scholarly journals Ações Disciplinares em Ginecologia e Obstetrícia na Região Norte de Portugal nos Anos 2008 a 2012

2015 ◽  
Vol 28 (2) ◽  
pp. 194
Author(s):  
Francisco Silva ◽  
Manuel Rodrigues e Rodrigues ◽  
João Bernardes
Keyword(s):  
Medical Malpractice ◽  
Disciplinary Action ◽  
Obstetrics And Gynecology ◽  
Medical Doctors ◽  
Disciplinary Actions ◽  
The North ◽  
Obstetrics And Gynaecology ◽  
Anonymized Data ◽  
Annual Activity ◽  
Medical Specialities

<strong>Introduction:</strong> Disciplinary actions may have a significant impact in medical doctors’ and patients’ lives. The objective of this study was the assessment of the disciplinary actions in Obstetrics and Gynecology that occurred in the north of Portugal in years 2008 to 2012.<br /><strong>Material and Methods:</strong> Retrospective descriptive study based on the anonymized data contained in the annual activity reports of Conselho Disciplinar da Seção Regional Norte da Ordem dos Médicos from 2008 to 2012. We calculated the proportion of disciplinary actions in Obstetrics and Gynaecology over the total number of registered specialists in that speciality. We also analysed the type of complainers, accused, institutions, complaints and decisions. For statistical inference proportions with 95% confidence intervals were estimated.<br /><strong>Results:</strong> From years 2008 to 2012, we registered 1040 complaints in all medical specialities in the north of Portugal. Obstetrics and Gynecology was the forth most affected specialty, with a total of 54 complaints. Forty-three complaints were related with medical malpractice and if we only consider this type of complaint Obstetrics and Gynecology was the most affected specialty. The most frequent complainers and accused were, respectively, patients themselves and female physicians, with 41 to 60 years of age. Fifty-two complaints were archived without punishment while two still await conclusion.<br /><strong>Discussion:</strong> The overall results of this study are in agreement with those reported by other authors.<br /><strong>Conclusions:</strong> Obstetrics and Gynecology was the forth speciality with highest risk for any disciplinary action in the north of Portugal in years 2008 to 2012 and the first one in relation with alleged negligence. All presented and already concluded complaints were archived without penalty, except two that are still under evaluation.

scholarly journals Medical malpractice in Norway: frequency and distribution of disciplinary actions for medical doctors 2011–2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Martin B. Harbitz ◽  
Per Steinar Stensland ◽  
Birgit Abelsen
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Secondary Care ◽  
Medical Malpractice ◽  
Care Facility ◽  
Organizational Factors ◽  
Disciplinary Action ◽  
Junior Doctors ◽  
Disciplinary Actions ◽  
Health Supervision

Abstract Background Physicians who perform unsafe practices and harm patients may be disciplined. In Norway, there are five types of disciplinary action, ranging from a warning for the least serious examples of malpractice to loss of licence for the most serious ones. Disciplinary actions always involve medical malpractice. The aims of this study were to investigate the frequency and distribution of disciplinary actions by the Norwegian Board of Health Supervision for doctors in Norway and to uncover nation-wide patient safety issues. Methods We retrospectively investigated all 953 disciplinary actions for doctors given by the Board between 2011 and 2018. We categorized these according to type of action, recipient’s profession, organizational factors and geographical location of the recipient. Frequencies, cross tables, rates and linear regression were used for statistical analysis. Results Rural general practitioners received the most disciplinary actions of all doctors and had their licence revoked or restricted 2.1 times more frequently than urban general practitioners. General practitioners and private specialists received respectively 98.7 and 91.0 disciplinary actions per 1000 doctors. Senior consultants and junior doctors working in hospitals received respectively 17.0 and 6.4 disciplinary actions per 1000 doctors. Eight times more actions were received by primary care doctors than secondary care doctors. Doctors working in primary care were given a warning 10.6 times more often and had their licence revoked or restricted 4.6 times more often than those in secondary care. Conclusion The distribution and frequency of disciplinary actions by the Norwegian Board of Health Supervision clearly varied according to type of health care facility. Private specialists and general practitioners, especially those working in rural clinics, received the most disciplinary actions. These results deserve attention from health policy-makers and warrant further studies to determine the factors that influence medical malpractice. Moreover, the supervisory authorities should assess whether their procedures for reacting to malpractice are efficient and adequate for all types of physicians working in Norway.

