scholarly journals Influence of undergraduate medical education exposure to cadaveric dissection on choice of surgical specialty: a national survey of Canadian surgical residents

2021 ◽  
Vol 64 (2) ◽  
Author(s):  
Tyler McKechnie ◽  
Jeremy E. Springer ◽  
Aristithes G. Doumouras ◽  
Travis Schroeder ◽  
Cagla Eskicioglu ◽  
...  
Keyword(s):  
Medical Education ◽  
Undergraduate Medical Education ◽  
Likert Scale ◽  
Training Methods ◽  
Cross Sectional Survey ◽  
Surgical Specialty ◽  
Cadaveric Dissection ◽  
Surgical Residents ◽  
First Choice ◽  
The Impact

Background: The number of Canadian Residency Matching Service (CaRMS) applicants ranking surgical specialties as their first choice has declined over the past 20 years; concurrently, there has been a reduction in the number of hours spent teaching undergraduate medical education (UGME) anatomy, particularly with cadaveric dissection. The aim of this study was to determine the factors that most influence selection of a surgical specialty, with specific focus on the impact of UGME anatomy training. Methods: A 36-item cross-sectional survey was designed by experts in medical education and distributed to all current surgical residents in Canada in October 2018. Responses were recorded on a 5-point Likert scale or by means of list ranking. We analyzed univariable outcomes with a t test for continuous outcomes and the χ2 test for dichotomous outcomes. Results: Of 1493 surgical residents, 228 responded to the survey (response rate 15.3%). Respondents reported experiences on core rotations and elective rotations, and access to a mentor as the most important factors in deciding to pursue a surgical residency. Anatomy training with or without cadaveric dissection was moderately influential in respondents’ first-choice CaRMS discipline (mean Likert scale score 2.97 [standard deviation (SD) 1.34] and 2.87 [SD 1.26], respectively). General surgery residents’ CaRMS applications were more likely to have been influenced by UGME anatomy training than the applications by residents in other surgical specialties (p < 0.001). The impact of UGME anatomy training did not vary between postgraduate years or between male and female residents. Conclusion: Canadian surgical residents’ decision to apply to a surgical specialty did not seem to be strongly influenced by their UGME anatomy training, with or without cadaveric dissection, but, rather, by factors such as clinical experience and surgical mentorship. Further evaluation of groups that were more positively affected by their UGME anatomy training is warranted.

scholarly journals Exploring the global impact of the COVID-19 pandemic on medical education: an international cross-sectional study of medical learners

2021 ◽  
Author(s):  
Allison Brown ◽  
Aliya Kassam ◽  
Mike Paget ◽  
Kenneth Blades ◽  
Megan Mercia ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Training ◽  
Well Being ◽  
World Health ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The World ◽  
Geographic Regions ◽  
The Impact

Background: The evidence surrounding the impact of COVID-19 on medical learners remains anecdotal and highly speculative despite the anticipated impact and potential consequences of the current pandemic on medical training. The purpose of this study was to explore the extent that COVID-19 initially impacted medical learners around the world and examine global trends and patterns across geographic regions and levels of training. Methods: A cross-sectional survey of medical learners was conducted between March 25–June 14, 2020, shortly after the World Health Organization declared COVID-19 a pandemic. Results: 6492 learners completed the survey from 140 countries. Most medical schools removed learners from the clinical environment and adopted online learning, but students reported concerns about the quality of their learning, training progression, and milestone fulfillment. Residents reported they could be better utilized and expressed concerns about their career timeline. Trainees generally felt under-utilized and wanted to be engaged clinically in meaningful ways; however, some felt that contributing to healthcare during a pandemic was beyond the scope of a learner. Significant differences were detected between levels of training and geographic regions for satisfaction with organizational responses as well as the impact of COVID-19 learner wellness and state-trait anxiety. Conclusions: The disruption to the status quo of medical education is perceived by learners across all levels and geographic regions to have negatively affected their training and well-being, particularly amongst postgraduate trainees. These results provide initial empirical insights into the areas that warrant future research as well as consideration for current and future policy planning.

