Embedding leadership in undergraduate medical students: an active approach

BMJ Leader ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 27-28 ◽  
Author(s):  
Joanne L Selway ◽  
Jonathan Ellis ◽  
Peter Thomas

IntroductionThe inclusion of leadership within the General Medical Council Outcomes has encouraged UK medical schools to incorporate leadership into curricula, although it is often delivered in classroom environments. In order to illustrate to our clinical students that leadership skills are useful irrespective of positional authority, the University of Buckingham Medical School has developed a week-long programme illustrating the impact that junior and trainee doctors can have on the National Health Service environment (in a week).MethodsStudents received lectures on leadership principles and conducted focus groups and 1 min interviews to assess the values at Milton Keynes University Hospital (MKUH). Students collated the responses, and all MKUH staff, including the executive board, were invited to hear the feedback.Findings and conclusionsThe students concluded that a review of the hospital’s values was required and the executive board committed to a review which has been completed, with the values redefined and reworded. At the end of the week, 92.3% of students felt their perspective had been broadened and some reported feeling empowered by the impact that a weeks’ work could achieve. This short course has illustrated that an active approach to leadership can demonstrate to students that leadership is not just for those in positions of responsibility and change can be achieved by anyone with ambition.

2010 ◽  
Vol 19 (4) ◽  
pp. 446-457 ◽  
Author(s):  
SIMONA GIORDANO

The importance of humanities in the medical curriculum is increasingly recognized. For example, in the United Kingdom, The General Medical Council (GMC), which is an independent body established under the Medical Act 1858 and responsible, among other things, for fostering good medical practice and promoting high standards of medical education, in its publication Tomorrow’s Doctors, encouraged inclusion of humanities in the medical curriculum. Literature, arts, poetry, and philosophy are thought to foster the doctors’ ability to “communicate with patients, to penetrate more deeply into the patient’s wider narrative, and to seek more diverse ways of promoting well being and reducing the impact of illness or disability.”


2021 ◽  
Vol 29 (1) ◽  
pp. 230949902199607 ◽  
Author(s):  
Chia-Lung Shih ◽  
Peng-Ju Huang ◽  
Hsuan-Ti Huang ◽  
Chung-Hwan Chen ◽  
Tien-Ching Lee ◽  
...  

Aim: Taiwan’s response to the coronavirus disease 2019 (COVID-19) differed in that it successfully prevented the spread without having to shutdown or overburden medical services. Patients’ fear regarding the pandemic would be the only reason to reduce surgeries, so Taiwan could be the most suitable place for research on the influence of psychological factors. This study aimed to assess the impact of patients’ fear on orthopedic surgeries in Taiwan amid the peak period of the COVID-19 pandemic. Patients and Methods: The investigation period included the COVID-19 pandemic (March 2020 to April 2020) and the corresponding period in the previous year. The following data on patients with orthopedic diseases were collected: outpatient visits, hospital admission, and surgical modalities. Results: The COVID-19 pandemic led to a 22%–29% and 20%–26% reduction in outpatients, 22%–27% and 25%–37% reduction in admissions, and 26%–35% and 18%–34% reduction in surgeries, respectively, at both hospitals. The weekly mean number of patients was significantly smaller during the COVID-19 pandemic for all types of surgery and elective surgeries at the university hospital, and for all types of surgery, elective surgeries, and total knee arthroplasties at the community hospital. Further, patients visiting the community hospital during the pandemic were significantly younger, for all types of surgery, elective surgeries, and total knee arthroplasties. Conclusions: The reduction in orthopedic surgeries in Taiwan’s hospitals during COVID-19 could be attributed to patients’ fear. Even without restriction, the pandemic inevitably led to a reduction of about 20%–30% of the operation volume.


2019 ◽  
Vol 13 (4) ◽  
pp. 593-608 ◽  
Author(s):  
Abigail Tazzyman ◽  
Marie Bryce ◽  
Jane Ferguson ◽  
Kieran Walshe ◽  
Alan Boyd ◽  
...  

2020 ◽  
Vol 405 (7) ◽  
pp. 959-966
Author(s):  
Pénélope St-Amour ◽  
Pascal St-Amour ◽  
Gaëtan-Romain Joliat ◽  
Aude Eckert ◽  
Ismail Labgaa ◽  
...  

Abstract Background Multidisciplinary approach with adjuvant chemotherapy is the key element to provide optimal outcomes in pancreas and liver malignancies. However, post-operative complications may increase the interval between surgery and chemotherapy with negative oncologic effects. Hypothesis and study aim The aim of the study was to analyse whether compliance to Enhanced Recovery After Surgery (ERAS) pathway was associated with decreased interval to adjuvant chemotherapy. Methods Retrospective analysis of all consecutive ERAS patients with surgery for hepatobiliary or pancreatic malignancies at the University Hospital of Lausanne between 2012 and 2016. Multivariate analysis was performed to assess the impact of ERAS compliance on time to chemotherapy. Results A total of 133 patients with adjuvant chemotherapy were included (n = 44 liver and n = 89 pancreatic cancer). Median compliance to ERAS was 61% (IQR 55–67) for the study population, and median delay to chemotherapy was 49 days (IQR 39-61). Overall, compliance ≥ 67% to ERAS induced a significant reduction in the interval between surgery and chemotherapy for young patients (< 65 years old) with or without severe comorbidities (reduction of 22 and 10 days, respectively). High compliance in young ASA3 patients with liver colorectal metastases was associated with an increase of 481 days of DFS. Conclusions ERAS compliance ≥ 67% tends to be associated with a reduction in the delay to adjuvant chemotherapy for young patients with hepatobiliary and pancreatic malignancies. More prospective studies with strict adhesion to the ERAS protocol are needed to confirm these results.


