Medical students in the COVID-19 pandemic response in Brazil: ethical reflections

Abstract: Introduction: In times of pandemics, the uncertainties and lack of evidence allow each country to conduct its response as it deems the most appropriate. This setting also facilitates the approval of public measures without adequate ethical analysis, due to its inherent urgency. With that said, the objective of this study is to promote a hermeneutical approach to the Brazilian Government proposals of including medical students in the fight against COVID-19 (Coronavirus Disease 2019) pandemic through an ethical perspective. Development: The governmental resolutions, published in the Brazilian Official Gazette, were discussed in the light of the Universal Declaration on Bioethics and Human Rights (UDBHR) and the Brazilian Medical Student Code of Ethics (CEEM), as the first one guides the debate through a pluralist, multi-, inter- and transdisciplinary bioethics, and the latter brings specified guidance to the studied population group. To better articulate the discussion, the main measures were subdivided into 3 sections: about the risk assessment; about the participation of 5th- and 6th-year students; about the early graduation. In the first one, the creation of participation alternatives has been proposed, including remote participation, without direct contact with patients, aiming to ensure the students’ integrity and to maximize the potential positive effects with minimum harm. After that, the predicted obligatory enrollment for undergraduate students attending the final years of medical school and the possibility of obtaining credit hours for the curricular internship in exchange for participation in the strategic action “O Brasil Conta Comigo” were assessed. Finally, the graduation anticipation and the need for a guarantee that the new graduates have the required knowledge and expertise for the medical profession were questioned. Conclusions: For an effective response against the disease, it’s necessary to collectively structure the adopted measures, benefiting from the capabilities that the students already have, while respecting their limitations, vulnerabilities, and freedoms. It should also be emphasized that any ethical decisions in the context of Medicine and of future generations of professionals can have immeasurable consequences for these individuals, their patients, and communities and thus, one must ensure that the benefits will be the best and greatest possible.

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P142: Perspectives of medical students and undergraduate students on their experience as medical scribes in the Saint John Regional Hospital Emergency Department

CJEM ◽

10.1017/cem.2020.346 ◽

2020 ◽

Vol 22 (S1) ◽

pp. S115-S116

Author(s):

I. Abelev ◽

D. Lewis ◽

J. Fraser ◽

P. Atkinson

Keyword(s):

Medical Students ◽

Undergraduate Students ◽

Medical Profession ◽

Value Added ◽

School Curriculum ◽

Health Care Team ◽

Direct Access ◽

Theory Approach ◽

Medical Terminology ◽

Structured Interviews

Introduction: Electronic medical records (EMR) have placed increasing demand on emergency physicians and may contribute to physician burnout and stress. The use of scribes to reduce workload and increase productivity in emergency departments (ED) has been reported. This objective of this study was to evaluate the educational and experiential value of scribing among medical and undergraduate students. We asked: “Will undergraduates be willing to scribe in exchange for clinical exposure and experience?”; and, “Should scribing be integrated into the medical school curriculum?” Methods: A mixed-methods model was employed. The study population included 5 undergraduate, and 5 medical students. Scribes received technical training on how to take physician notes. Undergraduate students were provided with optional resources to familiarize themselves with common medical terminology. Scribes were assigned to physicians based on availability. An exit interview and semi-structured interviews were conducted at the conclusion of the study. Interviews were transcribed and coded into thematic coding trees. A constructivist grounded theory approach was used to analyze the results. Themes were reviewed and verified by two members of the research team. Results: Undergraduate students preferred volunteering in the ED over other volunteer experiences (5/5); citing direct access to the medical field (5/5), demystification of the medical profession (4/5), resume building (5/5), and perceived value added to the health care team (5/5) as main motivators to continue scribing. Medical students felt scribing should be integrated into their curriculum (4/5) because it complemented their shadowing experience by providing unique value that shadowing did not. Based on survey results, five undergraduate students would be required to cover 40 volunteer hours per week. Conclusion: A student volunteer model of scribing is worthwhile to students and may be feasible; however, scribe availability, potentially high scribe turnover, and limited time to develop a rapport with their physician may impact any efficiency benefit scribes might provide. Importantly, scribing may be an invaluable experience for directing career goals and ensuring that students intrinsically interested in medicine pursue the profession. Medical students suggested that scribing could be added to the year one curriculum to help them develop a framework for how to take histories and manage patients.

