scholarly journals Mapping of medical schools: the distribution of undergraduate courses and annual vacancies in Brazilian cities in 2020

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Douglas Vinícius Reis Pereira ◽  
Daniel de Lima Ruas Fernandes ◽  
Julia Ferreira Mari ◽  
Ana Luiza de Faria Lage ◽  
Ana Paula Pinheiro Chagas Fernandes
Keyword(s):  
Medical Training ◽  
Medical Schools ◽  
Absolute Number ◽  
Cross Sectional Study ◽  
Capital City ◽  
Private Institutions ◽  
Cross Sectional ◽  
Course Characteristics ◽  
The North ◽  
Education And Health

Abstract: Introduction: The number of medical schools in Brazil, as well as the number of vacancies offered at these schools, has grown considerably in the last few years. Since 2013, this increasehas aimedat reaching especially the rural and underserved areas of the country. Objective: Considering that there are many different interests concerning this debate and that this reality directly influences the education and health policies of the country, the aim of this study was to evaluate the number and the distribution of the medical courses,as well as vacancies in these schools in 2020, presenting an updated overview of the Brazilian medical schools. Methods: This was a cross-sectional study, based on data gathered from the Brazilian Ministry ofEducation and Institute of Geography and Statistics (IBGE) website. The utilized variables were the number of courses, number of vacancies offered in each course, characteristics of the cities where the medical schools are located, such as population size, Human Development Index (HDI) and distance to the capital city of each state. Results: Among the institutions that have already initiated their activities, there are 328 active courses, offering 35.480 vacancies for Medical School applicants. There is a difference when analyzing public or private institutions and paid or tuition-free institutions. There is a greater offer of paid courses (74,1%) and of courses located in the countryside (69,8%). Among the courses in the countryside, 27,8% of the vacancies are offered within 100 km of the capital city. Only 7,9% of the annual vacancies are offered in cities with a medium HDI, and the remainder are offered in cities with high or very high HDI. The increase in HDI is related to the higher proportion of private courses offering medical vacancies. It was observed that there is no correspondence between the absolute number of vacancies and the population of the North region, differentfrom what occurs in the other regions of the country. Conclusions: Medical training is under many influences, such as economic and political trends. This discussion needs to consider the regionalization and democratization of access. It was observed that public institutions tend to be located in municipalities that are farther away from the capitals. Even though there is now greater homogeneity between the regions, the Southeast still concentrates almost half of the vacancies in medical courses. Also, the increase in the number of vacancies in private courses brings up the reflection about the socioeconomic profile of medical students who have the opportunity to gain access to this level of education.

scholarly journals Cartografia das escolas médicas: a distribuição de cursos e vagas nos municípios brasileiros em 2020

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Douglas Vinícius Reis Pereira ◽  
Daniel de Lima Ruas Fernandes ◽  
Julia Ferreira Mari ◽  
Ana Luiza de Faria Lage ◽  
Ana Paula Pinheiro Chagas Fernandes
Keyword(s):  
Medical Training ◽  
Medical Schools ◽  
Absolute Number ◽  
Cross Sectional Study ◽  
Capital City ◽  
Private Institutions ◽  
Cross Sectional ◽  
Course Characteristics ◽  
The North ◽  
Education And Health

