scholarly journals Satisfação com o Internato Médico em Portugal

2016 ◽  
Vol 29 (12) ◽  
pp. 839 ◽  
Author(s):  
Miguel Bigotte Vieira ◽  
Pedro Godinho ◽  
Nuno Gaibino ◽  
Raquel Dias ◽  
Agostinho Sousa ◽  
...  
Keyword(s):  
Response Rate ◽  
Primary Objective ◽  
High Response Rate ◽  
Medical Residents ◽  
Medical Residency ◽  
Support Tool ◽  
Residency Programs ◽  
Global Context ◽  
The United Kingdom ◽  
Degree Of Satisfaction

Introduction: In the last years, the global context of medical education and Medical Residency programs in Portugal suffered substantial changes. The primary objective of this study was to evaluate and characterize medical residents´ satisfaction with medical residencyprograms in Portugal and to identify features that could be improved.Material and Methods: We utilized as model the survey Postgraduate Hospital Educational Environment Measure that has been developed in the United Kingdom and is specifically targeted to medical residents. The survey was translated and adapted to the Portuguese reality. The survey was available online during April and May of 2016.Results: A total of 3456 responses were obtained, corresponding to a response rate of 35%. Endocrinology/Nutrition, Cardiology, Anesthesiology, Family Physician and Gastroenterology were the specialties in which the degree of satisfaction was higher, while Forensic Medicine, Medical Oncology, Internal Medicine, General Surgery and Pneumology showed the lowest level of satisfaction.Discussion: This study presented a high response rate when compared to previous studies. Portuguese medical residents presented high levels of satisfaction. Depending on year of medical residency, region, type of specialty and type of hospital marked asymmetries were noticed.Conclusion: The survey´s results should constitute in the future a support tool for the implementation of local and national measures relating to the medical residency. It is advisable to regularly conduct satisfaction surveys to medical residents.

scholarly journals Prevalence of the Settlement of Medical Residences in the State of Tocantins in the Period 2013-2017

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Ana Carolina Batista de Souza Guedes ◽  
Fellipe Camargo Ferreira Dias ◽  
Neila Barbosa Osório ◽  
Raquel Prudente de Carvalho Baldaçara ◽  
Virgílio Ribeiro Guedes ◽  
...  
Keyword(s):  
Health System ◽  
Residency Training ◽  
Socioeconomic Development ◽  
Clinical Medicine ◽  
Public Investment ◽  
The State ◽  
Medical Residents ◽  
Medical Residency ◽  
Cross Sectional ◽  
Residency Programs

Abstract: Introduction: The accomplishment of medical residency (MR) is a type of qualification considered to be the “gold standard” for medical specialization. Understanding whether there is actually greater professional settlement or not stimulated by MR and which factors hinder or contribute to the physician’s permanence in that place, are important information for the structuring of medical residency and health system programs. The aim of this study was to evaluate the prevalence of settlement of medical residents who finished the residency training in the state of Tocantins, after the implementation of medical residency programs in the period from 2013 to 2017. Method: This is an observational quantitative research, with a cross-sectional, descriptive and analytical design, using the telematic technique and its own questionnaire, carried out with 44 medical residents that finished the medical residency program in the state of Tocantins. The project was reviewed and approved by the Ethics Committee of the Federal University of Tocantins (UFT) under Opinion number 2.292.540. Results: The prevalence of settlement was 65.9% of physicians in the state of Tocantins. Most residents were females (59.1%), with a mean age of 30.8 ± 3.1 years, income between 10 and 20 minimum wages (55.8%) and worked during their residency training (84.1%). The specialties that showed the highest settlement rates were general surgery and clinical medicine, and among these, the majority works for the private and state health networks. The main reason for not settling in Tocantins was to attend another residency or subspecialty program in another state (64.7%). Conclusion: The prevalence of medical residents that finished the residency and settled in Tocantins during the analyzed period can be considered high (65.9%). The fact that most of these individuals are young and female and the reason for not settling in the state are important indicators to be analyzed together with the settlement process and the offering of positions in the specialties available in Tocantins. The results of the study indicated a favorable and strategic perspective of the Medical Residency Programs (MRP) in the medical settlement in Tocantins, which cannot be generalized to the reality of such an unequal health system in the country. A larger public investment in the structuring of health network services is necessary, especially in the municipal network, in the organization of support and socioeconomic development of cities.

scholarly journals Prevalência de Fixação dos Egressos das Residências Médicas no Estado do Tocantins, no Período de 2013-2017

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Ana Carolina Batista de Souza Guedes ◽  
Fellipe Camargo Ferreira Dias ◽  
Neila Barbosa Osório ◽  
Raquel Prudente de Carvalho Baldaçara ◽  
Virgílio Ribeiro Guedes ◽  
...  
Keyword(s):  
Health System ◽  
Residency Training ◽  
Socioeconomic Development ◽  
Clinical Medicine ◽  
Public Investment ◽  
The State ◽  
Medical Residents ◽  
Medical Residency ◽  
Cross Sectional ◽  
Residency Programs

