scholarly journals Time management of Internal Medicine medicalresidents, São Paulo, Brasil

2019 ◽  
Vol 65 (8) ◽  
pp. 1048-1054
Author(s):  
Rafael Augusto Tamasauskas Torres ◽  
Frida Marina Fischer
Keyword(s):  
Internal Medicine ◽  
Time Management ◽  
Management Strategies ◽  
Work Organization ◽  
Sao Paulo ◽  
University Hospital ◽  
Medical Residents ◽  
Daily Routine ◽  
Medical Residency ◽  
São Paulo

SUMMARY INTRODUCTION Medical Residency is a recognized form of professional qualification, but there are criticisms regarding the overload of work activities. Given the length of the daily and weekly workdays, residents develop practices that enable them to reconcile the Residency with their personal life. AIM To describe time management strategies in the daily routine of Internal Medicine Medical Residents of a university hospital in São Paulo, Brasil. METHODS Eight interviews were conducted with resident physicians of the second year, addressing aspects of personal and family life, theoretical study, practical activities, and work bonds. Content analysis was carried out using the MaxQDA software. RESULTS Six thematic categories emerged from the reports: work organization at the Medical Residency; learning and/or professional activities; housing, financial planning, and household activities; time for leisure and interpersonal relationship; family planning/children; rest/sleep. DISCUSSION Several strategies are adopted for time management: residing near the hospital, domestic activities helped by housekeepers, postponement of maternity leave, and social support centered on interacting with other residents. There are paid activities not associated with the Residency, which lead to reduced time for rest, study, and leisure, with a greater loss during work at night shifts. CONCLUSIONS Residents experience a period of intense learning, which requires a high workload and complex work. The evaluation of the work organization of medical residents should include not only time for rest but also time management strategies for daily activities, which can reduce the negative outcomes associated with long working hours.

scholarly journals Knowledge and attitudes towards dementia in a sample of medical residents from a university-hospital in São Paulo, Brazil

2016 ◽  
Vol 10 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Alessandro Ferrari Jacinto ◽  
Paulo José Fortes Villas Boas ◽  
Vânia Ferreira de Sá Mayoral ◽  
Vanessa de Albuquerque Citero
Keyword(s):  
Descriptive Analysis ◽  
Sao Paulo ◽  
University Hospital ◽  
Medical Residents ◽  
Good Knowledge ◽  
Public Healthcare ◽  
São Paulo ◽  
Medical Specialties ◽  
Dementia Prevalence ◽  
Knowledge And Attitudes

An estimated 61% of the 24.3 million people diagnosed with dementia worldwide live in underdeveloped countries, including Brazil, where a public healthcare system covers the majority of the population. This care is usually provided by General Practitioners (GP) and in Brazil many doctors recently graduated from medical school and residents of different medical specialties practice as GPs. Objective : The aim of this study was to describe the knowledge and attitudes about dementia in a sample of Brazilian medical residents from a university-hospital in São Paulo, Brazil. Methods : A total of 152 Brazilian medical residents participated in the study. Participants answered a "Knowledge Quiz" (KQ) and "Attitude Quiz" (AQ) about dementia issues, transculturally adapted for use in Brazilian physicians. A descriptive analysis of the correct answers on knowledge and of the attitude aspects was performed. Results : The medical residents showed poor knowledge (<50%) about dementia prevalence and incidence and a good knowledge on disease management and diagnosis. Participants tended to be optimistic about caring for demented patients. Conclusion : In this study, it is likely that the physicians' good knowledge about dementia issues is the reason for their optimism dealing with demented patients.

