scholarly journals BASH: badmouthing, attitudes and stigmatisation in healthcare as experienced by medical students

2016 ◽  
Vol 40 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Ali Ajaz ◽  
Rhodri David ◽  
Damien Brown ◽  
Melanie Smuk ◽  
Ania Korszun

Aims and methodWe used an online questionnaire to investigate medical students' perceptions of the apparent hierarchy between specialties, whether they have witnessed disparaging comments (‘badmouthing’ or ‘bashing’) against other specialists and whether this has had an effect on their career choice.ResultsIn total, 960 students from 13 medical schools completed the questionnaire; they ranked medical specialties according to the level of badmouthing and answered questions on their experience of specialty bashing. Psychiatry and general practice attracted the greatest number of negative comments, which were made by academic staff, doctors and students. Twenty-seven per cent of students had changed their career choice as a direct result of bashing and a further 25.5% stated they were more likely to change their specialty choice. Although 80.5% of students condemned badmouthing as unprofessional, 71.5% believed that it is a routine part of practising medicine.Clinical implicationsBashing of psychiatry represents another form of stigmatisation that needs to be challenged in medical schools. It not only has an impact on recruitment into the specialty, but also has the wider effect of stigmatising people with mental health disorders.

2017 ◽  
Vol 114 (48) ◽  
pp. E10291-E10300 ◽  
Author(s):  
Jing Li ◽  
William H. Dow ◽  
Shachar Kariv

We measure the social preferences of a sample of US medical students and compare their preferences with those of the general population sampled in the American Life Panel (ALP). We also compare the medical students with a subsample of highly educated, wealthy ALP subjects as well as elite law school students and undergraduate students. We further associate the heterogeneity in social preferences within medical students to the tier ranking of their medical schools and their expected specialty choice. Our experimental design allows us to rigorously distinguish altruism from preferences regarding equality–efficiency tradeoffs and accurately measure both at the individual level rather than pooling data or assuming homogeneity across subjects. This is particularly informative, because the subjects in our sample display widely heterogeneous social preferences in terms of both their altruism and equality–efficiency tradeoffs. We find that medical students are substantially less altruistic and more efficiency focused than the average American. Furthermore, medical students attending the top-ranked medical schools are less altruistic than those attending lower-ranked schools. We further show that the social preferences of those attending top-ranked medical schools are statistically indistinguishable from the preferences of a sample of elite law school students. The key limitation of this study is that our experimental measures of social preferences have not yet been externally validated against actual physician practice behaviors. Pending this future research, we probed the predictive validity of our experimental measures of social preferences by showing that the medical students choosing higher-paying medical specialties are less altruistic than those choosing lower-paying specialties.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
L Al-Nusair

Abstract Aim Cardiothoracic surgery (CTS) is a rapidly evolving specialty requiring the recruitment of talented graduates. This study aims to explore perceptions and exposure of medical students nationally, to CTS. Method Medical students currently in the clinical years of their study were invited to complete an online questionnaire exploring their perceptions of CTS. The questionnaire evaluated students’ personal speciality interest, interest in pursuing CTS as a career, exposure to CTS throughout medical school and using a 5-point likert-scale. Results A total of 917 students were surveyed across 30 different medical schools, of these 378 (41.2%) had exposure to CTS either through their medical school or via extra-curricular activities. 526 (57.3%) were considering CTS as a career choice, 76 (8.3%) were considering it as their top choice of which 9 (11.8%) were final years. Overall, 16.9% (76) of medical students in their penultimate and final years are considering a career in CTS, 39.5% of whom were undecided as to which subspeciality with cardiac surgery being the most popular choice after this. The length of training and the high competition for places were the most deterring factors for medical students while the skilful nature of the surgery and its impact on patients’ lives were attracting factors to CTS. Conclusions Despite many students recognizing CTS as a highly impactful and stimulating field this is not reflected by the number of students wanting to undertake a career pathway within CTS. Very few students have dedicated CTS placements which may be a factor in lack of interest.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guoyi Yang ◽  
Ling Wang ◽  
Jia Wang ◽  
Zixian Geng ◽  
Huixin Liu ◽  
...  

