Perceived incentives and willingness of university medical students toward working in rural primary healthcare

2019 ◽  
Author(s):  
Kun Zou ◽  
Dandi Chen
Keyword(s):  
Medical Students ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Postgraduate Education ◽  
Living Conditions ◽  
Western China ◽  
Online Questionnaire ◽  
Medical University ◽  
Working And Living Conditions ◽  
Limited Service

Abstract Background Primary healthcare (PHC) is vital for providing more equitable, accessible and affordable healthcare to the population. However, there is a general lacking and disparity of distribution of PHC workforce, especially for rural areas in China as it is very hard to attract and retain high quality medical students to rural PHC. This study was to investigate the willingness of university medical students toward working in rural PHC and their perceived incentives and compare that between medical programmes. Methods An online questionnaire survey was conducted in a leading medical university of Western China in 2017. All second-year Preventive Medicine (MBP, 5 years programme) and third-year Doctorate of Medicine (MD, 8 years programme) students participated. The willingness and perceived incentives toward working in rural PHC were analysed and compared between students of the two programmes. Results A total of 201 students, including 115 MBP and 86 MD students, participated in the study. The overall willingness rate toward working in rural PHC was 16%. More MBP (23%) than MD students (7%) expressed willingness without mention of incentives (p<0.05). The most preferred incentives were adequate remuneration (62%), non-inferior working and living conditions to urban area (58%), limited service years (56%) and privilege to postgraduate education and promotion (55%), though 13% expressed willingness under no circumstances. More MBP than MD students preferred to postgraduate education and promotion (65% vs. 43%, p<0.05) and limited service years (63% vs. 56%, p<0.05), but similar in other incentives (p>0.05). The willingness rate increased from 2%~5%, 9%~14%, 27%~25%, to 81% with single-, two-, three-, four- incentives as mentioned above, and similar between students of the two programmes. Conclusions The willingness of university medical students to work in rural PHC was low. However, more MBP students show willingness than MD students. Multiple incentives including adequate remuneration, opportunities of postgraduate education and promotion, proper working and living conditions and limited service years may be much more effective than any single incentive to attract university medical students especially MBP students to rural PHC service. Further investigation of appropriate incentives in details and interventional studies are warranted to inform relevant policy making.

scholarly journals Propaedeutics of bioethics in the philosophy of education of the Russian doctor in the XXI century

2021 ◽  
Vol 24 (1) ◽  
pp. 41-49
Author(s):  
Aleksandr Ya. Ivanyushkin ◽  
Ivan E. Smirnov ◽  
Ivan A. Ivanyushkin ◽  
Andrey P. Fisenko
Keyword(s):  
Medical Students ◽  
Philosophy Of Education ◽  
Professional Knowledge ◽  
Postgraduate Education ◽  
Medical Schools ◽  
Medical Genetics ◽  
Life World ◽  
Interdisciplinary Knowledge ◽  
The University ◽  
Medical University

The article deals with bioethics’ problems in medical students’ training through the prism of the philosophy of education, which was formed in the middle of the XX century when the humanitarian-anthropological turn in philosophy was formed. The term “bioethics “was first used in 1970 by W.R. Potter, who proposed the concept of “bioethics” to refer to a complex interdisciplinary knowledge, the goal of which is the survival of humankind. As an independent discipline, bioethics is taught in the first years of the medical university. It is this course of bioethics in medical universities that can be called “propaedeutics of bioethics.” This is due to the fact theoretical bioethics to be studied in the context of philosophy, when the student is given the opportunity to adequately interpret philosophical abstractions in bioethics, and applied, often very acute and complex problems of bioethics are studied in the senior courses of the university and in the system of postgraduate education, when future doctors master medical bioethics in the courses of resuscitation, transplantology, medical genetics, psychiatry, etc. The professional knowledge and culture of the doctor were shown to be not identical to his humanism. In this regard, the need for the integration of humanitarian and clinical disciplines in Russian higher medical schools is emphasized. At the same time, numerous concepts and principles of bioethics serve as universal mechanisms for “fitting” modern man and his life world into the totality of life, which allows us to speak of bioethics as universal ethics.

scholarly journals Hygienic assessment of foreign students’ living conditions in the hostel of perm state medical university