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Prosocial Modeling Matters: The Association between Parent and Faculty Involvement in Fighting COVID-19 with Medical Students’ Career Commitment

10.21203/rs.3.rs-258910/v1 ◽

2021 ◽

Author(s):

Dan Wang ◽

Xiaoyang Ye ◽

Hongbin Wu

Keyword(s):

Medical Students ◽

Undergraduate Students ◽

Role Models ◽

Clinical Medicine ◽

Medical Profession ◽

Mainland China ◽

Career Commitment ◽

Faculty Involvement ◽

Positive Role ◽

Medical Careers

Abstract Background: Role models play an important role in enhancing students’ intention to pursue medical careers. While, as the two most influential role models for medical students, there is limited research to explore the different impacts between faculty and parents. This study investigated the association of different role model’s prosocial behavior of joining the fight against novel coronavirus disease 2019 (COVID-19) on medical students’ career commitment. We examined whether there are different effects and how these effects differ among different medical students.Method: A national-scale survey was conducted with 118,030 undergraduate students majoring in clinical medicine in mainland China. Questions were asked to collect information of participants in the battle of COVID-19, medical students’ determination of practicing medicine after graduation, as well as students’ socio-demographic characteristics. Chi-square tests and hierarchical regressions were performed to examine the effects of parent and faculty involvement on students’ career commitment.Results: The results showed that prosocial modeling during the COVID-19 pandemic in China is associated with students’ intention to pursue medical careers. The effect of faculty was greater than that of parents on medical students. Gender was related to the effects. And those who already determined to be the doctor before the pandemic were much more likely to persist in the medical profession.Conclusions: Our study provides more definitive answers to the issue of who has a greater effect on medical students’ career commitment between parents and faculty. Encouraging faculty to act as positive role models could help medical students increase the intention to become doctors.

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Prosocial Modeling Matters: The Association Between Parent and Faculty Involvement in Fighting COVID-19 With Medical Students’ Career Commitment

10.21203/rs.3.rs-293789/v1 ◽

2021 ◽

Author(s):

Dan Wang ◽

Xiaoyang Ye ◽

Hongbin Wu

Keyword(s):

Medical Students ◽

Undergraduate Students ◽

Role Models ◽

Clinical Medicine ◽

Medical Profession ◽

Mainland China ◽

Career Commitment ◽

Faculty Involvement ◽

Positive Role ◽

Medical Careers

Abstract Background: Role models play an important role in enhancing students’ intention to pursue medical careers. While, as the two most influential role models for medical students, there is limited research to explore the different impacts between faculty and parents. This study investigated the association of different role model’s prosocial behavior of joining the fight against novel coronavirus disease 2019 (COVID-19) on medical students’ career commitment. We examined whether there are different effects and how these effects differ among different medical students.Method: A national-scale survey was conducted with 118,030 undergraduate students majoring in clinical medicine in mainland China. Questions were asked to collect information of participants in the battle of COVID-19, medical students’ determination of practicing medicine after graduation, as well as students’ socio-demographic characteristics. Chi-square tests and hierarchical regressions were performed to examine the effects of parent and faculty involvement on students’ career commitment.Results: The results showed that prosocial modeling during the COVID-19 pandemic in China is associated with students’ intention to pursue medical careers. The effect of faculty was greater than that of parents on medical students. Gender was related to the effects. And those who already determined to be the doctor before the pandemic were much more likely to persist in the medical profession.Conclusions: Our study provides more definitive answers to the issue of who has a greater effect on medical students’ career commitment between parents and faculty. Encouraging faculty to act as positive role models could help medical students increase the intention to become doctors.