Abstract: Introduction: The accomplishment of medical residency (MR) is a type of qualification considered to be the “gold standard” for medical specialization. Understanding whether there is actually greater professional settlement or not stimulated by MR and which factors hinder or contribute to the physician’s permanence in that place, are important information for the structuring of medical residency and health system programs. The aim of this study was to evaluate the prevalence of settlement of medical residents who finished the residency training in the state of Tocantins, after the implementation of medical residency programs in the period from 2013 to 2017. Method: This is an observational quantitative research, with a cross-sectional, descriptive and analytical design, using the telematic technique and its own questionnaire, carried out with 44 medical residents that finished the medical residency program in the state of Tocantins. The project was reviewed and approved by the Ethics Committee of the Federal University of Tocantins (UFT) under Opinion number 2.292.540. Results: The prevalence of settlement was 65.9% of physicians in the state of Tocantins. Most residents were females (59.1%), with a mean age of 30.8 ± 3.1 years, income between 10 and 20 minimum wages (55.8%) and worked during their residency training (84.1%). The specialties that showed the highest settlement rates were general surgery and clinical medicine, and among these, the majority works for the private and state health networks. The main reason for not settling in Tocantins was to attend another residency or subspecialty program in another state (64.7%). Conclusion: The prevalence of medical residents that finished the residency and settled in Tocantins during the analyzed period can be considered high (65.9%). The fact that most of these individuals are young and female and the reason for not settling in the state are important indicators to be analyzed together with the settlement process and the offering of positions in the specialties available in Tocantins. The results of the study indicated a favorable and strategic perspective of the Medical Residency Programs (MRP) in the medical settlement in Tocantins, which cannot be generalized to the reality of such an unequal health system in the country. A larger public investment in the structuring of health network services is necessary, especially in the municipal network, in the organization of support and socioeconomic development of cities.

Neural Network Ensemble Approach to Pushed Convoys Dispatching Problems

2020 ◽  
Vol 27 (1) ◽  
pp. 70-82 ◽  
Author(s):  
Aleksandar Radonjić ◽  
Danijela Pjevčević ◽  
Vladislav Maraš
Keyword(s):  
Neural Network ◽  
Decision Support Tool ◽  
Primary Objective ◽  
Danube River ◽  
Decision Making Process ◽  
Neural Network Ensemble ◽  
Support Tool ◽  
Shipping Company ◽  
The Republic ◽  
Power Measurements

AbstractThis paper investigates the use of neural networks (NNs) for the problem of assigning push boats to barge convoys in inland waterway transportation (IWT). Push boat–barge convoy assignmentsare part of the daily decision-making process done by dispatchers in IWT companiesforwhich a decision support tool does not exist. The aim of this paper is to develop a Neural Network Ensemble (NNE) model that will be able to assist in push boat–barge convoy assignments based on the push boat power.The primary objective of this paper is to derive an NNE model for calculation of push boat Shaft Powers (SHPs) by using less than 100% of the experimental data available. The NNE model is applied to a real-world case of more than one shipping company from the Republic of Serbia, which is encountered on the Danube River. The solution obtained from the NNE model is compared toreal-world full-scale speed/power measurements carried out on Serbian push boats, as well as with the results obtained from the previous NNE model. It is found that the model is highly accurate, with scope for further improvements.

scholarly journals Postinterview Communication between Obstetrics and Gynecology Residency Programs and Candidates

2012 ◽  
Vol 4 (2) ◽  
pp. 165-169 ◽  
Author(s):  
Diana S. Curran ◽  
Pamela B. Andreatta ◽  
Xiao Xu ◽  
Clark E. Nugent ◽  
Samantha R. Dewald ◽  
...  
Keyword(s):  
United States ◽  
Response Rate ◽  
Educational Leaders ◽  
Program Directors ◽  
The United States ◽  
Obstetrics And Gynecology ◽  
Residency Programs ◽  
Ethical Conflicts ◽  
Communication Practices ◽  
E Mail

Abstract Introduction Residency programs seek to match the best candidates with their positions. To avoid ethical conflicts in this process, the National Residency Matching Program (NRMP or Match) has rules regarding appropriate conduct, including guidelines on contact between candidates and programs. Our study examined communication between obstetrics and gynecology (Ob-Gyn) programs and residency candidates after interviewing and prior to ranking. Methods Ob-Gyn program directors in the United States were sent a self-administered survey via e-mail. Data were collected and analyzed using descriptive methods to examine communication practices of these programs. Results The response rate was 40%. The findings showed that respondents had variable interpretations of the NRMP rules and suggest that programs may be communicating their match intentions especially to favored candidates. Respondents' open text comments highlighted program directors' frustrations with current NRMP rules. Discussion NRMP communication rules are intended to minimize pressure on residency candidates. Our findings suggest they may be leading to unforeseen stresses on program directors and candidates. Conclusions As educational leaders in medicine, we must consider what professional communications are acceptable without increasing the pressure on candidates during the ranking and match process.

