scholarly journals Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students (PoMS) Research

2021 ◽  
Author(s):  
paul mcgurgan ◽  
katrina Calvert ◽  
Kiran Narula ◽  
Elizabeth Nathan ◽  
Tony Celenza ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medical Student ◽  
Medical Students ◽  
Identity Formation ◽  
Medical Doctors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Public ◽  
Clinical Scenarios ◽  
Gender And Age

Introduction Despite increased emphasis on education and training for patient safety in medical schools, there is little known about factors influencing decision making regarding patient safety behaviours. This study examined the nature and magnitude of factors which may influence opinions around patient safety related behaviours as a means of providing insights into how Australian doctors and medical students view these issues relative to members of the public. Methods A national, multicentre, prospective, online cross sectional survey was conducted using responses to hypothetical clinical scenarios. Three cohorts were surveyed Australian enrolled medical students, medical doctors and members of the public. Participant responses were compared for the different contextual variables within the scenarios and the participants demographic characteristics student, doctor, member of the public, gender and age (if public or doctors)/ seniority in the course (if a medical student). Results In total there were 2602 medical student participants, 809 doctors and 503 members of the Australian public. Medical doctors were more likely than other cohorts to have statistically significant differences in how they viewed the acceptability of patient safety related behaviours; doctors were more tolerant of medical students not reporting concerning behaviours. Medical students opinions frequently demonstrated a transition effect, bridging between the doctors and publics attitudes, consistent with professional identity formation. Conclusions Opinions on the acceptability of medical students patient safety related behaviours were influenced by the demographics of the cohort and the contextual complexity of the scenario. Although the survey used hypothetical scenarios, doctors and medical students opinions appear to be influenced by cognitive dissonances, biases and heuristics which may negatively affect patient safety.

scholarly journals What medical students think about measurement of their wellbeing and the implications for pastoral support: cross sectional survey and qualitative interviews

2021 ◽  
Author(s):  
Gemma Simons ◽  
Raymond Effah ◽  
David Baldwin
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Online Survey ◽  
Demographic Data ◽  
Qualitative Interviews ◽  
Teaching Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Medical ◽  
The Individual

Objectives To find out how, why and when medical students think wellbeing should be measured. Design A mixed methods study comprising a cross-sectional online survey (November 2020-March 2021) and semi-structured on-line interviews. Views on the frequency of availability for measurement, the format, type and purpose of measurement, and with whom wellbeing should be discussed were measured. When an outcome was scored 7-9 on a 9-point Likert scale of agreement by ≥75% of participants it was considered critical, in line with COMET and GRADE processes for rating recommendations. Inductive thematic analysis was undertaken on the interview transcripts by two independent researchers. Setting All Medicine programmes at University of Southampton. Participants Medical students from all years took part in the survey (n=118) and interviews (n=16). Results Participant demographics were similar to national medical student demographics. Most participants (94%) felt able to give 5 minutes to measure their wellbeing at least once a month. No single format of measurement was rated critical. Research, governance and individual feedback all reached the 75% threshold for the purpose being considered critically important. Only subjective assessments undertaken by the individual in real-time were rated as critically important (78.1%) measurement tools. Students selected that they would discuss their wellbeing with other medical students (n=87) nearly as often as they selected a member of the Faculty (n=104). Top determinants of wellbeing picked by medical students were energy, ability to do activities of daily living, and negative feelings. Five interview themes further explained these findings. Conclusions Five recommendations about self-care teaching, quality-assured pastoral and peer support, proactive wellbeing check-ins and demographic data are discussed in light of these findings. Methods to achieve them are suggested, which are medical student-centred, and which make use of existing resources.

scholarly journals Five years after commencing the objective structured clinical examination: are we getting it right? Medical students’ assessment as the measuring index

2020 ◽  
Vol 20 (2) ◽  
pp. 960-965
Author(s):  
Stanley Ukadike Okugbo ◽  
Peter Agbonrofo ◽  
Omorodion Irowa
Keyword(s):  
Medical Students ◽  
Clinical Examination ◽  
The Self ◽  
Objective Structured Clinical Examination ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Main Method ◽  
Clinical Reality ◽  
Clinical Scenarios ◽  
Self Administered Questionnaire

