scholarly journals Finding Installed Capacity For Practical Training Of A Designated Medical Specialty At A University Hospital

2021 ◽  
Vol 25 ◽  
Author(s):  
Ciro Alberto Amaya-Guio ◽  
Lina Patricia Navas ◽  
Cesar Humberto Torres-Gonzalez

Objective: Propose a methodology to determine the number of medical students who can rotate, for the practice of medicine, in a university hospital, so that the quality of training processes and in-patient care are assured. Materials and Methods: A three-step procedure is presented, in order to find the number of students that the institution can accept simultaneously. Results: The method is based on an integer linear model and it was implemented to assess installed capacity of General Surgery service at Hospital Universitario Clínica San Rafael, increasing in two students (33 %) the training capacity. Conclusions: The proposed methodology not only guaranties the quality of training processes and in-patient care, but also generates other intangible results such as having a more agile way of planning, reducing the planification time. The methodology is easily extended to other services within hospitals.

2015 ◽  
Vol 42 (3) ◽  
pp. 193-196 ◽  
Author(s):  
Fernando Antonio Campelo Spencer Netto ◽  
Patricia Zacharias ◽  
Raphael Flavio Fachini Cipriani ◽  
Michael De Mello Constantino ◽  
Michel Cardoso ◽  
...  

<sec><title>OBJECTIVE:</title><p> To evaluate the acceptability of an educational project using A porcine model of airway for teaching surgical cricothyroidotomy to medical students and medical residents at a university hospital in southern Brazil.</p></sec><sec><title>METHODS:</title><p> we developed a teaching project using a porcine model for training in surgical cricothyroidotomy. Medical students and residents received lectures about this surgical technique and then held practical training with the model. After the procedure, all participants filled out a form about the importance of training in airway handling and the model used.</p></sec><sec><title>RESULTS:</title><p> There were 63 participants. The overall quality of the porcine model was estimated at 8.8, while the anatomical correlation between the model and the human anatomy received a mean score of 8.5. The model was unanimously approved and considered useful in teaching the procedure.</p></sec><sec><title>CONCLUSION:</title><p> the training of surgical cricothyroidotomy with a porcine model showed good acceptance among medical students and residents of this institution.</p></sec>


Author(s):  
William G. Rothstein

Graduate medical education has become as important as attendance at medical school in the training of physicians. Up to 1970, most graduates of medical schools first took an internship in general medicine and then a residency in a specialty. After 1970, practically all medical school graduates entered residency training in a specialty immediately after graduation. Residency programs have been located in hospitals affiliated with medical schools and have been accredited by specialty boards, which have been controlled by medical school faculty members. This situation has led to insufficient breadth of training and lax regulation of the programs. The internship, which followed graduation from medical school until its elimination after 1970, consisted of one or two years of hospital training, usually unconnected with any medical specialty. It was designed to provide gradually increasing responsibility for patient care, supplemented by formal teaching in rounds and seminars. In practice, as George Miller observed in 1963, it was “virtually impossible to find an internship [program with] a graded and sequential course of study leading to relatively well-defined goals.” This was also the finding of several surveys of interns and physicians. A 1959 survey of 2,616 interns found that the two most frequently cited deficiencies of internships were lack of “sufficient review and criticism of your work with patients,” cited by 47 percent, and “adequate instruction in the application of scientific knowledge to patient care,” cited by 34 percent. A 1952 survey of 6,662 graduates of the medical school classes of 1937 and 1947 and a later survey of over 3,000 interns and residents produced similar findings. Formal instruction during the internship was usually casual and unsystematic. Stephen Miller's study of one university hospital found that interns spent only a few hours per week in formal lectures and conferences and on rounds. In teaching on rounds, “the visiting physician does not prepare a lecture or other teaching material. He simply walks onto the ward and responds to patients and their problems with opinions and examples from his own clinical experience.” The educational value of rounds therefore depended on the illnesses of the patients and the relevant skills of the physicians.


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 324
Author(s):  
Ihab B Abdalrahman ◽  
Mohammed Elsanousi Huzaifa Mohammed ◽  
Abdelmohaymin A Abdalla ◽  
Sulaf Ibrahim Abdelaziz ◽  
Aboaagla Abdalbagi Ali ◽  
...  

Background: The moment of hospital discharge is a time for vulnerability for many patients and might jeopardize their safety. We found that the current structure of the discharge card at Soba University Hospital (SUH) does not improve the quality of the discharge summary. This hinders the delivery of valid, relevant and adequate health information and can negatively affect outpatient care.   Methods: We implemented a new discharge card design with structured headings at the Department of Medicine at Soba University Hospital from the beginning of March to April 15th, 2017.  This was coupled with educational sessions highlighting the problems that might occur if there were gaps in patient transition from inpatient to outpatient. Results: There was a significant improvement in documentation of the majority (>90%) of the items, including name, age, source of admission treating doctor, diagnosis and medication, but there was a drop in documentation of comorbidities. We also noticed that the new discharge summary format significantly improved the documentation of the majority of the headings (all P values were <0.001), yet, there was a drop in documentation of comorbidities and dates for follow up. Conclusions: Recording of paper-based health records like discharge summaries could be substantially improved by use of well-structured formats and practical training sessions. Improvement is a dynamic process. Some gaps might appear during execution, these need monitoring and continuous improvement to establish sustainability.


