scholarly journals What is the students’ opinion about using scenarios with manikins and Simulated Patients in undergraduate medical education?

2020 ◽  
Author(s):  
Kamil Torres ◽  
Phillip Evans ◽  
Natalia Radczuk ◽  
Anna Torres

Abstract BackgroundMedical simulation has turned to be a well-developed educational technique at a postgraduate level, including, residency programs and continuing vocational training. However, its applicability has still not been clearly defined when providing education to undergraduate medical students.ObjectiveThe aim of the study was to determine the opinion of undergraduate medical students about the effectiveness of manikin-based and SP-based high-fidelity scenarios for learning clinical objectives. This is considered important in a discussion about the systematic implementation of SP-based simulation in undergraduate medical education.MethodsA mixed methods approach was used to collect the evidence. Triangulation included a literature review, semi-structured interviews and a questionnaire survey. The study was conducted among 6th-year medical students who experienced various clinical educational techniques.ResultsStudents preferred SP-based medical simulation, as they perceived it to be more life-like than with a manikin. It was also reported to be more effective for developing non-technical skills, including communication and interpersonal skills. However, when technical skills were taken into consideration, for instance, performing invasive and non-invasive procedures, students opted for using manikins or a combination of both. ConclusionsThe study results suggest that both manikins and SPs should be included in the medical curriculum from the beginning of students’ clinical experience. A combination of both modalities would ensure acquisition of skills, both technical and non-technical, required from contemporary health care professionals.

2021 ◽  
Vol 10 (1) ◽  
pp. 5-5
Author(s):  
Rajani Ranganth ◽  
Smitha Elizabeth ◽  
Dhaval Mahadevwala

Background: Journal club is an essential teaching-learning activity that provides a forum for developing skills in critical appraisal. It helps in keeping abreast of new knowledge, facilitating the application of new research in improving patient care, and aiding medical students to be competent clinicians. The current study aimed to elucidate whether students are aware of the concept of a journal club and their willingness to implement a journal club in their undergraduate medical curriculum. Methods: A cross-sectional study was conducted among the undergraduate medical students at the College of Medicine and Health Sciences, The National University of Science and Technology, in February 2019. A structured questionnaire of 8 items was administered that assessed the knowledge, attitude, and perceptions towards implementation of a journal club (JC) in an undergraduate curriculum among medical students. A total of 161 undergraduate medical students participated in the study. Results: Of the 161 students, 112 (69.4%) were in their preclinical years, and 49 (30.6%) were in their clinical years. In all, 145 students were female and 16 were male. Majority of students in their preclinical years (70.5%) were not aware of the journal club. Among the five reasons given for journal clubs to be included in the curriculum, the largest number of students (30.8%) wanted a journal club because it would help them to gain confidence to present cases in clinics and exams. The most common reason students did not want a journal club was that it requires a great deal of time to prepare (64.3%). Conclusion: The introduction of a journal club would enhance the proficiency of undergraduate students to be lifelong learners. It is a robust educational tool to equip them with knowledge of research practices that would aid in better patient care.


2017 ◽  
Vol 59 (3) ◽  
pp. 54
Author(s):  
Stephen E Knight ◽  
Andrew J Ross ◽  
Ozayr Mahomed

Background: The Selective Programme (Selectives) at the University of KwaZulu-Natal (UKZN) is a three-year longitudinal, community-based programme within the undergraduate medical curriculum, which aims to develop primary health care (PHC) and public health competencies in students using the community-oriented primary care (COPC) approach. Aim: The aim of this research was to evaluate the Selectives against the Health Professions Council of South Africa (HPCSA) ‘core’ graduate competencies. Setting: This study was carried out among medical students concluding Selectives at UKZN in 2015. Methods: A cohort of 183 students concluded Selectives in 2015, and thereafter 70 (38%) completed a routine online evaluation of the programme based on the core graduate competencies. Results: Students reported substantial improvements in PHC clinical knowledge, improved understanding of a population perspective on health, and having gained public health knowledge and skills. Conclusion: Selectives is an effective way to use a decentralised PHC learning platform to enable medical students to address some of the HPCSA graduate competencies required for health care professionals and not necessarily covered by other medical disciplines. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1272229


Author(s):  
Waggas D ◽  
◽  
Hasan AA ◽  

Background: The emerging respiratory disease is caused by the novel type of corona virus which is named as COVID-19. This respiratory illness has received internal attention and it is categorized as highly threaten disease in the US by the Centers for Disease Control and Prevention. The purpose of the study was to assess the knowledge, attitude and practice of undergraduate medical students towards COVID-19. Methods: Descriptive cross-sectional design was used to assess knowledge, practice and attitudes of 255 undergraduate medical students towards COVID-19. Study participants were recruited from the Fakeeh College for Medical Sciences between April and August 2020. Results: The results of study participants showed that undergraduate medical students had moderate knowledge towards COVID-19 (Mean=20.54, SD ± 4.67). Also, participants had high level of knowledge regarding nature of diseases and precautionary measures by health care providers dimensions. However, they expressed limited knowledge towards mode of transmission. Moreover, study participants demonstrated an optimistic attitude toward disease as the average 43.78 and good practice towards COVID-19 (average 18.67). Conclusions: The study results revealed that study participants demonstrated good knowledge with favorable and accepted practice. This study suggests the importance of emphasis on infectious disease in medical curriculum.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e042983
Author(s):  
Helen Carter-Roberts ◽  
Richard Antbring ◽  
Manuela Angioi ◽  
Gemma Pugh

