scholarly journals Percepções de docentes e discentes sobre feedback em estágios práticos no curso de medicina

2021 ◽  
Vol 45 (3) ◽  
Author(s):  
Simone Stagini ◽  
Lena Vânia Carneiro Peres
Keyword(s):  
Qualitative Data ◽  
Medical Training ◽  
Training Methods ◽  
Assessment Feedback ◽  
Open Questions ◽  
Transmission Of Information ◽  
Quantitative Design ◽  
Giving Feedback ◽  
To Receive ◽  
De Medicina

Abstract: Introduction: In medical education, feedback is considered one of the main types of formative assessment. Feedback can be defined as the transmission of information by observing students in action aiming to provide improvement for the acquisition of medical skills that constitute medical professionalism. Objective: The aim of this study was to assess if there are difficulties in transmitting and receiving feedback by preceptors and students during the practical stages of medical training. Methods: This qualitative / quantitative design study involved all students who completed the internship from March 2018 to August 2019 (n = 50), as well as all preceptors responsible for the internships (n = 9) at Universidade Municipal de São Caetano do Sul. Knowledge about feedback, according to the viewpoint of students and preceptors, was assessed using adapted questionnaires with categorical and open questions. Descriptive analyses were used for the quantitative data and the content technique for the qualitative data. Results: The preceptors report that the objectives of providing feedback are to point out improvement, critical reflection, and opportunity for adjustments. Meanwhile, students report: clarification of doubts, planning for improvements and knowledge of positive points. Half of the preceptors claim to provide very frequent feedback, but students would like to receive feedback more often. Students want feedback to be constructive and private. Half of the preceptors find it difficult to give negative feedback; however, 60% of the students report handling criticism well. Conclusion: The preceptors declare to have knowledge of and know about the objectives of giving feedback; however, they have difficulties communicating it, especially when it involves criticisms for the correction of behaviors and attitudes. The students accept criticism and would like feedback to be conveyed more often in the practical stages. It is necessary to improve the process of providing and receiving feedback.

scholarly journals Teachers and students’ perceptions about feedback in clinical internships in medical school

2021 ◽  
Vol 45 (3) ◽  
Author(s):  
Simone Stagini ◽  
Lena Vânia Carneiro Peres
Keyword(s):  
Qualitative Data ◽  
Medical Training ◽  
Training Methods ◽  
Assessment Feedback ◽  
Open Questions ◽  
Transmission Of Information ◽  
Teachers And Students ◽  
Quantitative Design ◽  
Giving Feedback ◽  
To Receive

Abstract: Introduction: In medical education, feedback is considered one of the main types of formative assessment. Feedback can be defined as the transmission of information by observing students in action aiming to provide improvement for the acquisition of medical skills that constitute medical professionalism. Objective: The aim of this study was to assess if there are difficulties in transmitting and receiving feedback by preceptors and students during the practical stages of medical training. Methods: This qualitative / quantitative design study involved all students who completed the internship from March 2018 to August 2019 (n = 50), as well as all preceptors responsible for the internships (n = 9) at Universidade Municipal de São Caetano do Sul. Knowledge about feedback, according to the viewpoint of students and preceptors, was assessed using adapted questionnaires with categorical and open questions. Descriptive analyses were used for the quantitative data and the content technique for the qualitative data. Results: The preceptors report that the objectives of providing feedback are to point out improvement, critical reflection, and opportunity for adjustments. Meanwhile, students report: clarification of doubts, planning for improvements and knowledge of positive points. Half of the preceptors claim to provide very frequent feedback, but students would like to receive feedback more often. Students want feedback to be constructive and private. Half of the preceptors find it difficult to give negative feedback; however, 60% of the students report handling criticism well. Conclusion: The preceptors declare to have knowledge of and know about the objectives of giving feedback; however, they have difficulties communicating it, especially when it involves criticisms for the correction of behaviors and attitudes. The students accept criticism and would like feedback to be conveyed more often in the practical stages. It is necessary to improve the process of providing and receiving feedback.