The Daily Routine of Students in the Classroom

2020 ◽  
Vol 8 (3) ◽  
pp. 157-163
Author(s):  
Lilian Marques Silva
Keyword(s):  
Elementary School ◽  
Public School ◽  
Data Collection ◽  
New Technologies ◽  
Sao Paulo ◽  
The State ◽  
Daily Routine ◽  
São Paulo ◽  
Access To Information ◽  
Technological Advances

The almost instantaneous access to information provided by technological advances has revolutionized the behavior of people and of the classrooms too. Teachers had to adapt themselves to new technologies to maintain students interested and attentive to the discipline being taught. In this work, the behavior of the students of the 6th grade of elementary school II during class was observed. The school chosen is a public school in the State of São Paulo (Brazil). The research was based on data collection. The students were observed by being filmed during six months. The results showed that the students were interested in the classes and committed to the activities. The place that the student chooses to sit in the classroom influences the behavior of the teacher, because the more distant the teacher, the less he participates in the class.

scholarly journals Screening for atrial fibrillation during automated blood pressure measurement among patients admitted to internal medicine ward

2021 ◽  
Author(s):  
Giacomo Pucci ◽  
Edoardo Santoni ◽  
Valeria Bisogni ◽  
Camilla Calandri ◽  
Alberto Cerasari ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Atrial Fibrillation ◽  
Blood Pressure ◽  
Adult Population ◽  
Blood Pressure Measurement ◽  
University Hospital ◽  
Daily Routine ◽  
Internal Medicine Ward ◽  
Clinical Conditions ◽  
Electrocardiogram Ecg

AbstractAtrial fibrillation (AF), the commonest sustained cardiac arrhythmia affecting the adult population, is often casually discovered among hospitalized people. AF onset is indeed triggered by several clinical conditions such as acute inflammatory states, infections, and electrolyte disturbance, frequently occurring during the hospitalization. We aimed to evaluate whether systematic AF screening, performed through an automated oscillometric blood pressure (BP) device (Microlife WatchBP Office AFIB, Microlife AG, Switzerland), is effective for detecting AF episodes in subjects admitted to an Internal Medicine ward. 163 patients consecutively hospitalized at the Unit of Internal Medicine of the “Santa Maria” Terni University Hospital between November 2019 and January 2020 (mean age ± standard deviation: 77 ± 14 years, men proportion: 40%) were examined. Simultaneously with BP measurement and AF screening, a standard 12-lead electrocardiogram (ECG) was performed in all subjects. AF was diagnosed by ECG in 29 patients (18%). AF screening showed overall 86% sensitivity and 96% specificity. False negatives (n = 4) had RR-interval coefficient of variation lower than true positives (n = 25, p < 0.01), suggesting a regular ventricular rhythm during AF. The repeated evaluation substantially confirmed the same level of agreement. AF screening was positive in all patients with new-onset AF (n = 6, 100%). Systematic AF screening in patients admitted to Internal Medicine wards, performed using the Microlife WatchBP Office AFIB, is feasible and effective. The opportunity to implement such technology in daily routine clinical practice to prevent undiagnosed AF episodes in hospitalized patients should be the subject of further research.

scholarly journals Clinical and demographic profile of users of a mental health system for medical residents and other health professionals undergoing training at the Universidade Federal de São Paulo

2004 ◽  
Vol 122 (4) ◽  
pp. 152-157 ◽  
Author(s):  
Rafael Fagnani Neto ◽  
Cristina Sueko Obara ◽  
Paula Costa Mosca Macedo ◽  
Vanessa Albuquerque Cítero ◽  
Luiz Antonio Nogueira-Martins
Keyword(s):  
Mental Health ◽  
Sao Paulo ◽  
Medical Residents ◽  
First Year ◽  
São Paulo ◽  
Depression And Anxiety ◽  
Postgraduate Students ◽  
Demographic Profile ◽  
Leave Of Absence ◽  
Seeking Help

