midwives in compliance with the filling of the MCH handbook. Conclusion: It needs further and intense training for all PONED and non-PONED midwives and further identification is needed about things that can motivate the attitudes of midwives to improve poned midwives towards the implementation of optimization MCH books.

scholarly journals A Study to Assess the Attitude of Medical Students towards Learning Communication Skills in a Teaching Hospital in Kerala

2021 ◽  
Vol 10 (38) ◽  
pp. 3317-3321
Author(s):  
V. K. Sreelatha ◽  
V. D. Manjula
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Positive Attitude ◽  
Negative Attitude ◽  
Skills Training ◽  
P Value ◽  
Attitude Score ◽  
Medical Council ◽  
Good Doctor ◽  
The Mean

BACKGROUND Communication plays a crucial role in the present era of medical litigations and hospital attacks. A good doctor has to be a good communicator. 80 % of medical errors are due to communication failure as reported in a study. The need for improving the medical communication skills of health professionals is getting recognized. The use of structured programme of effective and formal communication skills training is the need of the hour. In order to improve communication skills, Medical council of India (MCI) has launched the ATECOM (attitude, ethics and communication) module in the MBBS curriculum from 2019. The purpose of this study was to assess the attitude of medical students towards learning communication skills. METHODS A total of 447 students from 7 batches were enrolled in the study. All students were asked to fill up the communication skills attitude scale (CSAS) questionnaire which consists of 13 positive attitude questions and 13 negative attitude questions which was scored in Likert’s scale. The data was analysed using Statistical Package for Social Sciences (SPSS). RESULTS There were a total of 447 students, of which 128 were males and 319 were females. The mean total score for positive attitude was 54.19 (SD - 5.99) and the mean score for negative attitude was 33.42 (SD - 5.27). The mean positive attitude score was more for females (54.61; SD - 5.82) than males (53.15; SD - 6.28) and the difference was statistically significant. The female students had a lesser mean negative attitude score compared to males. Batch wise analysis was done using analysis of variance (ANOVA). The P value for total positive score between batches was 0.001 and for total negative score was 0.28. CONCLUSION The study showed an overall positive attitude to learning communication skills with girls showing a more positive attitude and less negative attitude than boys. KEY WORDS Attitude, Communication skills, Medical Students, Competency

scholarly journals Effects of autism on 30-year outcome of anorexia nervosa

2022 ◽  
Vol 10 (1) ◽  
Author(s):  
Søren Nielsen ◽  
Sandra Rydberg Dobrescu ◽  
Lisa Dinkler ◽  
Carina Gillberg ◽  
Christopher Gillberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Anorexia Nervosa ◽  
Psychiatric Symptoms ◽  
Negative Attitude ◽  
Autism Spectrum ◽  
Control Group ◽  
Ability To Work ◽  
The Impact

Abstract Background Long-term consequences of comorbid autism spectrum disorder (ASD) in individuals with anorexia nervosa (AN) are inadequately investigated. Methods In the 1980s, 51 adolescent-onset AN cases (AN group) and 51 matched controls (COMP group) were recruited from the community. They have been examined on five occasions. The four last assessments included the Morgan-Russell Outcome Assessment Schedule (MROAS) to assess eating disorder outcomes (weight, dieting, menstruation), and related problems including psychiatric, psychosexual and socioeconomic state. In the present study, at age 44, when 30 years had elapsed, MROAS data were compared with previous results. At age 16, 21, 24 and 32 years, all individuals had been assessed regarding ASD. At the 30-year follow-up, the impact of the ASD on the MROAS data was analysed. Results In the AN group, all core anorectic symptoms (weight, dieting, menstruation) were on a par with the COMP group at the 30-year follow-up, but the positive outcomes were limited to those who had never had an ASD diagnosis. Psychiatric state was significantly worse in the AN group, particularly in the subgroup who had an ASD diagnosis assigned. The AN group—again particularly those with ASD—had a more negative attitude to sexual matters than the COMP group. The AN group had worse outcomes than the COMP group for ‘personal contacts’, ‘social contacts,’ and ‘employment record’ at the 30-year follow-up and the outcomes were worse the more often an ASD diagnosis had been assigned. Limitations Rare data collection points throughout 30 years (only 5 assessments). ASD was assessed in the first four studies but was not assessed again at the 30-year follow-up. Conclusions Mental health, psychosexual, and socioeconomic status were compromised up to 30 years after AN onset. Coexisting ASD contributed to the poor outcome. Core anorectic symptoms had “normalised” three decades after AN onset. Plain English summary Some individuals with anorexia nervosa (AN) also suffer from autism. In this study we have investigated outcome of AN 30 years after the onset of AN and whether the presence of autism affects the outcome. Since the 1980s we have followed 51 individuals with teenage-onset AN and 51 healthy controls. They have been examined on five occasions, and an instrument that measures symptoms of AN (weight, dieting, body image), psychiatric symptoms, ability to work, and relationships with partner, family, and friends has been used to assess outcome. Autism was assessed in the first four studies. Symptoms of AN had normalised at 30-year follow-up, but only among those without autism. Psychiatric symptoms, ability to work, and relationships were issues that persisted after 30 years in the AN group, and those who had both autism and a history of AN had even more pronounced problems in these areas. The AN group had a more negative attitude to sexual matters than the control group, the outcome was worse the more often an autism diagnosis had been assigned. Conclusions Mental health, psychosexual, and socioeconomic status are affected up to 30 years after AN onset, particularly among those with autism.