2021 ◽  
Vol 64 ◽  
pp. S59-S61
Author(s):  
Naveen Kotur ◽  
M. R. Anitha ◽  
Nanda Sappandi ◽  
Niranjan Murthy ◽  
Shilpashree Madhava Kunjathur ◽  
...  

Objectives: The Medical Council of India has introduced competency based medical education (CBME) for all the undergraduate medical students across the country. We conducted this study to assess the impact of new curriculum on students’ performance and the differential time utilization of the teaching faculty. Materials and Methods: It is a cross-sectional study conducted at ESIC Medical College and PGIMSR, Bengaluru during January to March 2020. The college has an intake of 100 under-graduate students for an academic year. The sources of data included internal marks of the students and a semi-structured questionnaire for teaching faculty. Results: The mean (range) marks obtained by the students of 2018-19 and 2019-20 batch were found to be (a) theory: 48.75 (7 to 83) and 50.71 (10 to 78) (b) practical’s: 64.88 (38 to 90) and 69.70 (30 to 93). The man hours per week-faculty for different teaching activities during 2018-19 and 2019-20 were as follows: (a) theory teaching: 6 (16%) (b) practical teaching: 12 (32%) (c) research activities: 6 (16%) (d) planning activities: 8 (21%) (e) administrative activities: 6 (16%). Conclusion: The newer MBBS curriculum is found to be promising for the medical students but it is taking a huge toll on the teaching faculty. Measures to promote research and faculty strength in the existing medical colleges should be prioritized by policy makers.


Cancers ◽  
2021 ◽  
Vol 13 (17) ◽  
pp. 4312
Author(s):  
Josef Singer ◽  
Nguyen-Son Le ◽  
Daniel Mattes ◽  
Valerie Klamminger ◽  
Klaus Hackner ◽  
...  

Vaccination is the primary public health strategy to cope with the COVID-19 pandemic. Although solid tumor and hematologic patients are at higher risk of serious COVID-19-related complications, data on immune responses to COVID-19 vaccines in this patient cohort are particularly scarce. The present study, therefore, aimed at the standardized determination of anti-SARS-CoV-2 spike protein antibody titers among non-vaccinated versus vaccinated solid tumor and hematologic patients who are under clinical observation or under treatment at the University Hospital Krems. Standardized anti-SARS-CoV-2 S antibody titers of a total of 441 patients were retrospectively analyzed. Our results show that antibody titers against the SARS-CoV-2 spike protein are significantly higher in solid tumor versus hematologic patients. While SARS-CoV-2 antibody titers were equal among sexes, an age-dependent decrease was observed. Of note, our studies additionally show that complete vaccination represents a valuable predictor for high anti-SARS-CoV-2 antibody responses in solid tumor and hematologic patients. In summary, to date, this is one of the largest studies to comprehensively evaluate the impact of various COVID-19 vaccines on anti-SARS-CoV-2 S antibody production in solid tumor and hematologic patients. Our findings aim to support future vaccination strategies in these highly vulnerable patients, including vaccination booster programs and alternative protective approaches.


Author(s):  
Luan Nikollari ◽  
Adriana Bejleri ◽  
Dorela Vasha ◽  
Agron Dogjani

Albania, like all the former communist countries, has inherited in 50 years a large arsenal of weapons and ammunition stockpiles, as shells and projectiles of various calibers, which constituted a negative phenomenon and seriously jeopardized the lives of people and communities throughout the geography of their deployment. After the 1990s, the Albanian Armed Forces embarked on the path of transformation and integration of Albania into NATO. In this framework, the implementation of defense reforms aimed the reduction and modernization of the military. In this context, one of the transformation goals was the getting rid of the remaining excess ammunition that was being destroyed under the programs of the Ministry of Defense and partner countries and the role of the University Hospital of Trauma and the Military Hospital in Tirana, Albania. This paper aims to discuss the security threat that these stockpiles pose to our nation and the wiser region. It also explains how the excess munitions eliminating process was completed in Albania. 


2020 ◽  
Vol 48 (2-3) ◽  
pp. 43-46
Author(s):  
Iva Kirac ◽  
◽  
Zvonimir Misir ◽  
Vesna Vorih ◽  
Loris Ćurt ◽  
...  

Background: In the past six months, Croatia faced a short lockdown and a slow return to most hospitals’ everyday activities. During the lockdown, our center, as a part of the University Hospital Centre specialized for solid cancer, was enabled to maintain most of the routine practices with the one-month colonoscopy exception. Aim: To determine the oscillation in the number of endoscopies and colorectal surgery for 13 months (six months pre and post COVID-19 lockdown). Materials and methods: From August 1st, 2019, until August 31st 2020, the hospital analytics determine the number of colonoscopies, screening colonoscopies, and surgeries. Results: During the given period number of detected and operated colorectal cancers was stable, except for April, when we mostly did not perform colonoscopies. Conclusion: We maintained a pre-COVID-19 pace in colorectal cancer treatment, colonoscopies, and colorectal surgery after epidemiological guidelines for colonoscopies and colorectal surgery were applied, owing to the relatively stable overall epidemiological situation.


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