scholarly journals Global Financial Crisis and Philanthropy: Malaysian Case

2015 ◽  
Vol 7 (2) ◽  
pp. 19-31 ◽  
Author(s):  
Janice Lay Hui Nga
Keyword(s):  
Financial Crisis ◽  
Mixed Method ◽  
Qualitative Data ◽  
Global Financial Crisis ◽  
Secondary Data ◽  
Civil Society Organisations ◽  
The Global Financial Crisis ◽  
The Impact ◽  
To Receive ◽  
Method Approach

This paper investigates the issue of the global financial crisis and its impacts on philanthropy and civil society organisations (CSOs) in Malaysia. CSOs are popularly known as non-governmental organisations (NGOs) in Malaysia. Financial crisis has caused NGOs in many countries to receive less funding. This situation may threaten and discourage voluntary works. Undoubtedly, these beneficial contributions from the NGOs are needful services to the society. This paper examines the impact of financial crisis through the lens of NGOs and philanthropy activities in Malaysia. It utilises primary and secondary data, employs a mixed method approach, and uses quantitative and qualitative data. While there are many influencing factors in this development, this paper presents several significant aspects in the Malaysian context, including the style and nature of giving, culture, religion, and political pressure. This study attempts to seek potential solutions, pathways and possible approaches beneficial to NGOs and philanthropy activities for their sustainability in facing the financial crisis and its consequences. Experiences and lessons learnt in Malaysia may well be useful and applicable to some extent in other countries.

scholarly journals Effective Strategies for Global Health Training Programs A Systematic Review of Training Outcomes in Low and Middle Income Countries

2016 ◽  
Vol 8 (11) ◽  
pp. 278 ◽  
Author(s):  
Aprill Z. Dawson ◽  
Rebekah J. Walker ◽  
Jennifer A. Campbell ◽  
Leonard E. Egede
Keyword(s):  
Medical Training ◽  
Skills Training ◽  
High Income ◽  
Training Methods ◽  
Middle Income ◽  
Training Outcomes ◽  
Effective Strategies ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
Low And Middle Income

<p><strong>INTRODUCTION: </strong>Low and middle-income countries face a continued burden of chronic illness and non-communicable diseases while continuing to show very low health worker utilization. With limited numbers of medical schools and a workforce shortage the poor health outcomes seen in many low and middle income countries are compounded by a lack of within country medical training.</p><p><strong>METHODS: </strong>Using a systematic approach, this paper reviews the existing literature on training outcomes in low and middle-income countries in order to identify effective strategies for implementation in the developing world. This review examined training provided by high-income countries to low- and middle-income countries.</p><p><strong>RESULTS: </strong>Based on article eligibility, 24 articles were found to meet criteria. Training methods found include workshops, e-learning modules, hands-on skills training, group discussion, video sessions, and role-plays. Of the studies with statistically significant results training times varied from one day to three years. Studies using both face-to-face and video found statistically significant results.</p><p><strong>DISCUSSION:</strong> Based on the results of this review, health professionals from high-income countries should be encouraged to travel to low- middle-income countries to assist with providing training to health providers in those countries.</p>

Exploring the health and wellbeing benefits of gardening for older adults

2014 ◽  
Vol 35 (10) ◽  
pp. 2176-2200 ◽  
Author(s):  
THERESA L. SCOTT ◽  
BARBARA M. MASSER ◽  
NANCY A. PACHANA
Keyword(s):  
Older Adults ◽  
Qualitative Data ◽  
Word Association ◽  
Vital Role ◽  
Psychological Wellbeing ◽  
Health And Wellbeing ◽  
Therapeutic Benefits ◽  
Open Questions ◽  
Leisure Pursuit ◽  
Casual Leisure

ABSTRACTResearch shows that contact with nature plays a vital role in our psychological wellbeing. Domestic gardening is common among older adults who spend more leisure hours gardening than any other age group. Despite this, few studies have systematically explored the significance of domestic gardens in relation to older adults' health and wellbeing. This study examined the perceived therapeutic benefits of gardening, and the effect of ageing in relation to older gardeners' continued participation in gardening, using quantitative and qualitative data from a survey of Australian older adult gardeners (N=331). The quantitative data, which included frequencies, were analysed using the PASW Statistics 18.0 package. The qualitative data, which included participants' responses to open questions, were analysed by deriving themes via Leximancer, an innovative text analytics software that uses word association information to elicit concepts, extracting the most important and grouping these according to themes. In relation to the reasons for gardening, several themes were identified including valuing the aesthetics of gardens, connecting with nature, achievement, and physical and mental activity. The benefits of gardening, and the variety of ways that respondents had adapted or modified their gardening activities in order to continue, are also reported. Gardening was more than a casual leisure pursuit for these participants, who saw it as critical to their physical and psychological wellbeing.