ObjectiveAn e-learning resource (MEdic GAming, MEGA) was developed based on the contents of the Faculty of Sports and Exercise Medicine exercise prescription booklet. This study aimed to (i) explore medical students’ perspectives of physical activity promotion and e-learning and (ii) investigate medical students’ response to the design, content and usability of the MEGA e-learning resource.DesignQualitative think-aloud interview study.SettingA London medical school.Participants19 undergraduate medical students were interviewed using the think-aloud method while using the e-learning resource concurrently.ResultsIn general, medical students felt current education on physical activity is inadequate and held a strong desire for more teaching on exercise medicine. Students believed the MEGA e-learning resource addressed a gap in their knowledge on physical activity but noted e-learning should not replace face-to-face teaching and suggested physical activity education would be best delivered through a blended learning approach. Students felt such an approach would allow better opportunity to practice physical activity counselling skills with patients while on clinical placement. Students’ motivation to engage with the MEGA e-learning resource was positively impacted by aesthetically appealing design and interactive gamification elements such as self-assessment quizzes and visual progress tracking.ConclusionMedical students value the role of physical activity in health but are disappointed by the lack of teaching within the current medical curriculum. E-learning resources, such as MEGA, which contain interactive features are a viable means to integrate physical activity into the undergraduate curriculum but should be supplemented by the opportunity to practice physical activity counselling in-person.


Author(s):  
Arnon Jumlongkul

In Thailand, the topic of medical ethics and laws related to medical professions has been one part of the national competency assessment criteria. The objective of this article was to design legal issues into the medical curriculum and to share experiences of creative legal study. Legal contents were inserted into 10 subjects and taught for year 1 to year 6 medical students. Students were divided into multi-groups or received individual tasks and then, shared their knowledge and idea for solving legal problems. The results showed they could interpret and create novel ideas for legal and ethical reconstruction, including the topic of the principle of laws, criminal laws, civil and commercial laws, public health laws, organ donation/transplantation, end of life decisions, and legal liability for the medical profession. Finally, the creative legal study can be used as a novel approach to support creativity among medical students.


2015 ◽  
Vol 06 (04) ◽  
pp. 001-002
Author(s):  
Vijayalakshmi Poreddi ◽  
Rohini Thimmaiah ◽  
Suresh Bada Math

ABSTRACT Background: Globally, people with mental illness frequently encounter stigma, prejudice, and discrimination by public and health care professionals. Research related to medical students’f attitudes toward people with mental illness is limited from India. Aim: The aim was to assess and compare the attitudes toward people with mental illness among medical students’. Materials and Methods: A cross-sectional descriptive study design was carried out among medical students, who were exposed (n = 115) and not exposed (n = 61) to psychiatry training using self-reporting questionnaire. Results: Our findings showed improvement in students’ attitudes after exposure to psychiatry in benevolent (t = 2.510, P < 0.013) and stigmatization (t = 2.656, P < 0.009) domains. Further, gender, residence, and contact with mental illness were the factors that found to be influencing students’ attitudes toward mental illness. Conclusion: The findings of the present study suggest that psychiatric education proved to be effective in changing the attitudes of medical students toward mental illness to a certain extent. However, there is an urgent need to review the current curriculum to prepare undergraduate medical students to provide holistic care to the people with mental health problems.


Author(s):  
Shaikh Arshiya Kaiser Husain ◽  
Anwaya R. Magare ◽  
Purushottam A. Giri ◽  
Vijaykumar S. Jadhav

Background: The aim of medical education is to produce competent, physically and mentally strong health professionals, as they are going to be the pillars of the future health care system. Stress is one of the most common and process-oriented obstacles in medical education. It often exerts a negative effect on the academic performance, physical health, and psychological well-being of the students. Dealing with overloaded medical curriculum, competing with peers, being away from home and meeting high expectations imposed by parents and society to excel is among the common stressful transitions at this stage.Methods: A cross-sectional descriptive study was carried out amongst 352 undergraduate medical students of a private medical college in a rural area of Maharashtra during April to October 2019. The structured questionnaire was used to record the data. Collected data was used to assess the severity of mental health issues among medical students.Results: Majority 194 (55.11%) students were in the age of 18 to 20 years followed by 141 (40.06%) were in 21 to 23 years. There were 196 (55.68%) girl students and 156 (44.32%) boys. According to the various categories, 80 (22.73%) of the students had low stress scores, followed by 76 (21.59%) in minimal. A highly significant difference in stress scores was seen between boys and girls, which was more in boys.Conclusions: Study concluded that undergraduate medical students perceive minimal to very high stress presented as various systems that vary with the year of study and gender wise too. There is a further need to look into the various causes of stress.


