scholarly journals Moral judgement development during medical student clinical training

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jenny McDonald ◽  
Jane Graves ◽  
Neeshaan Abrahams ◽  
Ryan Thorneycroft ◽  
Iman Hegazi
Keyword(s):  
Medical Students ◽  
Moral Development ◽  
Clinical Training ◽  
Moral Judgement ◽  
Clinical Experiences ◽  
Cross Sectional ◽  
Moral Decisions ◽  
Moral Choices ◽  
Cognitive Maturity ◽  
Self Authorship

Abstract Background Whereas experience and cognitive maturity drives moral judgement development in most young adults, medical students show slowing, regression, or segmentation in moral development during their clinical years of training. The aim of this study was to explore the moral development of medical students during clinical training. Methods A cross-sectional sample of medical students from three clinical years of training were interviewed in groups or individually at an Australian medical school in 2018. Thematic analysis identified three themes which were then mapped against the stages and dimensions of Self-authorship Theory. Results Thirty five medical students from years 3–5 participated in 11 interviews and 6 focus groups. Students shared the impacts of their clinical experiences as they identified with their seniors and increasingly understood the clinical context. Their accounts revealed themes of early confusion followed by defensiveness characterised by desensitization and justification. As students approached graduation, some were planning how they would make moral choices in their future practice. These themes were mapped to the stages of self-authorship: External Formulas, Crossroads and Self-authorship. Conclusions Medical students recognise, reconcile and understand moral decisions within clinical settings to successfully reach or approach self-authorship. Curriculum and support during clinical training should match and support this progress.

scholarly journals Nutrition knowledge and Attitude in Medical Students of Tabriz University of Medical Sciences in 2017-2018

2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Seyed Kazem Shakouri ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Nutritional Knowledge ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Mean ◽  
Knowledge And Attitude

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.

scholarly journals Pre Clinical- Basic Sciences Teaching Curriculum of a Medical School in a Developing Country -Are We Doing it Right?

2015 ◽  
Vol 9 (2) ◽  
pp. 98-104
Author(s):  
Kushani Rasangika Atukorala ◽  
Piyusha Atapattu
Keyword(s):  
Clinical Practice ◽  
Medical Students ◽  
Clinical Significance ◽  
Clinical Training ◽  
Training Methods ◽  
Basic Sciences ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Clinical Exposure ◽  
Teaching Time

Background: Preclinical teaching of basic sciences provides the basis for the development of clinical reasoning skills and the ability to make management decisions. However, many senior undergraduates, pre-interns and doctors indicate that basic sciences knowledge is poorly recalled and has little relevance to their clinical practice. Objectives: To explore the perceptions of medical students in their clinical years, and pre-interns about the basic sciences courses taught to them in the preclinical years, and to assess how each group rates the applicability of these courses to current clinical training. Methods: A descriptive cross-sectional study was conducted among 118 pre-interns and 146 undergraduate medical students using a self-administered questionnaire, regarding their perceptions on preclinical basic sciences teaching. For statistical analysis chi square test was applied. Results: More than 75% both pre-interns and undergraduates agreed that preclinical teaching was useful and relevant for future clinical work. 50-75% frequently revisited preclinical subjects despite unapparent clinical significance. 55% couldn’t remember most of preclinical content. Physiology was the most retained (76%) and most clinically relevant subject (80%). Majority of (>60%) both the groups suggested more teaching time and >75% suggested concurrent clinical exposure for preclinical teaching. Undergraduates and preinterns differed in that 56% of undergraduates and 37% of pre-interns had studied pre clinical subjects just to pass examinations (p<0.01) Conclusions: Majority of undergraduates and pre-interns felt that preclinical teaching is interesting and relevant for future clinical practice, though recall and clinical significance were suboptimal. Revising teaching methods with interdisciplinary integration, early clinical exposure showing relevance of basic sciences and allocating more teaching time utilizing clinicians should be considered. DOI: http://dx.doi.org/10.3329/jbsp.v9i2.22806 Bangladesh Soc Physiol. 2014, December; 9(2): 98-104

A Cross-Sectional Study of Moral Development in the South African Context

1996 ◽  
Vol 78 (3) ◽  
pp. 851-859 ◽  
Author(s):  
Kevin Smith ◽  
Angina Parekh
Keyword(s):  
Moral Development ◽  
South African ◽  
Age Groups ◽  
Cross Sectional Study ◽  
The South ◽  
Cross Sectional ◽  
Black And White ◽  
Significant Difference ◽  
African Context ◽  
Moral Choices

