scholarly journals Anatomy, histology and embryology classes all over again? Why should we reintroduce basic preclinical science along the medical school graduation?

2020 ◽  
Vol 34 (S1) ◽  
pp. 1-1
Author(s):  
Mirna Duarte Barros ◽  
Carolina Garcia Sampaio ◽  
Jorge Ferraz Tuma ◽  
Priscilla Bennett ◽  
Vitor Davis Apostolakis Malfatti ◽  
...  
2016 ◽  
Vol 62 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Paul Kurdyak ◽  
Juveria Zaheer ◽  
Joyce Cheng ◽  
David Rudoler ◽  
Benoit H. Mulsant

Objective: The objective of this study was to evaluate the changes in demographic, geographic, and practice characteristics of all Ontario psychiatrists between 2003 and 2013 and their implication for access to psychiatrists. Methods: We included all psychiatrists who were clinically active in Ontario in any year from 2003 to 2013. For each psychiatrist, we reported age, sex, years since medical school graduation, geographic practice region, and practice characteristics such as total number of inpatients, outpatients, and outpatient visit frequencies. Results: In 2013, there were 2070 psychiatrists, with nearly half (47%) more than 30 years since medical school graduation. Female psychiatrists comprised 41% of all psychiatrists in 2013 but 56% of all psychiatrists within 15 years of medical school graduation. Between 2003 and 2013, there was a 17% increase in the total number of psychiatrists, with the largest growth in psychiatrists occurring in the group more than 30 years from medical school graduation. Over these 11 years, the mean (SD) number of unique outpatients seen by a psychiatrist annually increased from 208 (228) to 249 (275) (19.5%; P = 0.001), with male psychiatrists, on average, seeing more outpatients annually than female psychiatrists. Conclusion: The number of outpatients seen by psychiatrists is slowly increasing. However, the large proportion of aging psychiatrists, the high concentration of psychiatrists in urban settings, and the increase in the number of female psychiatrists with smaller practices suggest that without radical changes to the way psychiatrists practice, access to psychiatrists will remain a challenge in Ontario.


BMJ Open ◽  
2016 ◽  
Vol 6 (2) ◽  
pp. e010246 ◽  
Author(s):  
K L Mattick ◽  
K Kaufhold ◽  
N Kelly ◽  
J A Cole ◽  
G Scheffler ◽  
...  

2016 ◽  
Vol 22 (1) ◽  
pp. 5-15 ◽  
Author(s):  
Edward Krupat ◽  
Carlos A. Camargo ◽  
Gordon J. Strewler ◽  
Janice A. Espinola ◽  
Thomas J. Fleenor ◽  
...  

2019 ◽  
Vol 51 (3) ◽  
pp. 276-281 ◽  
Author(s):  
Bich-May Nguyen ◽  
Gregory Bounds

Background and Objectives: The United States is projected to have a shortage of up to 46,000 primary care physicians by 2025. In many cases, medical students appear to select other specialties for financial reasons, including educational debt. Physicians who were part of two BS/MD programs and received full tuition and fee scholarships for college and medical school were surveyed to examine factors that may have impacted their specialty choice. This population of US students was selected because they do not have educational debt, so their choices could be examined independent of this influence. Methods: One hundred forty physicians who graduated from the programs as of June 2013 were invited to complete a 32-question online survey. Descriptive statistics described the population. χ2 tests and nonparametric Wilcoxon rank-sum (Mann-Whitney) tests compared primary care and nonprimary care physicians as well as those initially interested in primary care who changed before medical school graduation versus those who went into primary care. Factor analysis and Student t-test examined trends among Likert scale questions. Results: For the physicians for whom contact information was available, 74 (53%) responded. Out of 74 respondents, 18 (24%) went into primary care. Perceptions of family medicine, comments from faculty, and lifestyle played a role in deterring students from primary care. Conclusions: Full tuition and fee scholarships alone were not associated with more students choosing primary care.


Author(s):  
Sayeeda Amber Sayed ◽  
Christopher Naugler ◽  
James Dickinson

IntroductionWhile the effectiveness of cervical cancer-screening (CCS) programs is well accepted, concern is growing regarding Family physicians (FP) poor adherence to CCS guidelines resulting in over and under screening. In Canada, it is a FP responsibility to ensure that the CCS is done as per guidelines and with appropriate follow-up. Objectives and ApproachTo identify primary care physicians’ characteristics that are associated with over and under CCS for eligible women in Calgary, Alberta. We accessed the Calgary Laboratory Services data for 1475 FPs practicing in Calgary and linked it with the Physicians database of College of Physicians and Surgeons Alberta database. We then matched FP’s gender, country and year of medical school graduation, years since medical school graduation, certification in family medicine and their clinic address with their CCS testing patterns. Using doctors as their own controls, we compared data from 2010-2016 to determine practice variations in CCS patterns subsequent to guideline changes. ResultsWe analyzed approximately 2,400,000 Pap test requisitions (approx. 300,000 per year) to identify screening patterns from 2010-2016 of 1475 family practitioners practicing in Calgary. Our preliminary results identified significant variations in the test ordering patterns of FPs. Approx. half of the male FPs were not performing CCS tests on their eligible female patients. Female FPs ordered more CCS tests than their male counterparts. FP trained in North America, were ordering more pap tests than FPS trained elsewhere. Decreased CSS was also observed among FPs practicing in Northeast Calgary. Conclusion/ImplicationsWe detected three CCS patterns: FPs who never perform CSS on eligible female patients; FPs who followed recommended guidelines for performing CCS tests and FPs who performed CCS tests, not following the guidelines. To ensure appropriate use of CSS, identifying intention-behavior relationships and innovative educational interventions for FPs are required.


2021 ◽  
Vol 11 (22) ◽  
pp. 343-362
Author(s):  
Éva Bruckner

Béla Alexander, born in the historical Upper Hungary (Slovakia today) dedicated his whole life to X-rays discovered by Conrad Röntgen. After medical school graduation, he was known as a poet and a community activist as well. For more than ten years he was treating indigent people in Késmárk (Kežmarok today) in the daylight time and experimented with X-rays during the nights. Although Alexander gained an international reputation for his X-ray images and studies, made and written about upper and lower limbs’ bones, the scientific value of his stereoscopic X-rays was argued in Hungarian academic circles. Due to his successful struggles, Alexander moved up the career ladder in the capital Budapest from 1907. Milestones of his career: director of the X-ray lab between 1906 and 1907, then the director of the University Institute for X-rays between 1907 and 1916, which was established on his former X-ray lab.) After his death caused by X-rays, directors of the Institute continued Alexander’s work between the two World Wars.


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