2018 ◽  
Vol 35 (2) ◽  
pp. 68-74
Author(s):  
I. P. Koryukina ◽  
T. A. Kulesh ◽  
T. V. Zueva ◽  
T. P. Arbuzova
Keyword(s):  
Medical Students ◽  
Infrared Radiation ◽  
Noise Level ◽  
Foreign Students ◽  
Objective Assessment ◽  
Social Factor ◽  
Living Conditions ◽  
Artificial Light ◽  
Medical University ◽  
Indian Students

Aim. To present the hygienic assessment of foreign students’ living conditions in the hostel of Perm State Medical University. Materials and methods. Sanitary-epidemiological estimation of arrangement, equipment and maintenance of the hostel for Indian students was performed. Hygienic assessment of the hostel territory, rooms and accommodations for common use, equipment and facilities of the building and rooms was presented. In the living and auxiliary rooms, sanitary-hygienic tests (measurements) regarding microclimate (90), infrared radiation (20), noise level (45), electromagnetic radiation (40), natural and artificial light (65) were fulfilled. Results. Objective assessment of social factor and living conditions, influencing adaptation of foreign students to new climatico-geographic conditions was obtained. The living conditions for foreign students in the hostel of Perm State Medical University correspond to sanitary-epidemiological rules and standards, except for the level of noise. Conclusions. Favorable social and living conditions, offered to Indian students in the student’s hostel, help them to overcome difficulties, connected with adaptation of foreign medical students.

scholarly journals Impact of the Covid-19 Pandemic on Anxiety Levels of Medical Students in Pakistan

2021 ◽  
Vol 6 (1) ◽  
pp. 34-46
Author(s):  
M. Ahmad Mukhtar ◽  
Mukhtar Hussain ◽  
M. Omer Mukhtar ◽  
Muhammad Sajid
Keyword(s):  
Medical Students ◽  
Sex Education ◽  
Psychological Impact ◽  
Demographic Variables ◽  
Online Questionnaire ◽  
Medical College ◽  
Infective Disease ◽  
Anxiety Levels ◽  
The One ◽  
Medical University

Covid-19 is a communicable infective disease and has been the major current health challenge since it emerged in China in late 2019. Although earlier data analyses of Dawei Wang etc. from 138 hospital of China had shown that its mortality rate is less than 5%, shown (4.3%), major concern is its widespread transmission. The Covid-19 pandemic has adversely affected economics and the mental health of millions worldwide. Fear is the one of the psychological outcomes of pandemic, but the psychological impact of the pandemic was overshadowed by financial and economic impact, which are interrelated. Conducted through an online questionnaire, this study evaluates the anxiety level of medical students of Nishtar Medical University and Multan and Quaid-e-Azam Medical College (QAMC) Bahawalpur in southern Punjab of Pakistan by using fear Covid-19 scale. The research employs the fear scale developed by Ahorsu et al. based on unidimensional 7 items, 5-point Likert scale. This scale is a valid and reliable tool and has been used to assess the fear for Covid-19 in general population. This scale has been used internationally by many researchers to measure anxiety levels. The research correlated the socio demographic variables, such as age, sex, education level and living surroundings, with anxiety levels that would help to redesign curriculum for education and to plan programs to enhance the knowledge of medical students for preventive measures against Covid-19. 577 male and female students from 1st to 5th year of bachelor’s in medicine and bachelor’s in surgery (MBBS) with ages ranging from 17 to 25 years participated in this study.

Vulnerability of medical students and professionals to extreme work stress: A select review of the literature

2018 ◽  
Vol 14 (2) ◽  
pp. 181-187
Author(s):  
Maciej Walkiewicz ◽  
Małgorzata Tartas
Keyword(s):  
Medical Students ◽  
Work Stress ◽  
English Language ◽  
Psychological Intervention ◽  
Medical Professionals ◽  
Extreme Stress ◽  
Online Databases ◽  
Medical Career ◽  
Medical University ◽  
The Impact

The goal of the paper is to describe the extent to which medical students and professionals are vulnerable to extreme stress. A select review of existing literature on this area has been undertaken, using the English-language online databases EBSCO, Medline and PubMed. The search has identified 36 citations relating to 6324 medical students and 28,285 medical staff (physicians, residents, nurses). The review indicates that merely beginning medical studies is a risk factor for stress, and that medical professionals, who are vulnerable to extreme work stress, say that they do not receive enough support from their co-workers. They are also often notably impulsive, introverted, neurotic and perfectionist, with low emotional intelligence and agreeableness, as well as low and external locus of control. Additionally, from longitudinal studies we have been able to identify psychological factors underpinning admission to a medical university that may be useful for predicting future stress in medical career. The results of this study may be taken into account when organizing psychological intervention programs targeted at educating future medical professionals. It seems that early identification of people at risk could reduce the impact of stress related to medical career and enhance the somatic and mental health of medical professionals.

