109 Strategies of time management in the daily routine of medical residents of internal medicine in a public university hospital

SUMMARY INTRODUCTION Medical Residency is a recognized form of professional qualification, but there are criticisms regarding the overload of work activities. Given the length of the daily and weekly workdays, residents develop practices that enable them to reconcile the Residency with their personal life. AIM To describe time management strategies in the daily routine of Internal Medicine Medical Residents of a university hospital in São Paulo, Brasil. METHODS Eight interviews were conducted with resident physicians of the second year, addressing aspects of personal and family life, theoretical study, practical activities, and work bonds. Content analysis was carried out using the MaxQDA software. RESULTS Six thematic categories emerged from the reports: work organization at the Medical Residency; learning and/or professional activities; housing, financial planning, and household activities; time for leisure and interpersonal relationship; family planning/children; rest/sleep. DISCUSSION Several strategies are adopted for time management: residing near the hospital, domestic activities helped by housekeepers, postponement of maternity leave, and social support centered on interacting with other residents. There are paid activities not associated with the Residency, which lead to reduced time for rest, study, and leisure, with a greater loss during work at night shifts. CONCLUSIONS Residents experience a period of intense learning, which requires a high workload and complex work. The evaluation of the work organization of medical residents should include not only time for rest but also time management strategies for daily activities, which can reduce the negative outcomes associated with long working hours.

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Screening for atrial fibrillation during automated blood pressure measurement among patients admitted to internal medicine ward

Internal and Emergency Medicine ◽

10.1007/s11739-021-02691-2 ◽

2021 ◽

Author(s):

Giacomo Pucci ◽

Edoardo Santoni ◽

Valeria Bisogni ◽

Camilla Calandri ◽

Alberto Cerasari ◽

...

Keyword(s):

Internal Medicine ◽

Atrial Fibrillation ◽

Blood Pressure ◽

Adult Population ◽

Blood Pressure Measurement ◽

University Hospital ◽

Daily Routine ◽

Internal Medicine Ward ◽

Clinical Conditions ◽

Electrocardiogram Ecg

AbstractAtrial fibrillation (AF), the commonest sustained cardiac arrhythmia affecting the adult population, is often casually discovered among hospitalized people. AF onset is indeed triggered by several clinical conditions such as acute inflammatory states, infections, and electrolyte disturbance, frequently occurring during the hospitalization. We aimed to evaluate whether systematic AF screening, performed through an automated oscillometric blood pressure (BP) device (Microlife WatchBP Office AFIB, Microlife AG, Switzerland), is effective for detecting AF episodes in subjects admitted to an Internal Medicine ward. 163 patients consecutively hospitalized at the Unit of Internal Medicine of the “Santa Maria” Terni University Hospital between November 2019 and January 2020 (mean age ± standard deviation: 77 ± 14 years, men proportion: 40%) were examined. Simultaneously with BP measurement and AF screening, a standard 12-lead electrocardiogram (ECG) was performed in all subjects. AF was diagnosed by ECG in 29 patients (18%). AF screening showed overall 86% sensitivity and 96% specificity. False negatives (n = 4) had RR-interval coefficient of variation lower than true positives (n = 25, p < 0.01), suggesting a regular ventricular rhythm during AF. The repeated evaluation substantially confirmed the same level of agreement. AF screening was positive in all patients with new-onset AF (n = 6, 100%). Systematic AF screening in patients admitted to Internal Medicine wards, performed using the Microlife WatchBP Office AFIB, is feasible and effective. The opportunity to implement such technology in daily routine clinical practice to prevent undiagnosed AF episodes in hospitalized patients should be the subject of further research.

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SUN-PP244: Underestimation of Malnutrition Prevalence in Internal Medicine Department of The Lausanne University Hospital

Clinical Nutrition ◽

10.1016/s0261-5614(15)30395-2 ◽

2015 ◽

Vol 34 ◽

pp. S114

Author(s):

S. Khalatbari-Soltani ◽

P. Marques-Vidal

Keyword(s):

Internal Medicine ◽

University Hospital ◽

Medicine Department ◽

Internal Medicine Department

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COVID-19 does not stop obstetrics: what we need to change to go on safely birthing. The experience of a University Obstetrics and Gynecology Department in Milan

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0218 ◽

2020 ◽

Vol 48 (9) ◽

pp. 997-1000

Author(s):

Nikita Alfieri ◽

Stefano Manodoro ◽

Anna Maria Marconi

Keyword(s):

Health System ◽

University Hospital ◽

Obstetrics And Gynecology ◽

Daily Routine ◽

Clinical Services ◽

Wuhan City ◽

Set Up

AbstractSince SARS-COV-2 appeared in Wuhan City, China and rapidly spread throughout Europe, a real revolution occurred in the daily routine and in the organization of the entire health system. While non-urgent clinical services have been reduced as far as possible, all kind of specialists turned into COVID-19 specialists. Obstetric assistance cannot be suspended and, at the same time, safety must be guaranteed. In addition, as COVID-19 positive pregnant patients require additional care, some of the clinical habits need to be changed to face emerging needs for a vulnerable but unstoppable kind of patients. We report the management set up in an Obstetrics and Gynecology Unit during the COVID-19 era in a University Hospital in Milan, Italy.