Author(s):  
S. G. Grigoriev ◽  
M. V. Kurnosenko ◽  
A. M. Kostyuk

The article discusses possible forms of educational STEM projects in the field of electronics and device control using Arduino controllers. As you know, the implementation of such STEM projects can be carried out not only using various electronic constructors, but also using virtual modeling environments. The knowledge obtained during modeling in virtual environments makes it possible to increase the efficiency of face-to-face practical training with a real constructor, and to improve the quality of students’ knowledge. The use of virtual modeling environments in combination with the use of real constructors provides links between distance and full-time learning. A real constructors can be used simultaneously by both the teacher and the student, jointly practicing the features of solving practical problems. The article provides examples of using a virtual environment for preliminary prototyping of circuits available in the documentation for electronic constructors, to familiarize students with the basics of designing and assembling electronic circuits using the surface mounting method and on a breadboard, as well as programming controllers on the Arduino platform that control electronic devices. This approach allows students to accelerate the assimilation of various interdisciplinary knowledge in the field of natural sciences using STEM design.


2018 ◽  
Vol 28 (2) ◽  
pp. 663-669
Author(s):  
Hristina Milcheva ◽  
Pavlina Teneva ◽  
Katya Mollova ◽  
Albena Andonova

Achieving the desired high quality of student education is a major goal and task of the higher medical schools. Training is a very factual process involving not only learning and material facilities, but also teaching staff and motivated students. The main objective in the preparation of healthcare students is the quality practical training that modern higher education has to provide. No less important is the student's opinion on the methods and tools used in their training. For this reason, the younger generation sets its requirements in its formation as a medical specialist. The modern lecturer must skillfully pass on knowledge so that a transfer of competences from theory to practice can be successfully accomplished. The purpose: Establish the students' opinion on the quality of the learning process, allowing an effective transfer of competences from theory to practice. Materials and Methods: The analyzes in this report are from an anonymous questionnaire conducted among 145 students from the Thracian University from the professional field "Health Care" - first, second and third courses specialty "Rehabilitator therapist", "Medical Laboratory assistant", "Geriatric Care" and " Nursing "during the summer semester of the school year 2017/18. MSExcel and StatGrafics were used to process the data. Results and Discussion: To achieve effective training, it is imperative for lectures to maintain a high level of competence and constantly get acquainted with developments in medical science. Students highly appreciate as the most important qualities of the teacher's ability to maintain the interest of students "; "Attitude towards students" and its "competence". A significant percentage of those surveyed believe that the theory, in theory, finds real application in practice. A significant percentage of those surveyed believe that the theory, to practice, finds real application in practice. The transfer of knowledge from theory to practice is a two-way information process between lecturers and students of scientific knowledge and practical skills. Finally, we can point out that the transfer of competence from theory to practice is a process influenced by a number of factors such as: the professional competencies of the academic lecturer and the clinical tutor; better collaboration between the higher medical school and the clinical base; organization of training. Maintaining the interest of the students in acquiring the medical profession is an important prerequisite for their subsequent successful realization.


2019 ◽  
Author(s):  
Sabine Keim ◽  
Alexandra von Au ◽  
Lina Maria Matthies ◽  
Stephanie Wallwiener ◽  
Sarah Brugger ◽  
...  

BACKGROUND Background: Many women experience urinary incontinence (UI) during andafter pregnancy due to pelvic floor weakness. First-line therapy is conservative treatment, which nowadays can be facilitated by using digitalsolutions. OBJECTIVE The aim ofthe present study was to investigate the efficacy and effectiveness of pelvinain patients with existing UI. METHODS Methods: In the present observational study we analyzed the effectivenessof pelvina, a certified digital pelvic floor training course, in reducing UI symptoms by regularly applying “The Questionnaire for Urinary Incontinence Diagnosis” (QUID) and furthermore examining quality of life (QoL) by conducting the SF-6D. RESULTS Results: In this prospective study, 373 patients with a median age of 36 years (IQR 33 - 47 years) were included. At baseline the patients had a median QUID of 11 (IQR 11 - 15). During the course, incontinence improved significantly to a QUID of 5 (IQR 2 – 11; p<0.001). Additionally, the patients had also shown a significant impairment in their QoL at baseline with a value of 19 (IQR 16 - 22) in SF-6D. After completing the course, the QoL had risen to 24 (IQR 20 - 26). CONCLUSIONS Conclusion: Use of the certified digital pelvic floor course pelvinasignificantly reduces existing UI due to pelvic floor weakness over the timespan of the course. At the same time QoL is significantly improved. CLINICALTRIAL The present study was approved by the ethics committee of the Heidelberg University Hospital (S-392/2019)


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