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Patient consent to medical students in general practice

British Journal of General Practice ◽

10.3399/bjgp18x697229 ◽

2018 ◽

Vol 68 (suppl 1) ◽

pp. bjgp18X697229

Author(s):

Matthew Webb ◽

Sarah Thirlwall ◽

Bob McKinley

Keyword(s):

Medical Education ◽

General Practice ◽

Medical Students ◽

Medical School ◽

Undergraduate Students ◽

Teaching Quality ◽

School Students ◽

Patient Journey ◽

Patient Consent ◽

High Level

BackgroundInformed consent is required for active participation of patients in medical education. At Keele Medical School, we require practices to advertise that they teach undergraduate students and to obtain appropriate patient consent at various stages of the patient journey.AimThe study aimed to explore patients’ experience of consent to involvement in undergraduate medical education in general practice.MethodDuring the final year at Keele University Medical School, students undertake a patient satisfaction survey. A questionnaire was attached to the reverse of this survey during the academic year 2016–2017. The questionnaire explored the stage of the patient journey consent was obtained, whether they were offered an alternative appointment and how comfortable they were with medical students being involved in their care.ResultsA total of 489 questionnaires were completed covering 62 GP practices. 97% of patients reported that consent was obtained at least once during their encounter and the majority reported that this occurred at booking. 98% of patients were comfortable or very comfortable with a medical student leading their consultation. However, 28% of those surveyed stated that they were either not given the option of not seeing the student or there was no other alternative appointment available.ConclusionThe results indicate that in the vast majority of cases patient consent is obtained at least once during their attendance. Patients expressed a high level of satisfaction with medical students’ involvement in their care. Further work is required to evaluate the role of the data as a marker of individual practice teaching quality.

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Trend of Regular Voluntary Blood Donation and its Associated Factors in Karachi - A Comparative Analysis of Medical and Non-medical Undergraduate Students

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-2/017 ◽

2020 ◽

Author(s):

Nazish Jaffar

Keyword(s):

Medical Students ◽

Undergraduate Students ◽

Blood Donation ◽

Statistical Significance ◽

Study Groups ◽

Medical Group ◽

Cross Sectional ◽

Blood Donations ◽

Medical Undergraduate ◽

Donated Blood

Background: Regular voluntary unpaid blood donation assures safe blood supply in association with minimum infection transmission. The purpose of this study was to identify the frequency of regular voluntary blood donation and to evaluate the causes of donating blood as well as factors impeding blood donations among the medical and nonmedical students of Karachi. Methods: A comparative cross sectional study was conducted among medical and nonmedical students of JSMU and NED University respectively from May to October 2018. Sample size was 272 including 137 medical and 135 non-medical students. Data was analyzed using SPSS version 22.0. Chi-square test of independence/ Fischer’s exact test were applied to assess statistical significance. Result: In medical group 5/21(23.8%) voluntary regular donors were recorded. In non-medical group, voluntary regular donors were found to be 8/30 (26.6%) (p>0.00). Medical students most commonly 15/21 (71.4%) donated blood voluntarily in a camp while non-medical participants frequently donated blood as replacement donors 13/30 (43.3%) (p>0.00). Major hindering factor for blood donation in both study groups was non-participation in blood donation derives i.e. 66/116 (56.8%) in medical and 53/105 (50.4%) in non-medical groups respectively. Anemia, 20/116 (17.2%) in medical and 15/105 (14.2%) in nonmedical students was the second major cause of not donating blood. Conclusion: The frequency of regular voluntary blood donations is very low among undergraduates. However, comparatively, the trend is slightly higher among non-medical group. The major hindrance in not donating blood was non-participation in blood donating derives.

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Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-1/023 ◽

2020 ◽

Author(s):

Dur-e- Nishat

Keyword(s):

Medical Students ◽

Family Medicine ◽

Medical Profession ◽

Healthcare Services ◽

Developed Countries ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Medical College ◽

Chi Square Test

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.