scholarly journals Academic relationships between Hungarian professors and the Second Vienna Medical School

2021 ◽  
Author(s):  
Béla Szende ◽  
Attila Zalatnai
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Medical Doctors ◽  
Surgical Department ◽  
Treatment And Prevention ◽  
Obstetrics And Gynaecology ◽  
Practice Of Medicine ◽  
Vienna Medical School ◽  
The University ◽  
The Impact

SummaryThis article discusses the impact of the ‘second’ Vienna Medical School, hallmarked by Karl Rokitansky, Joseph Skoda and Ferdinand Hebra, on the study and practice of medicine in Hungary. Six medical doctors’ lives and achievements are outlined, who formed a bridge between Vienna and Budapest through their studies and work. Four of them returned to Hungary and promoted the cause of medicine and medical education there. Lajos Arányi (1812–1877) founded in 1844 the Institute of Pathology at the University of Pest. János Balassa (1814–1868) took the Chair of the Surgical Department. Ignaz Philip Semmelweis (1818–1865), the ‘Saviour of Mothers’, received a position at the Department of Obstetrics and Gynaecology in Vienna in 1846. Gustav Scheuthauer (1832–1894) became Arányi’s successor. Each of them continued to keep contact with their tutors in Vienna, especially with Karl Rokitansky, and followed the clinicopathological conception pioneered by the Vienna Medical School regarding diagnostics, treatment and prevention of diseases. Two physicians remained in Vienna: Mór Kaposi (1837–1902), who became known worldwide posthumously due to the connection between Kaposi’s sarcoma and AIDS, was the director of the Department of Dermatology of the Vienna University in 1878. Salomon Stricker (1837–1898) undertook the leadership of the Department of General and Experimental Pathology in 1872.

scholarly journals TAP-block as a component of multimodal analgesia for postoperative anesthesia in obstetrics and gynecology

Pain medicine ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 67-74 ◽  
Author(s):  
Ye. V. Grigimalsky ◽  
A. Y. Garga
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Multimodal Analgesia ◽  
Postoperative Pain Relief ◽  
Obstetrics And Gynecology ◽  
Tap Block ◽  
Actual Problem ◽  
Advantages And Disadvantages ◽  
Obstetrics And Gynaecology

Postoperative pain relief is still quite actual problem in medicine, particularly in obstetrics and gynaecology. The most appropriate method of adequate post-operative anesthesia is multimodal analgesia. This article describes the features of multimodal analgesia using TAP-block combined with NSAIDs in obstetric and gynaecological patients, advantages and disadvantages of this combination and our own experience of applying this method in our clinic.

scholarly journals Achieving the Right Balance in Oversight of Physician Opioid Prescribing for Pain: The Role of State Medical Boards

2003 ◽  
Vol 31 (1) ◽  
pp. 21-40 ◽  
Author(s):  
Diane E. Hoffmann ◽  
Anita J. Tarzian
Keyword(s):  
Pain Management ◽  
Pain Treatment ◽  
Chronic Pain Patient ◽  
Disciplinary Action ◽  
Pain Patient ◽  
Disciplinary Actions ◽  
Noncancer Pain ◽  
The Right ◽  
State Medical Boards

Uncertainty regarding potential disciplinary action may give physicians pause when considering whether to accept a chronic pain patient or how to treat a patient who may require long-term or high doses of opioids. Surveys have shown that physicians fear potential disciplinary acrion for prescribing controlled substances and that physicians will, in some cases, inadequately prescribe opioids due to fear of regulatory scrutiny. Prescribing opioids for long-term pain management, particularly noncancer pain management, has been controversial; and boards have investigated and, in some cases, disciplined physicians for such prescribing. While in virtually all of these cases the disciplinary actions were successfully appealed, news of the success was not often as well-publicized as news of the disciplinary actions, leaving some physicians confused about their potential liability when prescribing opioids for pain. The confusion has perhaps increased as a result of two relatively recent cases, one where a physician was successfully disciplined by a state medical board for undertreatment of his patients’ pain, and another where the physician was successfully sued for inadequate pain treatment.

