scholarly journals Think before you cut! Is surgery about ‘doing’ or about ‘thinking’?

2021 ◽  
Vol 103 (1) ◽  
pp. 20-23
Author(s):  
R Grounds

Is surgery about ‘doing’ or about ‘thinking’? The question is pertinent, because only if we know what we are trying to achieve can we hope to use the right educational method to reach our goal! It could be argued that surgery is an inextricable combination of doing, thinking and interacting with others. Educational theory teaches us that there are three main models of teaching: behaviourism (learning by ‘doing’), cognitivism (learning by ‘thinking’) or social constructivism (learning by ‘interacting’). Furthermore, most education systems advocate the models to be used in that order, with behaviourist techniques for the novice and constructivism reserved for the expert. Yet on reflection, today's medical students start their learning in a lecture theatre, spend core training years revising for exams and only the last few years of training actually ‘doing’ surgery – quite the opposite of what educational theory mandates. If the expert surgeon ‘does’ while the novice only ‘knows’, then is it not time to start teaching in reverse? Rather than surgical training beginning with a period of ‘thinking’ in isolation, an integrated curriculum incorporating ‘doing’ from the outset should allow trainee surgeons to reach their goal of ‘doing’ more efficiently and effectively.

Knowledge of medical ethics and law plays an essential role in the training of future doctors and this chapter provides a clear overview of what medical students need to know in terms of ethical decision-making and practice. The 1998 Consensus Statement on ethics for UK medical schools is summarized. The chapter discusses patients—their values, narratives, rights, and responsibilities. Consent and refusal in medical decision-making, including the main elements of valid consent, are analysed, along with the right to confidentiality and its limits. The chapter gives practical guidance on ethical behaviour while at medical school, ensuring patient dignity during physical examinations (e.g. pulling the curtains round a bed) and protecting patient confidentiality (e.g. not discussing a case in a crowded hospital lift). The chapter also advises medical students on how to learn from what they observe during their training, whether in the lecture theatre or on the ward, to help build their own ethical practise.


2021 ◽  
Vol 10 (1) ◽  
pp. 28-33
Author(s):  
Khwaja Mohammad Amir ◽  
Nasser Ashraf Tadvi ◽  
Mohammad Rehan Asad ◽  
Riyaz Ahamed Shaik ◽  
Abdul Irfan ◽  
...  

2020 ◽  
Vol 24 (5) ◽  
Author(s):  
Jan E. Siegersma

Taking my residency into account I have now been in the field of ophthalmology for 20 years. That is a good moment for some reflection. Have I chosen the right specialty? Have I seen some remarkable patients? Not a lot of medical students starting medical school desire to become an ophthalmologist. In fact amongst most medical students ophthalmology is not quite popular.


2017 ◽  
Vol 6 (4) ◽  
Author(s):  
Rachmawati Putri

Mathematics is an exact science or science of certain knowledge about the logic of the form, order, scale, and concepts that are related to each other. In mathematics teaching, the understanding of the concepts of the essential very important. The understanding of the concepts of the essential that both will make the students put the concepts of the concept in the long-term memory system and can use them to think on a higher level thinking such as problem-solving and creative thinking. The understanding of the concepts of the essential that will aid them in reaching the specified minimum value in formal education. But in fact, many students who are still far from the ideal condition. The understanding of essential concepts in mathematics for material operation count is still low. In addition the number of students who successfully reach and exceed the minimum value formal education less than 70%. This is what causes the number of teachers must perform a remedial learning classical. Not yet on the actual condition, many students who are not able to follow the lessons but can still up the class seems to get "values" mercy from the teachers. If things like this continue to happen, then their understanding will not be formed as a whole to be able to continue teaching on the next material that the fact of the matter is the lesson materials that more complex. The Kumon Method is a unique educational method, which does not generalize the ability of each student. Based on individual guidance and learning at the right level, Kumon wants to develop each child's ability and maximize its potential. Kumon appreciates the value of independent learning.  Thus, individual guidance is one of the basic features of the Kumon Method. The key to an individual guidance is learning at the right level when students can advance independently without being specifically taught. With the Kumon Method, students learn independently from an early age and develop both a high level of academic ability and the ability to learn independently or in  Kumon better known as the  "ability to learn independently". Individual guidance Kumon method allows each student to learn at levels that best suit their academic ability, regardless of age or level of schooling, and to advance beyond the current school levels.