Introduction: The aim of this study was to assess our use of OSCE from the perception of final year medical students. Materials and methods: This is a cross sectional survey of final year medical students undergoing the final examination in Surgery. All 102 medical students in the class were given the self-administered questionnaire to fill. The data were collated into excel spreadsheets and analysed using the SPSS version 21. Results: A total of 79 completed questionnaires were retrieved (return rate of 78%). All the students knew about and had participated previously in OSCE, 94.9% accorded the OSCE fair. 76(93.2%) wanted the examination as the main method of clinical assessment, 38(46.6%) had adequate preparation. In terms of the OSCE stations not mirroring real clinical scenarios, 38(48.1%) disagreed, and 26(20.5%) strongly disagreed. 34(43%) disagreeing that the logistics was poor. The students rating of the OSCE, on a scale of 1 - 10, gave a mean score of >8 for spread of the OSCE stations, detail of the questions and objectivity of the examination. The nearness to clinical reality was rated as 7.52 with artificiality of the stations rated as 4.12. Conclusion: The OSCE has gained acceptance amongst final year medical students. Keyword: Clinical examination; medical students assessment; measuring index.

scholarly journals One Snake or Two? Exploring Medical Symbols Among Medical Students

2019 ◽  
Vol 19 (2) ◽  
pp. 78-87
Author(s):  
Kazeem Kanmodi Kehinde ◽  
Adebayo Oladimeji ◽  
Ayomikun Adesina Miracle ◽  
Francis Fagbule Omotayo ◽  
Emerenini Franklin
Keyword(s):  
Medical Students ◽  
Medical Curriculum ◽  
Medical Society ◽  
Cross Sectional Survey ◽  
Orthodox Medicine ◽  
Cross Sectional ◽  
North West ◽  
The Public ◽  
History Of ◽  
The Mean

Abstract Background: Symbols play a very crucial role in the culture of a society, and the medical society is not an exception to this. In the world of Orthodox medicine, the Rod of Asclepius is regarded as the true symbol of medicine. However, there exists to be an issue of interchange of the correct medical symbol (i.e. Rod of Asclepius) with another similar symbol (i.e. the Caduceus). This study aims to explore medical students’ knowledge and opinion on the appropriate symbol of medicine. Methods: This study was a cross-sectional survey of 84 medical students at the Usmanu Danfodiyo University (UDU), North-West Nigeria. Study tool was a paper questionnaire. The collected data were analyzed using the Epi info 7 Software. Results: The mean (±SD) age of the participants was 23.7 (±3.4) years, 72.6% were males, and 73.8% were in their 4th year. Only 59.5% had interest in non-medical literature. Also, only 6.0% had doctors as their parents. The majority (88.1%) of the participants erroneously identified the Caduceus symbol as the most appropriate symbol of medicine. Furthermore, only 45.2% indicated that the Rod of Asclepius and the Caduceus symbols originated from ancient Greece. Virtually all (97.6%) the participants opined that the Caduceus symbol is the most popular symbol of Medicine. Finally, the majority (73.8%) of the participants recommended that a course on the History of Medicine should be added to the medical curriculum of their school. Conclusion: This study found that the majority of the surveyed medical students did not know much about the historically correct medical symbol. This shows the need for awareness creation on the true symbol of medicine among medical students, and even the public-at-large.

scholarly journals Stigmatising attitudes towards persons with mental illness: a survey of medical students and interns from Southern Nigeria

2012 ◽  
Vol 4 (1) ◽  
pp. 32-34 ◽  
Author(s):  
Bawo Onesirosan James ◽  
Joyce Ohiole Omoaregba ◽  
Esther Osemudiamen Okogbenin
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Medical Students ◽  
Substance Use Disorders ◽  
Health Professionals ◽  
Medical Doctors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Graduates ◽  
Item Level

