scholarly journals Medical crisis during pandemic: Career preferences change in medical student

2021 ◽  
Vol 10 (4) ◽  
pp. 1255
Author(s):  
Dian Natalia ◽  
Rizma Adlia Syakurah
Keyword(s):  
Medical Students ◽  
Global Education ◽  
Health Workers ◽  
Preference Change ◽  
Online Questionnaire ◽  
Depression Anxiety Stress Scale ◽  
Career Preference ◽  
Medical Crisis ◽  
Fear And Anxiety ◽  
Prompt Attention

<span>The COVID-19 pandemic is a major threat to global education. Incidental emotions of fear and anxiety during pandemic have unconsciously influenced preference and outcome about their future career. This study aimed to assess the effect of the COVID-19 pandemic towards career preference change in medical students. A total of 1,027 responses from all over the medical students in Indonesia were collected from an online questionnaire which was broadcasted through social media from 14th July 2020–21st July 2020. This study was using Fear of COVID-19 Scale (FCV-19S) and Depression Anxiety Stress-Scale-21 (DASS-21) to assess fear of COVID-19, stress, anxiety, and depression. Out of 1,027 respondents, 44.6% had stressed, 47.8% had anxiety, and 18.5% had depression with an average FCV-19S score was 17.1. The result showed that the fear and anxiety of COVID-19 during the pandemic had associated significantly with the career decisions in medical students (p=&lt;0.05). Indonesian policymakers had to keep in mind that the fear of the COVID-19 pandemic in medical students is due to the high mortality COVID-19 cases of health workers in Indonesia. Health workers need adequate working conditions and specific protection, this requires prompt attention from stakeholders.</span>

scholarly journals The Significance of Experiencing Clinical Responsibilities for Specialty Career Choice

2019 ◽  
Vol 30 (1) ◽  
pp. 163-171 ◽  
Author(s):  
Sophie Querido ◽  
Marlies De Rond ◽  
Lode Wigersma ◽  
Sjoukje van den Broek ◽  
Olle ten Cate
Keyword(s):  
Medical Students ◽  
Clinical Experience ◽  
Career Choices ◽  
Medical Doctor ◽  
Preference Change ◽  
Career Preference ◽  
Clinical Responsibility ◽  
Therapeutic Decisions ◽  
Key Factor ◽  
Career Preferences

Abstract Aim Medical trainees make career choices in the final year of medical school or after graduation, if they do not continue with residency directly. Most Dutch medical students are trained in vertically integrated (VI) curricula, with early clinical experience and a gradual increase in clinical responsibilities. Students in such curricula have been reported to make career choices at an earlier stage than graduates from more traditionally designed curricula. Many Dutch graduates build further clinical experience after graduation as physicians-not-in-training (PNITs) before beginning residency. We explored how students make career choices and whether pre-residency clinical responsibilities influence this choice. Method A qualitative study with a phenomenology approach was used. The authors conducted a longitudinal interview study of medical students with two intervals over a 2-year period. The interview questions covered how trainees establish career preferences and which factors affect preference and choice over time. Results Experiencing clinical responsibility was a key factor for career preference during all interview rounds. Being a PNIT who makes diagnostic and therapeutic decisions, have their own patients and have significant patient care responsibilities creates opportunities to build an image of a future context of employment. Some participants mentioned that their experience of having full responsibility as a PNIT was pivotal in a career preference change. Conclusion Clinical responsibility as a student or a PNIT appears to be important for career preference and choice. The experience of responsibility as a medical doctor forces trainees to reflect on personal needs and to consider which career preference fits best.

scholarly journals Lockdown during COVID-19 Pandemic: The Psychological Responses and Coping Strategies among Medical Students in a Public University in Malaysia

2021 ◽  
pp. 4-22
Author(s):  
Chuong Hock Ting ◽  
Aik Kai Tew ◽  
Joel Petrus Chin ◽  
Jia Yi Lim ◽  
Rubeni Siva ◽  
...  
Keyword(s):  
Medical Students ◽  
Coping Strategies ◽  
Mental Health Problems ◽  
Demographic Data ◽  
World Health ◽  
Psychological Responses ◽  
Online Questionnaire ◽  
Depression Anxiety Stress Scale ◽  
Avoidance Coping ◽  
Brief Cope

