scholarly journals The status of accountable education in the Surgery Department, Tabriz, Iran

2019 ◽  
Vol 8 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Ahmad Pourabbas ◽  
Abolghasem Amini ◽  
Farnoush Fallah ◽  
Mohammad Asghari jafarabadi
Keyword(s):  
Medical Education ◽  
Current System ◽  
Teaching Hospitals ◽  
Measurement Tool ◽  
Study Group ◽  
Education Development ◽  
Medical Education System ◽  
The Status ◽  
Education Measurement ◽  
Surgery Department

Background: Accountability brings transparency and commitment to improve adherence to the mission and upgrade the current system. The medical education system bears a responsibility to be accountable towards the community, which involves examining the fulfillment of the university’s goals in this area. Therefore, this study has reviewed the fulfillment of accountable indicators in the study group. Methods: This descriptive study was carried out in the surgery department at the Tabriz University of Medical Sciences in the teaching hospitals of Imam Reza and Sina. it was done based on accountable education measurement tool that included 10 areas, 25 criteria and their associated markers. The data collection method was based on interviews, observation and review of documents. Results: The average performance (mean 38.6%) of the surgery department across the ten areas of social accountability in education was at a moderate level. There was no performance recorded in the 2nd and 9th areas and the performance in the 8th and 10th areas was poor. Areas 1, 4, 5, 6, and 7 had a moderate performance and the Area 3 had a fairly good performance average. Conclusion: The performance of the study group is based on some factors such as the relationship between the Medical Education Development Center and the Medical Education Department and their knowledge of accountability principles and criteria, and the knowledge and application of teaching, assessment, and evaluation methods as well as the knowledge of accountable education.

scholarly journals ESTABLISHMENT AND DEVELOPMENT OF MEDICAL EDUCATION AND SCIENCE IN THE WESTERN UKRAINE (XVIII - XIX CENTURY)

2019 ◽  
pp. 184-190
Author(s):  
I. A. Prokop ◽  
T. V. Savaryn
Keyword(s):  
Medical Education ◽  
Medical Personnel ◽  
Scientific Activity ◽  
Primary Sources ◽  
Education Development ◽  
History Of Development ◽  
Medical Education System ◽  
Western Ukraine ◽  
History Of ◽  
Xix Century

The research analyses the history of development and organization of medical educational establishments in the Western Ukraine in the second half of XVIII–XIX century. The article discusses the method of analysing bibliographic catalogues, classification and systematization of primary sources in History of Medicine and Pedagogy, and chronological method that identifies the establishment and development of medical education during different historical periods. The paper describes the structure of medical education system in the Western Ukraine in the second half of XVIII–XIX century and summarizes available data about professional and scientific activity of the outstanding Ukrainian doctors of this period. The main characteristics of medical education development in the mentioned historic period are: gradual increase in the number of medical establishments, medical departments, faculties, and students; improvement and transformation of medical personnel education and training.

scholarly journals Medical education in china: progress in the past 70 years and a vision for the future

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weimin Wang
Keyword(s):  
Medical Education ◽  
Health Professionals ◽  
Chinese Population ◽  
Health Needs ◽  
The Past ◽  
Medical Education System ◽  
The Status ◽  
Medical Educators ◽  
Education In China ◽  
Made In

AbstractMedical education in China has undergone significant reforms in contemporary times. As the world’s largest medical education system, it is important to understand the status of China’s medical education in our interdependent world. This paper highlights the current landscape of medical education in China, particularly the progress that have been made in recent years. It also examines the current topics and challenges facing China’s medical educators today, and proposed recommendations for improving medical education in China. The medical education in China will produce better qualified health professionals to meet the health needs of Chinese population according to the new requirements of the “Healthy China 2030” blueprint.

Physical Examination of Patients With Cerebrospinal Fluid Shunts: Is There Useful Information in Pumping the Shunt?

PEDIATRICS ◽  
1992 ◽  
Vol 89 (3) ◽  
pp. 470-473
Author(s):  
Joseph H. Piatt
Keyword(s):  
Cerebrospinal Fluid ◽  
Physical Examination ◽  
Predictive Value ◽  
Pumping Test ◽  
Study Group ◽  
Cerebrospinal Fluid Shunts ◽  
Imaging Studies ◽  
Shunt Valve ◽  
The Status ◽  
Shunt Obstruction

To assess the value of the information derived from pumping the shunt valve in hydrocephalic patients with cerebrospinal fluid shunts, the findings on examination of 200 consecutive patients were recorded prospectively. The status of each shunt was determined on the basis of all available clinical data, and the results of the shunt pumping test were compared to the final status of each shunt for various subsets of the study group. In the most clinically pertinent subsets, the sensitivity of the shunt pumping test in the detection of shunt obstruction was 18% to 20%, and the predictive value of a negative shunt pumping test, indicating shunt patency, was only 65% to 81%. For the hydrocephalic patient with symptoms of shunt malfunction, definitive imaging studies must not be deferred because of reassuring findings on examination of the shunt valve.