CONTEXT: A postgraduate and resident trainee mental health assistance center was created in September 1996 within our university. OBJECTIVE: To describe the clinical and demographic profile of its users. TYPE OF STUDY: Retrospective. SETTING: Universidade Federal de São Paulo - Escola Paulista de Medicina (Unifesp-EPM). METHODS: The study was carried between September 1996 and November 2002, when 233 semi-structured registration forms were filled out either by the psychologist or the psychiatrist during their first contact with the trainees, who were medical and nursing residents, and postgraduate students at specialization, master or doctoral levels. The registration forms included demographic, occupational and clinical data. RESULTS: The trainees were predominantly young (mean of 27 years old), single (82.0% of cases), women (79.4%), seeking help especially during the first year of training (63.1%). In 70.8% of the cases, they came to the service spontaneously. Such individuals showed greater adherence to the treatment than those who were referred by supervisors (p < 0.05). In 30% of the cases, the trainee sought psychological guidance or support at the service due to specific situational conflicts. Depression and anxiety disorders were the most frequent diagnoses; 22.3% of the trainees followed up mentioned a tendency towards suicidal thoughts. In comparison with other trainees, there was a higher prevalence of males among the medical residents (p < 0.01), with more cases of sleep disorders (p < 0.05), a smaller number of individuals refraining from the use of alcohol (p < 0.05) and a higher number of trainees requiring leave of absence (p < 0.001). DISCUSSION: The first year of training in health sciences is the most stressful, especially for women. Depression and anxiety symptoms are common, reflecting transitory self-limited deadaptation. However, the severity of the cases can also be evaluated in view of the large number of trainees who mentioned suicidal tendencies. CONCLUSIONS: This study emphasizes the need and importance of providing formal, structured and confidential mental health services for medical residents and postgraduate students from other health professions, in the training programs of academic institutions.

scholarly journals Notificação de extravasamento de agentes quimioterápicos em um hospital universitário - Notification of extravasation of chemotherapeutic agents in a university hospital

2018 ◽  
Vol 17 (2) ◽  
Author(s):  
Thais Oliveira Gozzo ◽  
Thaise Domingues de Almeida ◽  
Lóris Aparecida Prado da Cruz
Keyword(s):  
Sao Paulo ◽  
Chemotherapeutic Agents ◽  
University Hospital ◽  
São Paulo ◽  
Se 33

Este estudo teve o objetivo de identificar a ocorrência de extravasamento de agentes quimioterápicos notificados em um hospital universitário no interior do Estado de São Paulo. Estudo transversal, retrospectivo (2013 a 2015) e de abordagem quantitativa. A coleta de dados ocorreu por meio da análise de notificações no sistema eletrônico geradas por três setores hospitalares que administram quimioterápicos. Foram incluídas notificações de pacientes em quimioterapia com idade acima de 18 anos, no período de 1º de janeiro de 2013 a 31 de dezembro de 2015. Identificou-se 33 notificações de extravasamento por quimioterápicos. As drogas extravasadas mais incidentes foram o Fluouroracil (33,3%) e Paclitaxel (18,2%) e as reações mais apresentadas foram: edema (48,5%), dor (12,1%) e hipersensibilidade (9,1%). O primeiro manejo foi a interrupção imediata da infusão (81,8%), seguida da aspiração da medicação residual e utilização de compressa fria (54,5%). Apenas 21,2% dos pacientes receberam seguimento. Observou-se que as notificações apresentaram dados incompletos, além de possíveis subnotificações, evidenciando a importância da capacitação dos profissionais de enfermagem para melhorar a qualidade do ser.

The Intestinal Failure Outcomes Experience after Establishing the First Multidisciplinary Intestinal Rehabilitation Program at São Paulo University Hospital

2017 ◽  
Vol 101 ◽  
pp. S152
Author(s):  
Andre Lee ◽  
Mariana Hollanda Martins Da Rocha ◽  
Lidiane Catalani Casanova ◽  
Maria Carolina Gonçalves Dias ◽  
Marcia Lucia De Mario Marin ◽  
...  
Keyword(s):  
Intestinal Failure ◽  
Rehabilitation Program ◽  
Sao Paulo ◽  
University Hospital ◽  
São Paulo ◽  
Intestinal Rehabilitation