World Health Organization (WHO) had promulgated Coronavirus Disease 2019 (COVID-19) as a pandemic in the early year 2020. Following that, the National Security Council of Malaysia had announced the implementation of the Movement Control Order (MCO) in March 2020 to curb the disease. This social distancing measure had inevitably induced undesirable psychological responses among the public, including medical students. In this study, we aim to determine the psychological responses of medical students during the MCO period and their coping strategies. This cross-sectional study was conducted among 245 medical students of Universiti Malaysia Sarawak (UNIMAS) from 24th to 30th April 2020, using an online questionnaire comprising demographic data, Depression, Anxiety, Stress Scale (DASS-21), and Brief COPE questionnaire. Nearly 30% of medical students experienced stress, anxiety, or depression. Among all, 9.4% had reported severe anxiety. There were significant differences between avoidance coping strategies and negative psychological responses. In general, the medical students preferred approach coping strategies (M = 29.19, SD = 9.27). Religion (M= 5.62, SD =2.10) was the most favored coping strategy while the least had abused substance (M=2.16, SD.77). A significant statistical difference was revealed in the choice of coping between the genders, for positive reframing, religion, humour, and substance abuse.  Pre-clinical students were noted to have significant stress and anxiety levels and more inclined to use avoidance coping strategies.  Psychological interventions are essential to address the mental health problems among university students during current and future disasters based on the understanding of their coping strategies.

scholarly journals A multi-institutional and cross-sectional study on empathy in Chinese medical students: Differences by student cadre or not, future career preference, and father's education status

2020 ◽  
Author(s):  
Kangqi Yi ◽  
Mingyi Kang ◽  
Dongju Li ◽  
Zhipeng Wang ◽  
Jinsong Bai ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Education Reform ◽  
Factor Structure ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Career Preference ◽  
Future Career ◽  
Chinese Medical Students

Abstract Background The aims of this study were to examine the factor structure of the Chinese version of the Jefferson Scale of Empathy for medical students (JSE-S) and investigate differences in empathy scores among Chinese medical students according to gender, student cadre or not, future career preference, and parents’ education. Methods Medical students from three universities completed an online questionnaire containing the JSE-S. Exploratory factor analysis was conducted to determine the factor structure, and group comparisons of empathy scores were examined via t -tests and analysis of variance. Results Four factors emerged from the factor analysis: “perspective taking,” “compassionate care,” “standing in the patient’s shoes,” and an uninterpretable factor. The results indicated that students who were female, held positions as student cadres, preferred to become a doctor, and whose fathers had a high school education or below tended to have more empathy. Conclusions Overall, the findings provide information on the dimensions of empathy applicable to Chinese medical students and confirm the factors found in the original measure.The dimensions have implications for developing empathy among medical students throughout the world. Educators can use the information to design interventions to foster empathy among students in the context of medical education reform in many countries, including China.

scholarly journals A multi-institutional and cross-sectional study on empathy in Chinese medical students: Differences by student cadre or not, future career preference, and father's education status

2019 ◽  
Author(s):  
Kangqi Yi ◽  
Mingyi Kang ◽  
Dongju Li ◽  
Zhipeng Wang ◽  
Jinsong Bai ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Education Reform ◽  
Factor Structure ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Career Preference ◽  
Future Career ◽  
Chinese Medical Students

Abstract Background The aims of this study were to examine the factor structure of the Chinese version of the Jefferson Scale of Empathy for medical students (JSE-S) and investigate differences in empathy scores among Chinese medical students according to gender, student cadre or not, future career preference, and parents’ education.Methods Medical students from three universities completed an online questionnaire containing the JSE-S. Exploratory factor analysis was conducted to determine the factor structure, and group comparisons of empathy scores were examined via t-tests and analysis of variance.Results Four factors emerged from the factor analysis: “perspective taking,” “compassionate care,” “standing in the patient’s shoes,” and an uninterpretable factor. The results indicated that students who were female, held positions as student cadres, preferred to become a doctor, and whose fathers had a high school education or below tended to have more empathy.Conclusions Overall, the findings provide information on the dimensions of empathy applicable to Chinese medical students and confirm the factors found in the original measure. The dimensions have implications for developing empathy among Chinese medical students. Educators can use the information to design interventions to foster empathy among students in the context of Chinese medical education reform.

scholarly journals Evaluation of the factors affecting the formation of humoral immunity to the SARS-COV-2 coronavirus in medical students and doctors of the Republic of Crimea during active phase of the COVID-19 pandemia