Author(s):  
Aparnavi P. ◽  
Venkatesh U. ◽  
Priyanka S. ◽  
Shalini S.

Background: Epidemiology batch posting (EBP) is conducted only in a few Indian medical colleges for undergraduate students to orient them with research methodologies. EBP is designed to overcome the lacuna in knowledge on attitude towards scientific research amongst medical students. The objective of the study was to study the effect of EBP in improving attitude towards research among medical students.Methods: A pre-post study was conducted on a batch of 40 students (consecutive sampling technique) posted for EBP in Department of Community Medicine, at VMMC and Safdarjung Hospital, New Delhi during October-November 2017. This was well above the required sample size of 16 calculated using G Power 3.1. Data was collected using R-ATR (revised attitude towards research) Data was found to be non-parametric by applying tests of normality. Hence Wilcoxon sign rank test was used to find the statistical significance in change of attitude between pre and post-tests.Results: Participants mean age was 20.50±1.58 yrs and 75% of them were males. The median attitude towards research usefulness increased from 5.25 to 6.75 following EBP. In the domain of positive predisposition towards research, there was an overall positive change in attitude from a median of 4.00 to 5.25. A negative change was shown in ‘research anxiety’ domain, from a median score of 5.00 to 3.00.Conclusions: Authors recommend that Indian medical curriculum should mandate a small group learning model such as EBP for all undergraduate medical students to bring about a positive attitude towards research and to reduce their anxiety levels.


Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
J Birns ◽  
P Jaye ◽  
A Roots ◽  
G Reedy ◽  
Alastair Ross

Background: City-wide re-organisation of stroke care in London, incorporating 8 hyperacute stroke units (HASUs), has improved thrombolysis rates and survival cost-effectively. Continued staffing of HASUs requires stroke-specialist training to develop competencies for managing neurological emergencies. Simulation training provides an education platform for health care professionals to become immersed in realistic scenarios where outcome is dependent upon technical and non-technical skills. Methods: A standardised, curriculum-mapped, high-fidelity, simulation-training programme was developed on 4 HASUs for city-wide staff to attend. Learning outcomes included technical (acute stroke assessment/management) and non-technical skills (including time management/decision-making/teamwork). A mixed-methods evaluation approach was used to evaluate data from participants before, during, and after training. Results: Over a 2 year period, 152 HASU staff (70 medical; 82 nursing) participated. Quantitative analysis showed a pre/post-course increase in candidates’ ability to manage emergency stroke situations (t=6.6, p<0.001), leadership skills (t=6.7, p<0.001) and communication skills (t=3.7, p<0.001), more so in junior compared with senior clinicians. Simulation training was enjoyable (mean (SD) rating 5.7(2) on 7 point Likert scale), with higher ratings from doctors compared with nurses (t=3; p<0.01). Enjoyment correlated positively (r=0.853; p<0.001) and previous experience of simulation correlated negatively (r=-0.228; p<0.05) with relevance to clinical practice. Thematic analysis of post-course semi-structured interviews demonstrated 5 important learning outcomes (assertiveness; calling for help; situational awareness; teamwork; verbalising thoughts) and 3 main responses for transference to practice (general enthusiasm with no particular practical change; immediate recognition of an emergency situation providing recall of the course; reflective change). Conclusion: Simulation training may be effective in helping achieve HASU-specific learning outcomes and may be delivered in a standardised manner across multiple sites.


2015 ◽  
Vol 6 (03) ◽  
pp. 349-354 ◽  
Author(s):  
Vijayalakshmi Poreddi ◽  
Rohini Thimmaiah ◽  
Suresh Bada Math

ABSTRACT Background: Globally, people with mental illness frequently encounter stigma, prejudice, and discrimination by public and health care professionals. Research related to medical students′ attitudes toward people with mental illness is limited from India. Aim: The aim was to assess and compare the attitudes toward people with mental illness among medical students′. Materials and Methods: A cross-sectional descriptive study design was carried out among medical students, who were exposed (n = 115) and not exposed (n = 61) to psychiatry training using self-reporting questionnaire. Results: Our findings showed improvement in students′ attitudes after exposure to psychiatry in benevolent (t = 2.510, P < 0.013) and stigmatization (t = 2.656, P < 0.009) domains. Further, gender, residence, and contact with mental illness were the factors that found to be influencing students′ attitudes toward mental illness. Conclusion: The findings of the present study suggest that psychiatric education proved to be effective in changing the attitudes of medical students toward mental illness to a certain extent. However, there is an urgent need to review the current curriculum to prepare undergraduate medical students to provide holistic care to the people with mental health problems.


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