Diagnostic Value of Ultrasound Imaging in Obstetrics and Gynecology Acute Abdomen

2021 ◽  
Vol 11 (2) ◽  
pp. 469-477
Author(s):  
Sicong Li ◽  
Liangzhi Xu
Keyword(s):  
Acute Abdomen ◽  
Ultrasound Imaging ◽  
Diagnostic Value ◽  
Obstetrics And Gynecology ◽  
Imaging Diagnosis ◽  
Clinical Value ◽  
Obstetrics And Gynaecology ◽  
Imaging Characteristics ◽  
Objective Evidence ◽  
Acute Pelvic Inflammatory Disease

Common types of gynecological acute abdomen include ovarian cyst pedicle torsion, ectopic pregnancy, luteal rupture, and acute pelvic inflammatory disease. Make accurate diagnosis and surgical treatment of acute abdomen patients in obstetrics and gynecology in time, otherwise it will cause life danger or loss of organ function, therefore, accurate and timely diagnosis and treatment of gynecological acute abdomen is very important for the prognosis of patients. Ultrasound imaging has important clinical value for the diagnosis of acute abdomen in obstetrics and gynecology. Ultrasound imaging has the advantages of simple examination, rapid reporting, and no pain in the subject, which is one of the best methods for diagnosing acute abdomen in obstetrics and gynecology. This study analysed and summarized the imaging principles of ultrasound imaging in acute obstetrics and gynecology and the imaging characteristics of various acute abdomen. A retrospective analysis of patients with acute obstetrics and gynaecology performed in our hospital from December 2017 to June 2019 was performed. The diagnostic analysis of ultrasound imaging in acute obstetrics and gynaecology was performed. The results showed that the ultrasound imaging diagnosis results of 202 obstetric and gynecological acute abdomen patients were compared with the results of surgery and pathological diagnosis. Among the 182 cases with correct ultrasound imaging diagnosis, the coincidence rate was 90.1%, and 20 cases were misdiagnosed, accounting for 9.9%. The research of this study shows that the ultrasound examination technique for patients with acute obstetrics and gynaecology is simple, fast, non-invasive, and has high accuracy. Ultrasound imaging can provide reliable objective evidence for the diagnosis and differential diagnosis of most acute abdominal diseases, in order to improve the diagnosis rate and reduce the misdiagnosis rate.

Ultrasound in Africa: what can really be done?

2016 ◽  
Vol 44 (2) ◽  
Author(s):  
Labaran Dayyabu Aliyu ◽  
Asim Kurjak ◽  
Tuangsit Wataganara ◽  
Renato Augusto Moreira de Sá ◽  
Ritsuko Pooh ◽  
...  
Keyword(s):  
Health Care ◽  
Critical Role ◽  
Neonatal Morbidity ◽  
Obstetrics And Gynecology ◽  
Care Provision ◽  
Quality Health Care ◽  
Obstetrics And Gynaecology ◽  
The World ◽  
Quality Health ◽  
Heath Care

AbstractToday we are living in a globalized world in which information on what is happening in one part of the world is easily communicated to other parts of the world. This happens thanks to advancement in science and technology. One area where technology has made the greatest impact is heath care provision. Ultrasound technology is now playing a critical role in health care provision particularly in Obstetrics and Gynaecology. This has significantly assisted in provision of quality health care to pregnant women and their unborn infants and in reducing maternal and neonatal morbidity and mortality in the developed world. Africa the continent with greatest health care challenges and with the highest maternal and neonatal mortalities is yet to fully utilize this important technology. The need for this technology is great as the conditions requiring its application abound. The effective application of Ultrasound however faces serious challenges in Africa. To successfully entrench Ultrasound in quality Obstetrics and Gynaecology care various approaches must be adopted to overcome the challenges. The aim of this paper is to identify the benefits and the challenges inimical to the application Ultrasound in Obstetrics and Gynecology in Africa. It also examines what needs to be done to achieve better application of Ultrasound in Obstetrics and Gynecology.

