scholarly journals Atitudes de Estudantes de Medicina diante do Comportamento Suicida e Fatores Associados

Author(s):  
Emerson Arcoverde Nunes ◽  
Beatriz Bezerril de Oliveira ◽  
Lucas Bezerril de Lima Galvão

Abstract: Introduction: To evaluate the self-confidence and knowledge of medical students when caring for patients at risk for suicide. Methods: A quantitative cross-sectional study was performed with a sample of 310 medical students from the campus of Universidade Federal do Rio Grande do Norte (UFRN) in Natal, Brazil. Data was collected through the application of the Suicide Behavior Attitude Questionnaire (QuACS, Questionário de Atitudes Frente ao Comportamento Suicida) in association with a sociodemographic questionnaire. The Spearman and Mann-Whitney correlation tests were used to analyze the data. Results: Students closer to the end of the course and those who had practical experience with suicide showed less negative feelings, more sense of professional capacity and less condemnatory attitudes towards suicide. Students in the beginning of the course showed more negative feelings towards suicide. There was no statistically significant influence of gender, having a friend or family member who attempted suicide or past experience of suicidal thoughts on the results. Conclusion: The study strengthens the correlation between the implementation of practical experience and capacitation activities with less negative feelings and increased sense of professional capacity to deal with suicidal behavior.

Author(s):  
Emerson Arcoverde Nunes ◽  
Beatriz Bezerril de Oliveira ◽  
Lucas Bezerril de Lima Galvão

Abstract: Introduction: To evaluate the self-confidence and knowledge of medical students when caring for patients at risk for suicide. Methods: A quantitative cross-sectional study was performed with a sample of 310 medical students from the campus of Universidade Federal do Rio Grande do Norte (UFRN) in Natal, Brazil. Data was collected through the application of the Suicide Behavior Attitude Questionnaire (QuACS, Questionário de Atitudes Frente ao Comportamento Suicida) in association with a sociodemographic questionnaire. The Spearman and Mann-Whitney correlation tests were used to analyze the data. Results: Students closer to the end of the course and those who had practical experience with suicide showed less negative feelings, more sense of professional capacity and less condemnatory attitudes towards suicide. Students in the beginning of the course showed more negative feelings towards suicide. There was no statistically significant influence of gender, having a friend or family member who attempted suicide or past experience of suicidal thoughts on the results. Conclusion: The study strengthens the correlation between the implementation of practical experience and capacitation activities with less negative feelings and increased sense of professional capacity to deal with suicidal behavior.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nahid Tabibzadeh ◽  
Jimmy Mullaert ◽  
Lara Zafrani ◽  
Pauline Balagny ◽  
Justine Frija-Masson ◽  
...  

Abstract Background Multiple-choice question (MCQ) tests are commonly used to evaluate medical students, but they do not assess self-confidence nor penalize lucky guess or harmful behaviors. Based on a scoring method according to the appropriateness of confidence in answers, the study aimed at assessing knowledge self-monitoring and efficiency, and the determinants of self-confidence. Methods A cross-sectional study of 842 s- and third-year medical students who were asked to state their level of confidence (A: very confident, B: moderately confident and C: not confident) during 12 tests (106,806 events). A bonus was applied if the level of confidence matched with the correctness of the answer, and a penalty was applied in the case of inappropriate confidence. Results Level A was selected more appropriately by the top 20% students whereas level C was selected more appropriately by the lower 20% students. Efficiency of higher-performing students was higher when correct (among correct answers, rate of A statement), but worse when incorrect compared to the bottom 20% students (among incorrect answers, rate of C statement). B and C statements were independently associated with female and male gender, respectively (OR for male vs female = 0.89 [0.82–0.96], p = 0.004, for level B and 1.15 [1.01–1.32], p = 0.047, for level C). Conclusion While both addressing the gender confidence gap, knowledge self-monitoring might improve awareness of students’ knowledge whereas efficiency might evaluate appropriate behavior in clinical practice. These results suggest differential feedback during training in higher versus lower-performing students, and potentially harmful behavior in decision-making during clinical practice in higher-performing students.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Majda Sebbani ◽  
Adil Mansouri ◽  
Latifa Adarmouch ◽  
Mohamed Amine

