scholarly journals Just the diagnosis is never enough!

2021 ◽  
pp. 01-02
Author(s):  
William Wilson
Keyword(s):  
Patient Care ◽  
Postgraduate Training ◽  
Medical Schools ◽  
Patient Communication ◽  
High Time

Medical schools train us to be brilliant academicians and diagnosticians. But as physicians, we must never belittle patient communication nor be inconsiderate in our approach to patient care. Communication as a skill gets neglected in postgraduate training as young doctors chase procedural and diagnostic excellence. It is high time we make amends.

scholarly journals IS PATIENT SAFETY AT THE HEART OF MEDICAL EDUCATION IN INDONESIA? REFLECTION ON THE IMPACT OF THE NATIONAL EXAMINATION

2019 ◽  
Vol 8 (3) ◽  
pp. 153
Author(s):  
Rachmadya Nur Hidayah
Keyword(s):  
Medical Education ◽  
Quality Assurance ◽  
Patient Safety ◽  
Focus Groups ◽  
Patient Care ◽  
Medical Schools ◽  
Theory Approach ◽  
High Stakes ◽  
Teachers And Students ◽  
The Impact

ABSTRACT Background: National examinations in Indonesia (UKMPPD) has been implemented since 2007 as a quality assurance method for medical graduates and medical schools. The impact of UKMPPD has been studied since then, where one of the consequences were related to how it affected medical education and curricula. This study explored the consequences of UKMPPD, focusing on how the students, teachers, and medical schools’ leaders relate the examination with patient care. This study aimed to explore the impact of UKMPPD on medical education, which focusing on the issue of patient safety. Methods: This study was part of a doctoral project, using a qualitative method with a modified grounded theory approach. The perspectives of multiple stakeholders on the impact of the UKMPPD were explored using interview and focus groups. Interviews were conducted with medical schools’ representatives (vice deans/ programme directors), while focus groups were conducted with teachers and students. A sampling framework was used by considering the characteristics of Indonesian medical schools based on region, accreditation status, and ownership (public/ private). Data was analysed using open coding and thematic framework as part of the iterative process. Results: The UKMPPD affected how the stakeholders viewed this high-stakes examination and the education delivered in their medical schools. One of the consequences revealed how stakeholders viewed the UKMPPD and its impact on patient care. Participants viewed the UKMPPD as a method of preparation for graduates’ real clinical practice. The lack of reference for patient safety as the impact of the UKMPPD in this study showed that there were missing links in how stakeholders perceived the examination as part of quality assurance in health care. Conclusion: The UKMPPD as a high-stakes examination has a powerful impact in changing educational policy and programmes in Indonesia. However, in Indonesia, the examination brought in the reflection on how the “patient” element was lacking from medical education. This research offers an insight on the concept of patient safety in Indonesia and how the stakeholders could approach the issue. Keywords: UKMPPD, national licensing examination, impact, competence, patient safety, curriculum 

Does UK medical education provide doctors with sufficient skills and knowledge to manage patients with eating disorders safely?

2018 ◽  
Vol 94 (1113) ◽  
pp. 374-380 ◽  
Author(s):  
Agnes Ayton ◽  
Ali Ibrahim
Keyword(s):  
Eating Disorders ◽  
Patient Safety ◽  
Eating Disorder ◽  
Postgraduate Training ◽  
Medical Training ◽  
Improve Patient Safety ◽  
Medical Schools ◽  
Junior Doctors ◽  
The Uk ◽  
Improve Patient

BackgroundEating disorders affect 1%–4% of the population and they are associated with an increased rate of mortality and multimorbidity. Following the avoidable deaths of three people the parliamentary ombudsman called for a review of training for all junior doctors to improve patient safety.ObjectiveTo review the teaching and assessment relating to eating disorders at all levels of medical training in the UK.MethodWe surveyed all the UK medical schools about their curricula, teaching and examinations related to eating disorders in 2017. Furthermore, we reviewed curricula and requirements for annual progression (Annual Review of Competence Progression (ARCP)) for all relevant postgraduate training programmes, including foundation training, general practice and 33 specialties.Main outcome measuresInclusion of eating disorders in curricula, time dedicated to teaching, assessment methods and ARCP requirements.ResultsThe medical school response rate was 93%. The total number of hours spent on eating disorder teaching in medical schools is <2 hours. Postgraduate training adds little more, with the exception of child and adolescent psychiatry. The majority of doctors are never assessed on their knowledge of eating disorders during their entire training, and only a few medical students and trainees have the opportunity to choose a specialist placement to develop their clinical skills.ConclusionsEating disorder teaching is minimal during the 10–16 years of undergraduate and postgraduate medical training in the UK. Given the risk of mortality and multimorbidity associated with these disorders, this needs to be urgently reviewed to improve patient safety.