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Philosophical and Cultural Aspects of Medical Profession: Philosophical and Conceptual Peculiarities

Cultura ◽

10.3726/cul012019.0011 ◽

2019 ◽

Vol 16 (1) ◽

pp. 165-174

Author(s):

Iryna MELNYCHUK ◽

Nadiya FEDCHYSHYN ◽

Oleg PYLYPYSHYN ◽

Anatolii VYKHRUSHCH

Keyword(s):

Medical Students ◽

Medical Profession ◽

Subject Area ◽

Human Relations ◽

Cultural Aspects ◽

Cultural Proximity ◽

Personal Qualities ◽

The Subject ◽

Ecological Culture ◽

High Level

The article analyzes the philosophical and cultural view of “doctor’s professional culture” as a result of centuries-old practice of human relations, which is characterized by constancy and passed from generation to generation. Medicine is a complex system in which an important role is played by: philosophical outlook of a doctor, philosophical culture, ecological culture, moral culture, aesthetic culture, artistic culture. We have found that within the system “doctor-patient” the degree of cultural proximity becomes a factor that influences the health or life of a patient. Thus, the following factors are important here: 1) communication that suppresses a sick person; 2) the balance of cultural and intellectual levels; 3) the cultural environment of a patient which has much more powerful impact on a patient than the medical one.At the present stage, the interdependence of professional and humanitarian training of future specialists is predominant, as a highly skilled specialist can not but become a subject of philosophizing. We outlined the sphere where the doctors present a genre variety of philosophizing (philosophical novels, apologies, dialogues, diaries, aphorisms, confessions, essays, etc.). This tradition represents the original variations in the formation of future doctor’s communicative competences, which are formed in the process of medical students’ professional training.A survey conducted among medical students made it possible to establish their professional values, which are indicators of the formation of philosophical and culturological competence. It was found out that 92% of respondents believed that a doctor should demonstrate a high level of health culture (avoid drinking and smoking habits, etc.)99% of respondents favoured a high level of personal qualities of a doctor which would allow methods and forms of medical practice to assert higher human ideals of truth, goodness and beauty that are the subject area of cultural studies and philosophy.

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Positive effects of medical hypnosis on test anxiety in first year medical students

Innovations in Education and Teaching International ◽

10.1080/14703297.2021.1886971 ◽

2021 ◽

pp. 1-11

Author(s):

Christian M. Hammer ◽

Michael Scholz ◽

Larissa Bischofsberger ◽

Alexander Hammer ◽

Benedikt Kleinsasser ◽

...

Keyword(s):

Medical Students ◽

Test Anxiety ◽

First Year ◽

Positive Effects ◽

First Year Medical Students

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The medical career choice motivations — Results from a Hungarian study

Open Medicine ◽

10.2478/s11536-011-0034-0 ◽

2011 ◽

Vol 6 (4) ◽

pp. 502-509 ◽

Cited By ~ 4

Author(s):

Edmond Girasek ◽

Regina Molnár ◽

Edit Eke ◽

Miklós Szócska

Keyword(s):

Medical Students ◽

Career Choice ◽

Medical Profession ◽

Medical Doctor ◽

First Year ◽

First Year Students ◽

Economic Changes ◽

Traditional Health ◽

Medical Career ◽

First Year Medical Students

AbstractSome decades ago being a medical doctor was characterized unambiguously as a profession that offers help and serves the patients’ needs during medical treatment. In today’s society, this image of the medical profession has been substantially changed. The present paper aims to examine medical career choice motivations and preferences of choosing speciality, in the light of current social and economic changes in Hungary. The study was carried out by using a voluntary, self-administrated, questionnaire among first-year medical students and resident doctors in four medical faculties in Hungary. The career choice motivations of the first-year medical students and resident doctors are similar and match to the traditional health profession career choice motivations. Nevertheless the first-year students consider high income as one of the most important factors. They appear more conscious and more ambitious regarding their future speciality choice. The Hungarian health care system and medical education must be prepared for the presence of students that are aware of the high market value of a medical diploma, have excellent language skills, and consider migration as one main factor in their motivation when choosing a medical profession.

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