Abstract Background The COVID-19 epidemic affected the career choice of healthcare professionals and students. Career choice regret of healthcare professionals and students during COVID-19 outbreak and its affected factors are largely unexplored. Methods Convenience sample of nurses, doctors, and medical students were recruited from hospitals and universities nationwide. The data collected including demographic information, professional value before and after the COVID-19 outbreak, the Connor-Davidson Resilience Scale, and career choice regret level by an online questionnaire. Multinominal logistic regression was employed to explore the factors associated with career choice regret. Results In total, 9322 participants of convenience sampling were enrolled in, including 5786 nurses, 1664 doctors, and 1872 medical students. 6.7% participants had career choice regret. Multinominal logistic regression analysis showed, compared to participants with no regret, that as levels of psychological resilience increased, the odds of experiencing career choice regret decreased (OR = 0.95, 95% CI 0.94–0.96), while participants with lower professional value evaluation after the COVID-19 outbreak had higher probability to experience career choice regret (OR = 1.55,95% CI 1.50–1.61). Medical students were more likely to regret than nurses (OR = 1.65,95% CI 1.20–2.28), participants whose career/major choice was not their personal ideal had higher risk of experience career choice regret (OR = 1.59,95% CI 1.29–1.96), while participants who were very afraid of the coronavirus had higher risk to experience career choice regret then participants with no fear at all (OR = 2.00,95% CI 1.24–3.21). As for the medical students, results indicated that medical students major in nursing and undergraduates had higher risk to experience career choice regret compared to medical students major in clinical medicine and postgraduate (Master or PhD), with an odds ratios of 2.65(95% CI 1.56–4.49) and 6.85 (95% CI 2.48–18.91)respectively. Conclusions A minority of healthcare professionals and medical students regretted their career choices during the COVID-19 outbreak. Enhance personal psychological resilience and professional value would helpful to reduce career choice regret among healthcare professionals and students during pandemic.


PEDIATRICS ◽  
1990 ◽  
Vol 86 (3) ◽  
pp. 488-488
Author(s):  
James E. Strain

Dr Simon has captured the essence of pediatrics. The personal satisfaction that comes from the care of children and their families makes pediatrics unique among medical specialties. Dr Simon is correct in stating that we should all be capable of promoting pediatrics as a career choice for medical students. Often the pediatric resident is in the best position to influence that choice. Students in the third year clinical clerkship consider members of the house staff as their mentors.


1970 ◽  
Vol 1 (4) ◽  
pp. 126-134 ◽  
Author(s):  
Bedanta Roy ◽  
Indrajit Banerjee ◽  
Brijesh Sathian ◽  
Monami Mondal ◽  
Sai Sailesh Kumar ◽  
...  

Background Career choice of medical students plays a vital role for health care system of a country. It also plays a crucial role to bring medical specialties into mainstream focus. Materials and Method A cross-sectional, questionnaire-based study has been performed at Manipal College of Medical Sciences, during the period of 1st May to 31st August–2011. A self reported questionnaire was given to the undergraduate medical students of Basic sciences. Questionnaire included career choices, nature of career, reason for choice, and education level and occupation in their parents. Results Data was collected from 269 medical students, among them 145 males and 124 female students participated in the study. The mean age of Indian (85, 31.6%), Nepalese (110, 40.9%) and Sri Lankan (74, 27.5%) students were 18.3 ± SD 0.7, 18.6 ± SD 0.8 and 18.0 ± SD 1.5 years respectively. Education and Occupation of parents seems to influence the determination of career choice in case of Medical students (p<0.01). Females have 2.19 times preference of choosing Medicine and 0.22 times Surgery compared to males (p<0.01). In case of Nepali male students, Surgery (60.3%) was the most preferred Postgraduate subject followed by medicine (20.6%) and in female students, medicine (44.7%) and OBG (31.9%). But in case of Indian male students 58.0% & 31.4% female students want to choose surgery as their career. 53.1% of the Sri-Lankan male students want to choose medicine as their post graduation and apart from these 50% of the female students also, which is followed by surgery 46.9% (male) and 21.4% (female) respectively. Conclusion Our study supports that Post-graduation in clinical specialties is always preferred over Basic sciences due to more interaction with patients and the practical aspects of medical profession. The relatively less popularity of some streams may show long-term impact on the health of health system of Nepal. Medical Universities have to modify their academic intervention activities to improve the basic science teaching learning programme in Nepal to turn around the deficiency of post graduates in this stream.http://dx.doi.org/10.3126/nje.v1i4.5754 Nepal Journal of Epidemiology 2011;1(4):126-134