Comparative characteristics of educational stress and mental health of senior medicine students at different universities (results of an interregional study)

2020 ◽  
pp. 34-46
Author(s):  
Victoria Ruzhenkova ◽  
Irina Sheremet’eva ◽  
Viktor Ruzhenkov
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
The State ◽  
Panic Attacks ◽  
Stress Factors ◽  
Anxiety And Depression ◽  
State University ◽  
The Future ◽  
Training Stress ◽  
Medical University

Stress negatively affects the mental health of students, causes anxiety and depression, leads to poor academic performance, lowers level of professional training and success in the future. The purpose of the research is to study the state of mental health of medical students to develop recommendations for the prevention of maladaptation. Materials and methods. 252 5-year students aged 20–29 (22 ± 1,1) years, 168 (66,7 %) females and 84 (33,3 %) males (137 students of Belgorod State University and 115 of Altay State Medical University (ASMU)) were examined by medico-sociological and psychometric methods. Results. It was established that every fifth student of the Belgorod State University and every third of the ASMU did not enter the medical university on their own initiative. Less than half (43 %) of Belgorod State University students and 30.4 % of the ASMU ones are convinced that the choice of profession was correct, 35 and 37.4 % are, consequently, completely disappointed with it. Students of Belgorod State University dealt with training stress factors poorer and, as a result, have more pronounced mental symptoms of training stress, difficulties in organizing the daily regimen, irregular nutrition, and fear of the future. Regardless of the region of studying, the number of students not committed to the medical profession, after 5 years of study, is more than 3 times higher among those who enter the university not on their own initiative. Students of the ASMU hit substances, skipped classes, played computer games and took sedative drugs more often to overcome academic stress. The degree of anxiety before the exams in students of Belgorod State University was higher (9 points) than in their peers from the State Medical University (7 points). An extremely high (8–10 points) level of anxiety before exams was characteristic of 75,9 and 44,3 % of students, respectively. The former were more likely to experience clinically significant panic attacks: 27,7 and 6,1 %. Conclusion. Given the high incidence of social phobia (19,1–24,1 %), depression (22,6–32,2 %) and anxiety (21,9– 27,8 %) among medical students, the development and implementation of psycho-correctional programs aimed at the formation of adaptive ways to overcome stress, reduce anxiety and depression is required. This will prevent the development of psychosomatic disorders and addictions.

scholarly journals Assessment of Dietary Habits, Physical Activity and Lifestyle in Medical University Students

2021 ◽  
Vol 13 (6) ◽  
pp. 3572
Author(s):  
Lavinia-Maria Pop ◽  
Magdalena Iorga ◽  
Iulia-Diana Muraru ◽  
Florin-Dumitru Petrariu
Keyword(s):  
Physical Activity ◽  
Medical Students ◽  
Fast Food ◽  
Dietary Habits ◽  
Healthy Life ◽  
Related Data ◽  
The Third ◽  
Health Related ◽  
Medical University ◽  
Busy Schedule

A busy schedule and demanding tasks challenge medical students to adjust their lifestyle and dietary habits. The aim of this study was to identify dietary habits and health-related behaviours among students. A number of 403 students (80.40% female, aged M = 21.21 ± 4.56) enrolled in a medical university provided answers to a questionnaire constructed especially for this research, which was divided into three parts: the first part collected socio-demographic, anthropometric, and medical data; the second part inquired about dietary habits, lifestyle, sleep, physical activity, water intake, and use of alcohol and cigarettes; and the third part collected information about nutrition-related data and the consumption of fruit, vegetables, meat, eggs, fish, and sweets. Data were analysed using SPSS v24. Students usually slept M = 6.71 ± 1.52 h/day, and one-third had self-imposed diet restrictions to control their weight. For both genders, the most important meal was lunch, and one-third of students had breakfast each morning. On average, the students consumed 1.64 ± 0.88 l of water per day and had 220 min of physical activity per week. Data about the consumption of fruit, vegetables, meat, eggs, fish, sweets, fast food, coffee, tea, alcohol, or carbohydrate drinks were presented. The results of our study proved that medical students have knowledge about how to maintain a healthy life and they practice it, which is important for their subsequent professional life.