Role of behavioral sciences in development of professionalism among MBBS students

2020 ◽  
Vol 14 (1) ◽  
pp. 3-9
Author(s):  
Ammara Butt ◽  
Abid Ashar
Keyword(s):  
Medical Students ◽  
Behavioral Science ◽  
Clinical Skills ◽  
Group Discussion ◽  
Sampling Technique ◽  
P Value ◽  
Behavioral Sciences ◽  
Before And After ◽  
Students Attitudes

Background: Professionalism is a global quality expected in medical students’ along with clinical skills. Behavioral sciences have been included in 3rd year MBBS curriculum since 2014 at FJMU. The purpose of this change is to enhance Professionalism formally in addition to other areas of the subject. This study aims to determine effectiveness of studying behavioral sciences as a subject in enhancing elements of Professionalism. Subjects and Methods: The mixed-methods study was used and a sample of 240 3rd year medical students was taken by convenient sampling. In the first (quantitative) phase of the study, Penn State College of Medicine Professionalism Questionnaire (PSCOM-PQ) was administered before and after studying behavioral sciences as a subject, to collect pre and post statistical results about students’ attitudes towards professionalism. The results were analyzed by paired sample t-test. In the second (qualitative) phase, Focus Group Discussion (FGD) was conducted to reveal the reasons for professionalism development and role of Behavioral Sciences in its development. 8 students were selected by purposeful homogeneous sampling technique. FGD session was audio-taped and transcribed, finally thematic analysis was done. Results: The results showed highly significant increase (p-value= 0.00, t= -74.39, mean= -72, SD= 14.99) in the scores of Professionalism after studying behavioral sciences as a subject. The broad themes identified by FGD were “Professionalism Related Skills Learned through Behavioral Sciences” and “Modes of Information Transfers’ Role in Professionalism Understanding”. The professional skills conceptualized by the students included emotional stability, empathy, psychoeducation, confidentiality, competency and sense of responsibility. The participants felt that professionalism develops by the means of lectures, workshops, role plays, modeling and formal assessment sessions. Conclusion: Study of behavioral science has significant effect in the development of professionalism among MBBS students and is well received by third year MBBS students.

PENDELEGASIAN TUGAS KEPALA RUANGAN MENURUT PERSEPSI PERAWAT PELAKSANA DAPAT MENINGKATKAN KEPUASAN KERJA

2017 ◽  
Vol 11 (3) ◽  
pp. 194
Author(s):  
ISNA OVARI ◽  
Setyowati Setyowati ◽  
Yasmi Yasmi
Keyword(s):  
Random Sampling ◽  
Negative Attitude ◽  
Simple Random Sampling ◽  
Total Sample ◽  
P Value ◽  
Nurse Satisfaction ◽  
Chi Square ◽  
Primary Function ◽  
Using Data ◽  
The Relationship

<p><strong><em>Abstract</em></strong><em>: Nurses executive showing negative attitude towards their job signify unsatisfied with their job. One of the factors that will influence nurse satisfaction work implementing the room is the head of exercising the functions of an organizing in inpatient rooms .This study attempts to captures the relationship between the primary function of the organizing the head of the room with satisfaction work implementing nurse. The total sample 61 nurses implementing , taken with simple techniques proportional random sampling , using data analyzed test chi square. The research results show a significant relation exists between the primary function of the organizing the head of the room with nurse satisfaction work in the perception of implementing nurse, p value = 0,037, α = 0.05, a variable whose a dominant influence work nurse satisfaction is the delegation of implementing duty, p value = 0,002, α = 0.05.  The interpretation of it is the delegation of duty able to increase work nurse satisfaction implementing. Ward’s chief</em><em> important to give the delegation of duty to nurses implementing satisfaction nurse to work can increase  </em><strong><em></em></strong></p><p><strong><em>Keywords</em></strong><em>: </em><em>Nurse’s’satisfaction, </em><em>The delegation of duty, </em><em>Ward’s chief</em><strong> </strong></p><p><strong><br /></strong></p><p><strong>Abstrak</strong> : Perawat pelaksana  yang menampilkan sikap negatif terhadap pekerjaan menandakan ketidakpuasannya dalam bekerja. Salah satu faktor yang bisa mempengaruhi kepuasan kerja perawat pelaksana adalah Kepala Ruangan yang melaksanakan fungsi pengorganisasian di ruang rawat inap. Penelitian ini bertujuan untuk menggambarkan hubungan antara pelaksanaan fungsi pengorganisasian Kepala Ruangan dengan kepuasan  kerja perawat pelaksana. Jumlah sampel 61 orang perawat pelaksana, diambil dengan teknik <em>proportional simple random sampling, </em>data dianalisis menggunakan uji <em>Chi Square</em>. Hasil penelitian menunjukkan ada hubungan yang signifikan antara pelaksanaan fungsi pengorganisasian Kepala Ruangan dengan kepuasan kerja perawat menurut persepsi perawat pelaksana, nilai p = 0,037, α =. 0,05, variabel  yang dominan mempengaruhi kepuasan kerja perawat pelaksana adalah pendelegasian tugas, nilai p = 0,002, 0,05. Maknanya adalah pendelegasian tugas dapat meningkatkan kepuasan kerja perawat pelaksana. Simpulannya Kepala Ruangan penting untuk memberikan pendelegasian tugas kepada perawat pelaksana agar kepuasan kerja perawat bisa meningkat. </p><p><strong>Kata kunci : </strong>Kepuasan kerja, Kepala Ruangan, Pendelegasian Tugas</p>