Undergraduate Medical Education towards Health for All: Progress, Pitfalls, Perspectives

1992 ◽  
Vol 5 (1) ◽  
pp. 17-31
Author(s):  
Antonio C. M. Carvalho
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Primary Health Care ◽  
Undergraduate Medical Education ◽  
Poor Quality ◽  
Sources Of Information ◽  
Community Based ◽  
Community Based Education ◽  
Primary Health ◽  
The Impact

I discuss aspects of undergraduate medical education related to primary health care and analyse innovative programmes, with emphasis on problem-based methods and community-based education. Assessing the impact of these programmes shows problem-based learning is an interesting didactic exercise but not a necessary or sufficient condition for the adequacy of programmes to the Health for All (HFA) policy. Community-based education is pressed by several obstacles inside and outside educational institutions that put at risk its effectiveness as a real agent of change. Amongst these obstacles are political difficulties in building linkages amongst teaching institutions, services, and community; logistical problems in facilitating faculty and student work in the community; reactions from faculties; poor research opportunities in primary health care; pressures for more socially, professionally, and economically rewarding careers; biases in training the present generation of teachers; attempts to fulfil the social, behavioural, epidemiological, and preventive knowledge requirements for medical education by adding to an already overloaded information base; and shortage of relevant and significant sources of information for the medical students. Building corporations representing ‘innovative’ programmes, on one side, and ‘conservative’, ‘traditional’ ones, on the other, is not helpful and probably false. Each Programme should be assessed in its strength and weaknesses in the light of political decisions committed to change in unequal, poor-quality health systems.

scholarly journals More than Just Soup: Use of a Student-Led COVID-19 Social Pediatrics Initiative to Propose the Integration of Social Medicine Electives in Undergraduate Medical Education

2020 ◽  
Vol 7 ◽  
pp. 238212052097321
Author(s):  
Jennifer Daccache ◽  
Michel Khoury ◽  
Charlene Habibi ◽  
Susan Bennett
Keyword(s):  
Medical Education ◽  
Undergraduate Medical Education ◽  
Intervention Group ◽  
Social Medicine ◽  
Learning Objectives ◽  
Control Group ◽  
Social Pediatrics ◽  
The Social ◽  
Innovative Solution ◽  
The Impact

Introduction: The need to educate medical students on the social forces shaping disease and health patterns is paramount in preparing incoming physicians with the aptitudes to address health inequities. Despite its well-documented merit as a model of practice, social medicine remains underrepresented at the undergraduate medical education level. We hypothesize that the success of this student-led COVID-19 initiative proposes a tangible and innovative solution to address the lack of social medicine exposure in undergraduate medical education. Methodology: We sought to evaluate the impact of sustaining clinical learning during the pandemic using the social pediatrics model as a didactic vector for clerkship students. We extracted learning objectives relevant to the teaching of social medicine from the Royal College of Physicians and Surgeons of Canada’s CanMEDS framework and developed a survey aimed at evaluating the attainability of each of those objectives. The survey was distributed to students enrolled in the social pediatrics COVID-19 initiative after 6 weeks (April-May), as well as a control group. Results: Completing the survey were 19 students from the University of Ottawa Faculty of Medicine, 7 in the intervention group and 12 in the control group. Students that participated in the social pediatrics initiative yielded significantly higher values for the achievement of 6 out of 9 social medicine learning objectives when compared to the control group. Although the values followed a similar trend for the remaining 3 objectives, favoring the intervention group, they were not statistically significant. Conclusion: The positive results from this study and the COVID-19 student-led initiative template can serve as a catalyst for curricular change so as to ensure graduates are adequately trained to contend with the realities of the social landscape in which they will practice. Future plans include the incorporation of interactive social medicine experiences throughout all 4 years of medical school.

scholarly journals Determinant Factors Affecting the Web-based Training Acceptance by Health Students, Applying UTAUT Model

2017 ◽  
Vol 12 (10) ◽  
pp. 112 ◽  
Author(s):  
Asgar Sattari ◽  
Mohammadhiwa Abdekhoda ◽  
Vahideh Zarea Gavgani
Keyword(s):  
Technology Use ◽  
Training Methods ◽  
Cross Sectional Survey ◽  
Web Based ◽  
Utaut Model ◽  
Factors Influencing ◽  
Use Of Technology ◽  
E Learning ◽  
The Impact ◽  
The Web