scholarly journals COVID-19 Vaccine Acceptance in Azuay Province, Ecuador: A Cross-Sectional Online Survey

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 678
Author(s):  
Julio Jaramillo-Monge ◽  
Michael Obimpeh ◽  
Bernardo Vega ◽  
David Acurio ◽  
Annelies Boven ◽  
...  
Keyword(s):  
Rural Areas ◽  
Online Survey ◽  
Vaccination Campaign ◽  
Postgraduate Education ◽  
Effective Vaccine ◽  
Cross Sectional ◽  
Lower Education Level ◽  
Vaccination Acceptance ◽  
History Of ◽  
High Level

We investigated the COVID-19 vaccination acceptance level in Azuay province, Ecuador through an online survey from 12th to 26th February (before the start of the COVID-19 vaccination campaign in Ecuador). Overall, 1219 respondents participated in the survey. The mean age was 32 ± 13 years; 693 participants (57%) were female. In total, 1109 (91%) of the participants indicated they were willing to be vaccinated with a COVID-19 vaccine, if the vaccine is at least 95% effective; 835 (68.5%) if it is 90% effective and 493 (40.5%) if it is 70% effective; 676 (55.5%) participants indicated they feared side effects and 237 (19.4%) thought the vaccine was not effective. Older age, having had a postgraduate education, a history of a negative COVID-19 test, a high level of worry of contracting COVID-19, believing that COVID-19 infection can be prevented with a vaccine and understanding there is currently an effective vaccine against COVID-19 were associated with higher vaccination acceptance. A vaccination education campaign will be needed to increase the knowledge of Ecuadorians about the COVID-19 vaccine and to increase their trust in the vaccine. People with a lower education level and living in rural areas may need to be targeted during such a campaign.

scholarly journals The gender gap among school children in poor rural areas of western China: evidence from a multi-province dataset

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Hua Zhou ◽  
Di Mo ◽  
Chengchao Zhou ◽  
Alexis Medina ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Gender Gap ◽  
School Children ◽  
Rural Areas ◽  
Western China

scholarly journals The Frequency of Use and Harm Perception of Heated Tobacco Products (HTPs): The 2019 Cross-Sectional Survey among Medical Students from Poland

2021 ◽  
Vol 18 (7) ◽  
pp. 3381
Author(s):  
Paulina Majek ◽  
Mateusz Jankowski ◽  
Bartłomiej Nowak ◽  
Maksymilian Macherski ◽  
Maciej Nowak ◽  
...  
Keyword(s):  
Medical Students ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Response Rate ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cigarette Smokers ◽  
Tobacco Products ◽  
Frequency Of Use ◽  
Medical University

Heated tobacco products (HTPs) are devices for generating a nicotine aerosol by heating the tobacco sticks. This study aimed to assess (1) the prevalence of HTP and tobacco cigarette usage among medical students, (2) to characterize smoking habits and (3) to assess students’ awareness and opinions about HTPs. A cross-sectional survey on the frequency and attitudes toward cigarettes, e-cigarettes and HTP use was performed between 2019–2020 at the Medical University of Silesia in Katowice (Poland). The data were obtained from 1344 students aged 21.8 ± 1.9 years (response rate: 66.9%). Current traditional tobacco use was 13.2%, e-cigarettes use 3.5%, and HTP use 2.8% of students. Duration of use was shorter among HTPs users comparing to cigarette smokers (p < 0.001) although the number of tobacco sticks used daily was similar (p = 0.1). Almost 30% of respondents have ever tried HTPs. HTPs were considered safe by 5.3% of respondents (43.2% of HTP users vs. 3.9% of non-HTP users, p < 0.001). HTP users were more likely to report that heating tobacco is not addictive (odds ratio (OR) = 8.9, 95% confidence interval (CI): 1.8–45.8) and disagreed with a public ban on HTP use (OR = 4.9, 95%CI: 2.5–9.8). Among students, HTP use was less popular than cigarette smoking, but awareness of their presence is widespread.

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