2017 ◽  
Vol 59 (3) ◽  
pp. 36
Author(s):  
Tanko Salihu Tanimu ◽  
Godpower Chinedu Michael ◽  
Aliyu Ibrahim ◽  
Bukar Alhaji Grema ◽  
Abubakar Abiso Mohammed

Introduction: Undergraduate medical education requires the studying of a wide range of medical specialties to produce the future workforce of the healthcare system. Family medicine (FM), a relatively new specialty in Nigeria, aims at supplying doctors capable of providing comprehensive healthcare for the majority of the population. However, many Nigerian medical schools (Bayero University inclusive) are yet to include FM in their undergraduate curriculum. Methods: This was a descriptive cross-sectional study of 178 respondents randomly and proportionately selected from 400-, 500- and 600-level medical students of Bayero University Kano. Using a structured questionnaire, their awareness of FM discipline, specialty preferences, factors influencing specialty preferences and their views on the relevance of FM in improving health systems were assessed. Results: A majority of the respondents (60.7%) were males and most (93.8%) had heard of FM. However, only 19.7% of respondents were aware that FM was taught in the undergraduate programme of medical schools; 86% were aware of a postgraduate FM programme. FM (22.5%) was the second most preferred specialty following surgery (23.6%). Personal interest in the specialty was the main (76.5%) reason for preference. Only 2.9% believed the postgraduate training for FM had a longer duration. All respondents believed FM was relevant as a specialty. Conclusion: The knowledge and perception of the FM discipline among clinical medical students of Bayero University was good. They expressed that FM was relevant in the healthcare system as shown in their preference for the specialty, which ranked second among other specialties. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1313487


Author(s):  
Khalid M. Al-Harbi

Next generation genomic tools including dense SNP arrays and high throughput sequencing technology have led to the exponential increase in delineating genetic defects in rare as well as common genetic disorders. Advanced genetic tools have found clinical applications in almost all areas of medicine specifically in clinical diagnostic setting. Genomic testing has entered clinical practice and physicians are using genomic information to guide treatment options. Medical schools throughout the world have integrated medical genetics and genomics courses in the curriculum to prepare medical students and future physicians to understand the role of genetic factors in human health and disease. However, in Saudi Arabia, the existing undergraduate curriculum in most of the medical schools is insufficient to prepare medical students to cope with rapidly advancing genomic science. Moreover, the majority of medical schools in Saudi Arabia have no geneticist as an academic staff, and where there are such academician available relatively less teaching time is allocated for them and negligible use is made of their specialized knowledge. Overall in Saudi Arabian medical schools, little genetics teaching is given to medical students. An objective oriented genetic and genomic course need to be integrated in medical school curricula which would subsequently prepare generation of the student who can develop a critical understanding and knowledge of core concepts in medical genetics and genomics.


SAGE Open ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 215824401770046
Author(s):  
Fiona Muir ◽  
Kevin McConville ◽  
Lois Robertson ◽  
Karen Campbell ◽  
Shona McKnight ◽  
...  

This study was designed to explore medical students’ and primary school teachers’ experiences of a new community teaching project. Academic staff and students from the School of Medicine Dundee, National Health Service partners, local education department, and primary school teachers engaged in a collaborative project which has embedded community engagement in the curriculum while encouraging interprofessional education through multiagency working. Influenced by evaluative inquiry, this qualitative study used an online questionnaire, designed to give participants the freedom to respond, and give their own opinions, via free text responses. The results show the value of a real primary school–based situation, and the merit of experiential learning gained throughout the program, in which students interacted with children about health promotion in a meaningful way. The interprofessional and collaborative nature of the project enhanced the value of the experience for all participants in relation to the benefits of teamwork, dispelling the doctor authority and recognition of the roles of others. The experience was an interactive, enjoyable, and expressive way to facilitate learning, and has helped prepare the health care students for future practice.


BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e030425 ◽  
Author(s):  
Apichai Wattanapisit ◽  
Prachyapan Petchuay ◽  
Sanhapan Wattanapisit ◽  
Titiporn Tuangratananon

ObjectivesTo identify the essential content and approaches for developing a training programme in physical activity (PA) counselling for undergraduate medical curricula.DesignA three-round Delphi survey was conducted to investigate four key topics: (1) contents of PA counselling in medical education; (2) teaching and learning methods; (3) medical school collaboration and (4) educational policy implementation. Round 1 collected opinions from the participants. Round 2 focused on scoring the opinions. Round 3 summarised the expert opinions. A mean score of 4 or above identified as an important item.SettingAll 23 medical schools in Thailand.ParticipantsAcademic staff who were experts or in charge of medical schools in the fields of PA, health promotion or medical education.ResultsA total of 20 representatives from 18 of the 23 Thai medical schools participated in the study (for a response rate of 78.2%). The top three most important indicators of knowledge were (1) the definition and types of PA (4.75±0.55), (2) the FITT principle (frequency, intensity, time and type) (4.75±0.55) and (3) the benefits of PA (4.65±0.67). The most important component of the training involved general communication skills (4.55±0.60). An extracurricular module (4.05±0.76) was preferable to an intracurricular module (3.95±0.94). Collaborations with medical education centres and teaching hospitals (4.45±0.78) and supporting policies to increase medical students’ PA (4.40±0.73) were considered to be important.ConclusionKnowledge and counselling skills are important for PA counselling. Building collaborations between medical education and health institutions, as well as implementing effective educational policies, are key approaches to the integration of PA counselling into medical education. Future research should focus on investigating the effects of training in PA counselling on the learning outcomes of medical students and the clinical outcomes of patients.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Simon Nothman ◽  
Michael Kaffman ◽  
Rachel Nave ◽  
Moshe Y. Flugelman

Abstract Background Teaching medical students is a central part of being a doctor, and is essential for the training of the next generation of physicians and for maintaining the quality of medicine. Our research reviews the training that physicians in Israel receive as teachers of clinical clerkships, and their thoughts regarding teaching students. The importance of faculty development cannot be overstated, for securing quality medicine and physician empowerment. Methods This study was based on a survey conducted among physicians teaching at Israeli medical schools. The survey was conducted using an online questionnaire sent to clinical teachers according to lists received from the teaching units of the faculties, department heads, and other clinical teachers. Participation in the study was anonymous. Findings Of 433 invited physicians, 245 (56%) from three departments (internal medicine, paediatrics, obstetrics and gynaecology) of four faculties of medicine in Israel, out of five total, completed the questionnaire. Only 35% of the physicians reported having received training for their role as teachers, most of these participated in a short course of up to 2 days. There were significant differences between the Technion and the other schools. Technion teachers without academic appointment had higher rates of pedagogic training. The same was true in regard to Technion teachers, either residents or young specialist. Significant gaps were reported between the content covered in the training and the topics the doctors felt they would want to learn. The clinicians who participated in the survey expressed that clinical teaching was less valued and more poorly remunerated than research, and that improved compensation and perceived appreciation would likely improve the quality of clinical teaching. Conclusions Of the one-third of the physicians surveyed who had received some training in clinical teaching, the training was perceived as inadequate and not aligned with their needs. There was a significant difference in rates of pedagogic training between the Technion and other medical schools. In addition, most clinical teachers surveyed felt that teaching students is inadequately valued. Due to its focus on just three disciplines, and higher relative number participants from the Technion faculty of medicine, our survey may not fully represent the activities of the faculties of medicine in Israel. Nevertheless, given the importance of clinical teaching of medical students, our findings argue for increasing faculty development and educational training of physicians in clinical settings, for recognizing the importance of teaching in academic and professional promotion processes.


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