scholarly journals Covid-19 crisis impact on the next generation of physicians: a survey of 800 medical students

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sandrine Passemard ◽  
Albert Faye ◽  
Caroline Dubertret ◽  
Hugo Peyre ◽  
Camille Vorms ◽  
...  
Keyword(s):  
Intensive Care ◽  
Medical Students ◽  
Medical Profession ◽  
Medical Specialty ◽  
Hospital Staff ◽  
Healthcare Staff ◽  
Anxiety Levels ◽  
University Of Paris ◽  
The University ◽  
Crisis Responses

Abstract Background Many initiatives have emerged worldwide to handle the surge of hospitalizations during the SARS-CoV-2 pandemic. In France, the University of Paris North called on its medical students, whose status makes them integral members of the healthcare staff, to volunteer in their capacity of medical students and/or as nurses/nursing aids in understaffed intensive care units and other Covid-19 services. We attempted to evaluate their commitment, whether the pandemic affected their certainty for the medical profession and career choices, and how they scored their sadness and anxiety levels. Methods The University of Paris North took a weekly official census of the involvement of 1205 4th–6th year medical students during the first lockdown in France. Six weeks after the lockdown began (May 4th), an e-questionnaire was sent to 2145 2nd-6th year medical students. The survey lasted 4 weeks and documented volunteering by medical students, the association between the pandemic and certainty for their profession, their choice of medical specialty and factors that influenced sadness and anxiety scores. Results 82% of 4th–6th year medical students volunteered to continue their internship or be reassigned to COVID-19 units. Of 802 2nd-6th year students who completed the e-questionnaire, 742 (93%) volunteered in Covid-19 units, of which half acted as nurses. This engagement reinforced the commitment of 92% of volunteers to become physicians. However, at the peak of the outbreak, 17% had doubts about their ability to be physicians, while 12% reconsidered their choice of future specialty. Finally, 38% of students reported a score of 7/10 or more on the sadness scale, and 43% a score of 7/10 or more for anxiety. Neither study year nor service influenced sadness or anxiety scores. However, gender influenced both, with women scoring significantly higher than men (p < 0.0001). Conclusion Medical students of the University of Paris North who made an early and unconditional commitment to help hospital staff handle the pandemic constituted a powerful healthcare reserve force during the crisis. Although the vast majority remained convinced that they want to become physicians, this experience came at a significant psychological cost, especially for women. Alleviating this cost would improve future crisis responses.

scholarly journals Supporting Physician Lifelong Learning Through Effective Continuing Medical Education and Professional Development

2016 ◽  
Vol 102 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Alejandro Aparicio ◽  
Humayun J. Chaudhry ◽  
Mark Staz ◽  
Frances Cain ◽  
William S. Mayo ◽  
...  
Keyword(s):  
Medical Education ◽  
Continuing Medical Education ◽  
Medical Profession ◽  
Medical Specialty ◽  
Hospital Staff ◽  
Special Focus ◽  
Professional Performance ◽  
Specialty Certification ◽  
History Of ◽  
State Medical Boards

The medical profession has seen significant advancement in the availability of a variety of educational activities, across a range of formats and processes, to help physicians remain current and improve professional performance. The objectivity and quality of continuing medical education (CME) activities has been enhanced by the credit recognition systems of the American Academy of Family Physicians (AAFP), the American Medical Association (AMA), and the American Osteopathic Association (AOA). These credit systems also provide a metric for tracking compliance with a variety of regulatory requirements such as state medical licensure, hospital staff privileges, and health insurance plan participation, and are increasingly used as criteria for voluntarily obtaining and maintaining specialty certification and fulfilling requirements for membership in medical specialty societies. This article reviews the history of CME, the research that supports its value, and the opportunities that exist to address its challenges. It also explains how the Federation of State Medical Boards (FSMB) Maintenance of Licensure (MOL) framework incorporates and builds upon the research involving the effectiveness of CME for physician learning and improvement. Special focus is given to the CME credit systems and their features, the synergies among them, and the way in which various learning formats that can be certified for CME credit are aligned with the three recommended components of MOL.

scholarly journals Handover training for medical students: a controlled educational trial of a pilot curriculum in Germany

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021202 ◽  
Author(s):  
Laura Thaeter ◽  
Hanna Schröder ◽  
Lina Henze ◽  
Jennifer Butte ◽  
Patrick Henn ◽  
...  
Keyword(s):  
Intensive Care ◽  
Medical Students ◽  
University Hospital ◽  
Current Standard ◽  
Self Confidence ◽  
Recovery Unit ◽  
Fourth Year Medical Students ◽  
The University ◽  
Post Assessment ◽  
Handover Performance