scholarly journals Preditores de idealização suicida entre estudantes de medicina: uma revisão sistemática

2019 ◽  
Vol 3 (1) ◽  
pp. 78
Author(s):  
Victor Meireles Campos ◽  
Ieda Aleluia
Keyword(s):  
Systematic Review ◽  
Medical Students ◽  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Training Methods ◽  
Increased Risk ◽  
The World ◽  
The Subject ◽  
Health Objective ◽  
De Medicina

BACKGROUND: Suicidal ideation is one of the main symptoms indicative of suicide attempts and suicide. According to the WHO, about 800,000 cases of suicide were reported around the world in 2014, which translates to an index of 1 suicide every 40 seconds. Medical students constitute a population at risk for the development of suicidal ideation. Several life factors may influence the risk of suicidal ideation, those being personality traits, social factors and mental health. OBJECTIVE: Identify the indicators of suicidal ideation among medical students during their academic training. METHODS: This is a systematic review carried out in the electronic databases Pubmed and BVS. Articles that addressed the subject of suicidal ideation among medical students in Portuguese, English and Spanish from 2008 to 2018 were included. RESULTS: We found 263 articles, of which 12 articles met the inclusion and exclusion criteria. After the application of the STROBE statement, 6 articles were selected for the creation of this systematic review. The prevalence of suicidal ideation varied from 3.7% to 35.6% around the world and several factors were linked to the increase of suicidal ideation risk. CONCLUSION: A suicidal ideation is a frequent and multifactorial phenomenon that involves several realms of a medical student's life. The risk factors identified in this review were linked to the increased risk of suicidal ideation development.

scholarly journals Quality improvement supervision comparison between training and non training posts

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S196-S196
Author(s):  
Qutub Jamali ◽  
Tarun Khanna ◽  
Gareth Thomas
Keyword(s):  
Patient Care ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Medical Training ◽  
Junior Doctors ◽  
List Type ◽  
Online Questionnaire ◽  
Qualitative And Quantitative ◽  
Training Post ◽  
Method Approach

AimsTo explore the level of supervision between training and non-training posts at LSCFT.Background•Supervision is defined as ‘provision of guidance and feedback on matters of personal, professional and educational development in the context of a trainees' experience of providing safe and appropriate patient care’.•Along with the trainees, doctors working in non-training posts such as staff grade, specialty doctors, trust grade doctors (TJD)and MTI (Medical training initiative) doctors form an integral part of patient care in the NHS.Method•A mixed method approach was adopted with both qualitative and quantitative data collected simultaneously in the form of an online questionnaire.•An anonymous online questionnaire was sent to junior doctors currently in training and non-training posts at LSCFT in 2019 using Meridian software.Result1- Quantitative Data: - Participants included were doctors in training post such as Foundation Doctors (5), Psychiatry Core Trainees (6), GP STs (2) and doctors in non-training post such as TJD (4), Specialty Doctors (2) and MTI doctors (4). Based on the Meridian score, 84% of doctors were satisfied with the supervision. It was found that 72% of doctors received weekly supervisions, 10% monthly (1 TJD, 1 Foundation trainee) and16% bi-monthly (1 MTI, 1 SAS, 2 CTs). The data suggested that there was no difference in the frequency of supervisions between training and non-training posts at LSCFT.2- Qualitative Data: - The feedback was common as there was no major difference between training and non-training doctors. •Positives – WPBAs, discussion on reflections, management of complex cases and medication, personal issues affecting work.•Negatives – Limited discussion on QI, Audit, Research and Psychotherapy.- More specific help, need more support at times.Conclusion1.To prepare a checklist of contents to be discussed during supervision.2.To prepare a timeline chart of supervision.3.Preparing a ‘menu’ of QI projects that junior doctors can sign up to at the start of each post.4.To formulate training packages available to support junior doctors with QI/Audits.

scholarly journals Avoiding Occupational Diseases in Industry by Adapting the Training Methods to the New Technologies

