scholarly journals Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde

2017 ◽  
Vol 30 (10) ◽  
pp. 699 ◽  
Author(s):  
Antonio Pedro Delgado ◽  
Antonieta Soares Martins ◽  
Paulo Ferrinho

Introduction: Cape Verde is a small insular developing state. Its first experience of undergraduate medical education began in October 2015. The purpose of this paper is to describe and analyze the professional expectations and profile of the first class of medical students at the University of Cape Verde.Material and Methods: A piloted, standardized questionnaire, with closed and open-ended questions, was distributed to registered medical students attending classes on the day of the survey. All data were analyzed using SPSS.Results: Students decided to study medicine in their mid-teens with relatives and friends having had significant influence over their decisions. Other major reasons for choosing medical training include “to take care of other people”, “fascination for the subject matters of medicine” and “I have always wanted to”. The degree of feminization of the student population is extremely high (20/25; 80.0%). Medical students are in general satisfied with the training program, and have expectations that the training received will allow them to be good professionals. Nevertheless, they consider the course too theoretical. Medical students know that this represents an opportunity for them to contribute to public welfare. Nonetheless, their expectations are to combine public sector practice with private work. Medical students come mostly from Santiago Island where the Capital of the Country is located. They still do not know about their future area of specialization. But all of those who want to specialize want to do so abroad. They mostly expect to follow hospital careers rather than health administration or family and community medicine.Discussion: This study contributes to the growing body of knowledge about medical students’ difficulties and expectations regarding medical schools or curriculums in lusophone countries. The decision to invest in the training of local physicians is justified by the need to be less dependent on foreigners. Local postgraduate medical training programs are already considered a priority for the immediate future.Conclusion: Cape Verde is pursuing a bold strategy to deal with a shortage of medical doctors. The problems experienced by medical students provide an important insight to help the new medical school to provide a better learning environment for students. The fact that students are not sure about their future area of specialization is an opportunity to guide them towards the areas of the health system with pressing needs. The current feminization of the medical workforce will be sustained with the profile of the present intake, hence the need to take this into account in workforce planning.

2020 ◽  
Vol 10 (21) ◽  
pp. 36-46
Author(s):  
Árpád Hudra

Imre Magyar, the last great representative of the Korányi School, who was appointed as the director and professor of the Internal Medicine Clinic I of the Budapest University of Medicine in 1965, emphasised in his inaugural address that from the three closely intertwined functions of the university clinic, i.e. patient care, research and medical training and education, he considers the latter the most important. The study intends to present that Imre Magyar, as an absolute educator, pursued this objective until his retirement in 1980. In his inaugural address he regarded lectures given by teachers of higher calibre with the intention to teach students medical thinking as one of the most important components of education. He even looked at lectures rather as seminars, never forgetting to make presentations on patients. Textbooks were meant for home education. Magyar, however, also “provided assistance” with this for medical students. His functional holistic thinking made it possible that medicine as specialised sciences be once again summarised as a uniform internal medicine dealing with the whole individual in his textbooks co-written by Petrányi and used in medical training for decades. Making a concrete connection with the patient, appropriate verbal and metacommunications, empathy, understanding and showing appropriate medical behaviour were, in his view, prerequisites for becoming a doctor. That is why he was concerned about the function of the doctor’s character in healing, and conducted investigations also described in this study on several occasions in relation with the cultivation of medical students. That is why Imre Magyar, who saw the big picture of education, emphasised the vital role of literature, arts and music in a doctor’s life.


2008 ◽  
Vol 31 (6) ◽  
pp. 410
Author(s):  
_ CAPM Awards

The 2008 Core Medical Residents Research Awards were presented to Dr. Anna Mathew from the University of Western Ontario, Dr. Jeya Nadarajah of McMaster University, and Dr. Sara Stafford and Dr. Tara Sedlak from the University of British Columbia at the Annual Meeting of the Canadian Society for Clinical Investigation. The awards, co-sponsored by the CSCI and the Canadian Association of Professors of Medicine are to recognize outstanding research by core medicine residents and to highlight the importance of research participation as a component of the core medical training experience.


2021 ◽  
Vol 55 (1) ◽  
pp. 52-59
Author(s):  
Henry J. Lawson ◽  
Makafui Yigah ◽  
Phaedra Yamson

Emotional Intelligence is a form of interpersonal intelligence. There’s evidence that high emotional intelligence (EQ) of a medical student is associated with better coping with the tedious medical training. We evaluated EQ in medical students in their clinical years. This cross-sectional study was conducted in the University of Ghana Medical School (UGMS), Accra. In all, 111 students completed the questionnaires. Their average age was 24±1.5 years with marginal male preponderance. There were 37, 31 and 43 students in the 1st, 2nd and 3rd clinical years respectively. For global scores, 16 (14.1%) had good EQ (>120) with a mean total score of 105.49. The mean EQ for males was 104.2±17 an 106.2±12 for females, however this difference was not statistically significant (p=0.319). Mean EQ for 1st, 2nd and 3rd clinical years were 104.4±13, 104.4±20, and 107.1±12. This rise with increasing years was however not significant (p=0.659). EQ showed a weak positive correlation with age (r=0.1) but this was not significant (p=0.29). We report low EQ among students of the UGMS with no significant difference between gender, age and clinical year. EQ should be actively taught as part of the curriculum in UGMS. A larger study involving other medical schools in Ghana isrecommended.