ObjectiveThe aim of this study was to implement and evaluate a newly developed standardised handover curriculum for medical students. We sought to assess its effect on students’ awareness, confidence and knowledge regarding handover.DesignA controlled educational research study.SettingThe pilot handover training curriculum was integrated into a curriculum led by the Departments of Anesthesiology and Intensive Care (AI) at the University Hospital. It consisted of three modules integrated into a 4-week course of AI. Multiple types of handover settings namely end-of-shift, operating room/postanaesthesia recovery unit, intensive care unit, telephone and discharge were addressed.ParticipantsA total of n=147 fourth-year medical students participated in this study, who received either the current standard existing curriculum (no teaching of handover, n=78) or the curriculum that incorporated the pilot handover training (n=69).Outcome measuresPaper-based questionnaires regarding attitude, confidence and knowledge towards handover and patient safety were used for pre-assessment and post-assessment.ResultsStudents showed a significant increase in knowledge (p<0.01) and self-confidence for the use of standardised handover tools (p<0.01) as well as accurate handover performance (p<0.01) among the pilot group.ConclusionWe implemented and evaluated a pilot curriculum for undergraduate handover training. Students displayed a significant increase in knowledge and self-confidence for the use of standardised handover tools and accuracy in handover performance. Further studies should evaluate whether the observed effect is sustained across time and is associated with patient benefit.

Expanding Knowledge and Exposure to Aerospace Medicine by Creating a Medical Student Curriculum

2020 ◽  
Vol 91 (5) ◽  
pp. 448-452
Author(s):  
Amy J. Kreykes ◽  
Eric H. Petersen ◽  
Cheryl L. Lowry
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Medical Specialty ◽  
Low Earth Orbit ◽  
Aerospace Medicine ◽  
University Of Texas ◽  
Knowledge Based ◽  
Initial Survey ◽  
Career Options ◽  
The University

BACKGROUND: Aerospace Medicine is a small medical specialty. With the increasing need for aircraft pilots, continued low Earth orbit NASA operations, and the emergence of commercial spaceflight, there is a necessity for recruiting and educating the next generation of Aerospace Medicine specialists. This study was designed to create and validate a short Aerospace Medicine curriculum.METHODS: Medical students at the University of Texas Medical Branch were recruited to attend a series of six 1-h meetings covering Aerospace Medicine career options and key Aerospace Medicine topics. A survey addressing student demographics, interest in a career in Aerospace Medicine, and knowledge of key Aerospace Medicine topics was administered at the beginning and end of the curriculum. Interest in pursuing a career in Aerospace Medicine pre- and postcurriculum was compared with an independent t-test. The knowledge-based portion of the survey was also evaluated using an independent t-test.RESULTS: There were 23 participants who were recruited and filled out the initial survey and 15 participants who attended the final meeting and filled out the postcurriculum survey. Mean interest in pursuing a career in Aerospace Medicine did not change significantly (75.45% before involvement in the curriculum and 83.08% after participation). Knowledge of foundational Aerospace Medicine topics increased from 64.25% before involvement in the curriculum to 73.33% at the end of the study. There was an average of 12 participants at each meeting.DISCUSSION: This demonstrates the utility of this curriculum as an educational tool for medical students. Future efforts will focus on dissemination of the curriculum nationally and internationally.Kreykes AJ, Petersen EH, Lowry CL. Expanding knowledge and exposure to aerospace medicine by creating a medical student curriculum. Aerosp Med Hum Perform. 2020; 91(5):448–452.

Developing a guide to choose psychiatry in Spain

2017 ◽  
Vol 41 (S1) ◽  
pp. s895-s896
Author(s):  
C. Gómez Sánchez-Lafuente ◽  
R. Reina Gonzalez ◽  
E.M. Rodríguez Sánchez
Keyword(s):  
Medical Students ◽  
Postgraduate Training ◽  
Medical Specialty ◽  
Competing Interest ◽  
The Moment ◽  
University Degree ◽  
The University ◽  
Academic Record ◽  
Test Result ◽  
Structured Questionnaire

IntroductionChoosing a medical specialty is not easy. In Spain, when medical students finish the university degree, they have to take an exam called popularly MIR if they want to start a specialty. If the exam is passed, that person receives a number result of his academic record during university and test result. The number indicates the order of election, so number 1 chooses specialty and hospital first and so on. The Spanish healthcare system offers between 220 and 250 places to start the Specialty of Psychiatry in 121 hospitals across Spain.MethodsWe designed a semi-structured questionnaire with 30 questions specific for the purpose of this work. The questionnaire was spread by social networks and email to reach as many medical doctors undertaking postgraduate training in psychiatry as we could.ResultsOne hundred and thirty people responded to the questionnaire. Fifteen were not psychiatry trainees. We obtained information from 80 hospitals (66%). Thirty-three hospitals (41%) have specific training in psychotherapy. Sixty-nine (86%) apply electroconvulsive therapy regularly. Teaching during training is given together with psychologists and nurses in 36 hospitals (45%), with psychologists in 32 (40%), only psychiatry trainees in 12 (15%). Psychiatry trainees do general emergency guards in 62 hospitals (77%).ConclusionAt the moment of writing this, the guide has been consulted by 14,600 people and visited over 40,000 times. This guide may help medical students to discover Psychiatry Training and to choose the best hospital that fits their interests.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A Quantitative Assessment of the Need for Offering Counselling Services to Medical Students attending University of Zambia, School of Medicine.