Cross Sectional study of sleep quality among young undergraduate Medical Rehabilitation and Applied medical students with stress. (Preprint)

2021 ◽  
Author(s):  
Abdullah Al-Shenqiti
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
General Health ◽  
General Health Questionnaire ◽  
Total Sample ◽  
Self Report ◽  
Medical Rehabilitation ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Significant Difference

BACKGROUND Most of the Medical Rehabilitation and Applied medical students got disturbed sleep due to academic activities and clinical demands. In our study the relationship between the psychological stress and sleep quality could be useful to organize the mental health program in medical rehabilitation and applied medical colleges. OBJECTIVE The main goal is to evaluate and compare the sleep quality in medical students in various phases of their medical course in order to prevent the effect of stress during their study period. METHODS The effect of stress on sleep quality a cross sectional questionnaire-based study on 300 Medical Rehabilitation and applied medical students, were invited to participate from Taibah University. Among which 271 completed the forms fully irrespective of year of study. The instruments were self-report Pittsburg Sleep Quality Index (PSQI), the General Health Questionnaire (GHQ12) and Depression and anxiety scale were used in data collection. The results obtained from the instrument components were analyzed for the total sample including the male and female students. RESULTS 271 completed the forms and the results shown about the current study was 52.05% of the students have sleep quality fairly bad. In further, there was relationship between sleep quality, general health status of students and depression - anxiety status i.e., significant difference in coefficient correlation r = 0.532, p = 0.0001(p<=0.05). CONCLUSIONS In our study we concluded that most of the Medical Rehabilitation and Applied medical students seem to be more exposed to poor quality of sleep disturbance. Which act as a barrier in examination performance Active interventions should be implemented to improve sleep hygiene, reduce depression and anxiety in medical Rehabilitation and applied medical students.

Cross Sectional study of sleep quality among young undergraduate Medical Rehabilitation and Applied medical students with stress. (Preprint)

2021 ◽  
Author(s):  
Abdullah Al-Shenqiti
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
General Health ◽  
General Health Questionnaire ◽  
Total Sample ◽  
Self Report ◽  
Medical Rehabilitation ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Significant Difference

BACKGROUND Most of the Medical Rehabilitation and Applied medical students got disturbed sleep due to academic activities and clinical demands. In our study the relationship between the psychological stress and sleep quality could be useful to organize the mental health program in medical rehabilitation and applied medical colleges. OBJECTIVE The main goal is to evaluate and compare the sleep quality in medical students in various phases of their medical course in order to prevent the effect of stress during their study period. METHODS The effect of stress on sleep quality a cross sectional questionnaire-based study on 300 Medical Rehabilitation and applied medical students, were invited to participate from Taibah University. Among which 271 completed the forms fully irrespective of year of study. The instruments were self-report Pittsburg Sleep Quality Index (PSQI), the General Health Questionnaire (GHQ12) and Depression and anxiety scale were used in data collection. The results obtained from the instrument components were analyzed for the total sample including the male and female students. RESULTS 271 completed the forms and the results shown about the current study was 52.05% of the students have sleep quality fairly bad. In further, there was relationship between sleep quality, general health status of students and depression - anxiety status i.e., significant difference in coefficient correlation r = 0.532, p = 0.0001(p<=0.05). CONCLUSIONS In our study we concluded that most of the Medical Rehabilitation and Applied medical students seem to be more exposed to poor quality of sleep disturbance. Which act as a barrier in examination performance Active interventions should be implemented to improve sleep hygiene, reduce depression and anxiety in medical Rehabilitation and applied medical students.

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