2020 ◽  
Vol 21 (2) ◽  
pp. 56-59
Author(s):  
Petru Iulian Mureșan ◽  
Ioan Milosan ◽  
Dorin Senchetru ◽  
Adrian Nicolae Reit
Keyword(s):  
Occupational Diseases ◽  
Occupational Safety ◽  
New Technologies ◽  
Online Communication ◽  
Training Methods ◽  
Online Environment ◽  
State Of Emergency ◽  
Work From Home ◽  
Safety And Health ◽  
To Receive

The most common occupational diseases in the industry are mainly due to the non-compliance with the employer's obligation to provide appropriate training in the workplace. This is often performed only by signing training forms only formally. With this fact in mind, we analyze in this paper the occupational diseases in industry specific to Brașov County, presented in the reports of Brașov Labor Inspectorate, from 2005 to 2019. This study was conducted based on the number of occupational diseases due to silicosis, related to the total number of occupational diseases in Brașov County (study period between 2005 and 2019). Given the state of emergency generated by the COVID-19 pandemic, in order to prevent the spread of this virus and to carry out activities using work from home, telework, and to avoid the interaction between workers as much as possible, online communication with employees is considered as being the only way that allows at the same time both the observance of the measures imposed to prevent the spread of the virus and the implementation of the obligations regarding training on occupational safety and health, which the employer has according to the laws in force. In this context, analyzing the values obtained from the experimental data (number of occupational diseases due to silicosis, related to the total number of occupational diseases in Brasov County) it is identified and solved in the paper the use of online environment, especially in remotely training the workers, who have the opportunity to receive training documents, analyze them, sign them electronically and send them to the employer in electronic format and in this way, being trained even in special situations.

scholarly journals Factors Associated with Systemic Bleeding in Bothrops Envenomation in a Tertiary Hospital in the Brazilian Amazon

Toxins ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. 22 ◽  
Author(s):  
Sâmella S. Oliveira ◽  
Eliane C. Alves ◽  
Alessandra S. Santos ◽  
João Pedro T. Pereira ◽  
Lybia Kássia S. Sarraff ◽  
...  
Keyword(s):  
Rural Areas ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Factors Associated ◽  
Amazonas State ◽  
Hemostatic Disorders ◽  
To Receive ◽  
De Medicina

Bothrops snakebites usually present systemic bleeding, and the clinical–epidemiological and laboratorial factors associated with the development of this manifestation are not well established. In this study, we assessed the prevalence of Bothrops snakebites with systemic bleeding reported at the Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, in Manaus, Amazonas State, Brazil, and the clinical–epidemiological and laboratorial factors associated with systemic bleeding. This is an observational, cross-sectional study carried out between August, 2013 and July, 2016. Patients who developed systemic bleeding on admission or during hospitalization were considered cases, and those with non-systemic bleeding were included in the control group. Systemic bleeding was observed in 63 (15.3%) of the 442 Bothrops snakebites evaluated. Bothrops snakebites mostly occurred in males (78.2%), in rural areas (89.0%) and in the age group of 11 to 30 years old (40.4%). It took most of the patients (59.8%) less than 3 h to receive medical assistance. Unclottable blood (AOR = 3.11 (95% CI = 1.53 to 6.31; p = 0.002)) and thrombocytopenia (AOR = 4.52 (95% CI = 2.03 to 10.09; p < 0.001)) on admission were independently associated with systemic bleeding during hospitalization. These hemostatic disorders on admission increase the chances of systemic bleeding during hospitalization. Prospective studies are needed to clarify the pathophysiology of systemic bleeding in Bothrops snakebites in the Amazon region.

scholarly journals Pelatihan Keterampilan Menolak dan Asertivitas pada Remaja Selama Pandemi COVID-19

2021 ◽  
Vol 11 (3) ◽  
pp. 232
Author(s):  
Rika Kristina ◽  
Luh Surini Savitri
Keyword(s):  
Experiential Learning ◽  
Qualitative Data ◽  
Social Acceptance ◽  
Role Play ◽  
Peer Pressure ◽  
Inventory Data ◽  
Purposive Sampling ◽  
Face To Face ◽  
Assertiveness Training ◽  
To Receive