2020 ◽  
Vol 7 (2) ◽  
pp. 93-103
Author(s):  
Gretchen Slover
Keyword(s):  
Medical Students ◽  
Counseling Services ◽  
Student Responses ◽  
Counselling Services ◽  
School Of Medicine ◽  
Comprehensive Picture ◽  
Fourth Year Medical Students ◽  
The Subject ◽  
The University ◽  
Therapy Sessions

Background: This research was birthed in 2017 during a trip to Lusaka, Zambia, with the purpose of offering fourth-year, medical students attending the University of Zambia, School of Medicine, lectures on psychology topics as part of their clinical studies.  Students were also offered brief therapy sessions where they could process thoughts and feelings causing them internal struggles.  The subject of offering counseling on a regular basis was randomly discussed with the students.  From these discussions the need for this research became evident, with the intent of becoming the launching pad to brainstorm the most effective ways of developing a plan to offer counseling services for all medical students attending the University of Zambia School of Medicine. Methods: An-experimental research design, consisting of completion of a 12-item questionnaire administered by paper and pen. The inclusion criteria were the fourth year, medical students attending the University of Zambia, School of Medicine. Results:  The student responses revealed that most of them had little to no experience with counseling services, but a strong desire for them. Discussion: The goal of this study was to simply establish a need for an on-campus counseling service, the need of which has been established by the very students who would benefit.  With the acceptance of this need, the future plan is to explore the different ways in which this need can be fulfilled with minimal costs to the Medical School Program. Conclusion:  This study is the first step towards identifying the needs of the medical students and sets the ground-work for further research into the specific areas of need and mental health challenges.  More specificity in the area of demographics of students will produce a more comprehensive picture of the areas of concentration for the therapists offering services.

A Short Modern History of Studying Sacrobosco’s De sphaera

2020 ◽  
Vol 65 (Special Issue) ◽  
pp. 23-33
Author(s):  
Alin Constantin Corfu
Keyword(s):  
20Th Century ◽  
Modern History ◽  
13Th Century ◽  
The Third ◽  
History Of ◽  
University Of Paris ◽  
The University

"A Short Modern History of Studying Sacrobosco’s De sphaera. The treatise generally known as De sphaera offered at the beginning of the 13th century a general image of the structure of the cosmos. In this paper I’m first trying to present a triple stake with which this treaty of Johannes de Sacrobosco (c. 1195 - c. 1256). This effort is intended to draw a context upon the treaty on which I will present in the second part of this paper namely, a short modern history of studying this treaty starting from the beginning of the 20th century up to this day. The first stake consists in the well-known episode of translation of the XI-XII centuries in the Latin milieu of the Greek and Arabic treaties. The treatise De sphaera taking over, assimilating and comparing some of the new translations of the texts dedicated to astronomy. The second Consists in the fact that Sacrobosco`s work can be considered a response to a need of renewal of the curriculum dedicated to astronomy at the University of Paris. And the third consists in the novelty and the need to use the De sphaera treatise in the Parisian University’s curriculum of the 13th century. Keywords: astronomy, translation, university, 13th Century, Sacrobosco, Paris, curriculum"

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

Philosophical and Cultural Aspects of Medical Profession: Philosophical and Conceptual Peculiarities

Cultura ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 165-174
Author(s):  
Iryna MELNYCHUK ◽  
Nadiya FEDCHYSHYN ◽  
Oleg PYLYPYSHYN ◽  
Anatolii VYKHRUSHCH
Keyword(s):  
Medical Students ◽  
Medical Profession ◽  
Subject Area ◽  
Human Relations ◽  
Cultural Aspects ◽  
Cultural Proximity ◽  
Personal Qualities ◽  
The Subject ◽  
Ecological Culture ◽  
High Level

The article analyzes the philosophical and cultural view of “doctor’s professional culture” as a result of centuries-old practice of human relations, which is characterized by constancy and passed from generation to generation. Medicine is a complex system in which an important role is played by: philosophical outlook of a doctor, philosophical culture, ecological culture, moral culture, aesthetic culture, artistic culture. We have found that within the system “doctor-patient” the degree of cultural proximity becomes a factor that influences the health or life of a patient. Thus, the following factors are important here: 1) communication that suppresses a sick person; 2) the balance of cultural and intellectual levels; 3) the cultural environment of a patient which has much more powerful impact on a patient than the medical one.At the present stage, the interdependence of professional and humanitarian training of future specialists is predominant, as a highly skilled specialist can not but become a subject of philosophizing. We outlined the sphere where the doctors present a genre variety of philosophizing (philosophical novels, apologies, dialogues, diaries, aphorisms, confessions, essays, etc.). This tradition represents the original variations in the formation of future doctor’s communicative competences, which are formed in the process of medical students’ professional training.A survey conducted among medical students made it possible to establish their professional values, which are indicators of the formation of philosophical and culturological competence. It was found out that 92% of respondents believed that a doctor should demonstrate a high level of health culture (avoid drinking and smoking habits, etc.)99% of respondents favoured a high level of personal qualities of a doctor which would allow methods and forms of medical practice to assert higher human ideals of truth, goodness and beauty that are the subject area of cultural studies and philosophy.

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