This study has two aims, to examine aspects of Kohlberg's claims of universality within a unique research context and to explore differences in moral development between black and white South Africans. 81 participants from four different age groups were administered Form A of Kohlberg's moral judgement interviews. Analysis supported the age-relatedness of Kohlberg's stages of moral development and provided some support for the notion that the stages should be evident in various cultures. A significant difference in moral development between black and white groups in the 19- to 28-yr. age group was found. Further, black and white groups had different concerns when justifying moral choices. The results were discussed in the context of the South African system, which until recently has been one of institutionalised racial division.

scholarly journals Medical students' knowledge about hospital infections

2010 ◽  
Vol 63 (9-10) ◽  
pp. 715-718
Author(s):  
Ljiljana Markovic-Denic ◽  
Jadranka Maksimovic ◽  
Gorica Sbutega-Milosevic ◽  
Isidora Sbutega ◽  
Milos Maksimovic
Keyword(s):  
Medical Students ◽  
Hand Hygiene ◽  
Clinical Training ◽  
Bologna Process ◽  
Knowledge Level ◽  
Hospital Infections ◽  
Cross Sectional ◽  
New Curriculum ◽  
Mode Of Transmission ◽  
Definition Of

Introduction. The aim of this study was to show the differences in the knowledge level about hospital infections between medical students having studied according to the old and new education programs. Material and methods. Two cross-sectional studies were conducted at the Faculty of Medicine in Belgrade, Serbia. The anonymous self-administrated questionnaires were distributed to all third year students. In 2000, the students followed the 'old' system of education, and in 2007 they followed the new curriculum according to the Bologna Process. Results. The questionnaires were answered and returned by 79.8% of students who had the 'old' education program and by 71.9% of students having a 'new' curriculum. The latter students knew more about the definition of hospital infections (p<0.001), their reservoirs (p<0.05), the importance of endogenous reservoirs (p<0.001), etiology (p<0.001), transmission (p<0.001) and prevention (p<0.001). A greater number of students studying according to the new program recognized that the contact was the most frequent mode of transmission (p<0.001). Discussion. The students with the new program of studies knew more about hospital infections. This difference may be attributed to the previous course in epidemiology and earlier clinical practice that covered these topics. Although all of the students stated they knew which mode of transmission was the most frequent, when asked in specific terms about the hand hygiene, the 'new' curriculum students stated to have intermediate knowledge, and the 'old' curriculum students showed a substantial lack of knowledge. It is important to increase their knowledge level and compliance with the hand hygiene. Conclusion. The knowledge about hospital infections seems to have been improved by theoretical and practical sessions during early clinical training by the Bologna curriculum.

scholarly journals Attitudes of Israeli Medical Students Towards the Medical Treatment of Uninsured Migrants

2019 ◽  
Author(s):  
Zohar Mor ◽  
Adam Cadesky ◽  
Ran Halleluyan ◽  
Rivka Sheffer
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Medical Training ◽  
Medical Schools ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Professional Responsibilities ◽  
Students Attitudes ◽  
Societal Expectations

Abstract Background: Undocumented migration to developed countries poses practical concerns, as migrants are not medically insured. This cross-sectional study aims to appraise the attitudes of Israeli medical students towards the uninsured migrant population. Methods: Participants from five medical schools in Israel completed anonymous questionnaires in Hebrew, based on the "Medical Students’ Attitudes Toward the Underserved" (MSATU), which assessed students' attitudes regarding the professional responsibility and societal expectations towards the migrants. It also evaluated students' views of the migrants as eligible for expensive medical procedures. Results: A total of 891 students completed the survey with a median age of 28 years. The majority were Jews (N=816, 91.6%) and singles (N=681, 68.5%). Participants in the pre-clinical years were likely to be female and unmarried compared to those in clinical training. They also demonstrated higher scores on professional responsibilities and societal expectations than students in clinical training, but no significant differences were found in their views on expensive medical services. Students of minorities (non-Jews and migrants) scored higher on professional responsibilities and societal expectations. The scores for professional responsibilities and societal expectations decreased as students progressed in their medical training (Spearman coefficient p=0.04 and p=0.01, respectively). This trend was more apparent in males rather than females. Conclusion: MSATU scores declined as students progressed through medical school, with females maintaining more favorable attitudes than males. Medical schools should attempt to maintain the enthusiasm and idealism that students possess as they enter medical training and provide clinical experience with migrant populations that allows for cross-cultural communication.