Abstract: Introduction: The number of medical schools in Brazil, as well as the number of vacancies offered at these schools, has grown considerably in the last few years. Since 2013, this increasehas aimedat reaching especially the rural and underserved areas of the country. Objective: Considering that there are many different interests concerning this debate and that this reality directly influences the education and health policies of the country, the aim of this study was to evaluate the number and the distribution of the medical courses,as well as vacancies in these schools in 2020, presenting an updated overview of the Brazilian medical schools. Methods: This was a cross-sectional study, based on data gathered from the Brazilian Ministry ofEducation and Institute of Geography and Statistics (IBGE) website. The utilized variables were the number of courses, number of vacancies offered in each course, characteristics of the cities where the medical schools are located, such as population size, Human Development Index (HDI) and distance to the capital city of each state. Results: Among the institutions that have already initiated their activities, there are 328 active courses, offering 35.480 vacancies for Medical School applicants. There is a difference when analyzing public or private institutions and paid or tuition-free institutions. There is a greater offer of paid courses (74,1%) and of courses located in the countryside (69,8%). Among the courses in the countryside, 27,8% of the vacancies are offered within 100 km of the capital city. Only 7,9% of the annual vacancies are offered in cities with a medium HDI, and the remainder are offered in cities with high or very high HDI. The increase in HDI is related to the higher proportion of private courses offering medical vacancies. It was observed that there is no correspondence between the absolute number of vacancies and the population of the North region, differentfrom what occurs in the other regions of the country. Conclusions: Medical training is under many influences, such as economic and political trends. This discussion needs to consider the regionalization and democratization of access. It was observed that public institutions tend to be located in municipalities that are farther away from the capitals. Even though there is now greater homogeneity between the regions, the Southeast still concentrates almost half of the vacancies in medical courses. Also, the increase in the number of vacancies in private courses brings up the reflection about the socioeconomic profile of medical students who have the opportunity to gain access to this level of education.

scholarly journals Attitudes of Israeli Medical Students Towards the Medical Treatment of Uninsured Migrants

2019 ◽  
Author(s):  
Zohar Mor ◽  
Adam Cadesky ◽  
Ran Halleluyan ◽  
Rivka Sheffer
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Medical Training ◽  
Medical Schools ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Professional Responsibilities ◽  
Students Attitudes ◽  
Societal Expectations

Abstract Background: Undocumented migration to developed countries poses practical concerns, as migrants are not medically insured. This cross-sectional study aims to appraise the attitudes of Israeli medical students towards the uninsured migrant population. Methods: Participants from five medical schools in Israel completed anonymous questionnaires in Hebrew, based on the "Medical Students’ Attitudes Toward the Underserved" (MSATU), which assessed students' attitudes regarding the professional responsibility and societal expectations towards the migrants. It also evaluated students' views of the migrants as eligible for expensive medical procedures. Results: A total of 891 students completed the survey with a median age of 28 years. The majority were Jews (N=816, 91.6%) and singles (N=681, 68.5%). Participants in the pre-clinical years were likely to be female and unmarried compared to those in clinical training. They also demonstrated higher scores on professional responsibilities and societal expectations than students in clinical training, but no significant differences were found in their views on expensive medical services. Students of minorities (non-Jews and migrants) scored higher on professional responsibilities and societal expectations. The scores for professional responsibilities and societal expectations decreased as students progressed in their medical training (Spearman coefficient p=0.04 and p=0.01, respectively). This trend was more apparent in males rather than females. Conclusion: MSATU scores declined as students progressed through medical school, with females maintaining more favorable attitudes than males. Medical schools should attempt to maintain the enthusiasm and idealism that students possess as they enter medical training and provide clinical experience with migrant populations that allows for cross-cultural communication.

scholarly journals Attitudes of Israeli Medical Students Towards the Medical Treatment of Uninsured Migrants

2020 ◽  
Author(s):  
Zohar Mor ◽  
Adam Cadesky ◽  
Ran Halleluyan ◽  
Rivka Sheffer
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Medical Training ◽  
Medical Schools ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Professional Responsibilities ◽  
Students Attitudes ◽  
Societal Expectations