scholarly journals Incoming Interns' Perspectives on the Institute of Medicine Recommendations for Residents' Duty Hours

2010 ◽  
Vol 2 (4) ◽  
pp. 536-540 ◽  
Author(s):  
Vineet M. Arora ◽  
Jeanne M. Farnan ◽  
Monica L. Lypson ◽  
R. Andy Anderson ◽  
Meryl H. Prochaska ◽  
...  
Keyword(s):  
Medical Education ◽  
Odds Ratio ◽  
Teaching Hospitals ◽  
Institute Of Medicine ◽  
Negative Consequences ◽  
Clinical Context ◽  
Duty Hours ◽  
Clinical Scenarios ◽  
Resident Duty ◽  
Shift Length

Abstract Background The Accreditation Council for Graduate Medical Education (ACGME) has announced revisions to the resident duty hour standards in light of a 2008 Institute of Medicine report that recommended further limits. Soliciting resident input regarding the future of duty hours is critical to ensure trainee buy-in. Purpose To assess incoming intern perceptions of duty hour restrictions at 3 teaching hospitals. Methods We administered an anonymous survey to incoming interns during orientation at 3 teaching hospitals affiliated with 2 Midwestern medical schools in 2009. Survey questions assessed interns' perceptions of maximum shift length, days off, ACGME oversight, and preferences for a “fatigued post-call intern who admitted patient” versus “well-rested covering intern who just picked up patient” for various clinical scenarios. Results Eighty-six percent (299/346) of interns responded. Although 59% agreed that residents should not work over 16 hours without a break, 50% of interns favored the current limits. The majority (78%) of interns desired ability to exceed shift limit for rare cases or clinical opportunities. Most interns (90%) favored oversight by the ACGME, and 97% preferred a well-rested intern for performing a procedure. Meanwhile, only 48% of interns preferred a well-rested intern for discharging a patient or having an end of life discussion. Interns who favored 16-hour limits were less concerned with negative consequences of duty hour restrictions (handoffs, reduced clinical experience) and more likely to choose the well-rested intern for certain scenarios (odds ratio 2.33, 95% confidence interval 1.42–3.85, P  =  .001). Conclusions Incoming intern perceptions on limiting duty hours vary. Many interns desire flexibility to exceed limits for interesting clinical opportunities and favor ACGME oversight. Clinical context matters when interns consider the tradeoffs between fatigue and discontinuity.

scholarly journals Ilio inguinal neurectomy in inguinal hernia

2017 ◽  
Vol 4 (9) ◽  
pp. 2977
Author(s):  
T. Mohanapriya ◽  
T. R. Karthikeyan ◽  
K. Balaji Singh ◽  
T. Arulappan
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Controlled Trial ◽  
Chronic Groin Pain ◽  
Study Group ◽  
Ilioinguinal Nerve ◽  
Nerve Preservation ◽  
Significant Complication ◽  
Lichtenstein Hernia Repair ◽  
Surgery Department

Background: Inguinal hernia is one of the most common surgery done in any hospital. Chronic inguinal pain is one of the common problem these patients complain of. This study aims at evaluating the long-term outcomes of neuralgia and paraesthesia following routine ilioinguinal nerve division, compared to nerve preservation when performing Lichtenstein’s inguinal hernia repair.Methods: The present study is a randomized controlled trial of 60 cases of inguinal hernias admitted in General Surgery Department in our hospital. The patients were randomly chosen into Lichtenstein hernia repair with ilioinguinal neurectomy or Lichtenstein hernia repair with nerve preservation. After surgery, all patients were monitored carefully for pain and paraesthesia. Pain was assessed using visual analogue scale. Paraesthesia was assessed by the monofilament test and evaluated after comparison with the opposite side.Results: In the present study, the incidence of pain as well as the severity of pain is far higher in the nerve preservation study group as opposed to the neurectomy study group. Hypaesthesia is not a significant complication following ilioinguinal neurectomy and does not significantly add to the morbidity of the patient.Conclusions: Prophylactic neurectomy can be an appropriate solution in the prevention of chronic groin pain following Lichtenstein inguinal hernia repair and can be considered as an ideal inclusion into the standard hernia repair procedures. Hypoesthesia is not a significant complication following ilioinguinal neurectomy and does not significantly add to the morbidity of the patient.

scholarly journals Evaluation of the Task Compliance of Medical Education Development Centers from the Viewpoint of the Managers of the Centers

2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ali Reza Kalantari ◽  
Noora Rafiee ◽  
Saeed Hosseni ◽  
Somaye Noori Hekmat ◽  
Ali Akbar Haghdoost ◽  
...  
Keyword(s):  
Medical Education ◽  
Education Development
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