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Towards Inclusion: a Guidebook for Championing Diversity for Internal Medicine Chief Medical Residents

Journal of General Internal Medicine ◽

10.1007/s11606-021-06782-w ◽

2021 ◽

Author(s):

Sneha Thatipelli ◽

Nkiru Osude ◽

Quentin R. Youmans

Keyword(s):

Internal Medicine ◽

Medical Residents

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Controversies as method for ANTi-history: An inquiry into public administration practices

Organization ◽

10.1177/13505084211015375 ◽

2021 ◽

pp. 135050842110153

Author(s):

César Tureta ◽

Bruno Luiz Américo ◽

Stewart Clegg

Keyword(s):

Research Question ◽

Actor Network Theory ◽

Public University ◽

University Hospital ◽

Focal Points ◽

Translation Process ◽

Actor Network ◽

Multiple Realities ◽

The Past ◽

Actor Networks

Drawing on Actor-Network Theory and the cartography of controversies, we present a method for ANTi-History research to investigate the implementation of a contract between a labour services company and a public university hospital in Brazil. The research question focuses on how the past is enacted in the present. The method is a general guideline based on five focal points used to organize the fieldwork: identifying controversies; mapping the actor-network; drawing out the translation process; politics of actor-networks and multiple reality/power relations. The proposed method makes two contributions to ANTi-History literature. First, although these focal points have been discussed by ANTi-History scholars, they are scattered throughout the literature. We unite them to offer a guide to doing historically embedded research. Second, we show how controversy analysis can be helpful for mapping the politics of actor-networks and describing multiple realities in the construction of history.

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An assessment of the quality indicators of operative and non-operative times in a public university hospital

Einstein (São Paulo) ◽

10.1590/s1679-45082015gs3289 ◽

2015 ◽

Vol 13 (4) ◽

pp. 594-599 ◽

Cited By ~ 5

Author(s):

Altair da Silva Costa Jr ◽

Luiz Eduardo Villaça Leão ◽

Maykon Anderson Pires de Novais ◽

Paola Zucchi

Keyword(s):

Standard Deviation ◽

Operating Room ◽

Operative Time ◽

Patient Flow ◽

Cross Sectional Study ◽

Public University ◽

Major Effect ◽

University Hospital ◽

Cross Sectional ◽

Using Data

ABSTRACT Objective To assess the operative time indicators in a public university hospital. Methods A descriptive cross-sectional study was conducted using data from operating room database. The sample was obtained from January 2011 to January 2012. The operations performed in sequence in the same operating room, between 7:00 am and 5:00 pm, elective or emergency, were included. The procedures with incomplete data in the system were excluded, as well as the operations performed after 5:00 pm or on weekends or holidays. Results We measured the operative and non-operative time of 8,420 operations. The operative time (mean and standard deviation) of anesthesias and operations were 177.6±110 and 129.8±97.1 minutes, respectively. The total time of the patient in operative room (mean and standard deviation) was 196.8±113.2. The non-operative time, e.g., between the arrival of the patient and the onset of anesthesia was 14.3±17.3 minutes. The time to set the next patient in operating room was 119.8±79.6 minutes. Our total non-operative time was 155 minutes. Conclusion Delays frequently occurred in our operating room and had a major effect on patient flow and resource utilization. The non-operative time was longer than the operative time. It is possible to increase the operating room capacity by management and training of the professionals involved. The indicators provided a tool to improve operating room efficiency.

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Teaching Literature among Pre-Service Teachers: Challenges and Solutions

LSP International Journal ◽

10.11113/lspi.v8.17182 ◽

2021 ◽

Vol 8 (1) ◽

pp. 95-103

Author(s):

Ain Suraya Harun ◽

Norhanim Abdul Samat

Keyword(s):

Time Management ◽

Public University ◽

Mixed Method Research ◽

Structured Interviews ◽

Teaching Techniques ◽

Literature Teaching ◽

Teaching Literature ◽

Teacher Trainees ◽

The Subject ◽

The University

Teacher trainees should be prepared to teach and exposed to the approaches, models, and techniques of literature teaching. Being ready can also boost their confidence to teach literature so that the lessons can be delivered smoothly. These teachers are so new to teaching that they might face difficulties when teaching English, specifically literature. There are teaching techniques, strategies and approaches that those pre-service teachers can investigate to understand better how to apply in their teaching. Additionally, their lack of exposure towards literature teaching can also affect the performance of teaching. This paper seeks to investigate pre-service teachers’ readiness to teach literature in schools and the challenges faced by them while teaching literature. It also attempts to offer suggestions to improve better literature teaching. This mixed method research study used questionnaires distributed to 22 TESL pre-service teachers from a public university in Johor. Additionally, semi-structured interviews were conducted with two lecturers who have vast experiences in supervising pre-service teachers at schools. Results show that a majority of fourth year TESL students are ready to teach literature with the training and courses provided by the university. Also, among the challenges that they faced are time management and their students’ feelings on the subject. This study hopes to provide insights to training teachers on literature teaching.

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