2021 ◽  
Vol 2 (1) ◽  
pp. 102-108
Author(s):  
A. V. Kubyshkin ◽  
I. I. Fomochkina ◽  
E. S. Krutikov ◽  
T. P. Sataieva ◽  
E. S. Ageeva ◽  
...  
Keyword(s):  
Medical Students ◽  
Humoral Immunity ◽  
Health Workers ◽  
Active Phase ◽  
Online Questionnaire ◽  
Factors Affecting ◽  
Population Immunity ◽  
The Republic ◽  
Vaccine Prophylaxis ◽  
The City

Purpose: to study the factors that affect the indicators of humoral immunity in medical students and doctors of the city of Simferopol by means of questionnaires and serological testing. The data obtained may indicate a fairly high involvement of medical students and medical workers in the processes of formation of population immunity to COVID-19.Materials and methods: from 14.09.20 to 06.10.20 the 67 students, as well as 19 doctors and nurses living in the Republic of Crimea have been examined by the method of enzyme immunoassay to detect IgG serum antibodies to the SARS-CoV-2 coronavirus. All the examined subjects completed the online questionnaire.Results: According to the ELISA the antibodies to CoV-19 were detected in 14 students (20,9% [18,3%; 25,1%]), as well as in 6 health workers (31,6% [28,9%; 34,2%]) of the total examined number. The survey revealed a number of adverse factors that contribute to the depletion of the body's immune reserves in both students and medical professionals.Conclusion: the studies of the seroprevalence to the SARS-CoV-2 coronavirus in various population groups, as well as the mechanisms and features of seroconversion, the kinetics of the immune response and the intensity of humoral immunity may possess an extremely important role in developing the strategy and tactics of antipandemic measures and in the future COVID-19 vaccine prophylaxis.

scholarly journals Positive Massage: An Intervention for Couples’ Wellbeing in a Touch-Deprived Era

2021 ◽  
Vol 11 (2) ◽  
pp. 450-467
Author(s):  
Sayuri M. Naruse ◽  
Mark Moss
Keyword(s):  
Nonverbal Communication ◽  
Stress Relief ◽  
Mutual Support ◽  
Practical Application ◽  
Online Questionnaire ◽  
Daily Lives ◽  
Home Based ◽  
Preventative Intervention ◽  
Fear And Anxiety ◽  
Exchange Data

COVID-19 has brought not only fear and anxiety, but also legitimate restrictions of communication and consequential touch-deprivation in our daily lives. Couples’ relational wellbeing continues to be impacted by these COVID-19 related stressors. Protecting both personal and relational wellbeing is therefore particularly important at this time. Using a preventative intervention approach, the current paper argues the theoretical benefit of the Positive Massage programme and reports a qualitative analysis of stressed but healthy couples’ experience of engaging in the programme. Thirty-four participants completed 3 weekly classes and home-based practice of massage exchange. Data from an open text online questionnaire completed every week of the programme and again 3 weeks afterwards were analysed using thematic analysis. The identified themes included “holistic stress relief”, “relationship-promotion”, and “selves-care skill”. Couples perceived Positive Massage as an effective mutual support skill to relax and help one another by de-stressing, both emotionally and physically through verbal and nonverbal communication, creating gratitude, deeper connection and self-efficacy via quality time together and pleasurable touch. Theoretically and experientially, Positive Massage can be an effective preventative selves-care skill. Promoting the concept of selves-care and its practical application through Positive Massage would be beneficial for couples’ personal and relational wellbeing in a touch-deprived era.

scholarly journals Diagnosis of gestational diabetes in Uganda: The reactions of women, family members and health workers

2021 ◽  
Vol 17 ◽  
pp. 174550652110137
Author(s):  
Flavia Zalwango ◽  
Janet Seeley ◽  
Arthur Namara ◽  
Sanjay Kinra ◽  
Moffat Nyirenda ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Health Workers ◽  
Family Members ◽  
Medical Attention ◽  
Middle Income ◽  
Diabetes Mellitus Diagnosis ◽  
Life Threatening ◽  
Fear And Anxiety