scholarly journals Impact of the COVID-19 pandemic on the clinical training of last year medical students in Mexico: a cross-sectional nationwide study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Maximiliano Servin-Rojas ◽  
Antonio Olivas-Martinez ◽  
Michelle Dithurbide-Hernandez ◽  
Julio Chavez-Vela ◽  
Vera L. Petricevich ◽  
...  
Keyword(s):  
Medical Education ◽  
Public Schools ◽  
Medical Students ◽  
Private Schools ◽  
Clinical Training ◽  
Online Survey ◽  
Medical Training ◽  
Clinical Instruction ◽  
Cross Sectional ◽  
The Impact

Abstract Background The COVID-19 pandemic has brought unprecedented changes to medical education. However, no data are available regarding the impact the pandemic may have on medical training in Mexico. The aim of our study was to evaluate and identify the medical school students’ perceptions of the changes in their clinical training due to the pandemic in Mexico. Methods This was a cross-sectional study where a previous validated online survey was translated and adapted by medical education experts and applied to senior medical students from March to April of 2021. The 16-item questionnaire was distributed online combining dichotomous, multiple-choice, and 5-point Likert response scale questions. Descriptive and multivariate analyses were performed to compare the student’s perceptions between public and private schools. Results A total of 671 responses were included in the study period. Most participants were from public schools (81%) and female (61%). Almost every respondent (94%) indicated it was necessary to obtain COVID-19 education, yet only half (54%) received such training. Students in private schools were less likely to have their clinical instruction canceled (53% vs. 77%, p = 0.001) and more likely to have access to virtual instruction (46% vs. 22%, p = 0.001) when compared to students from public schools. Four out of every five students considered their training inferior to that of previous generations, and most students (82%) would consider repeating their final year of clinical training. Conclusions The impact of the COVID-19 on medical education in Mexico has been significant. Most final-year medical students have been affected by the cancellation of their in-person clinical instruction, for which the majority would consider repeating their final year of training. Efforts to counterbalance this lack of clinical experience with virtual or simulation instruction are needed.

scholarly journals Nutrition knowledge and attitude in medical students of Tabriz University of Medical Sciences in 2017–2018

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Neda Dolatkhah ◽  
Dawood Aghamohammadi ◽  
Azizeh Farshbaf-Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Nutritional Knowledge ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Knowledge Questionnaire ◽  
Knowledge And Attitude

Abstract Objectives In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Nutritional knowledge and attitude were calculated as percentage of correct or appropriate responses. Results The correct knowledge was not significantly different among externs and interns (68.20 ± 7.50% and 67.87 ± 6.04% respectively, p = 0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p = 0.035). The attitude index of the subjects was not significantly different among externs and interns (73.36 ± 9.42% and 74.59 ± 9.20%, p = 0.335). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p = 0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.

scholarly journals Attitudes of Israeli Medical Students Towards the Medical Treatment of Uninsured Migrants

2020 ◽  
Author(s):  
Zohar Mor ◽  
Adam Cadesky ◽  
Ran Halleluyan ◽  
Rivka Sheffer
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Medical Training ◽  
Medical Schools ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Professional Responsibilities ◽  
Students Attitudes ◽  
Societal Expectations

Abstract Background: Undocumented migration to developed countries poses practical concerns, as migrants are not medically insured. This cross-sectional study aims to appraise the attitudes of Israeli medical students towards the uninsured migrant population. Methods: Participants from five medical schools in Israel completed anonymous questionnaires in Hebrew, based on the "Medical Students’ Attitudes Toward the Underserved" (MSATU), which assessed students' attitudes regarding the professional responsibility and societal expectations towards the migrants. It also evaluated students' views of the migrants as eligible for expensive medical procedures. Results: A total of 891 students completed the survey with a median age of 28 years. The majority were Jews (N=816, 91.6%) and singles (N=681, 68.5%). Participants in the pre-clinical years were likely to be female and unmarried compared to those in clinical training. They also demonstrated higher scores on professional responsibilities and societal expectations than students in clinical training, but no significant differences were found in their views on expensive medical services. Students of minorities (non-Jews and migrants) scored higher on professional responsibilities and societal expectations. The scores for professional responsibilities and societal expectations decreased as students progressed in their medical training (Spearman coefficient p=0.04 and p=0.01, respectively). This trend was more apparent in males rather than females. Conclusion: MSATU scores declined as students progressed through medical school, with females maintaining more favorable attitudes than males. Medical schools should attempt to maintain the enthusiasm and idealism that students possess as they enter medical training and provide clinical experience with migrant populations that allows for cross-cultural communication.