scholarly journals Raupp: 50 years of neuroradiology

2011 ◽  
Vol 69 (3) ◽  
pp. 552-554
Author(s):  
Daison Nelson Ferreira Dias
Keyword(s):  
Computed Tomography ◽  
Literature Review ◽  
Search Term ◽  
Medical Residency ◽  
Residency Programs ◽  
Avant Garde ◽  
The Past ◽  
Therapeutic Techniques

OBJECTIVE: Evaluate the laboral and intellectual contributions of a founder of Brazilian Neuroradiology to the development of specialty. METHOD: Interviews were conducted with Dr. Raupp and contemporary doctors. Then we made a literature review with the Raupp search term aiming to identify those papers which included major changes in the diagnostic and therapeutic neurosurgical. RESULTS: The colleagues consulted were unanimous in recognizing the work of avant-garde and the importance of Dr. Raupp to the development of neuroradiological methods, especially in the pre-computed tomography fase. CONCLUSION: The work of Dr. Raupp was fundamental for the consolidation of Brazilian Neuroradiological School over the past five decades. He developed diagnostic and therapeutic techniques in congruence with the practices of the specialty on the global stage and he promoted education through medical residency programs.

scholarly journals Paper, E-mail, or Both? Effects of Contact Mode on Participation in a Web Survey of Establishments

2018 ◽  
Vol 37 (6) ◽  
pp. 750-765 ◽  
Author(s):  
Joseph W. Sakshaug ◽  
Basha Vicari ◽  
Mick P. Couper
Keyword(s):  
Response Rate ◽  
Population Based ◽  
High Response Rate ◽  
Nonresponse Bias ◽  
Web Survey ◽  
Participation Rates ◽  
Web Surveys ◽  
Contact Mode ◽  
Mail Address ◽  
E Mail

Identifying strategies that maximize participation rates in population-based web surveys is of critical interest to survey researchers. While much of this interest has focused on surveys of persons and households, there is a growing interest in surveys of establishments. However, there is a lack of experimental evidence on strategies for optimizing participation rates in web surveys of establishments. To address this research gap, we conducted a contact mode experiment in which establishments selected to participate in a web survey were randomized to receive the survey invitation with login details and subsequent reminder using a fully crossed sequence of paper and e-mail contacts. We find that a paper invitation followed by a paper reminder achieves the highest response rate and smallest aggregate nonresponse bias across all-possible paper/e-mail contact sequences, but a close runner-up was the e-mail invitation and paper reminder sequence which achieved a similarly high response rate and low aggregate nonresponse bias at about half the per-respondent cost. Following up undeliverable e-mail invitations with supplementary paper contacts yielded further reductions in nonresponse bias and costs. Finally, for establishments without an available e-mail address, we show that enclosing an e-mail address request form with a prenotification letter is not effective from a response rate, nonresponse bias, and cost perspective.

scholarly journals Current status of residency training in laparoscopic surgery in Brazil: a critical review

2015 ◽  
Vol 28 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Miguel Prestes NÁCUL ◽  
Leandro Totti CAVAZZOLA ◽  
Marco Cezário de MELO
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
Surgical Simulation ◽  
Internship And Residency ◽  
Current Status ◽  
Professional Activity ◽  
Medical Residency ◽  
Psychomotor Skills ◽  
Residency Programs ◽  
Education Medical

INTRODUCTION: The surgeon's formation process has changed in recent decades. The increase in medical schools, new specialties and modern technologies induce an overhaul of medical education. Medical residency in surgery has established itself as a key step in the formation of the surgeon, and represents the ideal and natural way for teaching laparoscopy. However, the introduction of laparoscopic surgery in the medical residency programs in surgical specialties is insufficient, creating the need for additional training after its termination. OBJECTIVE: To review the surgical teaching ways used in services that published their results. METHODS: Survey of relevant publications in books, internet and databases in PubMed, Lilacs and Scielo through july 2014 using the headings: laparoscopy; simulation; education, medical; learning; internship and residency. RESULTS: The training method for medical residency in surgery focused on surgical procedures in patients under supervision, has proven successful in the era of open surgery. However, conceptually turns as a process of experimentation in humans. Psychomotor learning must not be developed directly to the patient. Training in laparoscopic surgery requires the acquisition of psychomotor skills through training conducted initially with surgical simulation. Platforms based teaching problem solving as the Fundamentals of Laparoscopic Surgery, developed by the American Society of Gastrointestinal Endoscopic Surgery and the Laparoscopic Surgical Skills proposed by the European Society of Endoscopic Surgery has been widely used both for education and for the accreditation of surgeons worldwide. CONCLUSION: The establishment of a more appropriate pedagogical process for teaching laparoscopic surgery in the medical residency programs is mandatory in order to give a solid surgical education and to determine a structured and safe professional activity.

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