Abstract Background: Undocumented migration to developed countries poses practical concerns, as migrants are not medically insured. This cross-sectional study aims to appraise the attitudes of Israeli medical students towards the uninsured migrant population. Methods: Participants from five medical schools in Israel completed anonymous questionnaires in Hebrew, based on the "Medical Students’ Attitudes Toward the Underserved" (MSATU), which assessed students' attitudes regarding the professional responsibility and societal expectations towards the migrants. It also evaluated students' views of the migrants as eligible for expensive medical procedures. Results: A total of 891 students completed the survey with a median age of 28 years. The majority were Jews (N=816, 91.6%) and singles (N=681, 68.5%). Participants in the pre-clinical years were likely to be female and unmarried compared to those in clinical training. They also demonstrated higher scores on professional responsibilities and societal expectations than students in clinical training, but no significant differences were found in their views on expensive medical services. Students of minorities (non-Jews and migrants) scored higher on professional responsibilities and societal expectations. The scores for professional responsibilities and societal expectations decreased as students progressed in their medical training (Spearman coefficient p=0.04 and p=0.01, respectively). This trend was more apparent in males rather than females. Conclusion: MSATU scores declined as students progressed through medical school, with females maintaining more favorable attitudes than males. Medical schools should attempt to maintain the enthusiasm and idealism that students possess as they enter medical training and provide clinical experience with migrant populations that allows for cross-cultural communication.

Mental Health of Medical Students: A Cross-Sectional Study in Tehran

2007 ◽  
Vol 100 (2) ◽  
pp. 346-354 ◽  
Author(s):  
Mohammad Shariati ◽  
Masud Yunesian ◽  
Javad Homayoun Vash
Keyword(s):  
Medical Students ◽  
Mental Distress ◽  
Medical Training ◽  
General Health Questionnaire ◽  
Medical Schools ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Grade Point ◽  
Financial Status ◽  
Data Collection Sheet

Medical students are subject to stress from sources related to medical training in addition to personal problems, resulting in significant mental distress. This study evaluates the scope of the problem in Tehran medical schools and sheds light on some of its associations. Students (604) of medicine from four medical schools in the city of Tehran responded to the Persian version of 28-item General Health Questionnaire (GHQ-28) in conjunction with a data collection sheet asking about age, sex, marital status, current training level, living place, grade point average in previous semester, and perceptions of their financial status. Of 602 students, 40.7% had mental distress (45.7% of female and 36.7% of male students). Distress was associated with being a woman (female to male odds ratio: 1.55) and very poor financial status (OR: 18.0).

scholarly journals Workplace Bullying Among Junior Doctors in Malaysia: A Multicentre Cross-Sectional Study

2021 ◽  
Vol 28 (2) ◽  
pp. 142-156
Author(s):  
Ely Zarina Samsudin ◽  
Marzuki Isahak ◽  
Sanjay Rampal ◽  
Rosnah Ismail ◽  
Mohd Idzwan Zakaria
Keyword(s):  
Workplace Bullying ◽  
Medical Training ◽  
English Proficiency ◽  
Local Population ◽  
Medical Schools ◽  
Cross Sectional Study ◽  
Junior Doctors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Participants

Background: Research suggests that junior doctors often experience workplace bullying, which may have adverse impacts on medical training and delivery of quality healthcare. However, evidence among local population has not been established. The present study aims to examine the prevalence of workplace bullying among Malaysian junior doctors and explore its associated sociodemographic and employment factors. Methods: A multicentre cross-sectional study was conducted in 12 government hospitals accredited for housemanship training within the central zone of Malaysia. The study included a total of 1,074 house officers who had been working for at least 6 months in various housemanship rotations. The Negative Acts Questionnaire-Revised (NAQ-R) was used to examine workplace bullying. Results: The 6-month prevalence of workplace bullying among study participants was 13%. Work-related bullying such as ‘being ordered to do work below your level of competence’, person-related bullying such as ‘being humiliated or ridiculed in connection with your work’, and physically intimidating bullying such as ‘being shouted at or being the target of spontaneous anger’ were commonly reported by study participants. Medical officers were reported to be the commonest perpetrators of negative actions at the workplace. Study participants who graduated from Eastern European medical schools (adjusted odds ratio [AOR] 2.27; 95% confidence interval [CI]: 1.27, 4.07) and worked in surgical-based rotation (AOR 1.83; 95% CI: 1.13, 2.97) had higher odds of bullying compared to those who graduated from local medical schools and worked in medical-based rotation, whereas study participants with good English proficiency (AOR 0.14; 95% CI: 0.02, 0.94) had lower odds of bullying compared to those with poor English proficiency. Conclusion: The present study shows that workplace bullying is prevalent among Malaysian junior doctors. Considering the gravity of its consequences, impactful strategies should be developed and implemented promptly in order to tackle this serious occupational hazard.