Evaluation of infections by Candida at a university hospital of Vale do Paraíba region, São Paulo State, Brazil: species distribution, colonization, risk factors and antifungal susceptibility

2016 ◽  
Vol 2 (7) ◽  
pp. 1-2 ◽  
Author(s):  
Sonia Khouri ◽  
Luciana da Silva Ruiz ◽  
Marcos Ereno Auler ◽  
Bosco Christiano Maciel da Silva ◽  
Virgínia Bodelão Richini Pereira ◽  
...  
Keyword(s):  
Risk Factors ◽  
Species Distribution ◽  
Antifungal Susceptibility ◽  
Sao Paulo ◽  
University Hospital ◽  
São Paulo ◽  
Paulo State ◽  
São Paulo State

Organização e Psicodinâmica do Trabalho: Diagnóstico dos Riscos Psicossociais dos Trabalhadores do Setor Administrativo de uma Multinacional em São Paulo

2018 ◽  
Vol 22 (36) ◽  
pp. 85
Author(s):  
Lúcia Rodante Corsi Pettan ◽  
Patrícia Saltorato ◽  
Geraldo Tessarini ◽  
Tiago Fonseca Albuquerque Cavalcanti Sigahi
Keyword(s):  
Defense Mechanisms ◽  
Work Organization ◽  
Sao Paulo ◽  
São Paulo ◽  
Management Styles ◽  
Organization Management ◽  
Four Dimensions ◽  
Psychosocial Risks ◽  
Individual Interviews ◽  
Defensive Strategies

As dimensões psíquica e social da relação entre trabalhador e organização do trabalho interferem na percepção positiva ou negativa deste acerca do seu trabalho. Nesse sentido, este estudo objetivou diagnosticar os riscos psicossociais associados à organização do trabalho no setor administrativo de uma multinacional do interior paulista. Para tanto, a pesquisa empregou o modelo teórico-conceitual da Psicodinâmica do Trabalho, cuja investigação foi conduzida a partir de quatro dimensões, que envolvem a relação sujeito-trabalho-saúde: organização prescrita do trabalho, estilos de gestão, sofrimento patogênico e danos psicossociais. A metodologia envolveu a observação participante, a aplicação de questionário baseado no Protocolo de Avaliação dos Riscos Psicossociais no Trabalho (PROART) e a condução de entrevistas individuais abordando vivências e experiências dos trabalhadores. Foram identificados os mecanismos e expressões segundo os quais os trabalhadores percebem a concepção de suas tarefas, a organização do trabalho e os estilos de gestão. Os resultados também revelaram a ocorrência de sentimentos associados ao sofrimento no trabalho e de lacunas entre o trabalho prescrito e o real, assim como o desenvolvimento de mecanismos de defesa para enfrentar e resistir a este contexto. Palavras-chave: Organização do Trabalho. Psicodinâmica do Trabalho. Sofrimento no Trabalho. Estratégias Defensivas. AbstractThe psychic and social dimensions of the relationship on between worker and work organization interfere in the worker’s  positive or negative perception about his or her work. In this sense, the aim of this study was to diagnose the psychosocial risks associated with the work organization in the administrative sector in a multinational company located in São Paulo city, Brazil.  A theoretical-conceptual framework was drawn of the Work Psychodynamics, conducting the research based on four dimensions of the relation between individual, work, and health: prescribed  work organization, management styles, pathogenic suffering, and psychosocial damages. The adopted methodological strategies was the participant’s observation, application of a questionnaire based on the Protocol for the Evaluation of Psychosocial Risks at Work (PROART) and the conduction of individual interviews on issues related to the workers’ experiences. The mechanisms and expressions through which the workers perceive the conception of their tasks, the work organization and the management styles were identified. The results also revealed the occurrence of feelings associated with suffering at work and gaps between prescribed and actual work, as well as the development of defense mechanisms to confront and resist this context. Keywords: Work Organization. Work Psychodynamics. Suffering at work. Defensive Strategies.

Sign in / Sign up

Export Citation Format

Share Document