Application of the Weed System to Psychiatric Records

1972 ◽  
Vol 3 (2) ◽  
pp. 119-129 ◽  
Author(s):  
Richard L. Grant ◽  
Barry M. Maletzky
Keyword(s):  
Medical Education ◽  
Patient Care ◽  
General Hospital ◽  
Medical Record ◽  
Medical Schools ◽  
Medical Chart ◽  
Chart Audit ◽  
Record Keeping ◽  
Teaching Research ◽  
Practicing Physicians

The medical record is being called upon to play an increasingly important role in medical education and effective patient care. The Weed system of “problem-oriented” medical record-keeping can enhance the effectiveness of the medical chart for these purposes and also for the various goals of chart audit. There has been increasing acceptance and application of this system both in medical schools and by practicing physicians. The psychiatric record has been particularly lacking in consistent organization, clarity, accuracy and readability. We have combined, in our approach to psychiatric records in a general hospital, a strongly behavioral and social psychiatric perspective with the Weed system to provide a psychiatric record that is a usable and practical document for teaching, research, effective continued patient care, and medical and fiscal audit.

scholarly journals Description of Patient Acceptance of Use of Mask by Doctor at Poly Out-Patient Care Puskesmas, Bantul

2019 ◽  
Vol 2 (2) ◽  
pp. 70
Author(s):  
Wahyu Pamungkasih ◽  
Adi Heru Sutomo ◽  
Mahar Agusno
Keyword(s):  
Elderly Patients ◽  
Patient Care ◽  
Disease Transmission ◽  
Phenomenological Approach ◽  
Patient Communication ◽  
Patient Acceptance ◽  
Hearing Ability ◽  
Surgical Masks ◽  
Depth Interviews ◽  
Patients Acceptance

Background: The use of masks affects doctor and patient communication verbally and nonverbally.Objectives: This study aims to describe the patients’ acceptance of the use of surgical masks by doctors in the patient's hearing, trust, and closeness.Methods: The research used qualitative design with phenomenological approach. In-depth interviews were conducted with 18 outpatients. Data were analyzed by content analysis.Results: Patient acceptance will be good when patients have the concept that masks are worn as a uniform and according to rules to prevent disease transmission. The use of masks does not affect the closeness and trust of patients even though they reduce hearing ability of patients, especially elderly patients. Still, they do not always ask the doctor about what is unclear. Some patients consider masks to be useful for preventing smelling of patients.Conclusions: The use of masks by doctors is acceptable to patients, does not affect the trust and closeness of patients even though it reduces hearing ability in certain patients.

scholarly journals Unmuting Medical Students’ Education: Utilizing Telemedicine During the COVID-19 Pandemic and Beyond (Preprint)

2020 ◽  
Author(s):  
Ariella Magen Iancu ◽  
Michael Thomas Kemp ◽  
Hasan Badre Alam
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Patient Care ◽  
Core Competencies ◽  
Medical Schools ◽  
High Quality ◽  
Social Distancing ◽  
Student Education

UNSTRUCTURED Due to the coronavirus disease (COVID-19) pandemic, medical schools have paused traditional clerkships, eliminating direct patient encounters from medical students’ education for the immediate future. Telemedicine offers opportunities in a variety of specialties that can augment student education during this time. The projected growth of telemedicine necessitates that students learn new skills to be effective providers. In this viewpoint, we delineate specific telehealth opportunities that teach core competencies for patient care, while also teaching telemedicine-specific skills. Schools can further augment student education through a variety of telemedicine initiatives across multiple medical fields. The explosion of telemedicine programs due to the pandemic can be a catalyst for schools to integrate telemedicine into their current curricula. The depth and variety of telemedicine opportunities allow schools to continue providing high-quality medical education while maintaining social distancing policies.

scholarly journals Psychiatric training for the next generation

2013 ◽  
Vol 37 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Clare Oakley ◽  
Josie Jenkinson ◽  
Femi Oyebode
Keyword(s):  
Patient Care ◽  
Service Provision ◽  
Postgraduate Training ◽  
Psychiatric Training ◽  
Next Generation ◽  
Short Term ◽  
Knowledge And Skills ◽  
The Future

SummaryRecent concerns about the future of psychiatry have led to various calls for action. We argue that an overhaul of postgraduate training in psychiatry is the necessary first step to ensuring a strong future for the profession. Central to these improvements are reaffirming the ideals of psychiatric training, ensuring appropriate prominence of crucial knowledge and skills in the curriculum and providing tailored training placements with an emphasis on excellence. It is imperative that short-term service-provision need does not adversely have an impact on the training that is needed to ensure excellent patient care for the future. We urge the College to continue to work closely with psychiatric trainees to secure their future.

scholarly journals Psychiatric training in Europe

2010 ◽  
Vol 34 (10) ◽  
pp. 447-450 ◽  
Author(s):  
Clare Oakley ◽  
Amit Malik
Keyword(s):  
Patient Care ◽  
Postgraduate Training ◽  
Psychotherapy Training ◽  
Psychiatric Training ◽  
European Federation ◽  
Clinical Implications ◽  
European Economic Area ◽  
Training Systems ◽  
Economic Area ◽  
Structured Questionnaire

Aims and methodThis study aimed to establish the variations in the pre-defined aspects of postgraduate psychiatric training within the member countries of the European Federation of Psychiatric Trainees and illustrate the diversity of training experiences within Europe. Participants were required to complete a structured questionnaire.ResultsThere are wide variations in the length, content and structure of postgraduate psychiatric training across Europe. There are differing requirements for, and access to, psychotherapy training. Some countries have no examinations or formal assessments.Clinical implicationsAn understanding of the postgraduate training systems across Europe is essential not only for making informed choices about the development of trainees recruited from the European Economic Area but also for enhancing postgraduate training and patient care in all European countries.

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