Nowadays Web-based training (WBT) is the most advanced training methods. With the increasing use of modern methods of training in universities necessity of identification of the factors influencing the acceptance of web-based training becomes more obvious. This study examines the factors influencing the acceptance of web-based training by students. This study was cross-sectional survey and conducted from August to December 2016. As sample, 239 students of Tabriz University of Medical Sciences (TUOMS) were asked to participate in this study and fill the corresponding questionnaires. The unified theory of acceptance and use of technology (UTAUT) was applied to investigate and explain the acceptance of E-learning. The data were analyzed by SPSS v.16. Findings revealed that the web- based training acceptance was directly influenced by performance expectancy, effort expectancy, facilitated condition, and attitude toward technology, self-efficacy, and anxiety. In contrast the impact of the social influences hadn’t been observed on behavior indentation. The findings indicated that UTAUT model explains about 58% of the variance for adoption of WBT. The study not only provides an indicator of students’ acceptance of E-learning, but also recognizes the important factors that would contribute to its successful use. The simulating or disappointing factors effecting use of the E-learning systems in university have been understood in a well-organized way according to the received results. Decision makers should apply these conclusions to improve strategies to align users’ expectations with use of technology use learning.

scholarly journals A cross-sectional survey on academic librarian involvement in evidence-based medicine instruction within undergraduate medical education programs in Canada

2020 ◽  
Vol 41 (3) ◽  
Author(s):  
Zahra Premji ◽  
Kaitlin Fuller ◽  
Rebecca Raworth
Keyword(s):  
Medical Education ◽  
Undergraduate Medical Education ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Educational Strategies ◽  
Education Programs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
School Faculty ◽  
Based Medicine

Introduction: The purpose of this study was to determine the range of involvement of Canadian academic medical librarians in teaching evidence-based medicine (EBM) within the undergraduate medical education (UME) curriculum. This study articulates the various roles that Canadian librarians play in teaching EBM within the UME curriculum, and also highlights their teaching practices. Methods: An electronic survey was distributed to a targeted sample of academic librarians currently involved in UME programs in Canadian medical schools. Results: 12 respondents (including one duplicate response) representing ten schools responded to this survey. 7 of 10 respondents were involved in EBM instruction, 3 of 10 institutions had a dedicated EBM course. Librarians were involved in a variety of roles, and often co-created and co-delivered content along with medical school faculty, and were present on course committees. They used a variety of educational strategies, incorporated active learning, as well as online modules. Discussion/Conclusion: The data highlighted the embedded nature of EBM instruction in undergraduate medical education programs in Canada. It also showed that librarians are involved in EBM instruction beyond the second step of EBM; acquiring or searching the literature.

scholarly journals Teachers’ view about the current situation of e-learning practice in undergraduate medical education of Bangladesh

2020 ◽  
Vol 11 (1) ◽  
pp. 12-16
Author(s):  
MAS Talukder ◽  
Md Humayun Kabir Talukder ◽  
MR Pervin ◽  
MFH Talukder ◽  
TT Tapu
Keyword(s):  
Medical Education ◽  
Undergraduate Medical Education ◽  
Teaching And Learning ◽  
Current Situation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Teachers And Students ◽  
E Learning ◽  
Medical Colleges