Objectives: In Uganda, as in many other low- and middle-income countries, screening for gestational diabetes mellitus is suboptimal and is rarely embedded in routine antenatal care. We describe the experiences of women in Uganda who underwent screening for gestational diabetes mellitus and were diagnosed with the condition as they navigate both the reaction of family members and their interaction with health workers. Methods: Pregnant women aged 18 years or older and between 24 and 28 weeks of gestation were enrolled from the antenatal clinics at one of the five hospitals between 13 June 2018 and 31 October 2019. Ten women with gestational diabetes mellitus, ten family members and six health workers were purposively selected to take part. Interviews and focus group discussions were used to collect data on the socio-cultural and health system factors that influence timely screening and effective management of gestational diabetes mellitus in Uganda. Data were analysed thematically. Results: Women generally reflected on the importance of gestational diabetes mellitus screening and felt that an early diagnosis helped them to get timely medical attention, and most reported a positive experience of the care provided by health workers. However, women who were diagnosed with gestational diabetes mellitus reported feeling fearful and anxious, and some were worried that the condition might be life-threatening. Many women reported that they were upset and largely unprepared to receive a gestational diabetes mellitus diagnosis. A gestational diabetes mellitus diagnosis not only stirred intense feelings of fear and anxiety in women but also affected their spouses and other family members. Many male partners were sympathetic and willing to provide support. Conclusion: Our findings highlight the need to understand the perceptions and emotions that accompany a gestational diabetes mellitus diagnosis to best support women and their family members. An improved recognition of these factors can inform the development of effective gestational diabetes mellitus screening and management programmes.

Psychological impact of home confinement due to coronavirus disease on medical students and its relationship with cognitive emotion regulation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bochra Nourhene Saguem ◽  
Amel Braham ◽  
Islem Romdhane ◽  
Selma Ben Nasr
Keyword(s):  
Emotion Regulation ◽  
Medical Students ◽  
Psychological Impact ◽  
Cognitive Strategies ◽  
Hierarchical Regression ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Online Questionnaire ◽  
Content Type ◽  
Regulation Strategies

Purpose This paper aims to assess the psychological impact of home confinement in Tunisian medical students and analyze the relationship between psychopathology and cognitive emotion regulation strategies. Design/methodology/approach In total, 251 medical students who have been in home confinement accepted to participate in an online questionnaire survey. They completed depression, anxiety and stress scale, beck hopelessness scale and cognitive emotion regulation questionnaire. Findings Moderate to extremely severe levels of depression, anxiety and stress were reported by 57.4%, 51.0% and 31.4% of medical students, respectively. Based on the cut-off value of nine, 31.1% of the participants showed high levels of hopelessness. Hierarchical regression analysis identified four cognitive emotion regulation strategies as significant independent contributors to psychopathology above and beyond home confinement related variables. Self-blame positively predicted stress. Catastrophizing positively predicted anxiety and hopelessness. Refocusing on planning negatively predicted anxiety. Positive reappraisal negatively predicted hopelessness. Practical implications Cognitive emotion regulation strategies may constitute a valuable target of preventive and interventional measures to improve medical students’ mental health. Originality/value A unique feature of this study is the demonstration of the important role played by cognitive emotion regulation strategies in predicting anxiety, stress and hopelessness in medical students. In the context of mandatory home confinement, these cognitive strategies were significant predictors of psychopathology above and beyond home confinement related variables.

Medical students’ perception of sexual orientation in Sagamu, southwestern Nigeria: implications for access to HIV care

2018 ◽  
Vol 11 (5) ◽  
pp. 347-355 ◽  
Author(s):  
Oluwafolahan Oluwagbemiga Sholeye ◽  
Victor Jide Animasahun ◽  
Abimbola A. Oyelekan
Keyword(s):  
Sexual Orientation ◽  
Medical Students ◽  
Health Workers ◽  
Medical Curriculum ◽  
Public Hospitals ◽  
Hiv Care ◽  
Southwestern Nigeria ◽  
Cross Sectional ◽  
Content Type ◽  
Sex With Men

Purpose The prevalence of Human Immunodeficiency Virus (HIV) is about four times higher among individuals with same-sex orientation as against the general population. This may be partly due to judgmental, heteronormative attitudes among health workers, thereby affecting access to care. Therefore, the purpose of this paper is to assess the perception of final-year medical students of Olabisi Onabanjo University, Nigeria on sexual orientation and its implications on access to HIV care and support services. Design/methodology/approach A cross-sectional descriptive study was conducted among final-year medical students. Data were collected using an interviewer-administered questionnaire and analyzed using SPSS 20. Relevant descriptive and inferential statistics were calculated. Participation was fully voluntary. Findings More males (70 percent) were aware of the concept of sexual orientation than females (60.4 percent). Most (94 percent) males and all female respondents felt homosexuality was against the order of nature. More males (76 percent) than females (62.3 percent) felt men having sex with men and homosexuality were synonymous. More females (50.9 percent) than males (48 percent) felt gay doctors should not be employed in public hospitals. Originality/value Respondents had a poor perception of sexual orientation and there were no significant differences between genders. This could contribute to existing stigmatization against individuals with minority sexual orientations. It should be addressed in the medical curriculum.

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