2018 ◽  
Vol 42 (3) ◽  
pp. 201-213
Author(s):  
Liliana Wahba ◽  
Francisco Lotufo

ABSTRACT Background Although overall cultural differences exist between individuals from the X and Y generations, to our knowledge few previous studies have contrasted their expectations regarding what good doctors are, and their perceptions on the training processes they undergo. Aims To conduct a study exploring perceptions on what good doctors are and their perceptions about training among a sample of Brazilian medical students at the University of Sao Paulo Medical School, comparing groups from 2000 and 2014. We aimed to provide information that can be used to guide curriculum development in medical schools. Methods We conducted a mixed methods study of a series of open questions asked to medical students from the University of São Paulo, Brazil, in 2000 and 2014. This qualitative analysis focused on uncovering emerging themes related to students’ perceptions regarding what good doctors are and how they see their training process. A subsequent quantitative analysis through Natural Language Processing was undertaken. Results Gender distribution was balanced between the 2000 and 2014 groups, with most students being in the early 20s. Our main emerging concepts involved four themes: Skills and qualities of a good doctor, positive and negative aspects of the curriculum, as well as expectations related to students’ future career. From a qualitative perspective, the 2014 group focused their criticisms on the School of Medicine itself and the study overload, while the 2000 group focused its criticism on the faculty and competition. Therefore, the 2014 group experienced more criticism and less idealization in relation to the School and the medical training process. There were no statistically significant differences between the 2000 and 2014 groups, as well as across genders. Discussion Students in this sample have demonstrated little change over time in relation to their characterization of what good doctors are and how they should be trained. Their preferences for a practical, patient-centered education should guide future curriculum development in medical schools.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Anwar ◽  
V Jha

Abstract Aim There are a disproportionately higher number of fitness to practise issues reported to the GMC within the BAME medic group than that any other ethnic group. This research seeks to compare differences in cultural nuances, if any, between second generation BAME medical students and whether there is an opportunity to address these within medical training. Method We conducted 4 qualitative one to one interviews of second generation medics (Those whose parents were not from the UK, but were themselves brought up in the UK) and medics who were both from the UK and whose parents had been brought up in the UK. An exploratory interview was conducted of what values were most important to the interviewees and how this affected their decision-making process. The interviewees were medical students from the University of Liverpool all of whom were in their clinical years between year 3-5. The interviewees were randomly chosen after expressing an interest in the research. A literature search across Pubmed and Scopus were conducted to help direct interview questions. Results The main themes interviewees reported impacting on decision making included difficulty of balancing cultures, the impact of religion on cultural values and personal professional values. When compared to the GMC guidelines, these values mostly aligned however there were some differences, mainly in communication and whistleblowing. Conclusions With an increasingly diverse workforce, there should be some further research conducted to address how the differences in culture affects decision making processes with the consideration of incorporation into medical training.


2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Sofia Oliveira ◽  
Luiz Miguel Santiago ◽  
Marília Dourado

Introduction: The need for palliative care is increasing. Future doctors must be prepared for this, so it is essential to develop skills during their undergraduate studies. The aim of this study was to evaluate the knowledge of medical students at the Faculty of Medicine of the University of Coimbra regarding palliative care.Material and Methods: An observational and cross-sectional study was performed through the application of a questionnaire answered by fifth year medical students. The collected data were analyzed using IBM® SPSS® Statistics, version 20 for Windows®.Results: All 186 students surveyed were aware of what palliative care is and recognized its importance. From the total, 52.7% of students reported they knew what an informal caregiver is and 96.8% disagreed that palliative care is only provided at the end of life; 88.2% have never had any training on how to deal with palliative care patients. Only 57.5% of students reported that they had been trained to communicate ‘bad news’, but 70.4% assumed that they were not able to communicate such bad news. On the other hand, 89.8% reported their inability to take care of palliative patients and 98.4% admitted that they needed more training in this area.Discussion: With the increasing number of patients who require palliative care, there is the need to investigate whether medical students are being adequately prepared to care for these patients and assess their knowledge level in this context.Conclusion: Fifth-year medical students know what palliative care is and consider it important. However, they do not feel adequately trained and ready to take care of patients who need palliative care. It is essential to reflect on how physicians should be trained and to reconsider the medical syllabus, given the present lack of undergraduate medical training in palliative care.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Evans Paul Kwame Ameade ◽  
Linda Ama Owusuaa Amoah ◽  
Benjamin Yeboah Ofori