Background: E-learning or electronic learning is increasingly used as a complement to traditional classes in undergraduate medical education. E-Learning become more popular, because they allow saving time of teachers and students, reduce costs of teaching and learning materials and improve classroom as well as medical colleges’ educational environment.   Objectives: This descriptive cross sectional survey was driven to explore teachers’ view about the current situation of e-learning practice in undergraduate medical education of Bangladesh. Methods: From all four phases, total 172 teachers of randomly selected eight medical colleges of Bangladesh were respondents of this study to seek information regarding the current situation of e-learning practice in undergraduate medical education, between the period of July 2018 to June 2019 with a pretested self-administered questionnaire. Results: In this study 68 (39.5%) were male and 104 (60.5%) were female teachers.  Fifty-two point three percent (52.3%) teachers agreed that they strongly awared of e-learning, 87.8% teachers had personal computers/laptops, 99.4% teachers had personal smartphones, and 98.8% teachers had personal e-mail addresses. Fifty-three percent (53%) teachers agreed that they have adequate knowledge and skill in information and communication technology (ICT). Forty-four percent (44%) teachers disagreed that they were interact with students and 49.5% teachers agreed that they interacted with peer and colleague by using social media in their medical colleges. Conclusion: Teachers are aware of e-learning and they practiced it in personal level without collaboration of the medical colleges. It is essential to provide e-learning facilities in medical colleges for improvement of undergraduate medical education. Bangladesh Journal of Medical Education Vol.11(1) 2020: 12-16

scholarly journals The Impact of Community-Based Undergraduate Medical Education on the Regional Physician Workforce

2016 ◽  
Vol 91 ◽  
pp. S15 ◽  
Author(s):  
Julie P. Phillips ◽  
Andrea L. Wendling ◽  
Carrie Fahey ◽  
Brian Mavis
Keyword(s):  
Medical Education ◽  
Undergraduate Medical Education ◽  
Physician Workforce ◽  
Community Based ◽  
The Impact

scholarly journals Teaching Professionalism in undergraduate Medical Education

2021 ◽  
Vol 15 (6) ◽  
pp. 1874-1875
Author(s):  
Amjad Ali ◽  
Asim Shafi ◽  
Arif Siddiq ◽  
Muhammed Salman Siddiq ◽  
Rab Nawaz Malik ◽  
...  
Keyword(s):  
Medical Education ◽  
Undergraduate Medical Education ◽  
Undergraduate Students ◽  
Sampling Technique ◽  
Bench Mark ◽  
Health Educators ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Computer Based ◽  
Health Teaching

For the last many years, there have been speedy and far-reaching changes in health teaching. [1] Numerous innovative approaches of teaching professionalism have been established and executed since 1950’s and engrossed on medical expertise. In this paper, we will observe teaching professionalism in health teaching, detailing the usages and tasks associated with diverse methods. The developments in bio medical technologies and skills have been primed to advance of teaching professionalism tools that expand the assessment of expertise. Objective: To observe the Teaching Professionalism in undergraduate medical education in BADMC Multan Methodology: A cross sectional survey was conducted at BAMDC Multan from January 2020 to June 2020 after obtaining ethical approval from ECB. The data was collected through convenience sampling technique from 50 health educators teaching anatomy, medicine, Surgery and Gyane & Obs. to undergraduate students by using unidentified questionnaire. Consent was taken from all participants before data collection. Data was entered and analyzed by using SPSS 21. Results: Of the 50 health educators, 46 (92%) reacted to the main phase of the overview, 48 (96%) of medical educators have sound mentalities about their jobs and responsibilities, 42 (84 %) having disintegration of clinical polished methodology, 44 (80 %) have clinical instructors ethicists- subjecting one's personal responsibility to the interest of patients, 50 (100 %) sticking to high moral and good guidelines, 40 (80 %)responding to cultural necessities, 48 (96%) displaying center humanistic qualities (e.g., compassion, uprightness, benevolence, dependability), 50 (100%) can design demonstrable, 46 (92 %) have duplicates of educational plan materials utilized in courses identified with polished skill, 48 (96 %) use Simulations ,22 (44 %) can use Computer-based simulation, 40 (80 %) can create case generation techniques. Conclusion & Recommendations: From this study, it is concluded that only 22 health educators (44 %) can use Computer-based simulation, 40 (80 %) can create case generation techniques, 40 (80 %) responding to cultural necessities, 42 (84 %) having disintegration of clinical polished methodology that is very low bench mark in teaching professionalism. Extra exploration is needed, mainly if the teaching professionalism is used to make high stick verdicts (e.g., elevation and authorization). Key Words: Health Educators, Ethical Committee Board, Bakhtawar Amin Medical & Dental College, Multan

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