Comparison of Knowledge and Attitude among Nurses in Special Wards and Emergency of the Hospital about COVID-19: A Cross-Sectional Study in the North of Iran

2021 ◽  
Author(s):  
Fereshteh Araghian Mojarad ◽  
Hamid Salehinia ◽  
Mohammad Ali Heydari Gorji ◽  
Abolfazl Hosseinnattaj ◽  
Fatemeh Talebian ◽  
...  
Keyword(s):  
Work Experience ◽  
Medical Training ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
The North ◽  
Significant Difference ◽  
Knowledge And Attitude

Introduction: There is a lack of studies on the knowledge and attitudes of health care workers towards COVID-19. The aim of this study was to compare the knowledge and attitudes of nurses in emergency departments and special wards of medical training centers in Mazandaran province about COVID-19 in 2020. Material and Methods: The present study is a descriptive cross-sectional study. Which was performed in the emergency and special wards of adult educational and medical centers of Mazandaran province in 2020. Sampling is census that is easily accessible and non-random. Data collection tools included demographic information form and a researcher-made questionnaire related to knowledge and attitude. Data were analyzed by analytical tests using SPSS version 16. Results: The findings of this study showed that the level of nurses 'knowledge was 7.78 ±0.85 and the level of nurses' attitude was 6.87± 0.90. There was no statistically significant difference between knowledge and attitude in emergency and special ward’s nurses. There is no significant relationship between education level, age and work experience with knowledge and attitude. Conclusion: According to the findings, the level of knowledge of nurses was insufficient and the level of attitude of nurses was sufficient. Therefore, it is recommended nursing managers should plan to increase the level of awareness of nursing staff. Prepare virtual educational content in the field of treatment, nursing care and complications of COVID-19.

scholarly journals Prevalence of Toxoplasma gondii specific immunoglobulin G antibodies among pregnant women in Norway

1998 ◽  
Vol 120 (1) ◽  
pp. 87-92 ◽  
Author(s):  
P. A. JENUM ◽  
G. KAPPERUD ◽  
B. STRAY-PEDERSEN ◽  
K. K. MELBY ◽  
A. ESKILD ◽  
...  
Keyword(s):  
Toxoplasma Gondii ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Capital City ◽  
Cross Sectional ◽  
Number Of Children ◽  
The North ◽  
High Prevalence ◽  
One Year

During one year from June 1992 serum IgG antibodies to Toxoplasma gondii among 35940 pregnant women were measured in a cross-sectional study conducted in Norway. The overall prevalence was 10·9%. The lowest prevalences were detected in the north (6·7%) and in the inland counties (8·2%). A significantly higher prevalence was detected in the southern counties (13·4%) where a mild, coastal climate prevails. Women with foreign names had a higher prevalence (22·6%) than women with Norwegian names (10·0%). The high prevalence among women living in the capital city (Oslo) as compared to other cities and rural areas (13·2% vs. 10·1% and 10·2% respectively), was explained by the higher proportion of foreign women in Oslo. Prevalence significantly increased with age in women over 34 years old. This increase was only detected among women with Norwegian names. An increase in prevalence according to number of children was detected. Women without children had a prevalence of 8·8% while women with three children or more had a prevalence of 14·9%. Multivariate analyses showed that being seropositive was independently associated with county of residence, age, nationality and number of children.

scholarly journals Medical faculty profile is an important determinant of student profile and future practice expectations of medical students in Angola