Background. The motivation of this work is driven on the one hand from the need to understand the medical students’ attitude towards medical training in the context of the reform in Morocco and the creation of “family medicine” as a specialty. This study aims to explore the expectations of medical students regarding family medicine and to identify the factors that may influence setting their choices after graduation. Methods. We conducted a cross-sectional study among Moroccan medical students from public faculties during the month of August 2019. The data collection was based on an online self-administered electronic questionnaire. The quantitative data were analyzed by SPSS version 16. The analyses were descriptive univariate (Fisher’s test) and multivariate (binary logistic regression) with a P value of 5%. The qualitative data were synthesized according to a thematic analysis grid. Results. The medical students in Morocco have a positive perception of family medicine as an important specialty but low interest in it as a future career. Only 6.4% had the intention to choose it as a future career. However, 27.5% chose to become a general practitioner if it is a specialty (family medicine, as part of the new medical reform). The factors associated with the choice of career in general practice were mainly the ambition for career development (OR = 4.8; 95% CI [2.46; 9.51]), income (OR = 2.6; 95% CI [1.11; 6.29]), or the personal experience as a student or patient in contact with a general practitioner (OR = 0.48; 95% CI [0.25; 0.92]). Conclusion. The practical experience with family medicine seems to have an important influence on being attracted to family medicine careerwise. The study findings will inform future planning to introduce the residency program.


Author(s):  
Matheus Santarosa Cassiano ◽  
Nelio Neves Veiga-Junior ◽  
Luiz Gustavo Oliveira Brito ◽  
Silvia Maria Riceto Ronchim Passeri ◽  
Angelica Maria Bicudo

Abstract: Introduction: during the COVID-19 pandemic, the universities suspended in-person activities and medical education adapted from the traditional format to virtual scenarios. Thus, the volunteering activities might improve the apprenticeship in critical situations and constitute a way to obtain competences and clinical skills. Objective: to identify the frequency of student volunteering during the COVID-19 pandemic and the associated factors. Methods: a cross-sectional study was performed targeting medical students in their last 3 years at a medical school in Brazil. Three hundred and fifty invitations were sent by email to ask students to participate in a self-administered, anonymous electronic survey during the pandemic. The primary outcome was the frequency of volunteer activities. Sociodemographic variables and characteristics of the medical students’ activities were the dependent variables for the multivariate analysis that calculated the factors associated with volunteering. Results: One hundred and twenty-five respondents (35.8% response rate) were included in the analysis (no missing data). The frequency of volunteering was 52% and most of the participants were females (63.2%) and all had access to online activities. Telemedicine was the most frequent activity (56/65). After the multivariate analysis, it was found that a family income of 5.1-10 minimal wages (OR=2.32[0.94-6.42]), expressing the ability and confidence in a pandemic situation (OR=4.91[1.49-16.2]) and considering e-learning important before the pandemic (OR=16.46[1.35-200.32]) and exposure of more than 120 minutes to social media platforms were less motivating for volunteering. Conclusion: About half of the medical students volunteered during the COVID-19 pandemic. The presence of self-confidence, with previous training in a pandemic situation motivated the students to volunteer.


Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.


Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


2021 ◽  
pp. 102612
Author(s):  
Sebastián Londoño-Cardona ◽  
Alejandra Meza-Vega ◽  
María Bernarda Quiroz-Martínez ◽  
Lina Silvana Arce ◽  
Ivan David Lozada-Martínez ◽  
...  

2021 ◽  
Vol 10 (11) ◽  
pp. 2344
Author(s):  
Franca Genest ◽  
Dominik Rak ◽  
Elisa Bätz ◽  
Kerstin Ott ◽  
Lothar Seefried

Sarcopenia and malnutrition are important determinants of increased fracture risk in osteoporosis. SARC-F and MNA-SF are well-established questionnaires for identifying patients at risk for these conditions. We sought to evaluate the feasibility and potential added benefit of such assessments as well as the actual prevalence of these conditions in osteoporosis patients. We conducted a cross-sectional, single-center study in female osteoporosis patients ≥ 65 years (SaNSiBaR-study). Results of the sarcopenia (SARC-F) and malnutrition (MNA-SF) screening questionnaires were matched with a functional assessment for sarcopenia and data from patients’ medical records. Out of 107 patients included in the analysis, a risk for sarcopenia (SARC-F ≥ 4 points) and a risk for malnutrition (MNA-SF ≤ 11 points) was found in 33 (30.8%) and 38 (35.5%) patients, respectively. Diagnostic overlap with coincident indicative findings in both questionnaires was observed in 17 patients (16%). As compared to the respective not-at-risk groups, the mean short physical performance battery (SPPB) score was significantly reduced in both patients at risk for sarcopenia (7.0 vs. 10.9 points, p < 0.001) and patients at risk for malnutrition (8.7 vs. 10.5 points, p = 0.005). Still, confirmed sarcopenia according to EWGSOP2 criteria was present in only 6 (6%) of all 107 patients, with only 3 of them having an indicative SARC-F score. Bone mineral density was not significantly different in any of the at-risk groups at any site. In summary, applying SARC-F and MNA-SF in osteoporosis patients appears to be a complementary approach to identify individuals with functional deficits.


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