Green care, an alternative healthcare system that involves the use of nature, is proven to be useful in the management of organic and psychological disorders worldwide. There are various forms of Green care including Animal-Assisted Therapy (AAT), a type where animals play pivotal roles in the healing process and is widely used in many developed countries. We assessed the level of awareness and attitude towards Green care among medical students of Ghana. Using a cross-sectional study design and a semistructured questionnaire designed on Google Forms, data were collected from randomly selected 4th-, 5th-, and 6th-year medical students of the University for Development Studies, Tamale, Ghana. The data submitted by 206 of the students were analyzed using Statistical Package for the Social Sciences, Version 25, and the results were presented as frequencies, percentages, and charts. The association between sociodemographic characteristics of respondents and awareness about Animal-Assisted Therapy (AAT) was considered significant at p < 0.05 . The study found that only 7 (3.4%) of the medical students had ever heard of Green care while a higher number of 36 (17.5%) were aware of AAT mostly through movies and television. However, the majority, 122 (59.3%), had a positive attitude towards the introduction of AAT, into their medical training curriculum. Up to 146 (70.9%) of the respondents suggested lectures and practical sessions as their preferred way of acquiring knowledge and skills on AAT. Only the sex of the respondents was significantly associated with awareness of AAT, with females having a better awareness of AAT (28.6% vs. 11.0%, p = 0.003 ). We conclude that awareness of Green care practices among medical students in Ghana was highly inadequate, but the desire of the majority of them to acquire knowledge and skills in this proven alternative therapy makes its future use in Ghana promising.


1969 ◽  
Vol 115 (521) ◽  
pp. 483-485

It is appreciated that the National Health Service already makes substantial contributions towards the training of doctors. Nevertheless, the view expressed in the Royal Commission Report (paragraph 195) that the N.H.S. should accept a broad responsibility for the cost of postgraduate medical training is endorsed. Moreover, a distinction between ‘academic’ and ‘vocational’ training is somewhat artificial as far as medical education is concerned: both are important, and it seems inevitable that much of the postgraduate training as psychiatrists will fall upon the universities, whose staff, on the whole, are more experienced in teaching. More teachers will be needed to implement the proposals of the Royal Commission, and their training will be largely the responsibility of the universities. At present, very few of the university departments of psychiatry are equipped for the increasing demands made for postgraduate education, nor do they receive any grant for this purpose. The future training of psychiatrists must be more intensive and better organized. While it is agreed that much of this training will be provided by the ‘non-teaching’ hospitals and by tutors at the periphery, the university departments will need to be actively involved in these teaching programmes. Moreover, there will have to be an increase in the courses organized by university departments for general practitioners, medical officers of health, school medical officers, etc. Such an expansion of university departments does not run counter to the principle of the N.H.S. financing the professional training of doctors. Finally, consideration should be given to establishing parity in the salaries of university clinical teachers and N.H.S. consultants, whose responsibilities are usually very similar.


2020 ◽  
Vol 8 ◽  
pp. 205031212090259
Author(s):  
John Bonnewell ◽  
Sarah Magaziner ◽  
Joseph L Fava ◽  
Madeline C Montgomery ◽  
Alexi Almonte ◽  
...  

Background: In the United States, syphilis cases have increased dramatically over the last decade. Recognition and timely diagnosis by medical providers are essential to treating syphilis and preventing further transmission. Methods: From 2016 to 2017, a cross-sectional survey was performed among medical students, residents, fellows, and attending physicians in Rhode Island. Topics included demographics, level of medical training, experience diagnosing and treating syphilis, and familiarity with the reverse testing algorithm. Participants were asked 25 true/false questions to assess basic knowledge of syphilis, which covered five domains: epidemiology, transmission, clinical signs and symptoms, diagnosis, and treatment. Univariate and bivariate analyses were performed to determine knowledge levels across provider characteristics. Significance was defined as p < 0.05. Results: Of the 231 participants, 45% were medical students, 34% were residents or fellows, 11% were medicine attendings (non-infectious diseases), and 10% were infectious diseases attendings. The overall mean score was 9.79 (out of 25; range = 0–23, p ⩽ 0.001). Mean scores differed significantly ( p < 0.001) across groups, including 7.68 for students (range = 0–16), 10.61 for residents/fellows (range = 3–17), 10.41 for non-infectious diseases attendings (range = 4–18), and 16.38 for infectious diseases attendings (range = 6–23). Familiarity with the reverse sequence algorithm was low with only 22% having heard of it. Infectious diseases attendings were significantly more knowledgeable compared to other groups. Overall and across domains, infectious diseases attendings had significantly higher scores except when compared to non-infectious diseases attendings in the epidemiology domain and residents/fellows in the transmission domain. Conclusion: Overall syphilis knowledge among non-infectious diseases medical providers was low. Improved education and clinical training are needed to promote early diagnosis, treatment, and prevention efforts.


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