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Inês Fronteira ◽  
Helga Freitas ◽  
Nkanga Guimarães ◽  
Mário Fresta ◽  
Paulo Ferrinho
Keyword(s):  
Medical Students ◽  
Medical Training ◽  
Important Determinant ◽  
Statistical Significance ◽  
Medical Schools ◽  
Cross Sectional Study ◽  
Family Influence ◽  
Categorical Variables ◽  
Medical Professionals ◽  
Cross Sectional

Abstract Background Angola is among one of the most deprived countries in the world in terms of medical professionals. In the past decade, the Angolan Government has invested in the expansion of faculties of medicine in the country.  We analysed the profiles of medical students in Angola according to four clusters of medical schools: older faculty in the country, private faculties, Cuban sponsored faculties and military faculty; under the assumption that the organizational culture of the different faculties might influence the expectations and decisions towards future professional life of medical students regarding where they want to work (community versus hospital) and in which sector (exclusively public versus not exclusively public). Methods Observational cross-sectional study. Piloted, standardized questionnaire to final year medical students or higher year of training in the first four-month of 2014 (N = 402). Data were entered into a SPSS v.20 database and descriptive statistics computed. Statistical significance for categorical variables was tested by Pearson chi-square, Fisher exact or likelihood ratio tests as appropriate. Comparison of means was tested with Anova. Backward elimination binary logistic regression was used to test the hypothesis that type of faculty of medicine is an important determinant of future professional practice, i.e., level (hospital vs. community) or sector of practice (exclusive public sector vs. private or private and public), while controlling for confounders. Results After controlling for age, sex, marital status, place of birth and place of primary and secondary education, type of family and family influence, students were more likely to choose community over hospital practice and to prefer exclusive public practice if attending a Cuba supported faculty of medicine. Conclusions Medical education cannot be isolated from planning of the medical workforce. Some important and impactful careers choices, like choosing rural over urban practice, public over private sector practice, have deep influences in the medical professionals’ labour market. Some of these decisions are shaped even before the end of the medical training. As such, the monitoring of future professional intentions in medical schools should be done regularly to accommodate both the health system needs and the hopes and dreams of medical trainees.

scholarly journals Knowledge in Pain and Palliative Care in Medical Students From 2 Universities in Mozambique: A Cross Sectional Study

2020 ◽  
Author(s):  
Emília Pinto ◽  
Teresa Schwalbach ◽  
Ferraz Gonçalves ◽  
Jahit Sacarlal ◽  
Luisa Castro ◽  
...  
Keyword(s):  
Palliative Care ◽  
Pain Management ◽  
Medical Students ◽  
Medical Training ◽  
Medical Schools ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Exact Test

Abstract Background: Palliative Care (PC) needs have been increasing in low- and middle-income countries. The education of its contents avoids the patients and families´ suffering and therapeutic futility. Aim: to assess the pain and palliative care´s knowledge in Mozambican medical students of the fifth and sixth years. Methods: A cross–sectional study was conducted between August 2018 and July 2019. Data was collected by applying a self-administered survey directed to students from 2 medical schools in Mozambique. Comparison of answer’s frequencies between hospitals was performed using chi-square and Fisher’s exact test. Results: From the 146 participants, 52.7% were female and the median age was 24 years old. Regarding general knowledge: 90.1% think they need to improve their knowledge on pain management, 50.3% of the participants did not know the palliative care World Health Organization´s (WHO) definition. Concerning to therapeutic approach, 36.4% did not have knowledge in control of symptoms, 43.7% did not know the WHO pain management scale, 65.3% did not know how to initiate analgesia for cancer pain. There are significant differences between universities in training related to medical posture on communication to bad news to patients and family as well as training in terminally ill patients. Conclusion: Results show that students from these 2 medical schools have gaps in pain and palliative care knowledge. There is a need to introduce palliative care education in medical training in Mozambique.

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