scholarly journals Effects of the COVID-19 Pandemic on Medical Students: A Multicenter Quantitative Study

2020 ◽  
Author(s):  
Aaron Harries ◽  
Carmen Lee ◽  
Lee Jones ◽  
Robert M. Rodriguez ◽  
John Davis ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Clinical Training ◽  
The United States ◽  
Antibody Testing ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinical Rotations ◽  
Medical Education System ◽  
National Recommendation

Abstract Background: The COVID-19 pandemic disrupted the United States (US) medical education system with the necessary, yet unprecedented Association of American Medical Colleges (AAMC) national recommendation to pause all student clinical rotations with in-person patient care. This study is a quantitative analysis investigating the educational and psychological effects of the pandemic on US medical students and their reactions to the AAMC recommendation in order to inform medical education policy.Methods: The authors sent a cross-sectional survey via email to medical students in their clinical training years at six medical schools during the initial peak phase of the COVID-19 pandemic. Survey questions aimed to evaluate students' perceptions of COVID-19's impact on medical education; ethical obligations during a pandemic; infection risk; anxiety and burnout; willingness and needed preparations to return to clinical rotations. Results: 741 (29.5%) students responded. Nearly all students (93.7%) were not involved in clinical rotations with in-person patient contact at the time the study was conducted. Reactions to being removed were mixed, with 75.8% feeling this was appropriate, 34.7% guilty, 33.5% disappointed, and 27.0% relieved.Most students (74.7%) agreed the pandemic had significantly disrupted their medical education, and believed they should continue with normal clinical rotations during this pandemic (61.3%). When asked if they would accept the risk of infection with COVID-19 if they returned to the clinical setting, 83.4% agreed. Students reported the pandemic had moderate effects on their stress and anxiety levels with 84.1% of respondents feeling at least somewhat anxious. Adequate personal protective equipment (PPE) (53.5%) was the most important factor to feel safe returning to clinical rotations, followed by adequate testing for infection (19.3%) and antibody testing (16.2%). Conclusions: The COVID-19 pandemic disrupted the education of US medical students in their clinical training years. The majority of students wanted to return to clinical rotations and were willing to accept the risk of COVID-19 infection. Students were most concerned with having enough PPE if allowed to return to clinical activities.

scholarly journals Knowledge, Perception, and Use of Medical Applications Among Health Professions’ Students in a Nigerian University

2020 ◽  
Vol 19 (2) ◽  
Author(s):  
Chidozie Emmanuel Mbada ◽  
David Bamidele Olakorede ◽  
Chizoba Favour Igwe ◽  
Clara Toyin Fatoye ◽  
Funminiyi Sunday Olatoye ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Focal Point ◽  
Medical Applications ◽  
Positive Perception ◽  
Cross Sectional ◽  
Medical Apps ◽  
Level Of Knowledge ◽  
Nigerian University ◽  
High Level

Background: Harnessing the potentials of applications (apps) for clinical training and practice has turned into the focal point of innovation. Objectives: The current study was aimed to determine knowledge, perception, and medical apps use among medical students of a Nigerian University. Methods: In this cross-sectional study, 320 medical students (193 males and 127 females) are participated, with a response rate of 90.9%. The face and content validity was determined by a pilot test on obtained information about knowledge, perception, and use of medical applications, as well as socio-demographic characteristics. Descriptive and inferential statistics were used to analyze the data. Alpha level was set at P < 0.05. Results: The 12-months and point prevalence of smartphone ownership and using smartphone-based medical apps were 90% and 81.9%; and 65.9% and 50.9%, respectively. There was a high level of knowledge (81.9%), and positive perception (80%) about medical apps use. Knowledge of medical apps usage was significantly associated with each of age (χ2 = 30.541, P = 0.001) and academic levels (χ2 = 19.270, P = 0.001). A significant association was found between the perception of medical apps and age (χ2 = 13.554, P = 0.004). Also, there was a significant association between current use of medical apps and each of age (χ2 = 12.018, P = 0.007) and academic levels (χ2 =11.297, P = 0.002). Conclusions: Although smartphone ownership was high among Nigerian medical students, their usage of smartphone-based medical apps was moderate. Being of younger age and higher level of study are major contributors to a high level of knowledge and positive perception about medical apps use.

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