2021 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Vijayalakshmi S. Bhojaraja ◽  
B. K. Manjunatha Goud ◽  
Joan Kumar ◽  
Anand Srinivasan ◽  
Jeevan K. Shetty

Objectives: Our medical school followed the traditional curriculum earlier, and due to a large amount of content embedded in each discipline, which had less scope for active and deep learning. To overcome this, we adopted an integrated curriculum and introduced a few active teaching/learning (T/L) methodologies, which promote deep learning and problem-solving skills. One such T/L methodology we introduced was team-based learning (TBL). Before implementing this active T/L methodology in the integrated curriculum, we evaluated the effectiveness of TBL in medical students from the traditional curriculum and aimed to determine students’ perceptions. Furthermore, we aimed to explore the perception of TBL in students who underwent integrated curriculum to evaluate the difference in their perception compared to the traditional curriculum. Materials and Methods: This cross-sectional study was conducted in RAK Medical and Health Sciences University on the 1st year medical students from the traditional and integrated curriculum. Institutional ethical committee clearance and informed consent were obtained before starting the study. A pre-validated 5-item survey questionnaire comprising questions related to the content, process, and teamwork was used to obtain perceptions of students’ on TBL. Results: The students positively perceived the teaching-learning experience using TBL and understood the concepts better. Even the students with integrated curriculum had the same positive impact on their learning attitudes. The majority of students in both cohorts agreed that discussion among their teams helped them to learn better. Around two-thirds (66%) of students from the traditional curriculum and one-third (39%) of students from integrated curriculum wanted TBLs as T/L methodology over didactic lectures. Conclusion: TBL helped to learn better and understand the subject and promoted self and peer engagement, which facilitated their learning by clarifying the doubts with peers. Due to this positive TBL experience, most students from both curriculums recommended its use as a T/L method over lecture. Hence, TBL sessions in medical schools can be used as an effective T/L method to facilitate meaningful learning.


2021 ◽  
Vol 8 (2) ◽  
pp. p1
Author(s):  
Sherry A. McDonald ◽  
Chris Cale Cale ◽  
Sunddip Panesar-Aguilar ◽  
Michelle McCraney

As criticism intensifies regarding healthcare disparities, the Liaison Committee for Medical Education has added accrediting standards mandating Service Learning (SL) in their curriculum. SL is a viable educational method to enhance social responsibility and other elements of professional identity. The problem of implementing highly effective SL projects in medical education was addressed in this study. Kiely’s model of transformational SL was used in this basic qualitative study to examine 10 medical students’ experiences during an SL project. The research question for the study was focused on the students’ descriptions of their experiences to understand how they perceived changes in themselves resulting from participation in SL. Findings from the data collected with semistructured interviews indicated that medical students described SL experiences as beneficial for community integration, educating others, and gratification. They expressed disappointment that they did not know the results of their projects. They related SL experiences that were eye-opening for them and stated that SL influenced their development of compassion as well as their intent to serve their community in their future practice of medicine. The resulting research study consisted of a curriculum plan for a required, credit-bearing SL project. The research contributes to positive social change by the intentional design of a transformative SL curriculum to foster social responsibility development.


2021 ◽  
Author(s):  
◽  
James Silverwood

<p>The main intention of the research is to develop a model for an inner city primary school building which is responsive to the urban context and reflects the educational theory of Social Constructivism. The underlying demand for an inner city primary school was identified as a result of a recent demographic shift which involves more families living in the centres of New Zealand’s cities. Schools are an important part of a city’s infrastructure, where quality schools can help to develop quality cities. There should be a close fit between current educational theory and contemporary school design. Social Constructivism views learning as the construction of knowledge through social interaction with peers, adults and the environment. The design case study proposes a vertical school that is capable of supporting strong links with the community through developing a ‘public living room’ alongside retail outlets. While the vertical nature of the school limits some contact it is possible to develop a ‘learning street’ and other meeting places within the school. The plan also provides flexible classroom spaces and workrooms to meet curriculum objectives. A variety of indoor and outdoor spaces can be provided but it is proposed that the children also access the city’s public open spaces and amenities. The city can be viewed as an extended classroom, as suggested in Strickland’s ‘City of Learning’ model. The site for the proposed school was selected to ensure easy access to amenities and resources. Overall the research suggests an inner-city primary school building is possible and even desirable for those living and working in the city.</p>


Author(s):  
Kenneth Nugent

Editor’s note: Please see the abstract supplement on the right-hand side of the journal home page. This supplement includes abstracts created by first year medical students during the 2020 summer research program.


Author(s):  
Gabriela Torres-Hernández ◽  
Patricio García-Espinosa ◽  
Edgar Botello-Hernández ◽  
Diego Ortega-Moreno

During February  2021, a protest was organized by Mexican medical students through social media. About 200 interns, social service physicians and physicians protested peacefully in front of the city hall of Monterrey, Nuevo Leon, the capital of Mexico's second largest metropolitan area. Due to the current contingency situation, it was requested to attend with face shield and masks. The reason for the protest was to raise their voice due to the precarious situation where social service physicians are sent to rural areas of the country in which they have all the obligations of workers but without belonging to the working class - lacking the the benefits of this same as a living wage or fair working hours. The protesters were in limbo between student and worker. The protest also demanded justice for the sensitive death of young doctors due to malpractice situations of the Mexican authorities. We believe that a total reform of the social service in medicine is necessary. It is the responsibility of the authorities to cover the rural areas with permanently trained doctors without depending on recently graduated doctors. It is always important to assert our fundamental rights, including the right to protest in a peaceful manner.


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