Stigmatising attitudes towards persons with mental illness are commonly reported among health professionals. Familiarity with mental illness has been reported to improve these attitudes. Very few studies have compared future medical doctors' attitudes toward types of mental illness, substance use disorders and physical illness. A cross-sectional survey of 5th and 6th year medical students as well as recently graduated medical doctors was conducted in April 2011. The 12-item level of contact report and the Attitude towards Mental Illness Questionnaire were administered. Partici -pants endorsed stigmatising attitudes towards mental illness; with attitudes more adverse for schizophrenia compared to depression. Stigmatising attitudes were similarly endorsed for substance use disorders. Paradoxically, attitudes towards HIV/AIDS were positive and similar to diabetes mellitus. Increasing familiarity with mental illness was weakly associated with better attitudes towards depression and schizophrenia. Stigmatising attitudes towards depression and schizophrenia are common among future doctors. Efforts to combat stigma are urgently needed and should be promoted among medical students and recent medical graduates.

scholarly journals Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey

2015 ◽  
Vol 24 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Patricia Doyle ◽  
Elizabeth G VanDenKerkhof ◽  
Dana S Edge ◽  
Liane Ginsburg ◽  
David H Goldstein
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Medical Students’ Attitude in Patient Safety: A Survey From a Tertiary Hospital in Thailand

2019 ◽  
Vol 42 (4) ◽  
pp. 22-33
Author(s):  
Watanyu Parapiboon ◽  
Piyaporn Sittitaworn ◽  
Sorarat Lermanuworat
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Safety Culture ◽  
Positive Attitude ◽  
Working Hours ◽  
Patient Safety Culture ◽  
Attitude Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Grade Point

Background: Understand patient safety attitude in medical students is important and useful to improve teaching on patient safety at undergraduate level. Objective: To assess the attitude on patient safety in clinical year medical students. Methods: A cross-sectional survey was conducted in 4th to 6th year medical students in Maharat Nakhon Ratchasima Hospital from August to September 2018. The 26-item Attitudes toward Patient Safety Questionnaire (APSQ) was sent via Google Forms to medical students for voluntary, anonymous answer. The 9 topics of patient safety culture were collected and analyzed. Results: There were 106 of 128 medical students responded to the questionnaire. In 9 topics of safety culture, the highest positive attitude in medical students was working hours as an error cause (76.1%). Meanwhile, the lowest positive attitude was professional incompetence as an error cause (26.9%). Neither academic year nor grade point average (GPA) of medical students was associated with positive attitude score. Half of medical students reported a positive attitude of the importance of patient safety in the curriculum. Conclusions: Medical students had positive attitude of patient safety. Perspective in systems thinking of patient safety should be emphasized in patient safety education of medical students.  

scholarly journals Something’s missing from my education: Using a cross sectional survey to examine the needs and interest of Canadian medical students relating to their roles as teachers and educators

2017 ◽  
Vol 8 (3) ◽  
pp. e21-29
Author(s):  
Alim Nagji ◽  
Karen Leslie ◽  
Eric Wong ◽  
Doug Myhre ◽  
Meredith Young ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Student ◽  
Medical Students ◽  
Teacher Development ◽  
English Language ◽  
Teaching Experience ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Canadian Association

Background: Current theory in medical education emphasizes engaging learners as educators while tailoring teaching to their learning needs. However, little is known about learners’ perceptions of their proposed roles as teachers and educators.Methods: Canadian medical students were invited to complete an English language online questionnaire structured to include: teaching experience, participation and/or awareness of teacher development at their school and awareness and/or interest in further training in medical education. The survey was developed by the Canadian Association for Medical Education (CAME) Membership Subcommittee, and distributed via the Canadian Federation of Medical Students (CFMS) email list and the CAME twitter account in March 2014.Results: Of the 169 undergraduate medical student respondents, 36% (n=61) reported a lack of prior teaching experience and 45% (n=73) were unsure if their school provided teaching instruction. Overall, 91% (n=150) indicated that they planned to incorporate teaching or medical education into their future careers.Conclusion: While the majority of medical student respondents are expecting or planning to teach, most report not having access to adequate training through medical school. Further effort is necessary to support medical students as teachers to prepare them for increased teaching responsibilities as residents and to expose them to potential careers in medical education. 