Adolescents are prone to receive negative peer pressure. One of the main causes is the need of social acceptance. The aim of this study is to improve adolescents’ refusal skill and assertiveness to avoid negative peer pressure through experiential learning approach. Online training is carried out due to the COVID-19 pandemic, which makes face-to-face activities need to be restricted. The subjects of this study are 5 female students from three different schools in Jakarta, who were selected using purposive sampling method with Peer Pressure Inventory. Data were collected quantitatively using two different questionnaires which measure refusal skill, and assertiveness separatedly, while qualitative data were collected through observation and role-play activity. Wilcoxon signed ranked test was used to analyze the quantitative data, while the qualitative data were analyzed descriptively. The results show the significant increase of assertiveness among participants after joining the training, but not with their refusal skills. This may be caused by the limited time of practicing the refusal skill in real context. Overall, online refusal skill and assertiveness training is likely to be given amid the COVID-19 pandemic.Keywords: Adolescents, assertiveness, peer pressure, refusal skill Abstrak: Remaja rentan menerima dan terpengaruh oleh tekanan negatif dari teman sebaya. Salah satu penyebab utama adalah adanya kebutuhan untuk mendapat penerimaan dari lingkungan. Tujuan penelitian ini adalah meningkatkan keterampilan menolak dan asertivitas remaja agar terhindar dari tekanan negatif teman sebaya. dengan pendekatan experiential learning. Pelatihan daring dilakukan karena adanya pandemi COVID-19 yang membuat seluruh kegiatan tatap muka perlu dihindari. Subjek dalam pelatihan ini adalah 5 remaja perempuan dari tiga sekolah di Jakarta, yang dipilih dengan metode purposive sampling menggunakan Peer Pressure Inventory. Data kuantitatif diperoleh melalui dua kuesioner berbeda untuk mengukur keterampilan menolak dan asertivitas secara terpisah. Data kualitatif diperoleh melalui observasi dan aktivitas role-play. Wilcoxon signed ranked test digunakan untuk menganalisis data kuantitatif, sedangkan data kualitatif dianalisis secara deskriptif. Hasil menunjukkan adanya peningkatan yang signifikan pada tingkat asertivitas partisipan, namun tidak dengan keterampilan menolaknya. Hal ini dapat dipengaruhi oleh keterbatasan kesempatan mempraktikkan keterampilan menolak dalam konteks yang sesungguhnya. Secara keseluruhan, pelatihan keterampilan menolak dan asertivitas secara daring sangat mungkin diberikan pada masa pandemi COVID-19.

scholarly journals 729 “I Don’t Feel Like I’m Learning How to Be A Doctor:” The Impact of Disruptions Due to Covid-19 On Professional Identity Formation in UK Medical Students

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Harvey ◽  
M E L Brown ◽  
M H V Byrne ◽  
J Ashcroft ◽  
J C M Wan ◽  
...  
Keyword(s):  
Medical Students ◽  
Professional Identity ◽  
Identity Formation ◽  
Medical Training ◽  
Professional Identity Formation ◽  
Clinical Environment ◽  
Clinical Exposure ◽  
Open Questions ◽  
Qualitative Responses ◽  
The Impact

Abstract Introduction Professional identity formation (PIF) is a priority of medical training. Covid-19 caused disruption to medical education. We ask how this disruption impacted PIF through the lens of the activities performed – or not performed – by medical students during the first wave of the covid-19 pandemic, and perceptions of conflicts between activities. Method A pragmatic survey was distributed in spring 2020. Thematic analysis was performed of qualitative responses to two open questions. A social constructivist approach linked participants’ comments to PIF theory. Results We analysed 928 responses. Three themes surrounding students’ activities during covid-19 and their impact on identity were constructed: Conflict arose at the intersections between these themes. Students noted lack of clinical exposure was detrimental, implicitly recognising that aspects of PIF require the clinical environment. Participants were keen to volunteer but struggled with balancing academic work. Participants worried about risk to their households and the wider community and wanted their skills to add value in the clinical environment. Volunteers felt frustrated when they were unable to perform tasks aligning with their identity as a future doctor. An exception was participants who worked as interim FY1s, aligned with the role of an FY1. Conclusions Medical students feel a duty to help during crises. Conflict arises when different aspects of their identity demand different actions. Care must be taken to nurture PIF during periods of disruption.

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