Sense of Futility as Subject of Disciplinary Action: Do Students With Negative Attitudes Toward the Educational System Get Disciplined More Often?

2020 ◽  
pp. 019874292096135
Author(s):  
Emma Degroote ◽  
Mieke Van Houtte
Keyword(s):  
Multilevel Analysis ◽  
Educational System ◽  
School Discipline ◽  
International Study ◽  
Disciplinary Action ◽  
School Staff ◽  
Student Behaviors ◽  
Disciplinary Actions ◽  
Negative Attitudes ◽  
Selective Process

School discipline research has demonstrated that the labeling of student behaviors as requiring disciplinary action is a selective process in which school staff take into account other factors than the characteristics of the behaviors. We argue that school staff react in a disciplinary way to students with negative attitudes toward the educational system. Concretely, we examined if feelings of futility caused students to suffer disciplinary consequences more often. Multilevel analysis was carried out on data of 2,358 students in 28 Ghentian (Belgium) schools that participated in the International Study of City Youth (ISCY). Results indicate that school staff do not react to students’ sense of futility directly by means of disciplinary actions, however, they impose disciplinary actions following disruptive behaviors on students displaying higher feelings of futility more often.

scholarly journals Evaluation of the Assessment Plan for Undergraduate Clerkship in Obstetrics and Gynecology, King Abdulaziz University

2014 ◽  
Vol 1 ◽  
pp. JMECD.S18463
Author(s):  
Ahmad M.S. Almrstani ◽  
Abdullah Alnoman ◽  
Hassan Abduljabbar ◽  
Hesham Sait ◽  
Mohammed Bazarah ◽  
...  
Keyword(s):  
Medical Students ◽  
Learning Outcomes ◽  
Student Assessment ◽  
National Commission ◽  
Obstetrics And Gynecology ◽  
Teaching Staff ◽  
Obstetrics And Gynaecology ◽  
Assessment Guidelines ◽  
King Abdulaziz University ◽  
Assessment Strategies

Background The standards set by accreditation bodies for student assessment during higher education, such as those of the National Commission for Academic Accreditation & Assessment (NCAAA), are necessary in formulating educational programs. These serve as a benchmark for how colleges or universities are assessed and reflect students' learning. Following the implementation of these guidelines, the Department of Obstetrics and Gynaecology, within the Faculty of Medicine in King Abdulaziz University (KAU), established assessment strategies appropriate to their curriculum, which were valid and reliable, thus enabling students to be fairly assessed throughout their undergraduate course. Since KAU is currently preparing for accreditation by the NCAAA, this study was a necessary undertaking to ensure that the assessment strategies designed by the Department of Obstetrics and Gynaecology are aligned and conform to the NCAAA student assessment guidelines, thereby outlining the standard of expected performance and learning outcomes for students. Objectives This study aimed to evaluate the assessment plan of the obstetrics and gynecology clerkship for undergraduate medical students within the Faculty of Medicine, KAU, in comparison to the standard criteria for student assessment as implemented by the NCAAA. Materials and Methods A cross-sectional study was conducted, which employed two questionnaires containing questions based on the NCAAA guidelines. The surveys were distributed among the teaching staff and students rotating for 12 weeks within the Department of Obstetrics and Gynaecology, KAU, from September to November 2013. In total, 100/116 (86.2%) students and 26/36 (81.25%) teaching staff participated in the study. Results Two sets of results were obtained regarding the student assessment practices in the Department of Obstetrics and Gynaecology, KAU, one from fifth-year medical students and the second from the teaching staff. The results showed that the majority of student respondents agreed that the department conformed to the guidelines and standards as set out by the NCAAA. However, the statistics gathered from the teaching staff participants implied that although the department is adhering to the standards, further improvements are still required in terms of the implementation and design of assessment strategies. Conclusions Adherence to the NCAAA student assessment guidelines and its strict implementation are vital to achieving effective learning outcomes among obstetrics and gynecology students. Faculty staff need be appropriately trained in the field of exam preparation and assessment. Further improvements to the existing student assessment strategies used by the Department of Obstetrics and Gynaecology, KAU, are recommended.

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