scholarly journals Assessment of the Factors Responsible For the Use of Illicit Drugs by Medical Students in Sports in a Tertiary Institution in Delta State, Nigeria

2021 ◽  
Vol 24 (11) ◽  
pp. 1917-1923
Author(s):  
BC Nwogueze ◽  
KK Anachuna ◽  
TN Nnama ◽  
CN Eke ◽  
UG Ogbutor ◽  
...  
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Illicit Drugs ◽  
Survey Design ◽  
Sampling Technique ◽  
State University ◽  
Cross Sectional Survey ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Delta State University

The use of illicit drugs in recent times in modern sport has become an issue of growing concern. This study assessed the factors responsible for the use of illicit drugs by medical students in sports in Delta State University Abraka The target population included five departments in the Faculty of Basic Medical Sciences of Delta State University Abraka. A cross-sectional survey design was conducted among 1,436 medical student athletes of the College of Health Sciences of Delta State University Abraka and random sampling technique was used to select a sample size of 143 respondents. A researcher-made confidential questionnaire was the instrument used for the collection of data. A coefficient index score (r) of 0.78 was obtained which ascertained the internal consistency of the instrument was reliable. A total of 120 questionnaires were successfully retrieved and used for data analysis. Mean score and Pearson Product Moment Correlation were adopted as statistical tools for analyzing the obtained data. There was significant (p<0.05) relationship between the age of medical students and their knowledge of illicit drugs used in sports, however, there was no significant (p>0.05) relationship between the gender of the students and their knowledge of illicit drugs used in sports. Similarly, there was no significant (p>0.05) relationship between type of school of medical students and knowledge of illicit drugs used in sports. Findings from the study further equally revealed that there was no significant (p>0.05) relationship between parental background and medical students’ knowledge of use of illicit drugs in sports. Based on the findings of this study, it is obvious age was supported to determine the use of illicit drugs in sports by medical in sports, hence, the need for stringent policies to be censored especially towards the age requirement for medical student participation while adopting adequate measures to curtail the use of illicit drug among medical students. Keywords: Illicit drugs, Sports, Gender, Age, Medical students

scholarly journals Preliminary study of the relationship between career choice motivation and understanding of professionalism in newly enrolled medical students in China: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041860
Author(s):  
Xuemei Cui ◽  
Ning Ding ◽  
Nan Jiang ◽  
Honghe Li ◽  
Deliang Wen
Keyword(s):  
Medical Students ◽  
Career Choice ◽  
Identity Formation ◽  
Clinical Medicine ◽  
First Year ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Career Choice Motivation ◽  
First Year Medical Students ◽  
The Relationship

ObjectivesEarly professionalism education for first-year students is important for generating sound knowledge and attitudes towards medical professionalism. Of the many factors affecting professionalism and professional identity formation in medical students, career choice motivation is an understudied one. This study aimed to explore the relationship between the career choice motivations of first-year medical students and their understanding of professionalism.Settings and participantsA cross-sectional survey of 940 first-year clinical medicine students was conducted at China Medical University in September 2017 to explore students’ motivation to study medicine and its relationship with students’ understanding of professionalism. Demographics, career choice motivation and professionalism were obtained through paper questionnaires. Logistic regression analysis was used to analyse the association between career choice motivation and understanding of professionalism while controlling for potential demographic confounders.ResultsThe most common career choice motivations for first-year medical students (N=843) were interested in the health sciences, income and social status and advocating altruism. The most mentioned subdimensions of professionalism were accountability, pursuit of excellence and compassion. There were significant differences in the understanding of professionalism among students with different career choice motivations.ConclusionFirst-year medical students with different motivations to study medicine also have different understandings of professionalism. Medical educators can explore motivations to learning medicine as a new entry point to providing professionalism education for newly enrolled medical students.

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.

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